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Review of Physician Referrals to Orthopedic Spine versus Neurosurgery

Malige A, Yuh R, Yellapu V, Lands V, Woods B, Sokunbi G

BACKGROUND: Previous studies have reported what patients value while choosing their surgeon, but there are no studies exploring the patterns of referral to spine surgeons among primary care physicians (PCPs)....
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3D Printer Application for Endoscope-Assisted Spine Surgery Instrument Development: From Prototype Instruments to Patient-Specific 3D Models

Yang HS, Park JY

Developing new surgical instruments is challenging. While making surgical instruments could be a good field of application for 3D printers, attempts to do so have proven limited. We designed a...
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A Survey on the Short-term Outcome of Microlumbar Discectomy with General versus Spinal Anesthesia

Dashtbani , Dori MM, Hassani M, Omidi-Kashani F

BACKGROUND: Surgery on the lower thoracic and lumbosacral spine is possible with both general and spinal anesthesia, but most spine surgeons are reluctant to perform the surgery with spinal anesthesia....
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Efficacy of a Novel Annular Closure Device after Lumbar Discectomy in Korean Patients: A 24-Month Follow-Up of a Randomized Controlled Trial

Cho PG, Shin DA, Park SH, Ji GY

OBJECTIVE: Lumbar discectomy is an effective treatment for lumbar disc herniation (LDH); however, up to 2–18% of patients with LDH have experienced recurrent disc herniation. The purpose of this study...
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Functional Outcome after Endoscopic Lumbar Discectomy by Destandau's Technique: A Prospective Study of 614 Patients

Dey PC, Nanda SN

STUDY DESIGN: Prospective study. PURPOSE: To investigate the efficacy of the lumbar discectomy procedure using the Destandau Endospine System by assessing the functional outcome and complication rate in 614 patients. OVERVIEW OF...
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Responsiveness of Commonly Used Patient-Reported Outcome Instruments in Lumbar Microdiscectomy

Vishwanathan K, Braithwaite I

STUDY DESIGN: Prospective observational cohort study. PURPOSE: To evaluate the comparative responsiveness of Oswestry Disability Index (ODI, version 2.0), 24-item Roland-Morris Disability Questionnaire (RMDQ), 12-item Short-Form Health Survey (SF-12) physical component...
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Feasibility and Safety of Outpatient Lumbar Microscopic Discectomy in a Developing Country

Jaiswal A, Kumar S, Reddy S, Jaiswal P

STUDY DESIGN: Prospective study. PURPOSE: To verify the feasibility and safety of outpatient microscopic lumbar discectomy (MLD) in a developing country. OVERVIEW OF LITERATURE: Outpatient MLD is advantageous in terms of cost...
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Brown-Séquard Syndrome Caused by Acute Traumatic Cervical Disc Herniation

Kim SJ, Lee SH, Bae J, Shin SH

Brown-Séquard syndrome (BSS) is an incomplete spinal cord injury caused by damage to one-half of the spinal cord. Most cases of BSS result from penetrating trauma or tumors, and acute...
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Anterior Cervical Discectomy and Fusion for Hirayama Disease: a Case Report and Literature Review

Kuo YH, Kuo CH, Huang WC, Wu JC

Hirayama disease, a juvenile muscular atrophy of the distal upper extremity, is a rare form of cervical flexion myelopathy characterized by insidiously progressive weakness of the hands and forearm muscles...
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Comparing Allografts to Autografts for Maintenance of Cervical Sagittal Parameters and Clinical Outcomes Following Anterior Cervical Discectomy and Fusion with Anterior Cervical Plating

Heidt ST, Louie PK, Khan JM, Basques BA, Hirsch B, Varthi A, Paul JC, Goldberg E, An HS

OBJECTIVE: Current literature has not shown if using either allograft or autograft differentially affects postoperative cervical sagittal parameters. The goal of this study was to compare sagittal alignment and patient-reported...
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Swallowing Function Following Anterior Cervical Discectomy and Fusion with and Without Anterior Plating: a SWAL-QOL (Swallowing-Quality of Life) and Radiographic Assessment

Haws BE, Khechen B, Patel DV, Yoo JS, Guntin JA, Cardinal K, Singh K

OBJECTIVE: Anterior cervical plating in anterior cervical discectomy and fusion (ACDF) procedures are associated with improved outcomes compared to stand-alone cages. However, concerns exist regarding increased rates of postoperative dysphagia...
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Comparison of Adjacent Segment Degeneration, Cervical Alignment, and Clinical Outcomes after One- and Multilevel Anterior Cervical Discectomy and Fusion

Shin JJ

OBJECTIVE: This study aimed to assess the influence of a fused segment on cervical range of motion (ROM) and adjacent segmental kinematics and determine whether increasing number of fusion levels...
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Anterior Surgical Techniques for Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations

Deora H, Kim SH, Behari S, Rudrappa S, Rajshekhar V, Zileli M, Parthiban , World Federation of Neurosurgical Societies (WFNS) Spine Committee

OBJECTIVE: This study was performed to review the literature and to present the most up-to-date information and recommendations on the indications, complications, and success rate of anterior surgical techniques for...
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Risk Factors of Secondary Lumbar Discectomy of a Herniated Lumbar Disc after Lumbar Discectomy

Beack JY, Chun HJ, Bak KH, Choi KS, Bae IS, Kim KD

OBJECTIVE: To study risk factors of secondary lumbar discectomy (LD) for recurrent herniated lumbar disc (HLD) and identify methods to lower the rate of recurrence. METHODS: Data from 160 patients who...
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Locking Stand-Alone Cage Constructs for the Treatment of Cervical Spine Degenerative Disease

De Leo–Vargas RA, Muñoz–Romero I, Mondragón–Soto MG, Martínez–Anda JJ

STUDY DESIGN: Prospective case series study. PURPOSE: Description of the outcome of stand-alone cervical cages for single and multilevel cervical degenerative spine disease. OVERVIEW OF LITERATURE: The aim of anterior cervical discectomy...
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Risk Factors of Allogenous Bone Graft Collapse in Two-Level Anterior Cervical Discectomy and Fusion

Woo JB, Son DW, Lee SH, Lee JS, Lee SW, Song GS

OBJECTIVE: Anterior cervical discectomy and fusion (ACDF) is commonly used surgical procedure for cervical degenerative disease. Among the various intervertebral spacers, the use of allografts is increasing due to its...
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Evaluation of Dimensions of Kambin’s Triangle to Calculate Maximum Permissible Cannula Diameter for Percutaneous Endoscopic Lumbar Discectomy: A 3-Dimensional Magnetic Resonance Imaging Based Study

Pairaiturkar PP, Sudame OS, Pophale CS

OBJECTIVE: To evaluate 3-dimensional magnetic resonance imaging (MRI) of Kambin’s safe zone to calculate maximum cannula diameter permissible for safe percutaneous endoscopic lumbar discectomy. METHODS: Fifty 3D MRIs of 19 males...
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Use of an Epidural Steroid Sponge for Postoperative Pain Control in Lumbar Discectomy

Kim TK, Yu HK, Oh SK, Kim YM, Shim DM

STUDY DESIGN: Retrospective study. OBJECTIVES: This study was conducted to evaluate the effects of using an epidural steroid sponge for postoperative pain control in lumbar discectomy. SUMMARY OF LITERATURE REVIEW: There are...
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Biportal Endoscopic Spinal Surgery for Lumbar Intervertebral Disc Herniation

Lee HJ, Choi DJ, Park EJ

Herniation of the intervertebral disc is a medical disease manifesting as a bulging out of the nucleus pulposus or annulus fibrosis beyond the normal position. Most lumbar disc herniation cases...
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Comparison of Cortical Ring Allograft and Plate Fixation with Autologous Iliac Bone Graft for Anterior Cervical Discectomy and Fusion

Lee JC, Jang HD, Ahn J, Choi SW, Kang D, Shin BJ

STUDY DESIGN: A retrospective cohort study. PURPOSE: To compare the clinical and radiological outcomes of patients who underwent anterior cervical discectomy and fusion (ACDF) supplemented with plate fixation using allograft with...
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