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https://www.readbyqxmd.com/read/27885472/a-prospective-randomized-trial-comparing-anterior-cervical-discectomy-and-fusion-versus-plate-only-open-door-laminoplasty-for-the-treatment-of-spinal-stenosis-in-degenerative-diseases
#1
Yun-Qi Jiang, Xi-Lei Li, Xiao-Gang Zhou, Chong Bian, Han-Ming Wang, Jian-Ming Huang, Jian Dong
OBJECTIVE: For three or more involved cervical levels, there is a debate over which approach yields the best outcomes for the treatment of multilevel cervical degenerative disease. Our objective is to compare the radiological and clinical outcomes of two treatments for multilevel cervical degenerative disease: anterior cervical discectomy and fusion (ACDF) versus plate-only open-door laminoplasty (laminoplasty). METHODS: Patients were randomized on a 1:1 randomization schedule with 17 patients in the ACDF group and 17 patients in the laminoplasty group...
November 24, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27864682/posterior-implant-removal-in-patients-with-thoracolumbar-spine-fractures-long-term-results
#2
A J Smits, L den Ouden, A Jonkergouw, J Deunk, F W Bloemers
PURPOSE: Debate remains whether posterior implants after thoracolumbar spine fracture stabilization should be removed routinely or only in symptomatic cases. Implant related problems might be resolved or even prevented but removal includes secondary risks. The aim of this study was to evaluate safety, patient satisfaction and quality of life after implant removal. METHODS: A retrospective cohort study was performed concerning 102 patients that underwent posterior implant removal after stabilization of a traumatic thoracolumbar fracture between 2003 and 2015...
November 18, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27792122/health-related-quality-of-life-and-care-giver-burden-following-spinal-fusion-in-children-with-cerebral-palsy
#3
Rachel DiFazio, Patricia Miller, Judith A Vessey, Brian Snyder
STUDY DESIGN: Prospective longitudinal cohort OBJECTIVE.: Evaluate changes in caregivers' perceptions of health related quality of life (HRQOL) and caregiver burden in children with severe cerebral palsy (CP) following spinal fusion. SUMMARY OF BACKGROUND DATA: Progressive scoliosis is common in non-ambulatory children with CP; the utility of spine fusion has been long debated and prospective evaluations of patient reported outcomes are limited. METHODS: Children 3-21 years old, GMFCS IV-V CP, scheduled for spine fusion were enrolled consecutively from September 2011-March 2014...
October 25, 2016: Spine
https://www.readbyqxmd.com/read/27785474/idiopathic-and-normal-lateral-lumbar-curves-muscle-effects-interpreted-by-12th-rib-length-asymmetry-with-pathomechanic-implications-for-lumbar-idiopathic-scoliosis
#4
Theodoros B Grivas, R Geoffrey Burwell, Vasileios Kechagias, Christina Mazioti, Apostolos Fountas, Dimitra Kolovou, Evangelos Christodoulou
BACKGROUND: The historical view of scoliosis as a primary rotation deformity led to debate about the pathomechanic role of paravertebral muscles; particularly multifidus, thought by some to be scoliogenic, counteracting, uncertain, or unimportant. Here, we address lateral lumbar curves (LLC) and suggest a pathomechanic role for quadrates lumborum, (QL) in the light of a new finding, namely of 12th rib bilateral length asymmetry associated with idiopathic and small non-scoliosis LLC. METHODS: Group 1: The postero-anterior spinal radiographs of 14 children (girls 9, boys 5) aged 9-18, median age 13 years, with right lumbar idiopathic scoliosis (IS) and right LLC less that 10°, were studied...
2016: Scoliosis and Spinal Disorders
https://www.readbyqxmd.com/read/27785471/measuring-anterior-trunk-deformity-in-scoliosis-development-of-asymmetry-parameters-using-surface-topography-a-pilot-study
#5
Patrick Knott, Baron Lonner, Mark Smith, Erin Frommeyer, Yuan Ren
BACKGROUND: Clinicians who assess and treat patients for scoliosis typically use parameters that are all visible from the posterior view. Radiographs assess the internal spinal deformity, but do not directly evaluate body shape, either posterior or anterior. This is problematic, as the patient is most concerned about the way they appear in the mirror. An objective set of anterior measurements is needed to help quantify the anterior asymmetry that is present in scoliosis. METHODS: The design of this system of assessment was developed as a consensus of thinking from four points of view...
2016: Scoliosis and Spinal Disorders
https://www.readbyqxmd.com/read/27669042/anterior-lumbar-interbody-fusion-alif-with-and-without-an-access-surgeon-a-systematic-review-and-meta-analysis
#6
Kevin Phan, Joshua Xu, Daniel B Scherman, Prashanth J Rao, Ralph J Mobbs
STUDY DESIGN: A systematic review and meta-analysis OBJECTIVE.: To investigate the outcomes of anterior lumber interbody fusion (ALIF) with and without an "access surgeon". SUMMARY OF BACKGROUND DATA: Anterior approaches for spine operations have become increasingly popular but may often involve unfamiliar anatomy and territory for spine surgeons, potentially placing the patient at risk to a greater proportion of approach-related complications. Thus many spine surgeons require or prefer the assistance of an "access surgeon" to perform the exposure...
September 23, 2016: Spine
https://www.readbyqxmd.com/read/27652198/pre-operative-autologous-blood-donation-does-not-affect-pre-incision-hematocrit-in-adolescent-idiopathic-scoliosis-patients-a-retrospective-cohort-of-a-prospective-randomized-trial
#7
Anthony J Boniello, Kushagra Verma, Austin Peters, Baron S Lonner, Thomas Errico
BACKGROUND: Pre-donation of autologous blood prior to spine fusion for adolescent idiopathic scoliosis (AIS) has been used in deformity surgery. The effect of pre-donation on pre-operative hematocrit (Hct) remains debated. Multiple factors may influence pre-operative Hct including intravascular volume status, patient factors, and timing of pre-operative blood donation. The purpose of this study was to determine if pre-donation significantly lowers pre-incision Hct in AIS patients. METHODS: A retrospective cohort study of a Level-1 prospective randomized trial was conducted...
2016: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/27649071/classification-of-high-intensity-zones-of-the-lumbar-spine-and-their-association-with-other-spinal-mri-phenotypes-the-wakayama-spine-study
#8
Masatoshi Teraguchi, Dino Samartzis, Hiroshi Hashizume, Hiroshi Yamada, Shigeyuki Muraki, Hiroyuki Oka, Jason Pui Yin Cheung, Ryohei Kagotani, Hiroki Iwahashi, Sakae Tanaka, Hiroshi Kawaguchi, Kozo Nakamura, Toru Akune, Kenneth Man-Chee Cheung, Noriko Yoshimura, Munehito Yoshida
INTRODUCTION: High intensity zones (HIZ) of the lumbar spine are a phenotype of the intervertebral disc noted on MRI whose clinical relevance has been debated. Traditionally, T2-weighted (T2W) magnetic resonance imaging (MRI) has been utilized to identify HIZ of lumbar discs. However, controversy exists with regards to HIZ morphology, topography, and association with other MRI spinal phenotypes. Moreover, classification of HIZ has not been thoroughly defined in the past and the use of additional imaging parameters (e...
2016: PloS One
https://www.readbyqxmd.com/read/27642819/traumatic-sports-related-cervical-spine-injuries
#9
Varun Puvanesarajah, Rabia Qureshi, Jourdan M Cancienne, Hamid Hassanzadeh
Cervical spine trauma in the athlete is not an insignificant occurrence with possibly catastrophic results. Football remains one of the most common and most well studied sporting activities associated with spine injuries. Transient spinal cord and peripheral nerve injuries may manifest as quadriparesis or burners/stingers with symptoms that resolve completely. More severe spinal cord injuries, typically from axial loading on the cervical spine, will cause bilateral symptoms with residual neurological deficit...
September 16, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27504085/the-presynaptic-microtubule-cytoskeleton-in-physiological-and-pathological-conditions-lessons-from-drosophila-fragile-x-syndrome-and-hereditary-spastic-paraplegias
#10
REVIEW
Felipe J Bodaleo, Christian Gonzalez-Billault
The capacity of the nervous system to generate neuronal networks relies on the establishment and maintenance of synaptic contacts. Synapses are composed of functionally different presynaptic and postsynaptic compartments. An appropriate synaptic architecture is required to provide the structural basis that supports synaptic transmission, a process involving changes in cytoskeletal dynamics. Actin microfilaments are the main cytoskeletal components present at both presynaptic and postsynaptic terminals in glutamatergic synapses...
2016: Frontiers in Molecular Neuroscience
https://www.readbyqxmd.com/read/27399461/182%C3%A2-ultra-early-12-hours-decompression-improves-recovery-after-spinal-cord-injury-compared-to-early-12-24-hours-decompression
#11
John Frederick Burke, John K Yue, Laura Benjamin Ngwenya, Ethan A Winkler, Jason Talbott, Jonathan Pan, Adam Ferguson, Michael Beattie, Jacqueline Bresnahan, Jenny Haefeli, William Whetstone, Catherine Suen, Michael C Huang, Geoffrey T Manley, Phiroz E Tarapore, Sanjay S Dhall
INTRODUCTION: Spinal cord injury (SCI) is a devastating condition with very few treatment options. Surgical decompression of the spine after injury has been shown to improve outcomes; however, the optimal timing of surgery is a matter of debate. METHODS: We collected data from 78 patients with SCI. Based on the time to surgical decompression, we grouped patients into an ultra-early group (decompression within 12 hours of presentation), an early group (within 12-24 hours), and a late group (>24 hours)...
August 2016: Neurosurgery
https://www.readbyqxmd.com/read/27390916/overall-survival-in-spine-myeloma-metastases-difficulties-in-predicting-with-prognostic-scores
#12
Aymeric Amelot, Joseph Cristini, Céline Salaud, Alexis Moles, Olivier Hamel, Philippe Moreau, Eric Bord, Kevin Buffenoir
STUDY DESIGN: Fifty-one patients with spinal multiple myeloma (MM) metastases were operated and followed between January 2004 and July 2014. OBJECTIVE: To consider the efficiency of surgical prognosis scores in the management of spinal metastases myelomas SUMMARY OF BACKGROUND DATA.: The spine is the most common site of bone metastases in Multiple Myeloma (MM). Surgery in spine metastases MM is a matter of debate and its impact on the increase of a patient's survival time is not clear...
July 7, 2016: Spine
https://www.readbyqxmd.com/read/27374847/spines-of-steel-a-case-of-surgical-enthusiasm-in-cold-war-america
#13
Beth Linker
Just as the prevalence of scoliosis began to decline precipitously after World War II, American orthopedic surgeon Dr. Paul R. Harrington devised a new, invasive surgical system whereby implantable prosthetic metal rods and hooks were used to straighten curved backs. By the 1970s, "Harrington rods" had become the gold standard of surgical scoliosis care in the United States, replacing more conventional methods of exercise, bracing, and casting. This article situates the success of Harrington rods within a much larger and historically longer debate about why, when compared to those in other nations, American surgeons appear to be "more aggressive" and "knife-happy...
2016: Bulletin of the History of Medicine
https://www.readbyqxmd.com/read/27355702/comparison-of-the-clinical-and-radiographic-results-between-cervical-artificial-disc-replacement-and-anterior-cervical-fusion-a-six-year-prospective-non-randomized-comparative-study
#14
Wei Tian, Kai Yan, Xiao Han, Jie Yu, Peihao Jin, Xiaoguang Han
STUDY DESIGN: Prospective non-randomized comparative study. OBJECTIVE: To compare the long-term clinical and radiographic results of cervical artificial disc replacement (CADR) and anterior cervical discectomy and fusion (ACDF), and to provide our evidence whether CADR could reduce adjacent segment degeneration (ASD). SUMMARY OF BACKGROUND DATA: CADR is widely used in spine surgery today. In spite of the short-term results of it having been ascertained, the long-term results are still under observation...
June 28, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27349630/outpatient-continuity-of-care-and-30-day-readmission-after-spine-surgery
#15
Symeon Missios, Kimon Bekelis
BACKGROUND CONTEXT: The value of continuity of care in preventing 30-day readmissions after surgical procedures remains an issue of debate. PURPOSE: To investigate the association of being evaluated in the Emergency Room (ER) of the hospital where the original procedure was performed with 30-day readmissions for spine surgery patients. STUDY DESIGN/SETTING: Cohort study PATIENT SAMPLE.: 16,483 spine surgery patients being evaluated in the ED within 30-days postoperatively OUTCOME MEASURES...
June 24, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27307365/comparing-percutaneous-vertebroplasty-and-conservative-therapy-for-treating-osteoporotic-compression-fractures-in-the-thoracic-and-lumbar-spine-a-systematic-review-and-meta-analysis
#16
Ryan Mattie, Katri Laimi, Sloane Yu, Mikhail Saltychev
BACKGROUND: Vertebral compression fractures are a common complication of osteoporosis and are often treated by percutaneous vertebroplasty (PVP). The ability of this procedure to relieve pain better than conservative treatment is still debated. The purpose of this study was to compare the degree and duration of pain relief following PVP with that following conservative treatment for osteoporotic compression fractures by means of meta-analysis of randomized controlled trials. METHODS: The CENTRAL (Cochrane Central Register of Controlled Trials), MEDLINE, Embase, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and Web of Science databases were queried for randomized controlled trials comparing PVP with conservative treatment or placebo/sham...
June 15, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27299140/diagnostic-value-of-clinical-findings-in-evaluation-of-thoracolumbar-blunt-traumas
#17
Ali Shahrami, Majid Shojaee, Seyed Mohammadreza Tabatabaee, Elaheh Mianehsaz
INTRODUCTION: Necessity of imaging for symptom-free conscious patients presented to emergency department (ED) following traumatic thoracolumbar spine injuries has been a matter of debate. The present study was aimed to evaluate the diagnostic value of clinical findings in prediction of traumatic thoracolumbar injuries compared tocomputed tomography (CT) scan. METHODS: The present diagnostic value study was carried out using non-random convenience sampling during the time between October 2013 and March 2014...
2016: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/27255905/-manual-medicine-and-osteopathic-methods-on-the-growing-spine
#18
R Kayser, G Harke
The application of various techniques in manual medicine on infants, toddlers and adolescents enjoys widespread acknowledgement not only in the musculoskeletal field but also beyond that. For a long time, the seminars of the DGMM have been trying to structure the advanced training of doctors and the vocational training of physiotherapists and to adjust it according to the latest clinical and scientific findings (in this subject matter). Considering the controversial debates, this seems particularly necessary and meaningful...
June 2016: Der Orthopäde
https://www.readbyqxmd.com/read/27240099/standards-of-care-in-cauda-equina-syndrome
#19
N V Todd, R A Dickson
What constitutes cauda equina syndrome (CES), how it should be subclassified and how urgently to image and operate on patients with CES are all matters of debate. A structured review of the literature has led us to evaluate the science and to propose evidence-based guidelines for the management of CES. Our conclusions include this guidance: pain only; MRI negative - recommend: analgesia, ensure imaging complete (not just lumbar spine) adequate follow-up. Bilateral radiculopathy (CESS) with a large central disc prolapse - recommend: discuss with the patient and if for surgery, the next day (unless deteriorates to CESI in which case emergency surgery); CESI - recommend: the true emergency for surgery by day or night; a large central PLID with uncertainty as to whether CESI or CESR (e...
October 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27163276/how-many-cases-of-spine-surgery-are-performed-in-germany-method-of-counting-the-number-of-cases-of-spine-surgery-in-germany
#20
Lea-Marie Wieser, Sven Sauermann, Friedrich Weber
Objective The number of cases of spinal DRGs (German Diagnosis-Related Groups) is calculated on the basis of the data released by the German DRG-Institute. The data thus obtained were subsequently compared with the previously publicly debated data of cases, which were based on the counting of OPS (German Procedure Classification) codes. Methods Specific and Nonspecific Spinal DRGs are identified according to the German Coding Guidelines and the OPS catalogs. Those are verified in a multistage process, including the formation of test cases, to ensure that those DRGs consistently contain spinal cases...
September 2016: Journal of Neurological Surgery. Part A, Central European Neurosurgery
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