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Hemostats in Spine Surgery: Literature Review and Expert Panel Recommendations

Huec JL, AlEissa S, Bowey A, Debono B, El-Shawarbi A, Fernández-Baillo N, Han K, Martin-Benlloch A, Pflugmacher R, Sabatier P, Vanni D, Walker I, Warren T, Litrico S

Bleeding in spine surgery is a common occurrence but when bleeding is uncontrolled the consequences can be severe due to the potential for spinal cord compression and damage to the...
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Deep learning for the classification of cervical maturation degree and pubertal growth spurts: A pilot study

MohammadRahimi H, Motamadian SR, Nadimi M, HassanzadehSamani S, Minabi MAS, Mahmoudinia E, Y. Lee V, Rohban MH

Objective: This study aimed to present and evaluate a new deep learning model for determining cervical vertebral maturation (CVM) degree and growth spurts by analyzing lateral cephalometric radiographs. Methods: The...
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Direct Internal Fixation for Unstable Atlas Fractures

Shin JW, Suk KS, Kim HS, Yang JH, Kwon JW, Lee HM, Moon SH, Lee BH, Park SJ, Park Sr, Kim Sk

Purpose: To investigate the radiologic and clinical outcomes of direct internal fixation for unstable atlas fractures. Materials and Methods: This retrospective study included 12 patients with unstable atlas fractures surgically treated...
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Comparative Analysis of 3 Types of Minimally Invasive Posterior Cervical Foraminotomy for Foraminal Stenosis, Uniportal-, Biportal Endoscopy, and Microsurgery: Radiologic and Midterm Clinical Outcomes

Kim JY, Hong HJ, Lee DC, Kim TH, Hwang JS, Park CK

Objective: The aim of this study was to compare the clinical and radiologic outcomes of 3 types of minimally invasive posterior cervical foraminotomy (PCF): uniportal endoscopic surgery, biportal endoscopic surgery,...
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Results of Four-Level Anterior Cervical Discectomy and Fusion Using Stand-Alone Interbody Titanium Cages

Alhashash M, Alhashash M, Allouch H, Allouch H, Boehm H, Boehm H, Shousha M, Shousha M

Study Design: This is a retrospective study with a minimum follow-up of 2 years. Purpose: The aim of this study is to assess the long-term outcomes after performing the four-level anterior...
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The Effect of Hounsfield Unit Value with Conventional Computed Tomography and Intraoperative Distraction on Postoperative Intervertebral Height Reduction in Patients Following Stand-Alone Anterior Cervical Discectomy and Fusion

Lee JS, Son DW, Lee SH, Ki SS, Lee SW, Song GS, Woo JB, Kim YH

Objective : The most common complication of anterior cervical discectomy and fusion (ACDF) is cage subsidence and maintenance of disc height affects postoperative clinical outcomes. We considered cage subsidence as...
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Radiologic evaluation of congenital anomalies of anterior and posterior arch of atlas in Omani subjects

Hinai GA, Shandoodi MA, Sirasanagandla SR, Sarhani SA, Dhuhli HA, Jaju S, Mushaiqri MA

The atlas (C1) is known to present congenital anomalies in its anterior and posterior arches. The reported incidence of C1 anomalies is varied among the ethnic groups. We sought to...
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Bacterial Meningitis Complicated by Myelitis Following Anterior Cervical Spinal Surgery

Ham DH, Choi BY, Jung MC

Meningitis after spinal surgery occurs rarely but can be fatal. A 49-year-old male was diagnosed with compressive myelopathy due to cervical disc herniation at the C 5, 6 level and...
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Systematic Review of Reciprocal Changes after Spinal Reconstruction Surgery : Do Not Miss the Forest for the Trees

Kim CW, Hyun SJ, Kim KJ

The purpose of this review was to synthesize the research on global spinal alignment and reciprocal changes following cervical or thoracolumbar reconstruction surgery. We carried out a search of PubMed,...
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Anterior Approaches for Two-Level Cervical Degenerative Disease: A Comparative Study of at least 6-Year Follow-Up

Shin HJ, Kim P, Ju CI, Kim SW

Objective: To compare the clinical and radiogrincaphic results of a hybrid surgery (HS) and cervical artificial disc replacement (ADR) for contiguous two-level cervical spondylosis. Methods: A total of 56 patients with...
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Risk Factors and Radiologic Changes in Subsidence after Single-Level Anterior Cervical Corpectomy: A Minimum Follow-Up of 2 Years

An TY, Kim JY, Lee YS

Objective: Anterior cervical corpectomy using a titanium mesh cage may result in delayed nonunion and thus a change in cervical alignment, and patients may require revision surgery. We investigated the radiologic...
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Transtubular Anterior Cervical Foraminotomy for the Treatment of Compressive Cervical Radiculopathy: Surgical Results and Complications in a Consecutive Series of Cases

Maduri R, Cossu G, Aureli V, Wüthrich SP, Bobinski L, Duff JM

Study Design: This was a retrospective review of patients with compressive cervical radiculopathy treated with a minimally invasive anterior cervical foraminotomy (ACF). Purpose: This study aimed to evaluate the results and...
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Preoperative Radiological Parameters to Predict Clinical and Radiological Outcomes after Laminoplasty

Lee SH, Son DW, Shin JJ, Ha Y, Song GS, Lee JS, Lee SW

Many studies have focused on pre-operative sagittal alignment parameters which could predict poor clinical or radiological outcomes after laminoplasty. However, the influx of too many new factors causes confusion. This...
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Foramen transversarium enlargement caused by vertebral artery tortuosity: Diagnosis with cone-beam computed tomography and magnetic resonance angiography

Omami G

A markedly enlarged foramen transversarium was discovered incidentally on a cone-beam computed tomography scan of a 72-year-old male patient who was referred for dental implant placement. Further evaluation with magnetic...
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Effects of Central Sensitivity Syndrome and Psychological Factors on the Clinical Features of Patients with Cervical Degenerative Disease: A Cross-Sectional Study

Kondo Y, Miki T, Higuchi D, Takebayashi T

Study Design: Single-center cross-sectional study. Purpose: The present study aimed to clarify the effects of central sensitivity syndrome (CSS) and psychological factors on the clinical features in patients with cervical degenerative...
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Neuromonitoring in Cervical Spine Surgery: When Is a Signal Drop Clinically Significant?

Decruz J, Kaliya-Perumal AK, Wong KHY, Kumar DS, Yang EW, Oh JYL

Study Design: Retrospective cohort study. Purpose: To identify the clinical significance of different patterns of intraoperative neuromonitoring (IONM) signal alerts. Overview of Literature: IONM is a long-established valuable adjunct to complex spine...
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Getting Down to the Bare Bones: Does laminoplasty or laminectomy With Fusion Provide Better Outcomes for Patients With Multilevel Cervical Spondylotic Myelopathy?

Brown NJ, Lien BV, Shahrestani S, Choi EH, Tran K, Gattas S, Ransom SC, Tafreshi AR, Ransom RC, Sahyouni R, Chan A, Oh M

Objective: Cervical spondylotic myelopathy (CSM) is a degenerative disorder leading to progressive decline in spinal cord function. Cervical laminoplasty (CLP) and cervical laminectomy with fusion (CLF) are standard treatments for...
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Significance of Preoperative Prone Position Computed Tomography in Free Hand Subaxial Cervical Pedicular Screwing

İştemen , Arslan A, Olguner SK, Afşer KA, Açık V, Arslan B, Ökten A, Gezercan Y

Objective : The subaxial cervical pedicle screwing technique shows powerful biomechanical properties for posterior cervical fusion. When applying a pedicle screw using the freehand technique, it is essential to analyse...
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Comparison of Spinal Canal Expansion Following Cervical Laminoplasty Based on the Preoperative Lamina Angle : A Simulation Study

Jung Jm, Jahng AL, Hyun SJ, Kim KJ, Jahng TA

Objective : Expansion in the spinal canal area (SCA) after laminoplasty is one of the critical factors to relieve the preoperative symptoms. No previous study has compared the increases in...
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Clinical Outcomes of Cervical Transforaminal Epidural Block Using Local Anesthetics with or without a Steroid for Cervical Spondylotic Radiculopathy

Park EJ, Kim SM, Chung S, Min WK

Objectives: To evaluate and compare the clinical outcomes of cervical transforaminal epidural block (CTEB) using local anesthetics with or without a steroid for cervical spondylotic radiculopathy (CSR). Summary of Literature Review:...
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