European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
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Surgical strategy for thoracic disc herniation (TDH) remains controversial. We have performed posterior thoracic interbody fusion (PTIF) by bilateral total facetectomies with pedicle screw fixation. The objectives of this retrospective study are to demonstrate the surgical outcomes of PTIF for TDH. ⋯ PTIF has produced satisfactory outcomes for myelopathy due to TDH. Therefore, PTIF is one of the surgical treatments of choice for patients with TDH causing myelopathy.
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Corrective three dimensional (3D) effect of different braces is debatable. We evaluated differences in in-brace radiographic correction comparing a custom thoracic-lumbo-sacral-orthosis (TLSO) (T) brace to a Chêneau type TLSO (C) brace using 3D EOS reconstruction technology. Our primary research question was the 3D effect of brace on the spine and in particularly the apical vertebra rotation (AVR). ⋯ By utilizing a novel 3D reconstruction technology, we were able to demonstrate that braces differ in their immediate effects on the spine. Although clinical relevance should be evaluated in a future trial we feel that the ability to measure treatment effects in 3D, and especially the transverse plane, is an important tool when evaluating different treatments.
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To demonstrate the reality of a transverse plane pattern independent of the scoliotic curve location and to show the importance of the transverse plane pattern in the assessment of the progression risk in a population of mild scoliosis. ⋯ This study demonstrated that a transverse plane pattern combining apical axial rotation, the intervertebral axial rotation at junctions and the torsion index is independent of the scoliotic curve location and significant in the determination of the progression risk of mild scoliosis.
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To identify anterior spinal artery (ASA) infarct or occlusion by CT angiography (CTA) in patients with cervical spondylotic myelopathy (CSM). ⋯ ASA infarct or occlusion is not commonly seen in CSM patients with spinal canal sagittal diameter compression less than 80%. Pathological changes about T2-weighted hyperintensity of MR image in CSM have no close correlation with ASA infarct.