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Clinical Spine Surgery

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https://www.readbyqxmd.com/read/29771743/is-anterior-cervical-discectomy-and-fusion-for-%C3%A2-4-levels-safe-and-effective-for-the-treatment-of-degenerative-cervical-disease
#1
Michael J Elsenbeck, Alfred J Pisano, Donald J Fredericks, Scott C Wagner
No abstract text is available yet for this article.
May 16, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29757754/should-nonsteroidal-anti-inflammatory-drugs-be-contraindicated-in-the-perioperative-period-after-spinal-fusion-surgery
#2
Prasanna K Venkatesh, Peadar A Mac Suibhne, Joseph S Butler
No abstract text is available yet for this article.
May 11, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29746262/clinical-comparison-of-surgical-constructs-for-anterior-cervical-corpectomy-and-fusion-in-patients-with-cervical-spondylotic-myelopathy-or-ossified-posterior-longitudinal-ligament-a-systematic-review-and-meta-analysis
#3
Timothy R Niedzielak, Joseph Palmer, John P Malloy
STUDY DESIGN: This is a systematic review and meta-analysis. OBJECTIVE: To examine the differences in outcomes among current constructs and techniques for anterior cervical corpectomy and fusion (ACCF) in patients with single or multiple level cervical myelopathy (CM) secondary to cervical spondylosis or ossified posterior longitudinal ligament. SUMMARY OF BACKGROUND DATA: The natural history of CM can be a progressive disease process. In such cases, where surgical decompression is indicated to halt the progression, ACCF is typically chosen for pathology located posterior to the vertebral body...
May 9, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29734212/time-course-of-radiologic-changes-after-lumbar-total-disc-replacement-experience-of-single-institute-with-minimum-5-year-follow-up
#4
Jung-Woo Hur, Jin-Sung Kim, Kyeong-Sik Ryu, Myeong-Hoon Shin, Chun-Kun Park
STUDY DESIGN: This was a retrospective observatory analysis study. OBJECTIVE: The purpose of this study was to evaluate long-term safety and therapeutic effectiveness of the lumbar total disc replacement (TDR) using ProDisc-L by analyzing the radiologic changes at the index and adjacent levels in minimum 5-year follow-up. SUMMARY OF BACKGROUND DATA: Early successful clinical results of lumbar TDR have been reported. However, few reports have published its therapeutic effectiveness and radiologic degenerative changes at the index and adjacent segments in the long term...
May 4, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29727308/the-prevalence-of-incidental-and-symptomatic-lumbar-synovial-facet-cysts
#5
Stein J Janssen, Paul T Ogink, Joseph H Schwab
STUDY DESIGN: This was a retrospective cohort study from 2 affiliated tertiary care referral centers for spine disease. OBJECTIVE: The purpose of this article was to assess the prevalence of incidental (ie, asymptomatic) and symptomatic lumbar synovial facet cysts on magnetic resonance imaging. Secondarily, we assessed whether the prevalence increases with age. In addition, we assessed differences in patient and cyst characteristics between asymptomatic and symptomatic facet cysts...
April 30, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29708891/frequency-and-acceptability-of-adverse-events-after-anterior-cervical-discectomy-and-fusion-a-survey-study-from-the-cervical-spine-research-society
#6
Jefferson R Wilson, Kris Radcliff, Gregory Schroeder, Madison Booth, Christopher Lucasti, Michael Fehlings, Nassr Ahmad, Alexander Vaccaro, Paul Arnold, Daniel Sciubba, Alex Ching, Justin Smith, Christopher Shaffrey, Kern Singh, Bruce Darden, Scott Daffner, Ivan Cheng, Zoher Ghogawala, Steven Ludwig, Jacob Buchowski, Darrel Brodke, Jeffrey Wang, Ronald A Lehman, Alan Hilibrand, Tim Yoon, Jonathan Grauer, Andrew Dailey, Michael Steinmetz, James S Harrop
PURPOSE: Anterior cervical discectomy and fusion has a low but well-established profile of adverse events. The goal of this study was to gauge surgeon opinion regarding the frequency and acceptability of these events. METHODS: A 2-page survey was distributed to attendees at the 2015 Cervical Spine Research Society (CSRS) meeting. Respondents were asked to categorize 18 anterior cervical discectomy and fusion-related adverse events as either: "common and acceptable," "uncommon and acceptable," "uncommon and sometimes acceptable," or "uncommon and unacceptable...
April 27, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29683811/is-cement-augmentation-a-viable-treatment-option-for-an-osteoporotic-compression-fracture
#7
Saad B Chaudhary, Jason W Savage
No abstract text is available yet for this article.
April 20, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29621047/fluoroscopically-guided-lumbar-transforaminal-epidural-steroid-injection-procedural-technique
#8
David Stolzenberg, Junyoung J Ahn, Mark Kurd
Fluoroscopically guided lumbar transforaminal epidural steroid injections are indicated for the treatment of lumbar radicular pain that has failed more conservative options. This article details proper equipment and medications, patient positioning and set-up, step-by-step instructions for multiplanar fluoroscopic visualization, needle advancement and medication instillation, and postoperative management. Pearls and pitfalls are also discussed. In addition, an instructional procedure video accompanies this paper...
April 4, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29620588/atlas-fractures-diagnosis-current-treatment-recommendations-and-implications-for-elderly-patients
#9
Richard M Smith, Amit K Bhandutia, Julio J Jauregui, Mark Shasti, Steven C Ludwig
Fractures of the C1 vertebrae (atlas) are commonly the result of falls and other trauma, which cause hyperextension, or axial compression of the cervical spine. Although historically thought as a benign injury with lower neurological risks, current data suggests that this may not hold true for geriatric patients (aged 65 y and older) who may be predisposed to these fractures even after lower-energy trauma such as ground-level falls. Advancements in orthopedic trauma care has increased our diagnostic abilities to identify and manage patients with C1 fractures and other upper cervical spine trauma...
April 3, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29608450/does-day-of-surgery-affect-hospital-length-of-stay-and-charges-following-minimally-invasive-transforaminal-lumbar-interbody-fusion
#10
Fady Y Hijji, Ankur S Narain, Brittany E Haws, Benjamin Khechen, Krishna T Kudaravalli, Kelly H Yom, Kern Singh
STUDY DESIGN: Retrospective Cohort. OBJECTIVE: To determine if an association exists between surgery day and length of stay or hospital costs after minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). SUMMARYOF BACKGROUND DATA: Length of inpatient stay after orthopedic procedures has been identified as a primary cost driver, and previous research has focused on determining risk factors for prolonged length of stay. In the arthroplasty literature, surgery performed later in the week has been identified as a predictor of increased length of stay...
March 31, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29608449/conservative-treatment-of-hangman-variant-fractures
#11
Thomas E Niemeier, Sakthevil R Manoharan, Amrita Mukherjee, Steven M Theiss
STUDY DESIGN: This is retrospective cohort study. OBJECTIVE: Investigate the stability of patients with hangman variant fractures and outcomes of treatment with external immobilization. SUMMARY OF BACKGROUND DATA: Traumatic spondylolisthesis of the axis (C2) with the fracture extending into the vertebral body has been incompletely characterized. Small case series have showed high rates of neurological injury and cite difficulty treating closed due to greater instability secondary to extensive ligamentous injury...
March 31, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29608448/is-structural-allograft-superior-to-synthetic-graft-substitute-in-anterior-cervical-discectomy-and-fusion
#12
Theodore J Steelman, Melvin D Helgeson, Jonathan G Seavey, David E Gwinn
No abstract text is available yet for this article.
March 31, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29608447/is-routine-bracing-of-benefit-following-posterior-instrumented-lumbar-fusion-for-degenerative-indications
#13
Michael J Elsenbeck, Scott C Wagner, Andrew H Milby
No abstract text is available yet for this article.
March 31, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29595748/is-it-safe-to-use-synthetic-grafts-in-pyogenic-vertebral-osteodiskitis-when-surgical-debridement-is-required
#14
Sameer K Saxena, Patrick D Grimm, Husain M Bharmal
No abstract text is available yet for this article.
March 27, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29595747/postoperative-infection-in-patients-undergoing-posterior-lumbosacral-spinal-surgery-a-pictorial-guide-for-diagnosis-and-early-treatment
#15
Shih-Hao Chen, Wen-Jer Chen, Meng-Huang Wu, Jen-Chung Liao, Chen-Ju Fu
Surgical site infections after posterior spinal surgery may lead to spondylodiscitis, pseudarthrosis, correction loss, adverse neurological sequelae, sepsis, and poor outcomes if not treated immediately. Infection rates vary depending on the type and extent of operative procedures, use of instrumentation, and patients' risk factors. Image evaluation is crucial for early diagnosis and should be complementary to clinical routes, laboratory survey, and treatment timing. Magnetic resonance imaging detects early inflammatory infiltration into the vertebrae and soft tissues, including hyperemic changes of edematous marrow, vertebral endplate, and abscess or phlegmon accumulation around the intervertebral disk, epidural, and paravertebral spaces...
March 27, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29578876/surgical-strategies-to-prevent-adjacent-segment-disease-in-the-cervical-spine
#16
Joseph S Butler, Patrick B Morrissey, Scott C Wagner, I David Kaye, Arjun S Sebastian, Gregory D Schroeder, Alexander R Vaccaro, Alan S Hilibrand
The most popular approach to treating symptomatic cervical disk disease is anterior cervical discectomy and fusion. Although this procedure has significant long-term clinical success, it is associated with progressive adjacent segment degeneration with an annual incidence of ∼3%. Total disk arthroplasty was designed as an alternative to fusion that could preserve segmental motion at the operative level and potentially delay or prevent adjacent-level breakdown. The etiology of adjacent segment pathology (ASP) is multifactorial, and it is likely that most cases of ASP are unavoidable...
March 23, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29578875/strategies-for-the-prevention-and-treatment-of-surgical-site-infection-in-the-lumbar-spine
#17
Joseph S Butler, Scott C Wagner, Patrick B Morrissey, Ian D Kaye, Arjun S Sebastian, Gregory D Schroeder, Kristen Radcliff, Alexander R Vaccaro
Surgical site infection (SSI) following spine surgery can be devastating for both the patient and the surgeon. It leads to significant morbidity and associated health care costs, from readmissions, reoperations, and subsequent poor clinical outcomes. Complications associated with SSI following spine surgery include pseudarthrosis, neurological deterioration, sepsis, and death. Its management can be very challenging. The diagnosis of SSI involves the interpretation of combined clinical, laboratory, and occasionally radiologic findings...
March 23, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29578874/extradural-arachnoid-cyst-excision
#18
Barrett Boody, Christopher J Lucasti, Gregory D Schroeder, Joshua E Heller, Alexander R Vaccaro
Arachnoid cysts are an uncommon postoperative complication and can result in back pain, radiculopathy, and/or cauda equina syndrome. For symptomatic postoperative arachnoid cysts, surgical management is the accepted treatment. While excision of arachnoid cysts is the preferred surgical method, cysts with adhesions to nerve roots and/or dura can be treated with cyst fenestration to reduce morbidity of excision. Surgeons should be prepared for dural defects after cyst excision, which can require dural grafting and lumbar drains for cerebrospinal fluid diversion...
March 23, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29553943/the-accurate-free-hand-placement-of-s2-alar-iliac-s2ai-screw
#19
Taolin Fang, Glenn S Russo, Gregory D Schroeder, Christopher K Kepler
Achieving an osseous fusion across the lumbosacral spine is still challenging in spine surgery. For the long multisegmental fusion surgery, it is crucial to build a robust and substantial foundation, which sometimes necessitates the distal spinal fixation to the pelvis. The pelvic fixation technique involves advancing the screw through the alar, thereby providing more purchase across the sacroiliac joint and into the ilium. The S2 alar iliac screws can obtain immediate stability and proper biomechanical strength of constructs...
March 16, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29538039/endoscopic-endonasal-approach-to-the-upper-cervical-spine-for-decompression-of-the-cervicomedullary-junction-following-occipitocervical-fusion
#20
Ibrahim Hussain, Theodore H Schwartz, Jeffrey P Greenfield
Basilar invagination is defined as abnormal upward and/or posterior displacement of the odontoid leading to ventral compression of the cervicomedullary junction. This condition leads to lower cranial neuropathies, sensorimotor deficits, and myelopathy. These symptoms can persist even after posterior decompression, which is an indication for ventral decompression. Transoral approaches to the upper cervical spine carry significant morbidity, limiting their utility. The endonasal approach to the upper cervical spine presents an alternative for patients with amenable anatomy...
March 13, 2018: Clinical Spine Surgery
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