Nonbridging external fixation of distal radius fractures.

Surgical management of distal radius fractures continues to evolve because of their high incidence in an increasingly active elderly population. Traditional radiocarpal external fixation relies on ligamentotaxis for fracture reduction but has several drawbacks. Nonbridging external fixation has evolved to provide early wrist mobility in the setting of anatomic fracture reduction.

The effect of anterior cervical fusion on neck motion.

Study Design: Prospective cohort study.

Objective: To precisely measure the effect of anterior cervical fusion on neck motion.

Summary Of Background Data: Anterior cervical decompression and stabilization procedures are successful in treating recalcitrant cervical radiculopathy and cervical myelopathy.

Reliability of a novel classification system for thoracolumbar injuries: the Thoracolumbar Injury Severity Score.

Study Design: Prospective study of 5 spine surgeons rating 71 clinical cases of thoracolumbar spinal injuries using the Thoracolumbar Injury Severity Score (TLISS) and then re-rating the cases in a different order 1 month later.

Objective: To determine the reliability of the TLISS system.

Summary Of Background Data: The TLISS is a recently introduced classification system for thoracolumbar spinal column injures designed to simplify injury classification and facilitate treatment decision making.

Goals of cervical disc replacement.

The goals of cervical arthroplasty are reviewed against a backdrop of adjacent segment disease, restoring normal kinematics to the motion segment, and avoidance of fusion in situations where fusion may be difficult to obtain or unwanted.

The surgical management of thoracolumbar injuries.

This review addresses the epidemiology, clinical examination, and radiographic evaluation and fracture classification of thoracolumbar injuries. The factors that indicate surgical intervention and the surgical management of specific injuries such as compression fractures, burst fractures, flexion-distraction, and fracture-dislocation injuries are described, as well as their potential complications. In addition, postoperative management is covered, including deep venous thrombosis prophylaxis.