764 results match your criteria Thoracic Disc Injuries


Percutaneous plasma laser disc coagulation and navigable ablation decompression in the treatment of cervical disc herniation: a single center experience

Turk J Med Sci 2019 Feb 11;49(1):258-264. Epub 2019 Feb 11.

Background/aim: We aimed to compare the effectivity of percutaneous disc coagulation therapy (PDCT) and navigable ablation decompression treatment (L-DISQ) in patients who were diagnosed with cervical disc herniation.

Materials And Methods: Visual analog scale (VAS) and Neck Pain Index (NPI) scores were recorded initially and at the 1st, 3rd, 6th, and 12th months after the procedures. Patient Satisfaction Scale (PSS) scores were recorded 12 months after the procedures

Results: Mean VAS scores were 7. Read More

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http://dx.doi.org/10.3906/sag-1805-191DOI Listing
February 2019
1 Read

Death by hanging: a retrospective case-control investigation of the intervertebral disc vacuum phenomenon on PMCT.

Forensic Sci Med Pathol 2018 12 13;14(4):484-496. Epub 2018 Nov 13.

Department of Forensic Medicine and Imaging, Institute of Forensic Medicine, University of Zurich, Winterthurerstrasse 190/52, CH-8057, Zurich, Switzerland.

During hanging gravitational forces affect the spine. Intervertebral vacuum phenomenon (VP) implies that gas accumulations in the discs are caused by degeneration of the spine and trauma. It was hypothesized that VP detected on postmortem computed tomography (PMCT) has a higher incidence in hanging deaths, which can be correlated to age, degenerative spinal changes and type of hanging (complete-incomplete). Read More

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http://link.springer.com/10.1007/s12024-018-0034-3
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http://dx.doi.org/10.1007/s12024-018-0034-3DOI Listing
December 2018
12 Reads

Spinal fractures in patients with diffuse idiopathic skeletal hyperostosis: Clinical characteristics by fracture level.

J Orthop Sci 2018 Nov 8. Epub 2018 Nov 8.

Department of Orthopaedic Surgery, Keio University, Tokyo, Japan; Keio Spine Research Group, Tokyo, Japan. Electronic address:

Background: Diffuse idiopathic skeletal hyperostosis (DISH) makes the spine prone to unstable fractures with neurological deterioration. This study was conducted to assess clinical and radiographic features of spinal fractures in DISH by the level of spinal injury, and to evaluate the optimal treatment for each level.

Methods: A multicenter retrospective study over a 5-year period, including 46 patients (35 males; 11 females) with a mean age of 77. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09492658183031
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http://dx.doi.org/10.1016/j.jos.2018.10.017DOI Listing
November 2018
14 Reads

A finite element study on posterior short segment fixation combined with unilateral fixation using pedicle screws for stable thoracolumbar fracture.

Medicine (Baltimore) 2018 Aug;97(34):e12046

Department of Orthopaedic Trauma Service Center, Hebei Medical University Third Affiliated Hospital, Shijiazhuang, Hebei, China.

The objective of this study was to use finite element models to investigate the biomechanics of stable thoracolumbar burst fracture repair using unilateral short-segment fixation and 4 alternate pedicle screw systems.Four posterior pedicle screw systems were compared for unilateral short-segment fixation using finite element models: intermediate bilateral short pedicle screw fixation, intermediate bilateral long pedicle screw fixation, intermediate unilateral short pedicle screw fixation, and intermediate unilateral long pedicle screw fixation. We compared range of motion (ROM), von Mises stresses on the implants, and stress on the intervertebral discs superior and inferior to the injured vertebra during simulated spinal movements. Read More

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http://dx.doi.org/10.1097/MD.0000000000012046DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112892PMC
August 2018
4 Reads

Superficial Siderosis of Central Nervous System as Primary Clinical Manifestation Secondary to Intradural Thoracic Disk Herniation.

World Neurosurg 2018 Nov 23;119:40-44. Epub 2018 Jul 23.

Department of Neurological Surgery, Weill Cornell Brain and Spine Center, New York-Presbyterian Hospital, New York, New York, USA. Electronic address:

Background: Superficial siderosis of the central nervous system is a rare neurologic disorder characterized by the superficial deposition of hemosiderin in the subpial layer resulting in iron-related progressive neurodegeneration.

Case Description: In this report, we present a case of superficial siderosis of the central nervous system secondary to an intradural thoracic disk herniation causing a cerebrospinal fluid (CSF) leak.

Conclusions: The patient was successfully treated with T6-T8 transpedicular partial corpectomy, as well as diskectomy with decompression followed by watertight closure of the CSF leak. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183159
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http://dx.doi.org/10.1016/j.wneu.2018.07.117DOI Listing
November 2018
32 Reads
2.420 Impact Factor

Magnetic resonance imaging evaluation of intervertebral disc injuries can predict kyphotic deformity after posterior fixation of unstable thoracolumbar spine injuries.

Medicine (Baltimore) 2018 Jul;97(28):e11442

Department of Orthopaedic Surgery, Faculty of Medicine, Oita University, Oita, Japan.

The aim of the present study is to identify factors correlated with kyphotic deformity after thoracolumbar spine injuries. We performed a retrospective case-control study with data from thoracolumbar spine fracture patients who were treated with posterior spinal fixation. Patients with a follow-up period shorter than 6 months and who experienced low-energy trauma were excluded. Read More

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http://Insights.ovid.com/crossref?an=00005792-201807130-0004
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http://dx.doi.org/10.1097/MD.0000000000011442DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6076179PMC
July 2018
7 Reads

Evaluation of spine MRIs in athletes participating in the Rio de Janeiro 2016 Summer Olympic Games.

BMJ Open Sport Exerc Med 2018 8;4(1):e000335. Epub 2018 Mar 8.

Department of Radiology, Boston University School of Medicine, Boston, Massachusetts, USA.

Background/aim: In high-level Olympic athletes, many spinal pathologies arise from overuse, while others are the result of acute injury. Our aim is to analyse the epidemiology of spinal pathologies detected on MRI in athletes participating in the 2016 Rio de Janeiro Summer Olympics.

Methods: In this retrospective study, all spine MRIs performed during the 2016 Rio Games were analysed. Read More

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http://dx.doi.org/10.1136/bmjsem-2017-000335DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5884350PMC
March 2018
18 Reads

Percutaneous Endoscopic Spine Minimally Invasive Technique for Decompression Therapy of Thoracic Myelopathy Caused by Ossification of the Ligamentum Flavum.

World Neurosurg 2018 Jun 7;114:8-12. Epub 2018 Mar 7.

Department of Orthopaedic Surgery, The Affiliated Second Hospital of Nanchang University, Nanchang, Jiangxi, China. Electronic address:

Background: The percutaneous endoscopic technique through an interlaminar approach is a commonly used minimally invasive procedure in the treatment of lumbar disc herniation, even lumbar spinal stenosis. This report describes complete decompression with the percutaneous endoscopic technique for patients with thoracic ossification of the ligamentum flavum (OLF).

Case Description: We performed surgical decompression in of 2 patients with thoracic myelopathy caused by OLF using percutaneous endoscopic surgery through an interlaminar approach. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183042
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http://dx.doi.org/10.1016/j.wneu.2018.02.152DOI Listing
June 2018
17 Reads

[Risk factors of non-surgical vertebral fracture after percutaneous kyphoplasty of single segment thoracolumbar fracture].

Zhongguo Gu Shang 2017 Sep;30(9):833-837

Department of Spinal Surgery, the Second People's Hospital of Changshu City, Changshu 215500, Jiangsu, China.

Objective: To investigate the risk factors of non-surgical vertebral fracture after percutaneous kyphoplasty (PKP) in patients with single segment thoracolumbar osteoporotic vertebral compression fracture(OVCF).

Methods: The clinical data of 219 patients with single segment thoracolumbar osteoporotic vertebral compression fracture underwent percutaneous kyphoplasty from January 2010 to December 2015 were retrospectively analyzed. There were 29 cases in non-surgical vertebral body fracture group with 7 males and 22 females aged (67. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2017.09.010DOI Listing
September 2017
10 Reads

Epidemiological profile of spinal cord injuries at a tertiary rehabilitation center in Kuwait.

Spinal Cord Ser Cases 2018 22;4. Epub 2018 Jan 22.

Physical Medicine and Rehabilitation Department, Al Razi Hospital, Shuwaikh, Kuwait.

Study Design: Retrospective, descriptive study.

Objective: To describe the epidemiological profile of patients with spinal cord injury (SCI) in Kuwait.

Setting: Physical Medicine and Rehabilitation Hospital, Kuwait. Read More

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http://dx.doi.org/10.1038/s41394-017-0036-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5802580PMC
January 2018
3 Reads

Tidemark Avulsions are a Predominant Form of Endplate Irregularity.

Spine (Phila Pa 1976) 2018 08;43(16):1095-1101

University of California, San Francisco, CA.

Study Design: Descriptive histologic and magnetic resonance imaging study of human cadaveric spines.

Objective: To identify and characterize common endplate pathologies to form a histologic foundation for an etiology-based classification system.

Summary Of Background Data: Irregularities at the spinal disc-vertebra interface are associated with back pain and intervertebral disc herniation injuries. Read More

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http://Insights.ovid.com/crossref?an=00007632-201808150-0000
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http://dx.doi.org/10.1097/BRS.0000000000002545DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6035893PMC
August 2018
5 Reads

Prediction of MRI findings including disc injury and posterior ligamentous complex injury in neurologically intact thoracolumbar burst fractures by the parameters of vertebral body damage on CT scan.

Injury 2018 Feb 15;49(2):272-278. Epub 2017 Dec 15.

Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, China. Electronic address:

Objective: To formulate radiological indexes based on CT for further MRI examination to detect posterior ligamentous complex injury (PLC) or disc injury in thoracolumbar burst fractures without neurological deficit in the emergent setting.

Materials And Methods: Patients with a single thoracolumbar burst fracture and no neurological deficit were included into this study. Radiological indexes on CT included canal compromise (CC), anterior and posterior vertebral height ratio (PVH and AVH ratio), local kyphosis (LK) and regional kyphosis (RK). Read More

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http://dx.doi.org/10.1016/j.injury.2017.12.011DOI Listing
February 2018
12 Reads

The Relationship between Superior Disc-Endplate Complex Injury and Correction Loss in Young Adult Patients with Thoracolumbar Stable Burst Fracture.

Clin Orthop Surg 2017 Dec 10;9(4):465-471. Epub 2017 Nov 10.

Department of Orthopedic Surgery, Dong-A University College of Medicine, Busan, Korea.

Background: To determine the relationship between superior disc-endplate complex injury and correction loss after surgery in a group of young adult patients with a stable thoracolumbar burst fracture.

Methods: The study group was comprised of young adult patients who had undergone short-segment posterior fixation and bone grafting under the diagnosis of a stable thoracolumbar burst fracture from March 2008 to February 2014. Follow-up was available for more than 1 year. Read More

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http://dx.doi.org/10.4055/cios.2017.9.4.465DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5705305PMC
December 2017
7 Reads

Regression of Giant Calcified Thoracic Disk and Spinal Cord Compression Following Thoracic Laminectomy and Posterior Instrumented Fusion.

World Neurosurg 2018 02 31;110:64. Epub 2017 Oct 31.

Department of Neurosurgery, University Hospitals of Cleveland, Cleveland, Ohio, USA.

The authors present a case report of a patient with a giant thoracic calcified disc. The patient underwent a posterior thoracic laminectomy and fusion without resection of the disc. The calcified disc regressed in size and lost its calcified component postoperatively. Read More

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http://dx.doi.org/10.1016/j.wneu.2017.10.122DOI Listing
February 2018
10 Reads

Apparent C8-T1 radiculopathy with hand weakness due to mid-cervical spondylosis.

J Clin Neurosci 2018 Jan 31;47:111-115. Epub 2017 Oct 31.

Department of Neurology, Wolfson Medical Center, Sackler School of Medicine, Tel Aviv University, Holon, Israel. Electronic address:

Hand weakness and wasting in the setting of mid-cervical spondylosis and disc herniation without radiological evidence for compression of the C8 or T1 roots has been rarely reported. We retrospectively studied the data of patients with hand weakness and mid-cervical spondylosis. The clinical and radiological findings were compared to a control group of patients with weakness of the arm or forearm muscles and similar mid-cervical spondylosis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09675868173120
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http://dx.doi.org/10.1016/j.jocn.2017.10.071DOI Listing
January 2018
4 Reads

The Role of Fenestration in Management of Type I Thoracolumbar Disk Degeneration.

Vet Clin North Am Small Anim Pract 2018 Jan 23;48(1):187-200. Epub 2017 Oct 23.

Department of Veterinary Medicine, University of Cambridge, Cambridge CB3 0ES, UK.

Fenestration offers the advantages of prophylaxis without the need for specialized instrumentation and imaging. Currently there is a lack of equipoise regarding the efficacy of fenestration relative to decompression for treatment of acute canine intervertebral disk herniation; most veterinary spinal surgeons do not consider the 2 procedures equivalently efficacious. Therapeutic fenestration should perhaps be given greater consideration, especially if advanced imaging shows only mild to moderate spinal cord compression or there are restrictions on the duration of surgery, when it might be better to spend the time on fenestration rather than decompression. Read More

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http://dx.doi.org/10.1016/j.cvsm.2017.08.012DOI Listing
January 2018
7 Reads

Substantial vertebral body osteophytes protect against severe vertebral fractures in compression.

PLoS One 2017 24;12(10):e0186779. Epub 2017 Oct 24.

Laboratoire de Biomécanique Appliquée, IFSTTAR Aix Marseille Université, Marseille, France.

Recent findings suggest that vertebral osteophytes increase the resistance of the spine to compression. However, the role of vertebral osteophytes on the biomechanical response of the spine under fast dynamic compression, up to failure, is unclear. Seventeen human spine specimens composed of three vertebrae (from T5-T7 to T11-L1) and their surrounding soft tissues were harvested from nine cadavers, aged 77 to 92 years. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0186779PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5655488PMC
November 2017
17 Reads

Efficacy and safety of the target puncture technique for treatment of osteoporotic vertebral compression fractures with intravertebral clefts.

J Neurointerv Surg 2017 Nov 9;9(11):1113-1117. Epub 2016 Nov 9.

Department of Spinal Surgery, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, People's Republic of China.

Objective: To compare the efficacy and safety of our target puncture technique with the traditional technique during percutaneous kyphoplasty (PKP) for osteoporotic vertebral compression fractures (OVCFs) with intravertebral clefts (IVCs).

Methods: 104 patients treated with PKP for single OVCFs with IVCs were retrospectively reviewed. All patients were divided into three groups: cleft filling by the traditional technique (Group A, n=18); interdigitated filling (Group B, n=50); and overfilling by the target technique (Group C, n=36). Read More

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http://dx.doi.org/10.1136/neurintsurg-2016-012690DOI Listing
November 2017
21 Reads

Treatment of thoracic or lumbar burst fractures with Balloon Assisted Endplate Reduction using Tricalcium Phosphate cement: histological and radiological evaluation.

BMC Musculoskelet Disord 2017 Oct 10;18(1):411. Epub 2017 Oct 10.

Department of Orthopaedic Surgery, Zuyderland Medical Centre, Postbus 5500, 6130 MB, Sittard-Geleen, the Netherlands.

Background: Short-segment pedicle-screw instrumentation is frequently used to stabilize thoracolumbar burst fractures. A recognized disadvantage of this procedure is recurrent kyphosis from intervertebral disc creep into the fractured central endplate. Balloon Assisted Endplate Reduction (BAER) using Tricalcium Phosphate bone cement (TCP) enables elevation of the centrally depressed endplate. Read More

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http://dx.doi.org/10.1186/s12891-017-1770-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5635504PMC
October 2017
12 Reads

Iatrogenic rupture of the left main bronchus secondary to repeated surgical lobe torsion during double-lumen tube placement: A case report.

Medicine (Baltimore) 2017 Aug;96(31):e7694

aDepartment of Anesthesia bDepartment of Thoracic surgery, Shaoxing People's Hospital (Shaoxing Hospital of Zhejiang University), Shaoxing, P.R. China.

Rationale: Bronchial rupture is a rare but potentially life-threatening complication during double-lumen endobronchial tube placement. The rupture of the left main bronchus resulting from repeated surgical torsion is uncommon.

Patient Concerns: A 70-year-old man with a history of chronic obstructive pulmonary disease (COPD), intermediate emphysema, chronic bronchitis, hypertension, type 2 diabetes mellitus, and L3-L4 lumbar intervertebral disc herniation. Read More

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http://dx.doi.org/10.1097/MD.0000000000007694DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5626156PMC
August 2017
17 Reads

Operative techniques of percutaneous endoscopic mini-hemilaminectomy using a uniportal approach in dogs.

J Vet Med Sci 2017 Sep 31;79(9):1532-1539. Epub 2017 Jul 31.

Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University, Jinju-si, 52828, South Korea.

The present study aimed to investigate the technical feasibility of percutaneous endoscopic mini-hemilaminectomy via a uniportal approach, and to evaluate the possibility of decompression and endoscopic examination of the thoracic and lumbar spinal canals in small dogs during such procedures. Fresh canine cadavers of mixed-breed dogs (n=7) were used in this study. Following injection of a barium and agarose mixture (BA-gel) to stimulate intervertebral disc herniation, percutaneous endoscopic mini-hemilaminectomy was performed using a lateral approach to the thoracic and lumbar vertebrae. Read More

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http://dx.doi.org/10.1292/jvms.17-0148DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5627323PMC
September 2017
19 Reads

Symptomatic spinal extradural arachnoid cyst with cord compression in a family: case report.

J Neurosurg Spine 2017 Sep 30;27(3):341-345. Epub 2017 Jun 30.

Department of Neurosurgery and.

A family with familial spinal extradural arachnoid cyst is presented. A 14-year-old boy had an extensive T-8 through L-2 dorsal extradural arachnoid cyst with spinal cord compression and slowly progressive myelopathy. His mother had presented 4 years earlier with acute excruciating back pain due to the combination of a lumbar extradural arachnoid cyst at L2-4 and an extruded disc at L3-4. Read More

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http://dx.doi.org/10.3171/2017.3.SPINE17186DOI Listing
September 2017
28 Reads

Anterior Transthoracic Surgery with Motor Evoked Potential Monitoring for High-Risk Thoracic Disc Herniations: Technique and Results.

World Neurosurg 2017 Sep 6;105:441-455. Epub 2017 Jun 6.

Department of Radiology, Maastricht University Medical Center, Maastricht, The Netherlands.

Objective: To present our experience with anterior transthoracic surgery for high-risk thoracic disc herniations (TDHs) using motor evoked potential monitoring (MEPm).

Methods: We estimated surgical risk based on clinical and radiologic characteristics, including anteroposterior (AP) spinal canal occupation (SCO), AP spinal cord compression (SCC), residual AP spinal cord diameter (RSCD), and intramedullary signal changes (ISC). We analyzed Anand, ASIA, and Nurick scores, anesthesiologic, neurophysiological, and surgical reports. Read More

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http://dx.doi.org/10.1016/j.wneu.2017.05.173DOI Listing
September 2017
22 Reads

Structure-function relationships at the human spinal disc-vertebra interface.

J Orthop Res 2018 Jan 28;36(1):192-201. Epub 2017 Jun 28.

University of California, 513 Parnassus Avenue, S-1157, San Francisco, California, 94143-0514.

Damage at the intervertebral disc-vertebra interface associates with back pain and disc herniation. However, the structural and biomechanical properties of the disc-vertebra interface remain underexplored. We sought to measure mechanical properties and failure mechanisms, quantify architectural features, and assess structure-function relationships at this vulnerable location. Read More

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http://dx.doi.org/10.1002/jor.23627DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5720932PMC
January 2018
18 Reads

An updated comparison of high- and low-viscosity cement vertebroplasty in the treatment of osteoporotic thoracolumbar vertebral compression fractures: A retrospective cohort study.

Int J Surg 2017 Jul 31;43:126-130. Epub 2017 May 31.

Department of Orthopedic Surgery, Huadu District People's Hospital, Southern Medical University, Guangzhou, Guangdong, PR China. Electronic address:

Objective: This study mainly aimed to evaluate complications of cement leakage for osteoporotic thoracolumbar vertebral compression fractures by PVP using HVC, and access the clinical efficacy.

Methods: Between May 2013 and June 2015, 66 patients with osteoporotic thoracolumbar vertebral compression fractures, who underwent PVP (36 HVC and 30 LVC) in our hospital, were enrolled. Cement leakage, Visual Analog Scale (VAS), Oswestry Disability Index (ODI), refracture of the cemented vertebrae, and adjacent vertebral fractures were evaluated. Read More

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http://dx.doi.org/10.1016/j.ijsu.2017.05.067DOI Listing
July 2017
10 Reads

Incomplete burst fractures of the thoracolumbar spine: a review of literature.

Eur Spine J 2017 12 25;26(12):3187-3198. Epub 2017 May 25.

Department for Orthopaedics, Trauma Surgery, and Reconstructive Surgery, University Hospital Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.

Purpose: The purpose of this review was to analyze the biomechanical basis of incomplete burst fractures of the thoracolumbar spine, summarize the available treatment options with evidence from the literature, and to propose a method to differentiate fracture severity.

Methods: The injury pattern, classification, and treatment strategies of incomplete burst fractures of the thoracolumbal spine have been described following a review of the literature. All level I-III studies, studies with long-term results and comparative studies were included and summarized. Read More

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http://dx.doi.org/10.1007/s00586-017-5126-3DOI Listing
December 2017
8 Reads

Posterior Multilevel Instrumentation of the Lower Cervical Spine: Is Bridging the Cervicothoracic Junction Necessary?

World Neurosurg 2017 Jul 17;103:419-423. Epub 2017 Apr 17.

Department of Neurosurgery, Klinikum rechts der Isar, Technische Universität München, Munich, Germany; Department of Neurosurgery, Universitätsmedizin Mainz, Mainz, Germany.

Background: Multisegmental cervical instrumentations ending at the cervicothoracic junction may lead to significant adjacent segment degeneration. The purpose of this study was to compare the extent of sequential pathologies in the lower adjacent segment between patient groups with a primarily cervical instrumentation ending at C7 versus an instrumentation including the cervicothoracic junction ending at T1 or T2.

Methods: A retrospective analysis of 98 consecutive patients with multisegmental posterior cervical fusion surgery ending either at C7 or at T1 or T2 was performed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750173052
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http://dx.doi.org/10.1016/j.wneu.2017.04.029DOI Listing
July 2017
6 Reads

Anterior Versus Posterior Thoracic Discectomy: A Systematic Review.

Spine (Phila Pa 1976) 2017 Dec;42(24):E1437-E1445

National Spinal Injuries Unit, Mater Misericordiae University Hospital, Dublin, Ireland.

Study Design: Systematic literature review.

Objective: The aim of this study was to systematically review the current evidence in the literature on thoracic discectomies, to compare the clinical outcomes, and to determine whether there is evidence to support the use of either the anterior or posterior approach.

Summary Of Background Data: Thoracic disc herniations (TDHs) often present with myelopathy, radiculopathy, or a combination of both. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002202DOI Listing
December 2017
3 Reads

Impaired WNT signaling and the spine-Heterozygous WNT1 mutation causes severe age-related spinal pathology.

Bone 2017 Aug 11;101:3-9. Epub 2017 Apr 11.

Folkhälsan Institute of Genetics, University of Helsinki, Helsinki FI-00290, Finland; Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki FI-00290, Finland; Center for Molecular Medicine, Karolinska Institutet, and Clinical Genetics, Karolinska University Hospital, SE-171 76 Stockholm, Sweden. Electronic address:

Background: WNT signaling plays a major role in bone and cartilage metabolism. Impaired WNT/β-catenin signaling leads to early-onset osteoporosis, but specific features in bone and other tissues remain inadequately characterized. We have identified two large Finnish families with early-onset osteoporosis due to a heterozygous WNT1 mutation c. Read More

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http://dx.doi.org/10.1016/j.bone.2017.04.001DOI Listing
August 2017
7 Reads

Disc degeneration on MRI is more prevalent in young elite skiers compared to controls.

Knee Surg Sports Traumatol Arthrosc 2018 Jan 13;26(1):325-332. Epub 2017 Apr 13.

Department of Orthopaedics, Institute of Clinical Sciences at Sahlgrenska Academy, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden.

Purpose: Evidence-based facts regarding spine abnormalities and back pain are needed in order to develop rehabilitation programs and prevent spine injuries in young skiers. The aim therefore is to identify MRI changes in the thoraco-lumbar spine and the lifetime prevalence of back pain, as well as the association between them, in young skiers compared to non-athletes.

Methods: Seventy-five young elite alpine and mogul skiers, age range 16-20 years, were compared with 27 non-athletic controls. Read More

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http://link.springer.com/10.1007/s00167-017-4545-3
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http://dx.doi.org/10.1007/s00167-017-4545-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5754419PMC
January 2018
4 Reads

Postoperative Nonpathologic Fever After Spinal Surgery: Incidence and Risk Factor Analysis.

World Neurosurg 2017 Jul 2;103:78-83. Epub 2017 Apr 2.

Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Background: Although there are many postoperative febrile causes, surgical-site infection has always been considered as one of the major causes, but it should be excluded; we encountered many patients who showed delayed postoperative fever that was not related to wound infection after spinal surgery. We aimed to determine the incidence of delayed postoperative fever and its characteristics after spinal surgery, and to analyze the causal factors.

Methods: A total of 250 patients who underwent any type of spinal surgery were analyzed. Read More

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http://dx.doi.org/10.1016/j.wneu.2017.03.119DOI Listing
July 2017
20 Reads

Temporary short-segment pedicle screw fixation for thoracolumbar burst fractures: comparative study with or without vertebroplasty.

Spine J 2017 08 31;17(8):1113-1119. Epub 2017 Mar 31.

Osaka Rosai Hospital, 1179-3 Nagasonecho, Kita-ku, Sakai city, Osaka 591-8025, Japan.

Background Context: Short-segment posterior spinal instrumentation for thoracolumbar burst fracture provides superior correction of kyphosis by an indirect reduction technique, but it has a high failure rate.

Purpose: The purpose of the study we report here was to compare outcomes for temporary short-segment pedicle screw fixation with vertebroplasty and for such fixation without vertebroplasty.

Study Design: This is a prospective multicenter comparative study. Read More

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http://dx.doi.org/10.1016/j.spinee.2017.03.022DOI Listing
August 2017
6 Reads

Combined intra-extradural approach for posterolateral thoracic disk herniations. Preliminary study and technical note.

Eur Spine J 2017 10 22;26(Suppl 4):505-513. Epub 2017 Mar 22.

P.O. Santa Maria Delle Grazie, ASL Napoli2 Nord, Loc. La Schiana, Pozzuoli, 80078, NA, Italy.

Purpose Thoracic disk herniation is uncommon. It still represents a challenge for spinal surgeons. Multiple surgical strategies are available and, often, they are matter of debate. Read More

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http://link.springer.com/10.1007/s00586-017-5041-7
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http://dx.doi.org/10.1007/s00586-017-5041-7DOI Listing
October 2017
4 Reads

Does the fracture fragment at the anterior column in thoracolumbar burst fractures get enough attention?

Medicine (Baltimore) 2017 Feb;96(6):e5936

Department of Orthopaedic Surgery, The Affiliated Southeast Hospital of Xiamen University, Orthopaedic Center of People's Liberation Army, Zhangzhou, China.

Prospective cohort study. To evaluate whether failure of the fracture fragment at the anterior column reduction in thoracolumbar fracture has an influence on the final radiologic and clinical outcomes.Cervical teardrop fracture has caused wide concern in spinal surgery field. Read More

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http://Insights.ovid.com/crossref?an=00005792-201702100-0001
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http://dx.doi.org/10.1097/MD.0000000000005936DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5312990PMC
February 2017
10 Reads

How are adjacent spinal levels affected by vertebral fracture and by vertebroplasty? A biomechanical study on cadaveric spines.

Spine J 2017 06 3;17(6):863-874. Epub 2017 Feb 3.

Centre of Applied Anatomy, University of Bristol, Southwell St, Bristol, BS2 8EJ, UK. Electronic address:

Background Context: Spinal injuries and surgery may have important effects on neighboring spinal levels, but previous investigations of adjacent-level biomechanics have produced conflicting results. We use "stress profilometry" and noncontact strain measurements to investigate thoroughly this long-standing problem.

Purpose: This study aimed to determine how vertebral fracture and vertebroplasty affect compressive load-sharing and vertebral deformations at adjacent spinal levels. Read More

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http://dx.doi.org/10.1016/j.spinee.2017.01.013DOI Listing
June 2017
4 Reads

Effect of anesthesia-associated hypotension on neurologic outcome in dogs undergoing hemilaminectomy because of acute, severe thoracolumbar intervertebral disk herniation: 56 cases (2007-2013).

J Am Vet Med Assoc 2017 Feb;250(4):417-423

OBJECTIVE To evaluate the effect of anesthesia-associated hypotension on final motor and urinary function in paraplegic dogs without nociception that underwent hemilaminectomy because of acute, severe thoracolumbar intervertebral disk herniation (IVDH). DESIGN Retrospective case series. ANIMALS 56 paraplegic dogs with acute thoracolumbar IVDH and absent nociception. Read More

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http://dx.doi.org/10.2460/javma.250.4.417DOI Listing
February 2017
7 Reads

Transdiscal fracture of thoracic spine presenting as sensory ataxia.

Acta Neurol Belg 2017 09 3;117(3):783-785. Epub 2017 Feb 3.

Department of Neurology, Sanjay Gandhi Postgraduate Institute of Medical Science, Lucknow, 226014, India.

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http://dx.doi.org/10.1007/s13760-017-0752-4DOI Listing
September 2017
7 Reads

Spinal Cord Herniation After Cervical Corpectomy with Cerebrospinal Fluid Leak: Case Report and Review of the Literature.

World Neurosurg 2017 Apr 1;100:711.e7-711.e12. Epub 2017 Feb 1.

Department of Neurosurgery, The Kaiser Permanente Medical Group, Sacramento, California, USA.

Background: Spinal cord herniation (SCH) is rare, is mostly idiopathic, and occurs predominantly in the thoracic spine. SCH is less common in the cervical spine and has been reported after posterior cervical spine surgery associated with the development of pseudomeningoceles. Two cases of SCH have been reported after anterior cervical corpectomies for ossified posterior longitudinal ligament with cerebrospinal fluid (CSF) leaks. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750173010
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http://dx.doi.org/10.1016/j.wneu.2017.01.078DOI Listing
April 2017
14 Reads

Transpedicular Approach to Thoracic Disc Herniaton Guided by 3D Navigation System.

Acta Neurochir Suppl 2017 ;124:327-331

Department of Orthopaedics and Traumatology, University of Naples "Federico II", Naples, Italy.

Background: The choice of surgical approach for thoracic disc herniation should consider the location on the axial plane and the consistency of the herniated disc. Calcified midline disc herniations are difficult to remove with a transpedicular approach because of limitations due to blind spots; so they are usually treated via a transthoracic approach, although this entails a high risk of thoracopulmonary injuries.

Methods: In this work we present two cases of calcified midline thoracic disc herniations treated with a transpedicular approach, improved by using a three-dimensional (3D) neuronavigation system to verify the extent of removal on the blind side. Read More

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http://dx.doi.org/10.1007/978-3-319-39546-3_48DOI Listing
November 2017
3 Reads

Does Navigation Improve Pedicle Screw Placement Accuracy? Comparison Between Navigated and Non-navigated Percutaneous and Open Fixations.

Acta Neurochir Suppl 2017 ;124:289-295

IRCCS Neuromed, Via Atinense 18, Pozzilli, IS, 86077, Italy.

Background: The aim of our study was to assess how a preoperative computed tomography (CT)-based navigation system affected the correctness and safety of transpedicular screw insertion, compared with standard techniques.

Method: Between January 2012 and February 2014, 203 patients underwent thoracic and lumbar fixation, with open and percutaneous techniques; 218 screws were implanted through an open navigated technique (1.0 Spine & Trauma 3d ver. Read More

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http://dx.doi.org/10.1007/978-3-319-39546-3_42DOI Listing
November 2017
5 Reads

Osteoporotic vertebral body fractures of the thoracolumbar spine: indications and techniques of a 360°-stabilization.

Eur J Trauma Emerg Surg 2017 Feb 16;43(1):27-33. Epub 2017 Jan 16.

Department for Orthopaedics, Trauma Surgery, and Reconstructive Surgery, University Hospital Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.

Unstable vertebral body fragility fractures of the thoracolumbar spine can occur with or without relevant trauma. Initially, a standardized diagnostic algorithm including magnetic resonance tomography is recommended to detect accompanied further vertebral body fractures, to interpret the individual fracture stability, and to screen for relevant traumatic intervertebral disc lesions. Aim of the therapy is to assure fast mobilization and to maintain spinal alignment. Read More

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http://dx.doi.org/10.1007/s00068-016-0751-9DOI Listing
February 2017
3 Reads

Brown-Sequard syndrome associated with Horner syndrome following cervical disc herniation.

Spinal Cord Ser Cases 2016 15;2:16037. Epub 2016 Dec 15.

Department of Spine Surgery, Changzheng Hospital, The Second Military Medical University , Shanghai, People's Republic of China.

Introduction: Brown-Sequard syndrome (BSS) has been reported in patients with various spinal pathologies, including spinal traumatic injuries, spinal cord neoplasms, epidural hematomas and spinal cord ischemia. Pure BSS caused by cervical disc herniation is very rare.

Case Presentation: We report a rare case of cervical disc herniation presenting as BSS associated with Horner syndrome (HS), which has not been reported up to now. Read More

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http://dx.doi.org/10.1038/scsandc.2016.37DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5156674PMC
December 2016
6 Reads

A rare postoperative complication of anterior lower thoracic instrumentation: diaphragmatic laceration with hemothorax.

Eur Spine J 2017 05 29;26(Suppl 1):146-150. Epub 2016 Dec 29.

Department of Orthopaedics and Traumatology, Queen Mary Hospital, The University of Hong Kong, Pokfulam Road, Hong Kong, SAR, China.

Purpose: To highlight the importance of preventing visceral injury due to prominent anterior implants at the spinal column.

Methods: A 52-year-old man with cord compression was treated with a T9/10 discectomy and instrumented fusion via a right thoracotomy and trans-pleural approach. Postoperatively, he had improved lower limb numbness. Read More

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http://dx.doi.org/10.1007/s00586-016-4932-3DOI Listing
May 2017
5 Reads

Thoracic Endoscopic-Assisted Mini-Open Surgery for Thoracic and Thoracolumbar Spinal Cord Compression.

Orthop Surg 2016 Nov;8(4):523-526

Cell Engineering Laboratory of Orthopaedic Institute, Tianjin Hospital, Tianjin, China.

Intervertebral disc herniation is a common cause of spinal cord compression, especially for the thoracic and thoracolumbar spinal cord, which has limited buffer space in the spinal canal. Spinal cord compression usually causes decreased sensation and paralysis of limbs below the level of compression, urinary and fecal incontinence, and/or urinary retention, which brings great suffering to the patients and usually requires surgical intervention. Thoracotomy or abdominothoracic surgery is usually performed for the thoracolumbar cord compression caused by hard intervertebral disc herniation. Read More

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http://dx.doi.org/10.1111/os.12281DOI Listing
November 2016
30 Reads

Surgical treatment of Denis type B thoracolumbar burst fracture with neurological deficiency by paraspinal approach.

Braz J Med Biol Res 2016 3;49(11):e5599. Epub 2016 Nov 3.

China-Japan Union Hospital, Department of Operating Room, Jilin University, Changchun, China.

We aimed to describe the surgical technique and clinical outcomes of paraspinal-approach reduction and fixation (PARF) in a group of patients with Denis type B thoracolumbar burst fracture (TLBF) with neurological deficiencies. A total of 62 patients with Denis B TLBF with neurological deficiencies were included in this study between January 2009 and December 2011. Clinical evaluations including the Frankel scale, pain visual analog scale (VAS) and radiological assessment (CT scans for fragment reduction and X-ray for the Cobb angle, adjacent superior and inferior intervertebral disc height, and vertebral canal diameter) were performed preoperatively and at 3 days, 6 months, and 1 and 2 years postoperatively. Read More

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http://dx.doi.org/10.1590/1414-431X20165599DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5112540PMC
October 2017
2 Reads

Surgical treatment of degenerative and traumatic spinal diseases with expandable screws in patients with osteoporosis: 2-year follow-up clinical study.

J Neurosurg Spine 2016 Nov 17;25(5):610-619. Epub 2016 Jun 17.

Department of Neurosurgery, San Giovanni Addolorata Hospital, Rome, Italy.

OBJECTIVE Pedicle screw instrumentation of the osteoporotic spine carries an increased risk of screw loosening, pullout, and fixation failure. A variety of techniques have been used clinically to improve pedicle screw fixation in the presence of compromised bone. Pedicle screws may be augmented with cement, but this may lead to cement leakage and result in disastrous consequences. Read More

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http://dx.doi.org/10.3171/2016.3.SPINE151294DOI Listing
November 2016
11 Reads

Symptomatic pseudarthrosis in ochronotic spine: case report.

J Neurosurg Spine 2017 Feb 14;26(2):220-228. Epub 2016 Oct 14.

Birmingham Medical School, Birmingham, United Kingdom.

In this study the authors report the first example of spinal pseudarthrosis in a patient with ochronosis, and they describe the application of posterior-only 360° surgery as an alternative approach to combined anterior-posterior surgery in the management of pseudarthrosis of an ankylosed spine, regardless of its etiology. Spinal involvement in ochronosis produces loss of flexibility and ankylosis of thoracic and lumbar segments. Pseudarthrosis is a serious complication of the diseases that present with ankylosis of the spine. Read More

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http://dx.doi.org/10.3171/2016.5.SPINE15671DOI Listing
February 2017
11 Reads

Pedicle subtraction osteotomy and disc resection with cage placement in post-traumatic thoracolumbar kyphosis, a retrospective study.

J Orthop Surg Res 2016 Oct 12;11(1):112. Epub 2016 Oct 12.

The Department of Orthopaedics, Chinese PLA General Hospital, Beijing, People's Republic of China.

Background: It is estimated that upwards of 50,000 individuals suffer traumatic fracture of the spine each year, and the instability of the fractured vertebra and/or the local deformity results in pain and, if kyphosis increases, neurological impairment can occur. There is a significant controversy over the ideal management. The purpose of the study is to present clinical and radiographic results of pedicle subtraction osteotomy and disc resection with cage placement in correcting post-traumatic thoracolumbar kyphosis. Read More

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http://dx.doi.org/10.1186/s13018-016-0447-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5062842PMC
October 2016
15 Reads

CT-based morphological analysis of spinal fractures in patients with diffuse idiopathic skeletal hyperostosis.

J Orthop Sci 2017 Jan 3;22(1):3-9. Epub 2016 Oct 3.

Dept. of Orthopaedic Surgery, Keio University, Tokyo, Japan; Keio Spine Research Group, Tokyo, Japan. Electronic address:

Purpose: To clarify correlations between spinal fracture and delayed paralysis in patients with diffuse idiopathic skeletal hyperostosis (DISH) using computed tomography (CT) with multiplanar reformatting (CT-MPR). DISH increases susceptibility to unstable spinal fractures, leading to neurological deterioration. The pathomechanism of the neurological injury is unclear. Read More

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http://dx.doi.org/10.1016/j.jos.2016.09.011DOI Listing
January 2017
22 Reads