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https://www.readbyqxmd.com/read/28079799/risk-factors-for-recollapse-of-the-augmented-vertebrae-after-percutaneous-vertebroplasty-for-osteoporotic-vertebral-fractures-with-intravertebral-vacuum-cleft
#1
Weibo Yu, De Liang, Zhensong Yao, Ting Qiu, Linqiang Ye, Xuecheng Huang, Xiaobing Jiang
To determine risk factors related to recollapse of the augmented vertebrae after percutaneous vertebroplasty (PVP) for osteoporotic vertebral compression fractures (OVCFs) with intravertebral vacuum cleft (IVC).Fifty-two patients treated with PVP for single OVCFs with the IVC were retrospectively reviewed. The follow-up period was at least 2 years. Vertebral height loss ≥15% or kyphotic angle ≥10° at the final follow-up in relation to the immediately postoperative values were adopted as a definition of recollapse of the augmented vertebrae...
January 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28063678/debridement-interbody-graft-using-titanium-mesh-cages-posterior-instrumentation-and-fusion-in-the-surgical-treatment-of-multilevel-noncontiguous-spinal-tuberculosis-in-elderly-patients-via-a-posterior-only
#2
Yu-Xiang Wang, Hong-Qi Zhang, Min Li, Ming-Xing Tang, Chao-Feng Guo, Ang Deng, Qile Gao, Jian-Huang Wu, Jin-Yang Liu
PURPOSE: To analyse the efficacy and feasibility of surgical management for elderly patients with multilevel non-contiguous spinal tuberculosis(MNSTB)by using one-stage posterior focus debridement, interbody graft using titanium mesh cages, posterior instrumentation and fusion. METHODS: From September 2009 to October 2013, 15 elderly patients with MNSTB were treated with one-stage posterior focus debridement, interbody graft using titanium mesh cages, posterior instrumentation and fusion...
December 28, 2016: Injury
https://www.readbyqxmd.com/read/28032710/anterior-and-posterior-instrumentation-with-different-debridement-and-grafting-procedures-for-multi-level-contiguous-thoracic-spinal-tuberculosis
#3
Xu Cui, Li-Tao Li, Yuan-Zheng Ma
OBJECTIVE: To evaluate the clinical outcomes of anterior and posterior instrumentation with different debridement and graft fusion methods for multi-level contiguous thoracic spinal tuberculosis. METHODS: We retrospectively evaluated 81 patients with multi-level contiguous thoracic spinal tuberculosis who underwent anterior or posterior instrumentation combined with different methods of debridement, decompression, and graft fusion from January 2002 to December 2012...
November 2016: Orthopaedic Surgery
https://www.readbyqxmd.com/read/28028648/expansive-open-door-laminoplasty-versus-laminectomy-and-instrumented-fusion-for-cases-with-cervical-ossification-of-the-posterior-longitudinal-ligament-and-straight-lordosis
#4
Xiaowei Liu, Yu Chen, Haisong Yang, Tiefeng Li, Bin Xu, Deyu Chen
PURPOSE: To identify whether expansive open-door laminoplasty (Lam) is more appropriate than laminectomy and instrumented fusion (LIF) for cases with ossification of the posterior longitudinal ligament (OPLL) and straight cervical lordosis. METHODS: A total of 67 cases were included and divided into Group Lam (n = 32) and Group LIF (n = 35), and the mean follow-up periods were 38 and 42 months, respectively. The cervical lordosis was elevated by C2-7 Cobb angle and cervical sagittal balance by C2-C7 sagittal vertical axis (SVA)...
December 27, 2016: European Spine Journal
https://www.readbyqxmd.com/read/28005617/lateral-extracavitary-approach-versus-posterior-extensive-circumferential-decompression-in-the-treatment-of-complicated-thoracic-and-lumbar-tuberculous-spondylitis
#5
Khaled Omran, Ahmed S Abdel-Fattah, Ahmed M A Othman, Ahmed O Youssef, Amr Solimen, Mohamed A ElRefai, Ahmed N Saleh, Mohammed Ali
OBJECTIVES AND STUDY DESIGN: The aim of this study was to retrospectively evaluate 45 patients operated upon either by posterior extensive circumferential decompression (PECD) or by the lateral extracavitary (LEC) technique and compare the clinical, radiologic, laboratory, and functional outcomes. SUMMARY OF BACKGROUND: The debate continues on the best decompression-fusion technique for treating complicated spinal tuberculosis. In recent times, the advantages of combined surgery have been successfully achieved using the 1-stage salvage technique, with enough accessibility to all 3 spinal columns...
December 21, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28005181/the-natural-history-of-thoracolumbar-kyphosis-in-achondroplasia
#6
Malik Ahmed, Mahmoud El-Makhy, Michael Grevitt
There are little published data on the natural history and evolution of thoracolumbar kyphotic deformity in achondroplasia. Furthermore, there are few published reports indicating the probability of symptoms and at what kyphotic angle progressive deformity might occur. The lack of knowledge of the fundamental natural history does not allow firm guidelines for the management of this problem. In this respect the role of bracing remains uncertain both in terms of altering the prognosis for further vertebral wedging and overall sagittal profile...
December 22, 2016: European Spine Journal
https://www.readbyqxmd.com/read/28002373/characteristics-and-clinical-relevance-of-the-osseous-spur-in-patients-with-congenital-scoliosis-and-split-spinal-cord-malformation
#7
Fan Feng, Jianxiong Shen, Jianguo Zhang, Shugang Li, Keyi Yu, Haining Tan
BACKGROUND: The natural history of split spinal cord malformation (SCM) is still unclear. Knowledge of the characteristics of the osseous spur and its relationship with the spinal deformity may allow early identification of patients with a higher risk of a neurological deficit and enhance surgical decision-making. METHODS: Eighty-five consecutive patients with congenital scoliosis and type-I SCM who had undergone surgical treatment at our hospital from May 2000 to December 2013 were identified retrospectively...
December 21, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27995144/structural-femoral-shaft-allografts-for-anterior-spinal-column-reconstruction-in-osteoporotic-spines
#8
Bong-Soon Chang, Jong-Hun Jung, Sang-Min Park, Seung Hoo Lee, Choon-Ki Lee, Hyoungmin Kim
This study was to investigate the clinical and radiographical outcomes of anterior spinal column reconstruction using structural femoral shaft allografts in osteoporotic patients. Retrospective analyses of medical records, radiographic parameters, and postoperative complications were performed in twenty-one patients who underwent anterior spinal column reconstruction surgery for osteoporotic vertebral collapse or nonunion. Surgical invasiveness, clinical outcomes, postoperative complications, and radiographic outcomes were evaluated...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27994794/a-new-radiological-sign-for-severe-angular-kyphosis-the-baltalimani-sign
#9
Yunus Atici, Osman Emre Aycan, Muhammed Mert, Deniz Kargin, Akif Albayrak, Mehmet Bulent Balioglu
STUDY DESIGN: Retrospective diagnostic study. PURPOSE: To define a new radiological sign, "Baltalimani sign," in severe angular kyphosis (SAK) and to report its relationship with the risk of neurological deficits and deformity severity. OVERVIEW OF LITERATURE: Baltalimani sign was previously undefined in the literature. METHODS: We propose Baltalimani sign as the axial orientation of the vertebrae that are located above or below the apex of angular kyphosis on anteroposterior radiographs...
December 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27994788/results-of-single-staged-posterior-decompression-and-circumferential-fusion-using-a-transpedicular-approach-to-correct-a-kyphotic-deformity-due-to-thoracolumbar-spinal-tuberculosis
#10
Shaival Dalal, Jayprakash Modi, Shardul Soman, Harshil Patel, Shrikant Dhanani
STUDY DESIGN: This is a prospective study. PURPOSE: The aim of this study was to investigate the results of single-staged posterior decompression and circumferential fusion using a transpedicular approach to correct a kyphotic deformity due to thoracolumbar spinal tuberculosis. OVERVIEW OF LITERATURE: Surgical management is frequently an imperative choice to achieve spinal decompression and deformity correction due to tuberculosis to relieve pain, improve neurology, and reconstruct the spine stability...
December 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27932769/-correction-of-posttraumatic-thoracolumbar-kyphosis-with-modified-pedicle-subtraction-osteotomy
#11
Fei Chen, Yijun Kang, Bin Zhou, Zhehao Dai
To evaluate the efficacy and safety of modified pedicle subtraction osteotomy for treatment of thoracolumbar old fracture with kyphosis.
 Methods: From January 2003 to January 2013, 58 patients of thoracolumbar kyphosis, who underwent modified pedicle subtraction osteotomy, were reviewed. Among them, 45 cases underwent initial operation and 13 cases underwent revision surgery. Preoperative and postoperative kyphotic Cobb's angle, score of back pain, as well as the incidence of complication were accessed by using visual analogue scale (VAS) and Oswestry disability index (ODI)...
November 28, 2016: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
https://www.readbyqxmd.com/read/27931944/restoration-of-anterior-vertebral-height-by-short-segment-pedicle-screw-fixation-with-screwing-fractured-vertebra-for-the-treatment-of-unstable-thoracolumbar-fractures
#12
Bulent Ozdemir, Ayhan Kanat, Cihangir Erturk, Osman Ersagun Batcik, Mehmet Sabri Balik, Ugur Yazar, Fatma Beyazal Celiker, Yavuz Metin, Mehmet Fatih Inecikli, Ali Rıza Guvercin
BACKGROUND: Treatment of unstable thoraco-lumbar fractures remains controversial. Long-segment pedicle screw constructs may be stiffer and impart greater forces on adjacent segments compared with short-segment constructs.Short-segment pedicle screw fixation alone may be associated with instrumentation failure. Reinforcement fractured vertebra by additional two screws at fracture level may be usefull in thoraco-lumbar fractures for restoration of anterior vertebral height. MATERIAL AND METHODS: We retrospectively analyzed 38 (22 males, 16 females) unstable thoracolumbar fractures...
December 5, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27927547/prevalence-of-scoliosis-and-thoracolumbar-kyphosis-in-patients-with-achondroplasia
#13
Bilal I Khan, Mary T Yost, Haleh Badkoobehi, Michael C Ain
STUDY DESIGN: Retrospective chart review, case series. OBJECTIVES: To determine the prevalence of scoliosis and kyphosis in patients with achondroplasia. SUMMARY OF BACKGROUND DATA: There is little published research on the prevalence of scoliosis and thoracolumbar kyphosis in patients with achondroplasia. METHODS: The authors retrospectively reviewed charts of 459 patients with achondroplasia who were seen by the senior author, an orthopedic surgeon, from 1999 through 2013, at a tertiary referral center...
March 2016: Spine Deformity
https://www.readbyqxmd.com/read/27927542/t12-sagittal-tilt-predicts-thoracic-kyphosis
#14
Stephen J Lewis, Taylor E Dear, Michael G Zywiel, Sam G Keshen, Y Raja Rampersaud, Sofia P Magana
STUDY DESIGN: Retrospective review and analysis of lateral long cassette radiographs. OBJECTIVE: The purpose of this paper is to assess whether certain radiographic features routinely seen on lumbar radiographs can predict a structural thoracic deformity. SUMMARY OF BACKGROUND DATA: Obtaining proper sagittal alignment is an essential factor contributing to favorable clinical outcomes following spinal deformity surgery. The majority of patients treated with lumbar fusions do not undergo long cassette radiographs, and therefore physicians must rely upon clinical examination to determine the presence of a structural thoracic kyphotic deformity...
March 2016: Spine Deformity
https://www.readbyqxmd.com/read/27927508/kyphectomy-in-children-with-severe-myelomeningocele-related-kyphosis
#15
R N Dunn, L N Bomela
STUDY DESIGN: Retrospective review of prospectively maintained database. OBJECTIVES: To review myelomeningocele patients with severe kyphosis undergoing kyphectomy surgery in terms of complications and clinical and radiographic outcomes. SUMMARY OF BACKGROUND DATA: Because of posterior element abnormality in myelomeningocele, the extensor muscles act as perverted flexors, driving progressive kyphosis that resulted in sitting, respiratory, and skin breakdown problems...
May 2016: Spine Deformity
https://www.readbyqxmd.com/read/27927033/effects-of-lateral-electrical-surface-stimulation-on-scoliosis-in-children-with-severe-cerebral-palsy-a-pilot-study
#16
Eun Jae Ko, In Young Sung, Gi Jeong Yun, Jung-A Kang, JaYoung Kim, Go Eun Kim
PURPOSE: To evaluate the effects of lateral electrical surface stimulation (LESS) on scoliosis and trunk balance in children with severe cerebral palsy (CP). METHODS: Children with severe CP (GMFCS level IV or V) and stationary or progressive scoliosis were enrolled. Children were recommended of two sessions of LESS/day, 1 h/session, for 3 months at home: at 40-80 mA intensity, 200 μs pulse width, 25 Hz frequency, on for 6 s and then off for 6 s on the convex side of the trunk curve...
December 7, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27921118/can-different-occlusal-positions-instantaneously-impact-spine-and-body-posture-a-pilot-study-using-rasterstereography-for-a-three-dimensional-evaluation
#17
Karoline März, Werner Adler, Ragai-Edward Matta, Linda Wolf, Manfred Wichmann, Bastian Bergauer
PURPOSE: Orthodontists influence dental occlusion directly. To suggest any link between dental occlusion and body posture is highly contentious, as evidenced by the literature. Rasterstereography, an optical technique that enables three-dimensional (3D) body measurements to be collected, has not yet been used to impartially examine whether different occlusal positions could instantaneously alter spine and body posture. We therefore set out to use this technique to nonsubjectively evaluate this question under static conditions...
December 5, 2016: Journal of Orofacial Orthopedics, Fortschritte der Kieferorthopädie
https://www.readbyqxmd.com/read/27909653/magnetic-resonance-imaging-of-the-cervical-spine-under-represents-sagittal-plane-deformity-in-degenerative-myelopathy-patients
#18
Douglas S Weinberg, Arunit J Chugh, Jeremy J Gebhart, Jason D Eubanks
BACKGROUND: In treating patients with cervical myelopathy, surgical approach may be dictated by sagittal balance, highlighting the need for accurate pre-operative assessment. Magnetic Resonance Imaging (MRI) is widely-recognized for its utility in the diagnosis and surgical planning of cervical myelopathy. Plain radiographs (X-rays) are a reliable tool to assess bony alignment. However, they may not always be included in standard pre-operative evaluation, especially in an era of restricted payer-environments...
2016: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/27906934/can-unilateral-kyphoplasty-replace-bilateral-kyphoplasty-in-treatment-of-osteoporotic-vertebral-compression-fractures-a-systematic-review-and-meta-analysis
#19
Han Sun, Pei-Pei Lu, Yi-Jie Liu, Xu Yang, Ping-Hui Zhou, Xiao-Feng Shen, Si-Wei Sun, Huilin Yang
BACKGROUND: Kyphoplasty has been proven to be an efficient method to relieve patient suffering from osteoporotic vertebral compression fractures (OVCFs). Because of its technological superiority, unilateral kyphoplasty consumes less operative time and bone cement than traditional bilateral kyphoplasty. However, there is controversy about which method is most efficient in the treatment of OVCFs. Thus, an overall analysis should be performed to shed light on the facts corroborating both procedures...
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27898494/spontaneous-improvement-of-cervical-kyphosis-in-eosinophilic-granuloma-a-case-report
#20
Hiromitsu Takano, Ikuho Yonezawa, Yukitoshi Shimamura, Kei Yoshikawa, Tatsuya Sato, Takatoshi Okuda, Kazuo Kaneko
We describe the case of a spontaneous improvement of the cervical kyphosis in eosinophilic granuloma with long-term follow-up. A collapse of the C5 vertebral body was confirmed by cervical spine radiography and computed tomography. The patient wore a sterno-occipitalmandibular immobilizer brace for 6 months, and remodeling of the vertebral body was confirmed 18 months after onset. Seven years have passed since the onset of symptoms, and the patient's cervical spine has maintained normal alignment. Management of eosinophilic granuloma of the pediatric cervical spine is still controversial...
January 2017: Journal of Pediatric Orthopedics. Part B
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