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Pseudarthrosis of the Cervical Spine: Risk Factors, Diagnosis and Management

Leven D, Cho SK

Cervical myelopathy and radiculopathy are common pathologies that often improve with spinal decompression and fusion. Postoperative complications include pseudarthrosis, which can be challenging to diagnose and manage. We reviewed the...
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Management of Tuberculous Infection of the Spine

Kandwal P, G V, Jayaswal A

Spinal tuberculosis accounts for nearly half of all cases of musculoskeletal tuberculosis. It is primarily a medical disease and treatment consists of a multidrug regimen for 9-12 months. Surgery is...
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Neglected Thoraco Lumbar Traumatic Spine Injuries

Khatri K, Farooque K, Sharma V, Gupta B, Gamanagatti S

STUDY DESIGN: Retrospective study. PURPOSE: To outline the etiology, complications and management difficulties encountered in the management of neglected thoracolumbar spine injuries. OVERVIEW OF LITERATURE: The English literature describes overlooked diagnosis as...
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Comparison of Magnetic Resonance Imaging Findings between Pathologically Proven Cases of Atypical Tubercular Spine and Tumour Metastasis: A Retrospective Study in 40 Patients

Mittal S, Khalid M, Sabir AB, Khalid S

STUDY DESIGN: Retrospective study. PURPOSE: To note the magnetic resonance imaging (MRI) differences between pathologically proven cases of atypical spinal tuberculosis and spinal metastasis in 40 cases. OVERVIEW OF LITERATURE: Spinal tuberculosis,...
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Novel Foraminal Expansion Technique

Ozer AF, Senturk S, Ciplak M, Oktenoglu , Sasani M, Egemen E, Yaman O, Suzer T

The technique we describe was developed for cervical foraminal stenosis for cases in which a keyhole foraminotomy would not be effective. Many cervical stenosis cases are so severe that keyhole...
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Quantitative Anatomy of C7 Vertebra in Southern Chinese for Insertion of Lateral Mass Screws and Pedicle Screws

Tse MS, Chan CH, Wong KK, Wong WC

STUDY DESIGN: Retrospective study. PURPOSE: To analyze the quantitative anatomy of C7 vertebra for insertion of lateral mass screws and pedicle screws in Southern Chinese patients. OVERVIEW OF LITERATURE: C7 lateral mass...
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Selective Estrogen Receptor Modulators

An KC

Selective estrogen receptor modulators (SERMs) are now being used as a treatment for breast cancer, osteoporosis and postmenopausal symptoms, as these drugs have features that can act as an estrogen...
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Utility of Discography as a Preoperative Diagnostic Tool for Intradural Lumbar Disc Herniation

Matsumoto , Toyoda H, Terai H, Dohzono S, Hori Y, Nakamura H

Preoperative definitive diagnosis of intradural lumbar disc herniation (ILDH) is difficult despite the availability of various neuroradiological investigative tools. We present a case of ILDH diagnosed preoperatively by discography and...
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Variation in Outcome in Tethered Cord Syndrome

Iqbal N, Qadeer M, Sharif SY

STUDY DESIGN: Fifty patients surgically treated for tethered cord syndrome (TCS) were retrospectively studied at Liaquat National Hospital, Karachi from 2010 until 2014. PURPOSE: To assess the common presentations of TCS...
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Postoperative Increase in Occiput-C2 Angle Negatively Impacts Subaxial Lordosis after Occipito-Upper Cervical Posterior Fusion Surgery

Inada T, Furuya T, Kamiya K, Ota M, Maki S, Suzuki T, Takahashi , Yamazaki M, Aramomi M, Mannoji C, Koda M

STUDY DESIGN: Retrospective case series. PURPOSE: To elucidate the impact of postoperative occiput-C2 (O-C2) angle change on subaxial cervical alignment. OVERVIEW OF LITERATURE: In the case of occipito-upper cervical fixation surgery, it...
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Operative Management of Lumbar Degenerative Disc Disease

Lee YC, Zotti MG, Osti OL

Lumbar degenerative disc disease is extremely common. Current evidence supports surgery in carefully selected patients who have failed non-operative treatment and do not exhibit any substantial psychosocial overlay. Fusion surgery...
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Clinical Presentation of Cervical Myelopathy at C1-2 Level

Murahashi , Takebayashi T, Terashima , Tsuda H, Yoshimoto , Yamashita

STUDY DESIGN: Single-center retrospective study. PURPOSE: To clarify the clinical features of cervical myelopathy at the C1-2 level. OVERVIEW OF LITERATURE: Methods for distinguishing the affected level based on myelomere symptoms or...
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Significance of Coronal Proset Magnetic Resonance Imaging to Detect Hidden Zone of the Mid-Zone Stenosis in the Lumbar Spine and Morphometric Analysis of the Mid-Zone Stenosis

Ahn HS, Son WS, Shin JH, Ahn MW, Lee GW

STUDY DESIGN: Retrospective exploratory imaging study. PURPOSE: To investigate the significance of the coronal magnetic resonance imaging (MRI) using Proset technique to detect the hidden zone in patients with mid-zone stenosis...
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Transforaminal Percutaneous Endoscopic Discectomy for Lumbar Disc Herniation in Parkinson's Disease: A Case-Control Study

Kapetanakis S, Giovannopoulou E, Charitoudis G, Kazakos K

STUDY DESIGN: A case-control study. PURPOSE: To investigate the effectiveness of transforaminal percutaneous endoscopic discectomy (TPED) in Parkinson's disease (PD). OVERVIEW OF LITERATURE: Patients with PD frequently suffer from radiculopathy and low...
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Learning Curve Associated with Complications in Biportal Endoscopic Spinal Surgery: Challenges and Strategies

Choi DJ, Choi CM, Jung JT, Lee SJ, Kim YS

STUDY DESIGN: Descriptions of technical strategies to overcome pitfalls associated with early learning periods in biportal endoscopic spinal surgery (BESS). PURPOSE: To introduce BESS for lumbar spinal diseases (LSDs) and to...
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Ankylosing Spondylitis: Patterns of Spinal Injury and Treatment Outcomes

Altun I, Yuksel KZ

STUDY DESIGN: Retrospective review. PURPOSE: We retrospectively reviewed our patients with ankylosing spondylitis (AS) to identify their patterns of spinal fractures to help clarify management strategies and the morbidity and mortality...
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Vacuum Phenomenon of the Sacroiliac Joint: Correlation with Sacropelvic Morphology

Takata Y, Higashino , Morimoto M, Sakai T, Yamashita , Abe M, Nagamachi , Sairyo K

STUDY DESIGN: A radiologic study of sacropelvic morphology and vacuum phenomenon of sacroiliac joint in subjects unrelated to low back pain. PURPOSE: The aim of this study is to describe the...
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Agreement on the Level Selection in Laminoplasty among Experienced Surgeons: A Survey-Based Study

Cho JH, Suk KS, Park JB, Ha JK, Hwang CJ, Lee CS, Lee DH

STUDY DESIGN: Survey based study. PURPOSE: To assess the degree of agreement in level selection of laminoplasty (LP) for the selected cervical myeloradiculopathy cases between experienced spine surgeons. OVERVIEW OF LITERATURE: Although,...
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Accuracy of Percutaneous Lumbosacral Pedicle Screw Placement Using the Oblique Fluoroscopic View Based on Computed Tomography Evaluations

Yoshida G, Sato K, Kanemura T, Iwase T, Togawa D, Matsuyama

STUDY DESIGN: Retrospective. PURPOSE: This study aims to investigate the accuracy of the oblique fluoroscopic view, based on preoperative computed tomography (CT) images for accurate placement of lumbosacral percutaneous pedicle screws...
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Fixation Strength of Caudal Pedicle Screws after Posterior Lumbar Interbody Fusion with the Modified Cortical Bone Trajectory Screw Method

Sakaura H, Miwa T, Yamashita , Kuroda Y, Ohwada T

STUDY DESIGN: Clinical case series. PURPOSE: In the posterior lumbar interbody fusion (PLIF) procedure in our institute, the cephalad screw trajectory follows a mediolateral and caudocephalad directed path according to the...
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