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Biportal Endoscopic Spine Surgery for Various Foraminal Lesions at the Lumbosacral Lesion

Choi DJ, Kim JE, Jung JT, Kim YS, Jang HJ, Yoo B, Kang IH

The stenosing foramen of L5–S1 by several degenerative diseases is one of the challenging areas on surgical approaching because of the deeper depth and steep slope in the lumbosacral junction....
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What is the Current Evidence on Vertebral Body Osteonecrosis?: A Systematic Review of the Literature

Formica M, Zanirato A, Cavagnaro , Basso M, Divano S, Formica C, Felli L

Osteonecrosis (ON) is a clinical entity characterized by a pattern of cell death and complex process of bone resorption and formation. Studies related to ON have largely focused on certain...
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Minimal Dose of Tranexamic Acid Is Effective in Reducing Blood Loss in Complex Spine Surgeries: A Randomized Double-Blind Placebo Controlled Study

Shakeri M, Salehpour , Shokouhi G, Aeinfar K, Aghazadeh , Mirzaei F, Alavi SA

STUDY DESIGN: A randomized double-blind placebo controlled study. PURPOSE: In the present study, we aimed to assess the efficacy of tranexamic acid (TXA) in reducing blood loss after laminectomy and posterolateral...
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Outcomes of Unstable Subaxial Cervical Spine Fractures Managed by Posteroanterior Stabilization and Fusion

Dhillon CS, Jakkan MS, Dwivedi R, Medagam NR, Jindal P, Ega S

STUDY DESIGN: Retrospective study. PURPOSE: To evaluate clinical and radiological outcomes of unstable subaxial cervical spine injuries managed by both posterior tension band column stabilization and anterior decompression, stabilization, and fusion. OVERVIEW...
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Etiology, Evaluation, and Treatment of Failed Back Surgery Syndrome

Sebaaly A, Lahoud MJ, Rizkallah , Kreichati , Kharrat K

The study aimed to review the etiology of failed back surgery syndrome (FBSS) and to propose a treatment algorithm based on a systematic review of the current literature and individual...
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Simultaneous Surgical Treatment of Congenital Spinal Deformity Associated with Intraspinal Anomalies

Singrakhia M, Malewar N, Deshmukh S, Deshmukh S

STUDY DESIGN: Prospective case series. PURPOSE: To study the safety, efficacy, and long-term outcomes of single-stage surgical intervention for congenital spinal deformity and intraspinal anomalies. OVERVIEW OF LITERATURE: Congenital spinal deformities associated...
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Is Facet Tropism Associated with Increased Risk of Disc Herniation in the Lumbar Spine?

Ghandhari , Ameri E, Hasani H, Safari MB, Tabrizi A

STUDY DESIGN: Retrospective case control study. PURPOSE: In current study, we compared the incidence of facet tropism (FT) in patients with lumbar disc herniation and normal controls. OVERVIEW OF LITERATURE: It has...
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Combined Laminoplasty and Posterior Fusion for Cervical Spondylotic Myelopathy Treatment: A Literature Review

Bridges KJ, Simpson LN, Bullis CL, Rekito A, Sayama CM, Than KD

STUDY DESIGN: A literature review. PURPOSE: To explore the utility of laminoplasty in combination with instrumented fusion, with a focus on neurological outcomes and changes in kyphotic deformity. OVERVIEW OF LITERATURE: Management...
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Do Pedicle Screws in Concave Apex of Scoliosis Offer Any Advantages?

Pithwa YK

STUDY DESIGN: Retrospective analysis of prospectively collected data. PURPOSE: To assess the relative advantages of implant constructs with and without pedicle screws in the concave apex for correcting scoliosis. OVERVIEW OF LITERATURE:...
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Outcome of Percutaneous Transforaminal Endoscopic Lumbar Surgery in >60-Year-Old Patients with Low Back Pain

Singh R, Xin GZ, Hirachan M, Cheng LY

STUDY DESIGN: Retrospective study. PURPOSE: To evaluate the outcome of percutaneous transforaminal endoscopic lumbar surgery (PTELS) and to evaluate the efficacy of this technique in the treatment of lumbar disc herniation...
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Analysis of Adjacent Fractures after Two-Level Percutaneous Vertebroplasty: Is the Intervening Vertebral Body Prone to Re-fracture?

Han S, Jang IT

STUDY DESIGN: Retrospective study. PURPOSE: This retrospective study aimed to determine the incidence of adjacent level new fractures in a sandwich constellation (one or two untreated vertebrae between two cemented vertebrae)...
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Usefulness of Oblique Lumbar Magnetic Resonance Imaging for Nerve Root Anomalies and Extraforaminal Entrapment Lesions

Heo DH, Kim SW, Chang HH, Park CK

STUDY DESIGN: A retrospective review of prospectively evaluated magnetic resonance (MR) images. PURPOSE: Routine lumbar axial and sagittal MR images may not clearly demonstrate nerve root anomalies and entrapments in the...
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Biomechanical Study of Cervical Posterior Decompression

Hashiguchi A, Kanchiku T, Nishida N, Taguchi T

STUDY DESIGN: Biomechanical study. PURPOSE: We examined the dynamic characteristics of different operative procedures using three-dimensional finite-element models. OVERVIEW OF LITERATURE: Cervical laminoplasty is often selected for patients requiring multilevel spinal decompression....
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Lumbosacral Transitional Vertebra-Related Low Back Pain: Resolving the Controversy

Gopalan B, Yerramshetty JS

STUDY DESIGN: Case control study. PURPOSE: The association of lumbosacral transitional vertebra (LSTV) with low back pain (LBP) is controversial, as is the role of occupational physical activity and radiological spinal...
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Clinical Correlation between Muscle Damage and Oswestry Disability Index Score after Open Lumbar Surgery: Does Open Surgery Reduces Functional Ability?

Tandon R, Kiyawat V, Kumar N

STUDY DESIGN: Single-surgeon, single-center prospective study with prospective data collection. PURPOSE: To clinically evaluate muscle damage after open lumbar surgery and its relationship to functional activity and to validatethe improvement in...
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Factors Associated with the Symptoms of Young Adults with L5 Spondylolysis

Kim MW, Lee KY, Lee S

STUDY DESIGN: A retrospective cohort study. PURPOSE: To investigate the factors affecting symptoms in young adults with L5 spondylolysis. OVERVIEW OF LITERATURE: L5 spondylolysis is a common disease. However, not all patients...
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Testing Pullout Strength of Pedicle Screw Using Synthetic Bone Models: Is a Bilayer Foam Model a Better Representation of Vertebra?

Varghese V, Krishnan V, Kumar GS

STUDY DESIGN: A biomechanical study. PURPOSE: A new biomechanical model of the vertebra has been developed that accounts for the inhomogeneity of bone and the contribution of the pedicle toward the...
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Perioperative Management of Patients with Hemophilia during Spinal Surgery

Kobayashi , Imagama S, Ando K, Ito K, Tsushima M, Morozumi M, Tanaka S, Machino M, Ota K, Nishida Y, Ishiguro N

STUDY DESIGN: Single-center retrospective study. PURPOSE: To optimize the perioperative management of patients with hemophilia who are undergoing spinal surgery. OVERVIEW OF LITERATURE: Hemophilia is a rare disease in which there is...
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Clinical and Radiological Outcomes of Modified Mini-Open and Open Transforaminal Lumbar Interbody Fusion: A Comparative Study

Ganesan S, Jayabalan , Kumar V, Kailash K

STUDY DESIGN: Retrospective cohort study. PURPOSE: To compare the clinical and radiological outcomes of modified mini-open transforaminal lumbar interbody fusion (modMOTLIF) and open TLIF (OTLIF). OVERVIEW OF LITERATURE: Minimally invasive transforaminal lumbar...
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Surgical Outcomes of Minimally Invasive Stabilization for Spinal Fractures in Patients with Ankylosing Spinal Disorders

Kai K, Ikuta K, Masuda K, Kitamura T, Senba H, Shidahara

STUDY DESIGN: A retrospective study. PURPOSE: To evaluate the clinical and radiological outcomes of ankylosing spinal disorder (ASD) patients with spinal fractures treated by minimally invasive stabilization (MISt) using percutaneous pedicle...
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