The Impact of L5 Sacralization on Fusion Rates and Clinical Outcomes After Single-level Posterior Lumbar Interbody Fusion (PLIF) at L4–L5 Level
Conclusions: Patients with type II or III L5 sacralization may have worse fusion rates after L4–L5 PLIF surgery than those with type I or no sacralization.
ConclusionCustom cementless stems may be an interesting solution to address the particular anatomical features of hip fusion at the time of THA, with an excellent survival rate at 15 years.
CONCLUSIONS: Postoperative pain intensity, the primary outcome measure, was not significantly different at 1 year after surgery between the 2 groups. However, vitamin C may be associated with improving functional status after PLIF surgery, especially during the first 3 postoperative months. PMID: 28861199 [PubMed - in process]
Conclusions: Si-CaP is an effective bone graft substitute. At the latest follow-up, favorable radiographic and clinical outcome was observed in the majority of patients. Level of Evidence: Level—III.
AbstractThere is growing recognition of the kyphotic clivo-axial angle (CXA) as an index of risk of brainstem deformity and craniocervical instability. This review of literature and prospective pilot study is the first to address the potential correlation between correction of the pathological CXA and postoperative clinical outcome. The CXA is a useful sentinel to alert the r adiologist and surgeon to the possibility of brainstem deformity or instability. Ten adult subjects with ventral brainstem compression, radiographically manifest as a kyphotic CXA, underwent correction of deformity (norm...
Study Design: A prospective single-surgeon nonrandomized clinical study. Objective: To evaluate the radiographic and clinical outcomes, by fixation type, in extreme lateral interbody fusion (XLIF) patients and provide an algorithm for determining patients suitable for stand-alone XLIF. Summary of Background Data: XLIF may be supplemented with pedicle screw fixation, however, since stabilizing structures remain intact, it is suggested that stand-alone XLIF can be used for certain indications. This eliminates the associated morbidity, though subsidence rates may be elevated, potentially minimizing the clinical benefits. M...
CONCLUSIONS The results of this study show that the multiaxial expandable pedicle screw is a safe and practical technique for patients with osteoporosis and various spinal diseases and adds a valuable tool to the armamentarium of spinal instrumentation. PMID: 27314551 [PubMed - in process]
Conclusions Patients most often presented because of pain, specifically back, leg, or a combination of both. Patients seldom complained of deformity only, even among patients exhibiting a Cobb angle of greater than 30 degrees.
This study demonstrated the effectiveness of Trinity Evolution in achieving a solid fusion when used in this manner, indicating that it is a viable option for patients needing anterior cervical discectomy and fusion,” co-author Dr. Timothy Peppers of Scripps Hospital said in a prepared statement. Orthofix reported significantly improved neck function and neck/arm pain at 6 and 12 months, with no serious adverse events related to the Trinity Evolution. Fusion rates were 78.6% at 6 months and 93.5% after 12 months. “MTF is committed to research to ensure innovative clinical options exist for all patients. We are ...
CONCLUSIONS The results of this study show that the multiaxial expandable pedicle screw is a safe and practical technique for patients with osteoporosis and various spinal diseases and adds a valuable tool to the armamentarium of spinal instrumentation. PMID: 27314551 [PubMed - as supplied by publisher]
Conclusions In our study, of those patients with SPECT/CT facet uptake, 67.8% had favorable response post targeted injection. This response rate compares favorably to that shown in a randomized controlled trial by Cohen et al (Cohen 2010). SPECT/CT could therefore be incorporated into an algorithm and within the proper clinical scenario can assist in the diagnosis and localization of facetogenic pain to improve clinical outcomes.