Articles: spinal-fusion-adverse-effects.
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Randomized Controlled Trial
Erector spinae muscle changes on magnetic resonance imaging following lumbar surgery through a posterior approach.
Prospective randomized study of patients undergoing lumbar arthrodesis. ⋯ Erector spinae muscle alterations mainly occur distal to posterior lumbar surgical procedures.
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Randomized Controlled Trial
Investigation of clinically important benefit of anterior cervical decompression and fusion.
The objectives of the prospective randomized study are to investigate the clinically relevant change after anterior cervical decompression and fusion (ACDF) using measures of pain intensity (visual analog scale, VAS) and neck disability index (NDI). And to determine the number of subjects showing persistent pain and disability at 6-year follow-up. To investigate the possibility of differences in outcome between ACDF with the cervical intervertebral fusion cage (CIFC) and the Cloward procedure (CP). ⋯ Thirty millimeter and 20% in pain intensity and NDI, respectively, are reasonable criteria to suggest a clinically relevant change after ACDF. Before patients undergo ACDF, they should be informed that they have an approximate 50% probability of achieving pain relief and little probability of functional improvement. The findings demonstrate that there is poor evidence for difference between CIFC and CP.
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Randomized Controlled Trial
The use of curare during anesthesia to prevent iatrogenic muscle damage caused by lumbar spinal surgery through a posterior approach.
Prospective randomized study of patients undergoing lumbar arthrodesis. ⋯ The use of curare during anesthesia did not limit the muscle damage caused by surgery.
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Randomized Controlled Trial
The role of amicar in decreasing perioperative blood loss in idiopathic scoliosis.
Four separate studies on the role of Amicar in decreasing perioperative blood loss in idiopathic scoliosis. ⋯ Amicar appears highly effective in decreasing perioperative blood loss. This results in less autologous blood donation, blood transfusion, costs, and complications. Its mechanism of action is uncertain but may be related to increased fibrinogen secretion.
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J Spinal Disord Tech · Feb 2005
Randomized Controlled Trial Multicenter Study Clinical TrialIliac crest bone graft donor site pain after anterior lumbar interbody fusion: a prospective patient satisfaction outcome assessment.
Autogenous iliac crest bone is the gold-standard graft for spinal fusion surgery. Unfortunately, there is a frequent incidence of graft site pain that persists well into the postoperative period with complication rates reported in 2.8-39% of patients. Persistent pain lasting at least 2 years is reported in 15-39% of patients. ⋯ Persistent donor site pain remains a problem with harvest of autogenous iliac crest bone graft for spinal fusion. This prospective study, the first such study reported for ALIF, confirms that donor site pain remains a significant postoperative management problem.