Publications by authors named "Umesh S Metkar"

Article Synopsis
  • The aging spine can present complex surgical challenges due to issues like spinal alignment and quality of life, especially in elderly patients who may have osteoporosis and frailty.
  • A literature review highlighted factors affecting spinal alignment, such as flexibility and bone health, and emphasized the importance of thorough preoperative assessments and radiographic evaluations to guide surgical planning.
  • Personalized surgical strategies should be developed based on individual patient conditions and health, with the potential use of anabolic agents to improve bone quality and reduce complications related to surgery.
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Background Context: Increased fusion rates have been reported with the addition of an anterior cervical plate (ACP) to anterior cervical discectomy and fusion (ACDF). Bioabsorbable implants have become increasingly used in orthopedic and spine surgical procedures. There are limited data regarding the outcomes of bioabsorbable ACP (bACP) with ACDF.

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Thoracic pedicle screws have superior anchoring strength compared with other available fixation techniques. However, these are not universally accepted in many developing countries because of the concerns regarding safety and complications. In addition, there is evidence that pedicle morphology is unique in Chinese patients.

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Femoroacetabular impingement (FAI) is a recently described hip disorder resulting from an abnormal morphology between the proximal femur and acetabulum (socket). It is now recognized as a cause of hip pain in adolescents and young adults, and research has shown that it may also lead to early degenerative changes and osteoarthritis. Femoroacetabular impingement as a cause of precocious hip arthrosis was originally described by Ganz et al.

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Prospective study of 27 consecutive cases of tuberculous atlanto-axial instability operated between 1998 and 2003. Early surgical stabilization of tuberculous atlanto-axial instability has gained popularity. This is largely due to success of chemotherapy in rapid control of infection.

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