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Pseudoarthrosis spine

Kevin Phan, Ya Ruth Huo, Jarred A Hogan, Joshua Xu, Alexander Dunn, Samuel K Cho, Ralph J Mobbs, Patrick McKenna, Trichy Rajagopal, Farhaan Altaf
BACKGROUND: Minimally invasive approaches for the treatment of adult degenerative scoliosis have been increasingly implemented. However, little data exists regarding the safety and complication profiles of minimally invasive lumbar interbody fusion (LIF) for adult degenerative scoliosis. This study aimed to greater understand different minimally invasive surgical approaches for adult degenerative scoliosis with respect to clinical outcomes, changes in radiographic measurements, and complication profiles via meta-analytical techniques...
June 2016: J Spine Surg
Albert Isidro, Joan Manel Burdeus, Sergi Loscos, Javier Bara, Josep Bosch, Anna Gallart
BACKGROUND: Surgical management of headache due to anomalies in the cervical spine is uncommon, as most cases improve with drugs and/or physical therapy. CASE: We report two instances of a very uncommon congenital upper cervical spine anomaly due to the presence of a pseudoarthrosis between a unilateral paracondylar process in the base of the skull and an epitransverse process arising from the transverse apophysis (PCP/ETA). The first one corresponds to a male on whom an endoscopic guided puncture was performed, and the second to an adult male from the Neolithic period who showed two cranial trepanations together with the presence of morphine metabolites in both bones and dental calculus...
August 12, 2016: Cephalalgia: An International Journal of Headache
Ahmed Kashkoush, Nitin Agarwal, Erin Paschel, Ezequiel Goldschmidt, Peter C Gerszten
INTRODUCTION: The development of adjacent-segment disease is a recognized consequence of lumbar fusion surgery. Posterior dynamic stabilization, or motion preservation, techniques have been developed which theoretically decrease stress on adjacent segments following fusion. This study presents the experience of using a hybrid dynamic stabilization and fusion construct for degenerative lumbar spine pathology in place of rigid arthrodesis. METHODS: A clinical cohort investigation was conducted of 66 consecutive patients (31 female, 35 male; mean age: 53 years, range: 25 - 76 years) who underwent posterior lumbar instrumentation with the Dynesys Transition Optima (DTO) implant (Zimmer-Biomet Spine, Warsaw, IN) hybrid dynamic stabilization and fusion system over a 10-year period...
2016: Curēus
Chun-Po Yen, Yusef I Mosley, Juan S Uribe
With the aging population, there is a rising prevalence of degenerative spinal deformity and need of surgical care for these patients. Surgical treatment for adult spinal deformity (ASD) is often fraught with a high rate of complications. Minimally invasive surgery (MIS) has for the past decade been adopted by spine surgeons to treat ASD in the hopes of reducing access-related morbidity and perioperative complications. The benefits of MIS approach in general and recent development of MIS techniques to avoid long-term complications such as pseudoarthrosis or proximal junctional kyphosis are reviewed...
September 2016: Current Reviews in Musculoskeletal Medicine
Khoi Duc Than, Stacie Nguyen, Paul Park, Dean Chou, Frank La Marca, Juan S Uribe, Todd Douglas Vogel, Pierce D Nunley, Robert Eastlack, Neel Anand, Adam S Kanter, Praveen V Mummaneni, Gregory M Mundis
INTRODUCTION: This study aims to compare differences in incidence and type of complications (COMP) between circumferential minimally invasive surgery (cMIS, ie MIS transforaminal lumbar interbody fusion [TLIF] and/or lumbar lateral interbody fusion [LLIF] with MIS screws) and hybrid approaches (HYB, ie MIS LLIF ± with open screws). METHODS: A retrospective review of a multicenter MIS deformity database was performed. Inclusion criteria for this database: age >18 years, and at least one of the following: coronal Cobb angle (CCA) >20, SVA >5 cm, PI-LL >10, and PT > 20...
August 2016: Neurosurgery
Mohamed Macki, Sbaa Syeda, Panagiotis Kerezoudis, Ali Bydon, Timothy F Witham, Daniel M Sciubba, Jean-Paul Wolinsky, Mohamad Bydon, Ziya Gokaslan
The objective of this independent study is to determine the impact of recombinant human bone morphogenetic protein 2 (rhBMP-2) on reoperation for pseudarthrosis and/or instrumentation failure. A nested case-control study of first-time posterolateral, instrumented fusion of the lumbar spine for degenerative spinal disease was undertaken. Cases of reoperation for pseudoarthrosis and/or instrumentation failure were assigned to controls, who did not experience the primary outcome measure at the time of reoperation...
October 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Patrick C Hsieh, Praveen V Mummaneni
We are pleased to present this Neurosurgical Focus video supplement on lumbosacral and sacropelvic fixation strategies. Despite advancement in surgical techniques and technologies in spine, achieving consistent solid fusion across the lumbosacral junction remains a major challenge. The anatomy of the lumbosacral junction allows for a higher range of motion compared to other areas of the thoracolumbar spine. The L5-S1 interspace is exposed to significant shear forces. As a result, complications such as pseudoarthrosis, screw pull-out, implant fracture, or sacral fractures can occur...
July 2016: Neurosurgical Focus
Kevin Phan, Monish Maharaj, Yusuf Assem, Ralph J Mobbs
Lumbar interbody fusion represents an effective surgical intervention for patients with lumbar degenerative diseases, spondylolisthesis, disc herniation, pseudoarthrosis and spinal deformities. Traditionally, conventional open anterior lumbar interbody fusion and posterior/transforaminal lumbar interbody fusion techniques have been employed with excellent results, but each with their own advantages and caveats. Most recently, the antero-oblique trajectory has been introduced, providing yet another corridor to access the lumbar spine...
September 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Young-Hoon Kim, Genriech N Reoyan, Kee-Yong Ha, Chul-Kyu Kim
STUDY DESIGN: A case report and literature review OBJECTIVE.: To report a late dislocation of the vertebra caused by progressive dural ectasia combined with type-1 neurofibromatosis (NF-1) and the clinical results of pseudoarthrosis repairs using autologous cultured osteoblasts. SUMMARY OF BACKGROUND DATA: NF-1 is a well-known genetic disorder that is commonly characterized by spinal deformities including kyphoscoliosis. Late dislocation of the vertebra resulting from progressive dural ectasia after surgical correction of NF-1 scoliosis is a very rare occurrence, and pseudoarthrosis frequently develops after surgical intervention for this complex spinal deformity...
May 3, 2016: Spine
Julio Plata-Bello, Héctor Roldan, Liberto Brage, Aída Rahy, Víctor Garcia-Marin
OBJECTIVE: To describe a rare complication of the extreme lateral interbody fusion technique. BACKGROUND: Lateral lumbar interbody fusion (LLIF) is a minimally invasive technique that has achieved great reputation among spine surgeons because of its advantages over other procedures. However, complication rates of this technique have not been definitively assessed so far. CASE REPORT: A 44-year-old male smoker, presenting with pseudoarthrosis of a previous posterior stabilization, underwent an LLIF procedure...
July 2016: World Neurosurgery
A Alpizar-Aguirre, J A Estrada-Gómez, B Zárate-Kalfopulus, G Sánchez-Bringas, L M Rosales-Olivares, A A Reyes-Sánchez
INTRODUCTION: A variety of systems have been developed to fix and perform arthrodesis of the cervical spine, with the advantages of reducing the risk of pseudoarthrosis, extrusion and graft collapse and achieving a more precise sagittal alignment. We therefore need to compare the results of the following approaches to patients with cervical stenosis: plate-graft, cage-plate and PEEK cage. MATERIAL AND METHODS: Prospective, interventional, comparative trial involving three groups: group I, arthrodesis with plate-graft; group II, cage-plate, and group III, PEEK cage...
January 2015: Acta Ortopédica Mexicana
Keiji Wada, Yasuaki Murata, Koichi Kanaya, Yoshiharu Kato
BACKGROUND: With the improvement in postoperative care for renal transplant patients, the number of patients requiring spinal surgery after renal transplantation has been increasing. However, there have been only a few reports describing the results of spinal surgery in renal transplant recipients. In this study, we investigated the results of spine surgery in renal transplant recipients. METHODS: A total of 37 renal transplant recipients who underwent spinal surgery in our hospital between April 2003 and July 2012 were included in this study...
March 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
Mithun Nambiar, Yi Yang, Susan Liew, Peter L Turner, Ian P Torode
PURPOSE: Single or dual-rod instrumentation can be used for the anterior fixation of the spine in adolescent idiopathic scoliosis (AIS). We aim to compare the complications, radiographic and functional outcomes of patients with AIS who have undergone single and dual-rod instrumentation. METHODS: This is a multi-centre study involving the Royal Children's, Royal Melbourne and Epworth hospitals. Three primary surgeons were involved to ensure homogeneity of surgical technique and implants...
December 19, 2015: European Spine Journal
Jason B Anari, David A Spiegel, Keith D Baldwin
Neuromuscular scoliosis is a challenging problem to treat in a heterogeneous patient population. When the decision is made for surgery the surgeon must select a technique employed to correct the curve and achieve the goals of surgery, namely a straight spine over a level pelvis. Pre-operatively the surgeon must ask if pelvic fixation is worth the extra complications and infection risk it introduces to an already compromised host. Since the advent of posterior spinal fusion the technology used for instrumentation has changed drastically...
September 18, 2015: World Journal of Orthopedics
Martin H Pham, Alexander Tuchman, Thomas C Chen, Frank L Acosta, Patrick C Hsieh, John C Liu
STUDY DESIGN: Retrospective review. OBJECTIVE: To review the feasibility of a posterior-only approach for instrumented reconstruction in lumbar burst fractures. BACKGROUND: Burst fractures of the lumbar spine have been treated through a variety of techniques, including anterior, posterior, or combined approaches. Here we review series of patients undergoing posterior-only transpedicular corpectomy with instrumented fusion for traumatic lumbar burst fracture...
July 14, 2016: Clinical Spine Surgery
Arisa Tsuru, Takao Setoguchi, Naoya Kawabata, Masataka Hirotsu, Takuya Yamamoto, Satoshi Nagano, Masahiro Yokouchi, Hironori Kakoi, Hideki Kawamura, Yasuhiro Ishidou, Akihide Tanimoto, Setsuro Komiya
BACKGROUND: To effectively treat orthopaedic infections by methicillin-resistant strains, an early diagnosis is necessary. Bacterial cultures and real-time polymerase chain reaction (PCR) have been used to define methicillin-resistant staphylococci. However, even when patients display clinical signs of infections, bacterial culture and real-time PCR often cannot confirm infection. The aim of this study was to prospectively compare the utility of real-time PCR for the mecA gene detection following centrifugation of human samples with suspected orthopaedic infections...
2015: BMC Research Notes
Hong Liu, Avraam Ploumis, Shijun Wang, Chunde Li, Hong Li
STUDY DESIGN: Retrospective study. OBJECTIVE: To report the efficacy of anterior cervical decompression and fusion surgery as treatment method for cervicogenic headache. SUMMARY OF BACKGROUND DATA: The exact diagnostic criteria and optimal treatment of cervicogenic headache is still under investigation. METHODS: A total of 34 consecutive patients (mean age 55.8 y) with cervicogenic headache (in addition to cervical stenosis symptomatology) resistant to nonoperative treatment were treated by anterior cervical decompression and fusion from 1 up to 3 levels and were followed for at least 1 year...
July 14, 2016: Clinical Spine Surgery
Christopher A Sarkiss, Guy A Fogg, Branko Skovrlj, Samuel K Cho, John M Caridi
INTRODUCTION: Degenerative spondylosis and kyphoscoliosis are increasingly recognized entities in patients with Parkinson's disease. Surgical treatment with spinal fusion can be complicated due to poor bone quality and muscular dysfunction in this patient population. The goal of this paper is to investigate surgical outcomes in Parkinson's patients undergoing spine surgery. METHODS: We performed a literature review using the PubMed and Google Scholar search engines investigating "Parkinson's disease and spinal fusion surgery" from the period of 2000 to 2013...
July 2015: Clinical Neurology and Neurosurgery
Do Yeon Kim, Ji Yong Kim, Seung Hwan Yoon, Hyung Chun Park, Chong Oon Park
OBJECTIVE: Cervical lateral mass screw insertion and rod fixation is a useful method for stabilizing the cervical disease, so various modified techniques were present. Many surgeons had reported the biomechanical safety according to the screw positioning method in the cervical spine, but the modified Magerl's method (Yoon's method) was not well studied. So, this study assessed the radiological efficacy of the modified Magerl's method with long-term follow-up. METHODS: This study retrospectively reviewed 323 lateral mass screws of 50 patients who had followed-up at least 2 years...
September 2012: Korean Journal of Spine
Jin Liu, Hao Liu, Tao Li, Quan Gong, Jian-cheng Zeng
OBJECTIVE: To summary the characteristics of cervicothoracic junction (C7T1) fracture-dislocation,and explore the surgical treatment of combined anterior-posterior procedure. METHODS: From January 2005 to March 2010,8 cases of cervicothoracic junction (C7T1) fracture-dislocation were treated by stage I operation through anterior and posterior approacheg, supplemented by non-structural bone graft. All patients were male with a mean age of 45.0 years old ranging from 32 to 68 years...
February 2015: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
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