Asian spine journal
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The breakage of an epidural catheter is an extremely rare complication. We describe a unique case where a retained epidural catheter fragment after epidural anesthesia was treated by surgery. The epidural catheter broke during its removal, requiring surgery to remove the retained catheter. ⋯ The adhesion of the dura mater surface was carefully exfoliated and the successful removal of the catheter was accomplished. Conventionally, it was said that this follow-up was enough for the retained catheter. However, if a catheter is retained within the spinal canal, surgical removal should thus be considered before the adhesion advances.
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Gait analysis of patients with cervical spondylotic myelopathy (CSM) by using a sheet-type gait analysis system. ⋯ Gait analysis was an objective tool for evaluating the gait stability. Our results suggested that when the percentage of the stance phase in the gait cycle increases to above 70%, the CSM patients have an increased fall risk.
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Asian spine journal · Jun 2015
Restoration of Lumbar Lordosis in Flat Back Deformity: Optimal Degree of Correction.
A retrospective comparative study. ⋯ In flat back deformity, correction of LL to within 9° of PI will result in better sagittal balance. Thus, we recommend sufficient LL to prevent correction loss, especially in patients with high PI.
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Asian spine journal · Apr 2015
Neuropathic pain in elderly patients with chronic low back painand effects of pregabalin: a preliminary study.
Preliminary study. ⋯ Neuropathic pain was slightly less frequently associated with chronic LBP in the elderly. Pregabalin was effective in reducing pain in patients with chronic LBP accompanied with neuropathic pain. Lumbar spinal stenosis and lower limb symptoms were observed in patients with neuropathic pain. We recommend the use of pregabalin for patients after evaluating a screening score, clinical symptoms and magnetic resonance imaging studies.
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Asian spine journal · Apr 2015
Prevalence and distribution of thoracic and lumbar compressive lesions in cervical spondylotic myelopathy.
Retrospective cross-sectional study. ⋯ Surveying compressive lesions and considering the thoracic and lumbar level in cervical spondylotic myelopathy in DCS patients are important for preventing unexpected neurological deterioration and predicting accurate neurological condition after cervical surgery.