11,031 results match your criteria Kyphosis


Staged cervical osteotomy:a new strategy for correcting ankylosing spondylitis thoracolumbar kyphotic deformity with fused cervical spine.

J Orthop Surg Res 2019 Apr 23;14(1):108. Epub 2019 Apr 23.

Department of Orthopaedics, General Hospital of Chinese People's Liberation Army, Fuxing Road, Beijing, 100853, China.

Background: In patients with cervical ankylosis, the chin-brow vertical angle (CBVA) should be taken into consideration. Usually, the correction of sagittal balance is sacrificed to ensure the patient has a horizontal visual field. To our knowledge, a staged osteotomy strategy for ankylosing spondylitis kyphotic deformity with an ankylosed cervical spine has not been reported before. Read More

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http://dx.doi.org/10.1186/s13018-019-1146-5DOI Listing

Juvenile Muscular Atrophy of the Proximal Upper Extremity as So-Called Proximal-Type Hirayama Disease: Case Report and Review of the Literature.

Case Rep Neurol 2019 Jan-Apr;11(1):106-111. Epub 2019 Mar 21.

Department of Neurology, Fukuoka University School of Medicine, Fukuoka, Japan.

Hirayama disease is a distinct type of cervical myelopathy characterized by juvenile onset of unilateral muscular atrophy of a distal upper extremity. We report herein a case with Hirayama disease-like juvenile muscular atrophy involving proximal muscles in the upper extremities. In this case, in the flexion position of the neck, cervical magnetic resonance imaging revealed that the spinal cord was compressed by expansion of the posterior extradural space with forward displacement of the dura matter. Read More

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http://dx.doi.org/10.1159/000495606DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465745PMC

A novel technique using a pedicle screw and bucking bar for the treatment of hangman's fracture.

Orthop Traumatol Surg Res 2019 Apr 19. Epub 2019 Apr 19.

Department of Spine Surgery, Affiliated Hospital of Southwest Medical University, 646000 Sichuan, China.

The treatment of hangman's fracture is controversial. If treated with a traditional surgical procedure, there will likely be many complications, such as kyphosis, pseudarthrosis and nonunion. Our present study aims to describe a bucking bar method with pedicle screw fixation to treat hangman's fracture. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.03.005DOI Listing
April 2019
1 Read

One-stage Surgical Treatment for Consecutive Multi-segment Thoracic Spinal Tuberculosis with Kyphosis by Posterior-only Debridement, Interbody Fusion and Instrumentation.

World Neurosurg 2019 Apr 19. Epub 2019 Apr 19.

Department of Spinal Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian 350005, China. Electronic address:

Objective: To evaluate the clinical efficacy and feasibility of one-stage surgical treatment for consecutive multi-segment thoracic spinal tuberculosis with kyphosis by posterior-only debridement, interbody fusion and instrumentation.

Methods: Sixty-two patients who underwent posterior debridement, interbody fusion and instrumentation were reviewed for radiographic fusion, region kyphosis, neurological status and clinical outcomes. Thoracic Cobb's angle and Frankel grading system were employed to assess kyphosis and neurological improvements, respectively. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.04.122DOI Listing

Early and Mid-term Outcomes of Surgical Correction for Severe Dystrophic Cervical Kyphosis in Patients with Neurofibromatosis Type 1: a Retrospective Multicenter Study.

World Neurosurg 2019 Apr 17. Epub 2019 Apr 17.

Department of Spine Surgery, The First Affiliated Hospital, University of South China, 69 Chuanshan Road, Hengyang 421001, Hunan, P.R. China. Electronic address:

Objective: To evaluate the early and mid-term outcomes of surgical correction for severe dystrophic cervical kyphosis in patients with neurofibromatosis type 1 (NF-1) and analyze the pathomechanics and the influence on surgical efficacy of related systemic skeletal dystrophy.

Methods: Ten patients who underwent surgical correction for NF-1-related severe dystrophic cervical kyphosis were reviewed. Radiographic parameters, including local and global Cobb angle, sagittal vertical axis (SVA) and T-1 slope, were measured. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.04.096DOI Listing
April 2019
1 Read

Post-implantation Deformation of Titanium Rod and Cobalt Chrome Rod in Adolescent Idiopathic Scoliosis.

Malays Orthop J 2019 Mar;13(1):14-19

Department of Orthopaedics, Kementerian Kesihatan Malaysia, Hospital Umum Sarawak, Kuching, Malaysia.

Post-implantation rod deformation is anticipated in scoliosis surgery but the difference in rod deformation between titanium and cobalt chrome rod has not been elucidated. This study aims to compare the difference in rod deformation between two groups. Twenty-one adolescent idiopathic scoliosis (AIS) patients were recruited from a single center. Read More

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http://dx.doi.org/10.5704/MOJ.1903.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459034PMC

Standalone Instrumented Posterior Approach Used as Universal Approach for Tuberculosis Spondylodiscitis.

J Neurosci Rural Pract 2019 Apr-Jun;10(2):225-233

Department of Neurosurgery, AIIMS, Bhubaneswar, Odisha, India.

Background: Surgical management of spinal tuberculosis (TB) has been classically the anterior, then combined, and of late increasingly by the posterior approach. The posterior approach has been successful in early disease. There has been a paradigm shift and inquisitive to explore this approach in the more advanced and even long-segment disease. Read More

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http://dx.doi.org/10.4103/jnrp.jnrp_294_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454971PMC

Is cast an option in the treatment of thoracolumbar vertebral fractures?

J Craniovertebr Junction Spine 2019 Jan-Mar;10(1):51-56

Orthopaedic and Trauma Centre, Spine Surgery Unit, Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy.

Background: Thoracolumbar vertebral fractures are common in high-energy trauma and often are associated to other concomitant injuries. Currently, brace and Closed Reduction and Casting (CRC) are the two conservative treatments proposed by literature. Despite CRC was widely used in the past, today brace is preferred. Read More

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http://www.jcvjs.com/text.asp?2019/10/1/51/255732
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http://dx.doi.org/10.4103/jcvjs.JCVJS_8_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469317PMC
April 2019
1 Read

Positional disappearance of motor evoked potentials is much more likely to occur in non-idiopathic scoliosis.

J Child Orthop 2019 Apr;13(2):206-212

Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon.

Purpose: This study evaluates intraoperative disappearance of motor waveforms related to patient positioning in neurologically asymptomatic patients with spinal deformity.

Methods: This is a retrospective review of 190 neurologically asymptomatic patients aged seven to 17 years planned for posterior instrumentation under neuromonitoring. There were 159 patients with adolescent idiopathic scoliosis and 31 patients with secondary scoliosis. Read More

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http://dx.doi.org/10.1302/1863-2548.13.180102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442502PMC
April 2019
1 Read

Treatment of early onset spinal deformities with magnetically controlled growing rods: a single centre experience of 30 cases.

J Child Orthop 2019 Apr;13(2):196-205

Orthopaedic Department, Children's Hospital, University of Basel, Basel, Switzerland.

Purpose: The treatment of early onset scoliosis continues to be a major challenge, even when using motorized growth-sparing implants. We report on 30 cases operated on with magnetically controlled growing rods (MCGRs) at our institution, analyzing radiological parameters and complications, comparing our results with the literature and presenting a special implant fixation technique. A separate focus highlights the challenges of conversion from previous non-motorized implants. Read More

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http://dx.doi.org/10.1302/1863-2548.13.180203DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442503PMC

Comparison of circular and sagittal reinforced rod options on the sagittal balance restoration in adolescents undergoing pedicle screw instrumentation for idiopathic scoliosis.

World Neurosurg 2019 Apr 14. Epub 2019 Apr 14.

Department of Paediatric Orthopaedic Surgery, University of Turku, Turku University Hospital, Kiinamyllynkatu 4-8, FI-20521 Turku.

Objective: Pedicle screw instrumentation is widely used for spinal deformity correction and fusion in adolescents for idiopathic scoliosis. The goal is to achieve and sustain good alignment in all three plains. We compared two different cobalt-chromium (CoCr) rod designs with different stiffness, in regard to the coronal and sagittal balance restoration in adolescents operated for idiopathic scoliosis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193102
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http://dx.doi.org/10.1016/j.wneu.2019.04.028DOI Listing
April 2019
2 Reads

Precision of the Hologic DXA in the Assessment of Visceral Adipose Tissue.

J Clin Densitom 2019 Mar 20. Epub 2019 Mar 20.

Children's Hospital Oakland Research Institute, Oakland, CA, USA; Department of Hematology, UCSF Benioff Children's Hospital Oakland, Oakland, CA, USA. Electronic address:

Introduction: Visceral fat, also known as visceral adipose tissue (VAT), has been the focus of intensive research over the past several yr, as ground breaking studies have investigated its possible role in predicting long-term cardiac dysfunction, hypertension, and diabetes. Historically, magnetic resonance imaging and computed tomography were the instruments of choice for visceral fat quantification. However, with the introduction of visceral fat assessment software for Dual-energy X-ray Absorptiometry (DXA) scanners, DXA's use for VAT assessment has become increasingly common. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10946950193000
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http://dx.doi.org/10.1016/j.jocd.2019.03.005DOI Listing
March 2019
1 Read

Polyetheretherketone (PEEK) cages for anterior column reconstruction in pyogenic vertebral osteomyelitis.

J Orthop Surg (Hong Kong) 2019 May-Aug;27(2):2309499019842490

2 Department of Orthopaedic Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia.

The objective of study was to evaluate a case series of patients in whom polyetheretherketone (PEEK) cages were used for anterior column reconstruction in vertebral osteomyelitis. Fifteen patients underwent clinical and radiological evaluation with average follow-up of 26 months. Parameters assessed were time of surgery, blood loss, segmental kyphosis or lordosis angle, time to solid bony fusion, ambulatory status, and functional outcome. Read More

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http://dx.doi.org/10.1177/2309499019842490DOI Listing

Curve patterns deserve attention when determining the optimal distal fusion level in correction surgery for Scheuermann's Kyphosis.

Spine J 2019 Apr 12. Epub 2019 Apr 12.

Department of Spine Surgery, Drum Tower Hospital of Nanjing University Medical School, Nanjing, China. Electronic address:

Background Context: The surgical strategy to decide distal fusion level for Scheuermann's Kyphosis (SK) is controversial. Some spinal surgeons advocate that instrumentation should end at the first lordotic vertebra (FLV) while others recommend extending spinal fusion to the sagittal stable vertebra (SSV). SK has two curve patterns: Scheuermann's thoracic kyphosis (STK), with the curve apex above or at T10 and Scheuermann's thoracolumbar kyphosis (STLK), with the curve apex below T10. Read More

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http://dx.doi.org/10.1016/j.spinee.2019.04.007DOI Listing

Characteristic Diagnostic Clues of Metatropic Dysplasia: The Lumbothoracic Humpback with Dumbbell Appearance of the Long Bones.

Balkan J Med Genet 2018 Dec 31;21(2):35-38. Epub 2018 Dec 31.

Department of Nephrology, University Children's Hospital, Medical Faculty Skopje, Skopje, Republic of Macedonia.

Metatropic dysplasia (MD) is a rare skeletal dysplasia associated with heterozygous mutations in the gene. We describe a 28-month-old boy with knock-knees referred for metabolic investigation suspected of carrying vitamin D-resistant rickets. He has received regular vitamin D prophylaxis at the usual dose. Read More

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http://dx.doi.org/10.2478/bjmg-2018-0025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454243PMC
December 2018

Three-Dimensional Printed Patient Models for Complex Pediatric Spinal Surgery.

Ochsner J 2019 ;19(1):49-53

The University of Queensland Faculty of Medicine, Ochsner Clinical School, New Orleans, LA.

Pediatric spinal deformity surgeries are challenging operations that require considerable expertise and resources. The unique anatomy and rarity of these cases present challenges in surgical training and preparation. We present a case series illustrating how 3-dimensional (3-D) printed models were used in preoperative planning for 3 cases of pediatric spinal deformity surgery. Read More

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http://www.ochsnerjournal.org/lookup/doi/10.31486/toj.18.011
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http://dx.doi.org/10.31486/toj.18.0117DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6447199PMC
January 2019
2 Reads

Physiotherapist management of a patient with spastic perineal syndrome and subsequent constipation: a case report.

Physiother Theory Pract 2019 Apr 15:1-10. Epub 2019 Apr 15.

b PhyWorld Physiotherapy Clinic, Arjun Marg , Defence Colony , New Delhi , India.

Background And Purpose: The purpose of this case report is to describe the benefits of manual therapy techniques, including mobilization and stretching, in the management of a patient with chronic constipation.

Case Description: A 17-year-old male with an 8-month history of constipation and complaint of incomplete evacuation after defecation was referred for therapy. The patient was diagnosed with a spastic perineal syndrome. Read More

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https://www.tandfonline.com/doi/full/10.1080/09593985.2019.1
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http://dx.doi.org/10.1080/09593985.2019.1603259DOI Listing
April 2019
2 Reads

Multimodality Intraoperative Neuromonitoring in Severe Thoracic Deformity PVCR Correction.

World Neurosurg 2019 Apr 11. Epub 2019 Apr 11.

Spine Center, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China. Electronic address:

Background: Multimodal intraoperative neuromonitoring (IONM) has been proposed as an effective way to reduce permanent neurologic injury during spinal deformity surgery. However, few studies have reported evoked potential changes at different surgical stages of thoracic posterior vertebral column resection (PVCR).

Methods: A total of 82 cases with severe thoracic deformity (Yang's A type) treated by PVCR in a single institution between January 2010 and March 2015 were reviewed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193081
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http://dx.doi.org/10.1016/j.wneu.2019.03.140DOI Listing
April 2019
2 Reads

Mutation spectrum and pivotal features for differential diagnosis of Mucopolysaccharidosis IVA patients with severe and attenuated phenotype.

Gene 2019 Apr 11;704:59-67. Epub 2019 Apr 11.

Department of Medical Genetics, Istanbul University, Medical School, Istanbul, Turkey.

Mucopolysaccharidosis IVA (MPS IVA) is a lysosomal storage disease caused by biallelic mutations in GALNS gene and characterized by progressive skeletal deformities with short stature. The aim of this study was to evaluate the genotype, longitudinal height measurement and clinical features of MPS IVA patients. Thirty-two patients from 22 families were enrolled. Read More

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http://dx.doi.org/10.1016/j.gene.2019.04.026DOI Listing

Does Excessive Body Weight Change the Shape of the Spine in Children?

Child Obes 2019 Apr 12. Epub 2019 Apr 12.

Institute of Health Sciences, State Higher Vocational School, Tarnow, Poland.

Background: Excessive body weight is a lifestyle issue, which is commonly found in children in many countries worldwide, and has enormous medical implications. This study aimed to determine the effect of overweight and obesity on the shape of the spine in children.

Materials And Methods: A total of 910 children 10-12 years of age participated in this study. Read More

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https://www.liebertpub.com/doi/10.1089/chi.2018.0361
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http://dx.doi.org/10.1089/chi.2018.0361DOI Listing
April 2019
7 Reads

The Italian Spine Youth Quality of Life questionnaire measures health-related quality of life of adolescents with spinal deformities better than the reference standard, the Scoliosis Research Society 22 questionnaire.

Clin Rehabil 2019 Apr 12:269215519842246. Epub 2019 Apr 12.

1 IRCCS Santa Maria Nascente - Fondazione Don Carlo Gnocchi Onlus, Milan, Italy.

Objective: To compare the validity of the Italian Spine Youth Quality of Life (ISYQOL) questionnaire with that of the Scoliosis Research Society 22 (SRS22) questionnaire, the criterion standard for health-related quality of life (HRQOL) measurement in adolescents with spinal deformities.

Design: Cross-sectional study.

Setting: Outpatient clinic. Read More

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http://dx.doi.org/10.1177/0269215519842246DOI Listing
April 2019
6 Reads

One stage posterior debridement, non-structural bone graft in the surgical treatment of single segment thoracic tuberculosis: A retrospective single-center cohort study.

Int J Surg 2019 Apr 9;65:134-139. Epub 2019 Apr 9.

Department of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, People's Republic of China.

Objective: To compare the clinical efficacy of non-structural with structural bone graft in the surgical treatment of single segment thoracic tuberculosis after one stage posterior debridement.

Methods: 61 patients with single segment thoracic tuberculosis treated by one stage posterior debridement, bone graft fusion and internal fixation were retrospectively analyzed. Among them, 35 cases were admitted from 2015 to 2017 in the non-structural bone graft group and 26 cases were admitted from 2011 to 2015 in the structural bone graft group. Read More

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http://dx.doi.org/10.1016/j.ijsu.2019.04.002DOI Listing
April 2019
1 Read

Progression of local kyphosis after conservative treatment for compressive cervical spine fracture with spinal cord injury.

J Orthop Surg Res 2019 Apr 11;14(1):98. Epub 2019 Apr 11.

Departments of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashiku, Fukuoka, 812-8582, Japan.

Introduction: Compressive-flexion type cervical spine fracture is typically accompanied by apparent dislocation of the facet joints, undesirable cervical alignment, and devastating neurological dysfunction, which provides strong rationale for rendering prompt operative treatment. However, the validity of conservative treatment for compressive-flexion cervical spine injury in cases with preserved congruity of the facet joints has yet to be elucidated. The purpose of this study is to evaluate the long-term outcome of cervical alignment following conservative treatment for compressive-flexion cervical spine injury with preserved congruity of the facet joints. Read More

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http://dx.doi.org/10.1186/s13018-019-1115-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458645PMC

What Are the Indications for Spinal Fusion Surgery in Scheuermann Kyphosis?

J Pediatr Orthop 2019 May/Jun;39(5):217-221

Mayo Clinic, Rochester, MN.

Background: Surgical indications for Scheuermann kyphosis are variable. We sought to evaluate the characteristics of patients undergoing operative versus nonoperative treatment of Scheuermann kyphosis to better understand current practices and the factors which contribute to the decision for surgical management.

Methods: Multicenter prospective cohort study. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000931DOI Listing

Proximal Junctional Kyphosis: A Pediatric and Adult Spinal Deformity Surgery Dilemma.

JBJS Rev 2019 Apr 9. Epub 2019 Apr 9.

Department of Orthopaedic Surgery, University of Rochester, Rochester, New York.

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http://dx.doi.org/10.2106/JBJS.RVW.18.00059DOI Listing

Comparison of two surgeries in correction of severe kyphotic deformity caused by ankylosing spondylitis: vertebral column decancellation and pedicle subtraction osteotomy.

World Neurosurg 2019 Apr 6. Epub 2019 Apr 6.

Department of Orthopaedics, General Hospital of Chinese People's Liberation Army, Beijing 100853, China. Electronic address:

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http://dx.doi.org/10.1016/j.wneu.2019.04.011DOI Listing
April 2019
1 Read

Isthmic spondylolisthesis and interspinous process device. Hype, hope, or contraindication?

Eur Rev Med Pharmacol Sci 2019 Mar;23(6):2340-2344

Department of Oncologic and Degenerative Spine Surgery. IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

Objective: The aim of this study is to investigate, through the analysis of a case report and the literature review, indications and contraindications of Interspinous Process Device (IPD) in the surgical treatment of Lumbar Isthmic Spondylolisthesis (LIS).

Patients And Methods: A 37-years-old male with L5-S1 grade 2 LIS, treated with IPD at another center, referred to us eight months later with a worsening of back and leg pain. A revision surgery was performed with IPD removal and a L5-S1 TLIF. Read More

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http://dx.doi.org/10.26355/eurrev_201903_17377DOI Listing
March 2019
1 Read

Hypoglossal Nerve Palsy as a Cause of Severe Dysphagia along with the Oropharyngeal Stenosis due to Occipitocervical Kyphosis.

Case Rep Orthop 2019 6;2019:7982847. Epub 2019 Mar 6.

Department of Orthopaedic Surgery, The University of Tokyo Hospital, Japan.

Hypoglossal nerve palsy (HNP) is a potential cause of dysphagia. A 66-year-old man presented to our hospital with dysphagia and neck pain. One year prior to his first visit, he had been diagnosed with upper cervical tuberculosis and had undergone posterior C1-2 fixation. Read More

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http://dx.doi.org/10.1155/2019/7982847DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431363PMC
March 2019
1 Read

Apical Vertebral Column Resection with Sagittal Rotation and Controlled Anterior Opening and Posterior Closing Maneuver for the Treatment of Severe Post-Tubercular Kyphosis: Case Series and Literature Review.

Asian Spine J 2019 Apr 10. Epub 2019 Apr 10.

Department of Orthopaedics, Seth GS Medical College and KEM Hospital, Mumbai, India.

Study Design: Retrospective case series.

Purpose: Describe the technique and evaluate the outcome of apical vertebral column resection (VCR) with sagittal rotation and anterior opening and posterior closing (AOPC) maneuver for correction of severe post-tubercular kyphosis (PTK).

Overview Of Literature: The surgical procedures described for the correction of PTK are VCR, pedicle subtraction osteotomy, transpedicular decancellation osteotomy, and closing-opening osteotomy. Read More

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http://dx.doi.org/10.31616/asj.2018.0222DOI Listing

Occipito-cervical osteotomies and inter-facet grafts for reduction of occipitocervical kyphosis and basilar invagination.

World Neurosurg 2019 Apr 4. Epub 2019 Apr 4.

Department of Neurosurgery, Johns Hopkins Hospital, Baltimore, Maryland, USA.

Background: Occipitocervical congential pathologies involving instability of the atlantoaxial joint and basilar invagination are challenging to treat due to the complex anatomy involving the neurovascular structures at the skull base and high-risk nature of operating close to the brainstem.

Case Presentation: We present a patient with Alagille syndrome with multiple segmentation/fusion anomalies of the cervical spine and craniocervical junction, including fusion of the skull base and occipital condyles and partial assimilation of the C1 anterior ring and C2 dens. The head was anteriorly displaced, with C2 located immediately below the foramen magnum. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193095
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http://dx.doi.org/10.1016/j.wneu.2019.03.271DOI Listing
April 2019
9 Reads

Early versus late percutaneous kyphoplasty for treating osteoporotic vertebral compression fracture: A retrospective study.

Clin Neurol Neurosurg 2019 May 1;180:101-105. Epub 2019 Apr 1.

Department of Orthopedics, First Hospital of China Medical University, No. 155 Nanjing North Street, Shenyang, China. Electronic address:

Objective: Osteoporotic vertebral compression fracture (OVCF) is a common disease in the aged population that can greatly affect the quality of life. Percutaneous kyphoplasty (PKP) has become a mainstream approach for treating OVCF, but the optimal surgical timing for treating OVCF with PKP remains controversial. In the current study, we retrospectively studied patients with OVCF that underwent PKP, and aimed to find out whether surgical timing could affect the clinical and radiological outcomes. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.029DOI Listing

Comparative study of multilevel posterior interbody fusion plus anterior longitudinal ligament release versus classic multilevel posterior interbody fusion in the treatment of adult spinal deformities.

J Neurosurg Spine 2019 04 5:1-7. Epub 2019 Apr 5.

Objective: Sagittal imbalance and loss of lumbar lordosis are the main drivers of functional disability in adult degenerative scoliosis. The main limitations of the classic posterior lumbar interbody fusion technique are increased risk of neurological injury and suboptimal correction of the segmental lordosis. Here, the authors describe the radiological results of a modified posterior lumbar interbody fusion and compare the results with a historical cohort of patients. Read More

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http://dx.doi.org/10.3171/2019.1.SPINE18754DOI Listing
April 2019
4 Reads

Incidence and risk factors of cervical kyphosis in patients with adolescent idiopathic scoliosis.

World Neurosurg 2019 Apr 2. Epub 2019 Apr 2.

Objective: Cervical kyphosis has been reported in patients with adolescent idiopathic scoliosis (AIS). However, report regarding the comparison of the incidence of cervical kyphosis between AIS patients and normal populations is little. In previous studies, patients included in the study often required scoliosis surgery (Cobb angle ≥ 40°), which cannot represent all AIS patients. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193094
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http://dx.doi.org/10.1016/j.wneu.2019.03.264DOI Listing
April 2019
6 Reads

Prevalence and risk factors of axial neck pain in patients undergoing multilevel anterior cervical decompression with fusion surgery.

J Orthop Surg Res 2019 Apr 4;14(1):94. Epub 2019 Apr 4.

Department of Spinal Surgery, The Third Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang, 050051, People's Republic of China.

Objectives: The aim of this study was to explore the prevalence and risk factors for axial neck pain in patients undergoing multilevel anterior cervical decompression with fusion surgery.

Methods: In this study, 88 patients, who underwent multilevel anterior cervical decompression with fusion surgery from January 2012 to January 2017, were retrospectively reviewed. Based on the postoperative axial neck pain, the patients were classified into two groups: axial pain group and no axial pain group. Read More

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http://dx.doi.org/10.1186/s13018-019-1132-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450001PMC
April 2019
2 Reads

Clinical and Radiological Outcomes of Corrective Surgery on Adult Spinal Deformity Patients: Comparison of Short and Long Fusion.

Adv Orthop 2019 3;2019:9492486. Epub 2019 Mar 3.

Center for Spinal Surgery, Nippon Koukan Hospital, Kawasaki 210-0852, Japan.

Despite the accumulated knowledge of spinal alignment and clinical outcomes the full corrective surgery cannot be applied to all the deformity patients as it requires considerable surgical burden to the patients. The aim of this study was to investigate the clinical and radiological outcomes of the patients who have received short and long fusion for ASD. A total of 21 patients who received surgical reconstructive spinal fusion procedures and were followed up for at least one year were retrospectively reviewed. Read More

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http://dx.doi.org/10.1155/2019/9492486DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421035PMC
March 2019
4 Reads

Duplication of Vertebral Pedicles Associated with a Thoracic Burst Fracture Resulting in Spinal Cord Compression: A Case Report.

Cureus 2019 Jan 3;11(1):e3820. Epub 2019 Jan 3.

Neurosurgery, Central Illinois Neuroscience Foundation, Bloomington, USA.

Vertebral body fractures are well-known sources of axial back pain with the potential to cause neurological deficits. Duplication of a component of the vertebral column is a rare phenomenon; however, vertebral pedicle duplication is an unreported phenomenon, and has not been reported in association with a vertebral burst fracture and kyphotic deformity. We present a unique case of vertebral pedicle duplication in association with a T11 vertebral burst fracture in a 72-year-old female. Read More

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https://www.cureus.com/articles/17039-duplication-of-vertebr
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http://dx.doi.org/10.7759/cureus.3820DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6433449PMC
January 2019
3 Reads

Recovery Kinetics following Spinal Deformity Correction: A Comparison of Isolated Cervical, Thoracolumbar, and Combined Deformity Morphometries.

Spine J 2019 Mar 28. Epub 2019 Mar 28.

Department of Orthopaedic Surgery, Denver International Spine Center, Denver, CO, USA.

Background Context: The postoperative recovery patterns of cervical deformity patients, thoracolumbar deformity patients, and patients with combined cervical and thoracolumbar deformities, all relative to one another, is not well understood. Clear, objective benchmarks are needed to quantitatively define a "good" versus a "bad" postoperative recovery across multiple follow-up visits, varying deformity types, and guide expectations.

Purpose: To objectively define and compare the complete 2-year postoperative recovery process amongst operative cervical only, thoracolumbar only, and combined deformity patients using area-under-the-curve (AUC) methodology. Read More

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http://dx.doi.org/10.1016/j.spinee.2019.03.006DOI Listing
March 2019
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2.426 Impact Factor

Correlations linking static quantitative gait analysis parameters to radiographic parameters in adolescent idiopathic scoliosis.

Orthop Traumatol Surg Res 2019 May 30;105(3):541-545. Epub 2019 Mar 30.

Service d'orthopédie pédiatrique, Aix-Marseille université, Timone Enfants, Marseille, France; Plateforme d'analyse de la motricité, Aix-Marseille université, Timone, Marseille, France; Orthopédie pédiatrique, CNRS, ISM, Aix-Marseille université, hôpital de la Timone, AP-HM, Marseille, France.

Background: Radiography is the main tool used to assess spinal deformities in patients with adolescent idiopathic scoliosis (AIS) but requires repeated exposure to ionising radiation, potentially raising safety concerns. Consequently, new methods are needed. Among them, the acquisition of static parameters during quantitative gait analysis (QGA) has received attention in recent years. Read More

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http://dx.doi.org/10.1016/j.otsr.2018.09.024DOI Listing

Posterior multiple level asymmetrical Ponte osteotomies for rigid adult idiopathic scoliosis.

World Neurosurg 2019 Mar 25. Epub 2019 Mar 25.

Department of Orthopedic Surgery, Beijing Chaoyang Hospital, Capital Medical University, No.8 Gongti South Road, Chaoyang District, Beijing, China.

Objective: To evaluate the efficacy and safety of posterior multiple level asymmetrical Ponte osteotomies (MAPO) for rigid adult idiopathic scoliosis (AdIS).

Methods: A retrospective study was conducted for adult patients with rigid idiopathic scoliosis (flexibility of main curve <25%), who underwent one-stage MAPO with a minimum of 2-year follow-up between February 2009 and November 2015. The demographic data and surgical issues were collected, and the improvement of clinical function scores and radiological parameters were obtained after surgery and during the follow-up to assess deformity correction, spinal balance and clinical outcome. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.03.173DOI Listing

[Comparison of sagittal plane morphology of spine and pelvis in adolescents with L₅S₁ developmental spondylolisthesis and isthmic spondylolisthesis].

Zhongguo Gu Shang 2019 Mar;32(3):234-238

Department of Spinal Surgery, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu, China;

Objective: To compare the sagittal morphological features of the spine and pelvis between L₅S₁ dysplastic spondylolisthesis and isthmus spondylolisthesis in adolescent.

Methods: Retrospective analysis of 24 cases of adolescent L₅S₁ spondylolisthesis with complete imaging data from May 2002 to December 2016. Those included 8 males and 16 females, aged from 10 to 18 years old with an average of (13. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.03.008DOI Listing
March 2019
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Effect of Serious Adverse Events on Health-Related Quality of Life Measures Following Surgery for Adult Symptomatic Lumbar Scoliosis.

Spine (Phila Pa 1976) 2019 Mar 20. Epub 2019 Mar 20.

Department of Orthopedic Surgery, Washington University School of Medicine, St Louis, MO.

Study Design: Secondary analysis of prospective multicenter cohort OBJECTIVE.: To assess effect of serious adverse events (SAEs) on 2- and 4-year patient-reported outcomes measures (PROMs) in patients surgically treated for adult symptomatic lumbar scoliosis (ASLS) SUMMARY OF BACKGROUND DATA.: Operative treatment for ASLS can improve health-related quality of life (HRQL), but has high rates of SAEs. Read More

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http://dx.doi.org/10.1097/BRS.0000000000003036DOI Listing

Sacropelvic fixation with S2 alar iliac screws may prevent sacroiliac joint pain after multi-segment spinal fusion.

Spine (Phila Pa 1976) 2019 Mar 20. Epub 2019 Mar 20.

Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.

Study Design: A retrospective study OBJECTIVE.: To examine the postoperative incidence of sacroiliac joint pain (SIJP) at the lower fusion level following multi-segment fusion.

Summary Of Background Data: Recently, multi-segment fusion is being increasingly performed. Read More

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http://dx.doi.org/10.1097/BRS.0000000000003041DOI Listing

Sagittal Alignment Profile Following Selective Thoracolumbar/Lumbar Fusion in Patients with Lenke Type 5C Adolescent Idiopathic Scoliosis.

Spine (Phila Pa 1976) 2019 Mar 20. Epub 2019 Mar 20.

Department of Orthopedics and Spine Surgery, Meijo Hospital, Nagoya, Japan.

Study Design: A retrospective case series.

Objective: This study aimed to report the sagittal outcome measures in patients with Lenke type 5C adolescent idiopathic scoliosis (AIS) undergoing thoracolumbar/lumbar (TL/L) fusion surgery.

Summary Of Background Data: Previous studies have demonstrated coronal correction of Lenke type 5C AIS by selective TL/L fusion surgery. Read More

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http://dx.doi.org/10.1097/BRS.0000000000003043DOI Listing
March 2019
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Hidden blood loss during perioperative period and the influential factors after surgery of thoracolumbar burst fracture: A retrospective case series.

Medicine (Baltimore) 2019 Mar;98(13):e14983

Department of Orthopaedics, LongHua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai.

Surgical therapy is vital for thoracolumbar burst fracture in restoring vertebral height, correcting kyphosis, decompressing nervous, and maintaining stability. Patients have unexpectedly lower hemoglobin levels postoperatively, which is remarkably inconsistent with the measured blood loss. However, hidden blood loss (HBL) is often neglected. Read More

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http://dx.doi.org/10.1097/MD.0000000000014983DOI Listing
March 2019
1 Read

Treatment for lumbar spinal stenosis in elderly patients using percutaneous endoscopic lumbar discectomy combined with postoperative three-dimensional traction.

Expert Rev Med Devices 2019 Apr 11;16(4):317-323. Epub 2019 Apr 11.

a Department of orthopedics , Hangzhou Red Cross Hospital , Hangzhou , Zhejiang , China.

Background: There were few previous studies about the use of percutaneous endoscopic lumbar discectomy (PELD) combined with postoperative three-dimensional traction in elderly patients with stenosis. This study aimed to evaluate the clinical efficacy of PELD combined with postoperative three-dimensional traction in the treatment of lumbar spinal stenosis in elderly patients.

Methods: A total of 180 elderly patients with lumbar spinal stenosis were randomly divided into three groups: the traditional surgery group, PELD group (transforaminal approach), and PELD combined with postoperative three-dimensional traction group. Read More

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http://dx.doi.org/10.1080/17434440.2019.1599282DOI Listing

Unusual Painful Muscle Spasm in a Dialysis-Dependent Patient with Progressive Cervical Kyphosis.

Case Rep Orthop 2019 20;2019:7062568. Epub 2019 Feb 20.

Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22 Showa, Maebashi, Gunma 371-8511, Japan.

We herein report a case of cervical myelopathy due to destructive spondyloarthropathy (DSA) with an unusual painful muscle spasm. A 51-year-old man presented to our hospital due to numbness in the hands and progressive gait disturbance. The patient underwent laminoplasty for cervical myelopathy. Read More

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http://dx.doi.org/10.1155/2019/7062568DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6402219PMC
February 2019
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Effects of Physical Therapy on Pain, Functional Status, Sagittal Spinal Alignment, and Spinal Mobility in Chronic Non-specific Low Back Pain.

Eurasian J Med 2019 Feb 30;51(1):22-26. Epub 2018 Nov 30.

Department of Physical Medicine and Rehabilitation, Akdeniz University School of Medicine, Antalya, Turkey.

Objective: To investigate the effects of physical therapy (PT) on pain, functional status, sagittal spinal alignment, and spinal mobility in chronic non-specific low back pain (NSLBP).

Materials And Methods: The study population consisted of 100 patients with chronic NSLBP. The study group comprised 60 patients to whom a PT program including superficial heat, transcutaneous electrical nerve stimulation, and ultrasound for 10 sessions was assigned. Read More

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http://dx.doi.org/10.5152/eurasianjmed.2018.18126DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422632PMC
February 2019
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Minimum 5-year follow-up outcomes for Comparison between Titanium mesh cage and allogeneic bone graft to Reconstruct Anterior Column through Posterior Approach for the Surgical treatment of Thoracolumbar Spinal Tuberculosis with Kyphosis.

World Neurosurg 2019 Mar 22. Epub 2019 Mar 22.

Department of Spine Surgery, Xiangya Spinal Surgery Center, Xiangya Hospital of Central South University, ChangSha, China.

Objective: We aimed to compare the clinical efficacy of a titanium mesh cage and an allogeneic bone graft to reconstruct the anterior column through a posterior approach for the surgical management of patients with thoracolumbar spinal tuberculosis with kyphosis.

Methods: From January 2011 to March 2013, 57 patients with single- or two-segment thoracolumbar spinal tuberculosis with kyphosis were treated by debridement, interbody graft, posterior instrumentation, and fusion via a posterior-only procedure. The 24 patients in group A were treated with an allogeneic bone graft to reconstruct the anterior column, whereas the 33 patients in group B were treated with a titanium mesh cage. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.03.139DOI Listing
March 2019
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Minimum 2-Year Experience with Magnetically Controlled Growing Rods for the Treatment of Early-Onset Scoliosis: A Systematic Review.

Asian Spine J 2019 Mar 26. Epub 2019 Mar 26.

Department of Orthopaedics and Traumatology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, SAR.

Magnetically controlled growing rods have been used to treat early-onset scoliosis for the last 9 years; however, few studies have been published, with only short-term follow-up. The aim of the present study is to systematically review the outcomes of magnetically controlled growing rods in the treatment of early-onset scoliosis with a minimum of 2-year follow-up. Studies were included if patients with early-onset scoliosis (scoliosis diagnosed before 10 years of age) underwent implantation of magnetically controlled growing rods with a minimum of 2-year follow-up. Read More

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http://www.asianspinejournal.org/journal/view.php?doi=10.316
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http://dx.doi.org/10.31616/asj.2018.0272DOI Listing
March 2019
2 Reads