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Goal-Directed Fluid Therapy Based on Pulse-Pressure Variation Compared with Standard Fluid Therapy in Patients Undergoing Complex Spine Surgery: A Randomized Controlled Trial

Wongtangman K, Wilartratsami S, Hemtanon N, Tiviraj S, Raksakietisak M

Study Design: Prospective, randomized, controlled study. Purpose: To determine whether the use of goal-directed fluid therapy (GDT) guided by pulse-pressure variation (PPV) and fluid management protocol can reduce intraoperative hypotension, blood...
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Cervical Myelopathy with Retro-Odontoid Pseudotumor without Atlanto-Axial Instability

Shin HK, Hong SW, Park JH, Son DW

An 82-year-old male patient was admitted for neck pain, motor weakness in both upper extremities, and gait disorder. The patient had no history of rheumatoid arthritis or other specific histories,...
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Spinal Surgery and Subsequent ESR and WBC Changes Pattern: A Single Center Prospective Study

Zare A, Sabahi M, Safari H, Kiani A, Schmidt MH, Arjipour M

Objective: Postoperative inflammation and infections are common complications of spinal surgery and have similar symptoms. However, postoperative infection may lead to a poor outcome and must be differentiated from postoperative...
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Erector spinae plane block for spinal surgery: a systematic review and meta-analysis

Liang X, Zhou W, Fan Y

Background: Although the erector spinae plane block has been used in various truncal surgical procedures, its clinical benefits in patients undergoing spinal surgery remain controversial. The aim of this meta-analysis...
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Unilateral Bi-portal Endoscopic Decompression via the Contralateral Approach in Asymmetric Spinal Stenosis: A Technical Note

Kim JS, Park CW, Yeung YK, Suen TK, Jun SG, Park JH

We discuss the technical details and operative advantages of approaching pathologies from the contralateral side in cases of asymmetric spinal stenosis. The contralateral approach offers better manipulative freedom and a...
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Is Older Age a Contraindication for Single-Level Transforaminal Lumbar Interbody Fusion?

Patel JY, Kundnani VG, Chawada B

Study Design Retrospective cohort. Purpose This study’s primary objective was to compare the clinico-radiological outcomes and incidence of perioperative complications of transforaminal lumbar interbody fusion (TLIF) at lower lumbar levels for elderly and...
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Posterior Approach in C2–3 Disc Herniation: C1 Laminectomy, C2–3 Laminoplasty and Posterior Fixation in C2–3 Disc Herniation

Kim S, Hwang SH, Cho BK, Yoon SH, Yoon J

C2–3 disc herniation is rare and a definitive treatment of choice has not been established. The purpose of this case report is to suggest posterior approach as one of the best...
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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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Surgical Impacts of Metastatic Nonsmall Cell Lung Cancer to the Thoracic and Lumbar Spine

Jung Jm, Hyun SJ, Kim KJ

Background: Surgery for spinal metastasis is rapidly increasing in frequency with procedures ranging from laminectomy to spondylectomy combined with stabilization. This study investigated the effect of various surgical procedures for...
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Transiting Nerve Rootlet Abnormalities on MRI after Lumbar Laminectomy: Associations with Persistent Postoperative Pain

Park C, Lee IS, Nam KH, Song YS, Lee TH, Han IH, Kim DH

Objective: To determine whether changes in the transiting nerve rootlet or its surroundings, as seen on MRI performed after lumbar hemilaminectomy, are associated with persistent postoperative pain (PPP), commonly known...
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Efficacy of FluoroscopyGuided Lumbar Facet Joint Synovial Cyst Rupture with Intra-Articular Steroid Injection after Laminectomy

Kim HJ, Lee E, Lee JW, Kang Y, Ahn JM

Purpose: We retrospectively evaluated the technical success rate and long-term efficacy of fluoroscopy-guided synovial cyst rupture followed by an intra-articular steroid injection at the post-laminectomy lumbar facet. Materials and Methods: We...
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Decompressive Laminectomy Alone for Degenerative Lumbar Scoliosis with Spinal Stenosis: Incidence of Post-Laminectomy Instability in the Elderly

Ha KY, Kim YH, Kim SI, Park HY, Seo JH

Background: Decompressive laminectomy alone for degenerative lumbar scoliosis (DLS) is not recommended because it can lead to further instability. However, it is uncertain whether instability at the decompressed segments is...
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Idiopathic Hypertrophic Spinal Pachymeningitis with Spinal Cord Lesion: A Case Report

Park Jy, Choi I, Khil EK, Kim WJ, Shin IY

Idiopathic hypertrophic spinal pachymeningitis (IHSP) is a rare, diffuse inflammatory fibrosis of the dura mater that can lead to spinal cord compression. Though the optimal treatment is controversial, some reports...
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Postoperative Non-Pathological Fever Following Posterior Cervical Fusion Surgery : Is Laminoplasty a Better Preventive Method than Laminectomy?

Lee S, Jung SK, Kim HB, Roh SW, Jeon SR, Park JH

Objective : To analyze the incidence and characteristics of delayed postoperative fever in posterior cervical fusion using cervical pedicle screws (CPS). Methods : This study analyzed 119 patients who underwent posterior...
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Demographic Trends in Paddle Lead Spinal Cord Stimulator Placement: Private Insurance and Medicare Beneficiaries

Labaran L, Bell J, Puvanesarajah V, Jain N, Aryee JN, Raad M, Jain A, Carmouche J, Hassanzadeh H

Objective: Although spinal cord stimulators (SCS) continue to gain acceptance as a viable nonpharmacologic option for the treatment of chronic back pain, recent trends are not well established. The aim...
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Flipped Reposition Laminoplasty for Excision of Intradural Extramedullary Tumors in the Thoracolumbar Spine: A Case Series of 14 Patients

Kumar R, Debbarma I, Boruah T, Sareen A, Patralekh MK, Dagar A, Kareem SA

Study Design: A retrospective study was done to assess the outcome of the new technique of flipped reposition laminoplasty for excision of intradural extramedullary (IDEM) spinal tumors of the thoracolumbar...
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Two Cases of Cortical Blindness from Both Posterior Cerebral Artery Occlusion Following General Anesthesia Surgery

Kang MS, Kim SJ

Purpose: To report two rare cases of cortical blindness resulting from posterior cerebral artery (PCA) occlusion after laminectomy and laparoscopic gastrectomy under general anesthesia. Case summary: (Case 1) A 65-year-old man...
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Chitosan-Hydroxyapatite Scaffold for Tissue Engineering in Experimental Lumbar Laminectomy and Posterolateral Spinal Fusion in Wistar Rats

Rodríguez-Vázquez M, Ramos-Zúñiga R

Study Design: Experimental study with an animal model. Purpose: To evaluate the role of a chitosan and hydroxyapatite composite for spinal fusion in a lumbar experimental model based on regenerative tissue...
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Preservation of the Posterior Ligaments for Preventing Postoperative Spinal Instability in Posterior Decompression of Lumbar Spinal Stenosis: Comparative Study between Port-Hole Decompression and Subtotal Laminectomy

Jung YH, Na HY, Choe S, Kim J, Lee JH

PURPOSE: To determine if sparing the interspinous and supraspinous ligaments during posterior decompression for lumbar spinal stenosis is significant in preventing postoperative spinal instability. MATERIALS AND METHODS: A total of 83...
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Posterior Dural Shifts Following Spinous Process-Splitting Multi-Level Intervertebral Lumbar Laminectomies

Sono T, Fujibayashi S, Shimizu Y, Otsuki B, Tanida S, Matsuda S

STUDY DESIGN: Retrospective cohort study. PURPOSE: The aim of our study is to evaluate the extent of posterior spinal dural shift following spinous process splitting multi-level intervertebral lumbar laminectomies, and determine...
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