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Relationships between Spinal Sarcopenia and Spinal Sagittal Balance in Older Women

Kim DH, Lee SY, Park SJ, Lee YS

BACKGROUND: Spinal sarcopenia is receiving renewed attention as a cause of spinal sagittal imbalance. However, the relationships between spinal sarcopenia and spinal sagittal balance (SSB) have not been thoroughly investigated....
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Prospective Evaluation of Radiculitis following Bone Morphogenetic Protein-2 Use for Transforaminal Interbody Arthrodesis in Spine Surgery

Sebastian , Wanderman , Currier BL, Pichelmann MA, Treder VM, Fogelson J, Clarke MJ, Nassr AN

STUDY DESIGN: Prospective observational cohort study. PURPOSE: This study aims to evaluate the safety and efficacy of bone morphogenetic protein-2 (BMP-2) in transforaminal lumbar interbody fusion (TLIF) with regard to postoperative...
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Evaluation of Dimensions of Kambin’s Triangle to Calculate Maximum Permissible Cannula Diameter for Percutaneous Endoscopic Lumbar Discectomy: A 3-Dimensional Magnetic Resonance Imaging Based Study

Pairaiturkar PP, Sudame OS, Pophale CS

OBJECTIVE: To evaluate 3-dimensional magnetic resonance imaging (MRI) of Kambin’s safe zone to calculate maximum cannula diameter permissible for safe percutaneous endoscopic lumbar discectomy. METHODS: Fifty 3D MRIs of 19 males...
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Lumbar foraminal neuropathy: an update on non-surgical management

Choi YK

Lumbar foraminal pathology causing entrapment of neurovascular contents and radicular symptoms are commonly associated with foraminal stenosis. Foraminal neuropathy can also be derived from inflammation of the neighboring lateral recess...
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Trabecular Bone Score Is More Sensitive to Asthma Severity and Glucocorticoid Treatment Than Bone Mineral Density in Asthmatics

Choi YJ, Lee HY, Yoon D, Kim A, Shin YS, Park HS, Ye YM

PURPOSE: In asthmatic patients, treatment with corticosteroids, in addition to conventional risk factors for osteoporosis, may lead to bone loss. Trabecular bone score (TBS) is an indirect new parameter of...
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Feasibility of Ultrasound-Guided Lumbar and S1 Nerve Root Block: A Cadaver Study

Kim J, Park HJ, Lee WI, Won SJ

OBJECTIVE: This study evaluated the feasibility of ultrasound-guided lumbar nerve root block (LNRB) and S1 nerve root block by identifying spread patterns via fluoroscopy in cadavers. METHOD: A total of 48...
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Factors Associated with the Effect of Conservative Treatment in Surgically Indicated Single-Level Lumbar Spinal Stenosis Patient

Ahn YJ, Im SH, Jang SI

STUDY DESIGN: Retrospective study of date collected prospectively. OBJECTIVES: To report analytic results about association factors related to effect of conservative treatment in surgically indicated single level lumbar spinal stenosis patient. SUMMARY...
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Extended Posterior Decompression and Instrumented Fusion for Spinal Tuberculosis

Kunakornsawat S, Philawuth , Piyaskulkaew C, Pruttikul , Pluemvitayaporn T, Kittithamvongs P

STUDY DESIGN: Retrospective cohort. PURPOSE: To evaluate clinical outcomes, including pain and neurologic status, and to evaluate radiographic outcomes of patients treated with extended posterior decompression, posterior fixation, and fusion in...
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The effect of needle tip position on the analgesic efficacy of pulsed radiofrequency treatment in patients with chronic lumbar radicular pain: a retrospective observational study

Kim WJ, Park HS, Park MK

BACKGROUND: Pulsed radiofrequency (PRF) is a treatment modality that alleviates radicular pain by intermittently applying high-frequency currents adjacent to the dorsal root ganglion. There has been no comparative study on...
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Is S1 Alar Iliac Screw a Feasible Option for Lumbosacral Fixation?: A Technical Note

Wang Z, Boubez G, Shedid D, Yuh SJ, Sebaaly A

Nonunion at the lumbosacral junction is a classic complication of long construct and deformity corrections. Iliac fixations have been extensively studied in the literature and have demonstrated superior biomechanical proprieties...
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Undiagnosed Peripheral Nerve Disease in Patients with Failed Lumbar Disc Surgery

Yamauchi T, Kim K, Isu T, Iwamoto N, Yamazaki K, Matsumoto , Isobe M

STUDY DESIGN: Retrospective study (level of evidence=3). PURPOSE: We examine the relationship between residual symptoms after discectomy for lumbar disc herniation and peripheral nerve (PN) neuropathy. OVERVIEW OF LITERATURE: Patients may report...
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In Vitro Biomechanical and Fluoroscopic Study of a Continuously Expandable Interbody Spacer Concerning Its Role in Insertion Force and Segmental Kinematics

Torretti J, Harris JA, Bucklen BS, Moldavsky , Khalil SE

STUDY DESIGN: In vitro cadaveric study. PURPOSE: To compare biomechanical performance, trial and implant insertion, and disc distraction during implant placement, when two interbody devices, an in situ continuously expandable spacer...
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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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Outcome of ultrasonographic imaging in infants with sacral dimple

Choi JH, Lee T, Kwon HH, You SK, Kang JW

PURPOSE: Sacral dimples are a common cutaneous anomaly in infants. Spine ultrasonography (USG) is an effective and safe screening tool for patients with a sacral dimple. The aim of this...
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Intra-cardiac Embolism of a Large Bone Cement Material after Percutaneous Vertebroplasty Removed through a Combination of an Endovascular Procedure and an Inferior Vena Cava Exploration: a Case Report

Park JS, Kim J, Lee Y, Gwon JG, Park YS

Percutaneous vertebroplasty (PVP) is a minimally invasive surgical treatment for patients with osteoporotic vertebral compression fracture (OVCF) and can rapidly alleviate pain, improve mobility, and stabilize the vertebrae. However, it...
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Accuracy and Safety of Percutaneous Lumbosacral Pedicle Screw Placement Using Dual-Planar Intraoperative Fluoroscopy

Dunn C, Faloon M, Milman E, Pourtaheri S, Sinah K, Hwang K, Emami A

STUDY DESIGN: Retrospective case series with prospective arm. PURPOSE: To assess the safety and accuracy of percutaneous lumbosacral pedicle screw placement (PLPSP) in the lumbosacral spine using intraoperative dual-planar fluoroscopy (DPF). OVERVIEW...
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Iatrogenic Development of Cerebrospinal Fluid Leakage in Diagnosing Spontaneous Intracranial Hypotension

Lee CJ, Shim SM, Cho SH, Park JH, Kim YK

A 34-year-old woman came to the emergency room complaining of a severe orthostatic headache. Results of a cerebrospinal fluid tap and brain computed tomography were normal. Based on her history...
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Importance of Bone Marrow and Soft Tissue Edema to Improve the Diagnostic Accuracy of Lumbosacral MRI for Transverse Process Fractures and Sacral Fractures

Kwon JA, Hwang JY, Kim MJ, Kwon HY, Kim DH

PURPOSE: To evaluate the magnetic resonance imaging (MRI) findings to improve the diagnostic accuracy for transverse process fractures and sacral fractures. MATERIALS AND METHODS: The lumbosacral MRI scans of 214 patients...
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Postoperative Assessment of Pedicle Screws and Management of Breaches: A Survey among Canadian Spine Surgeons and a New Scoring System

Aoude A, Ghadakzadeh S, Alhamzah H, Fortin M, Jarzem P, Ouellet JA, Weber MH

STUDY DESIGN: This study was designed as a survey amongst Canadian spine surgeon to determine a scoring system to standardize pedicle screw placement assessment. PURPOSE: This study aimed to obtain and...
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Factors Associated with Conversion from Conservative to Surgical Treatment in Single-Level Lumbar Spinal Stenosis Patients

Ahn YJ, Im SH, Park BK

STUDY DESIGN: Retrospective study of prospectively-collected data. OBJECTIVES: To determine the factors associated with conversion from conservative to surgical treatment in single-level lumbar spinal stenosis patients. SUMMARY OF LITERATURE REVIEW: Various reports...
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