Publications by authors named "Bryan Rynearson"

Study Design: Retrospective cohort study.

Objective: Determine impact of standard/novel spinopelvic parameters on global sagittal imbalance, health-related quality of life (HRQoL) scores, and clinical outcomes in patients with multi-level, tandem degenerative spondylolisthesis (TDS).

Methods: Single institution analysis; 49 patients with TDS.

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Study Design: In vitro biomechanical analysis.

Objectives: Compare the destabilizing effects of anterior discectomy to posterior spinal releases.

Summary Of Background Data: Posterior release and pedicle screw fixation has become the accepted form of treatment for lumbar and thoracolumbar pediatric scoliotic spinal deformity.

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Article Synopsis
  • Recent studies suggest that some patients with degenerative spondylolisthesis (DS) and lumbar spinal stenosis may not need spinal fusion, as decompression alone can yield similar outcomes.
  • The study aimed to see if standard static radiographs can identify dynamic instability in DS patients compared to healthy controls, using advanced imaging techniques during torso flexion.
  • Results showed that static images underestimate movement instability, with DS patients exhibiting more diverse motion patterns during dynamic activities than the control group.
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Diagnosing dysfunctional atlantoaxial motion is challenging given limitations of current diagnostic imaging techniques. Three-dimensional imaging during upright functional motion may be useful in identifying dynamic instability not apparent on static imaging. Abnormal atlantoaxial motion has been linked to numerous pathologies including whiplash, cervicogenic headaches, C2 fractures, and rheumatoid arthritis.

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Neuropathic pain (NP) affects approximately 4 million people in the United States with spinal cord injury (SCI) being a common cause. Matrix metalloproteinases (MMPs) play an integral role in mediating inflammatory responses, cellular signaling, cell migration, extracellular matrix degradation and tissue remodeling and repair. As such, they are major components in the pathogenesis of secondary injury within the central nervous system.

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