Publications by authors named "William J Beutler"

Background: The appropriate approach for surgical removal of thoracic disc herniations is controversial. The posterior approach historically acquired a bad reputation due to high rates of neurologic deterioration subsequent to spinal cord manipulation. The anterior approach has consequently gained popularity but entails a larger magnitude of surgery if open and is technically demanding if approached thoracoscopically.

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Background Context: Adjacent level degeneration (ALD) has been reported as one of the long-term consequences of anterior discectomy and fusion despite its clinical success in treating cervical pathologies. Traditionally, ALD is treated by replacing the previously implanted plate with a longer plate, which can lead to postoperative complications. The biomechanics of SIP in the adjacent level has not been investigated.

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Study Design: Technique development to use the da Vince Robotic Surgical System for anterior lumbar interbody fusion at L5-S1 is detailed. A case report is also presented.

Objective: To evaluate and develop the da Vinci robotic assisted laparoscopic anterior lumbar stand-alone interbody fusion procedure.

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Background Context: Anterior cervical plating increases stability and hence improves fusion rates to treat cervical spine pathologies, which are often symptomatic at multiple levels. However, plating is not without complications, such as dysphagia, injury to neural elements, and plate breakage. The biomechanics of a spacer with integrated plate system combined with posterior instrumentation (PI), in two-level and three-level surgical models, has not yet been investigated.

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Background Context: Anterior lumbar interbody fusion (ALIF) procedures have a known incidence of subsidence. The individual risk of subsidence for specific lumbar levels in ALIF procedures has not been determined.

Purpose: To evaluate the incidence of subsidence with two ALIF constructs.

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Study Design: A prospective study of spondylolysis and spondylolisthesis was initiated in 1955 with a radiographic and clinical study of 500 first-grade children.

Objective: To determine the natural history of spondylolysis and spondylolisthesis.

Summary Of Background Data: Most studies on the natural history of spondylolysis and spondylolisthesis are based on patient populations presenting with pain.

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