Background: Surgical site infection (SSI) is a common yet serious complication of cervical spine surgery. While initially thought to be clinically insignificant, ( is an important cause of infection. The purpose of this study was to investigate the ability of a hydrogen peroxide (HO) application during standard presurgical skin preparation to reduce the burden of in patients undergoing cervical spine surgery.
View Article and Find Full Text PDFBackground Context: Adult spinal deformity (ASD) is commonly associated with disability and represents a challenging condition for physicians. Although surgical management has been reported as superior to conservative care, the choice of patient-specific optimal strategy has been poorly defined. A key question remains selection of fusion levels as this implies careful balance of risks and benefits.
View Article and Find Full Text PDFBackground Context: Advances in technology are influencing the way that medical information is archived and shared. Considering that an estimated two-thirds of the world has little or no orthopedic care, high demand exists for adequate consultation regarding diagnostic images in orthopedic specialties.
Purpose: To validate the use of photographed scoliosis films for the accurate interpretation of Cobb angles.
Background Context: Lumbosacral transitional vertebrae (LSTVs) are a congenital vertebral anomaly of the L5-S1 junction in the spine. This alteration may contribute to incorrect identification of a vertebral segment, leading to wrong-level spine surgery and poor correlation with clinical symptoms. Although several studies describe the occurrence of this anomaly in back pain populations, investigation of the prevalence in the American general population is lacking.
View Article and Find Full Text PDFThe utility of intraoperative radiographs after posterior spinal segmental instrumentation for adolescent idiopathic scoliosis (AIS) is debatable. A retrospective review of 74 patients with moderately severe AIS revealed the main thoracic Cobb measurements of 57° preoperatively, 17° intraoperatively, 18° on initial postoperative, and 20° on final postoperative radiographs. On the basis of the extent and type of instrumentation (pedicle screws vs.
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