Pain is also the main symptom of spinal diseases in children. The younger the child, the more frequently organic causes are to be found, whereas in adolescents functional dorsalgia and lumbalgia are ubiquitous. Apart from the neonatal period, where ultrasound is used as the primary method for investigation of closed spinal dysraphia, radiography is still considered to be the first choice examination, which nevertheless should only be carried out after a thorough anamnesis and clinical examination.
View Article and Find Full Text PDFAnterior decompressive surgery with spinal fusion is considered an effective treatment for thoracolumbar fractures and tumors. However, it is also known to be associated with considerable surgical approach-related trauma. The purpose of this study was to show that lumbar corpectomy and spinal reconstruction can be performed via a minimally invasive retroperitoneal (MIR) approach and therefore, the surgical approach-related trauma can be reduced.
View Article and Find Full Text PDFStudy Design: A prospective study investigated the use of magnetic resonance imaging (MRI) scanning in the assessment of posterior lumbar interbody fusion (PLIF) using carbon fiber cages.
Objective: The aim of the study was to determine whether MRI scans in the coronal plane allow proper evaluation of interbody fusion through carbon cages.
Summary Of Background Data: Currently, there is no universally accepted radiologic assessment tool for evaluating fusion status after PLIF.
Arch Orthop Trauma Surg
September 2004
Introduction: A newly developed cemented titanium stem with excellent laboratory results using a transprosthetic drainage system (TDS) was clinically tried for the first time. Prognostic radiographic methods including migration measurement and clinical investigation were performed for up to 7 years.
Materials And Methods: Twenty-two patients prospectively and consecutively received total hip replacement using a cemented titanium stem and a threaded Zweymüller cup.
Background: In noncontiguous spinal metastatic disease, anterior or combined anterior-posterior surgery is an effective treatment. The objective of this study is to investigate whether circumferential decompression through a single-stage posterior midline approach with individualized spinal reconstruction can still achieve comparable results for functional improvement and for maintenance of spinal alignment in the absence of the risks associated with the more invasive transcavitary or combined approaches.
Method: Seventeen patients with noncontiguous spinal metastases and plasmocytomas at one or two adjacent levels were included in this series.