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Prediction of successful caudal epidural injection using color Doppler ultrasonography in the paramedian sagittal oblique view of the lumbosacral spine

Yoo SW, Ki MJ, Doo AR, Woo CJ, Kim YS, Son JS

Background: Ultrasound-guided caudal epidural injection (CEI) is limited in that it cannot confirm drug distribution at the target site without fluoroscopy. We hypothesized that visualization of solution flow through the...
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Bertolotti’s Syndrome Misdiagnosed as Juvenile Idiopathic Arthritis in an Adolescent Girl with Low Back Pain

Han SH, Kim J, KIM J

Bertolotti’s syndrome is a congenital abnormality in which the expanded lower lumbar transverse process articulates with the ilium or sacrum. It is an important cause of low back pain in...
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Unilateral Posterior Surgery for Severe Osteoporotic Vertebrae Fractures’ Sequelae in Geriatric Population: Minimum 5-Year Results of 109 Patients

Pehlivanoglu T, Erdag Y, Oltulu I, Akturk UD, Korkmaz E, Yildirim K, Sarioglu E, Gun K, Ofluoglu E, Aydogan M

Objective: This study aimed to evaluate the efficacy and safety of modified posterior vertebral column resection (PVCR) combined with anterior column restoration in elderly patients presenting with thoracic or thoracolumbar...
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Comparison of Short-Segment Pedicle Instrumentation with Supplemental Hook Fixation under Axial Compression in Relation to Graft Positioning and Posterior Ligamentous Integrity: A Biomechanical Study on the Calf Spine

Muratli SK, Berk H

Study Design: Biomechanical study. Purpose: This study investigates the benefits of supplemental hook fixation (SHF) on short-segment pedicle instrumentation (SSPI) in relation to anterior strut graft positioning. In addition, it seeks...
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Charcot Spinal Arthropathy with Extensive Vertebral BodyDestruction and Cerebrospinal Fluid Collection:A Case Report Mimicking Infective Spondylitis

Cho KJ, Kim YJ, Kim YT, Youn YH

A 68-year-old man presented with a bed sore with pus discharge on lower back. Radiographs showed extensive destruction of the L4vertebral body. Magnetic resonance imaging (MRI) showed fluid collection with...
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Clinical Implication of Mid-Range Dynamic Instability in Lumbar Degenerative Spondylolisthesis

Lee CY, Park BM, Kim TW, Lee SH

Study Design: Retrospective evaluation. Purpose: To determine the prevalence of mid-range dynamic instability in patients with degenerative spondylolisthesis (DS) and to evaluate the clinical implication of mid-range instability (MI). Overview of Literature:...
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Comparison of Disc Degeneration between the Cervical and Lumbar Spine

Park MS, Moon SH, Kim HJ, Lee JH, Kim TH, Oh JK, Riew KD

Study Design: A retrospective radiologic study. Objectives: To compare disc degeneration between the cervical and lumbar spine and to elucidate the patterns of degeneration according to the corresponding disc levels in...
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Identification of Pedicle Screw Pullout Load Paths for Osteoporotic Vertebrae

Krishnan V, Varghese V, Kumar GS, Yoganandan N

Study Design: A biomechanical study. Purpose: To determine the actual load path and compare pullout strengths as a function of screw size used in revision surgeries using postmortem human subject specimens. Overview...
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Does Combined Anterior-Posterior Approach Improve Outcomes Compared with Posterioronly Approach in Traumatic Thoracolumbar Burst Fractures?: A Systematic Review

Tan T, Donohoe TJ, Huang MSJ, Rutges J, Marion T, Mathew J, Fitzgerald M, Tee J

The aim of this systematic review was to evaluate the surgical, radiological, and functional outcomes of posterior-only versus combined anterior-posterior approaches in patients with traumatic thoracolumbar burst fractures. The ideal...
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Correlation between the Computed Tomography Values of the Screw Path and Pedicle Screw Pullout Strength: An Experimental Study in Porcine Vertebrae

Ikeura A, Kushida T, Oe K, Kotani Y, Ando M, Adachi T, Saito T

Study Design: Biomechanical study. Purpose: To assess the correlation between the computed tomography (CT) values of the pedicle screw path and screw pull-out strength. Overview of Literature: The correlation between pedicle screw...
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Multidetector CT Findings of Acquired Spondylolysis and Spondylolisthesis after Posterior Lumbar Laminectomy

Yun H, Hwang JY, Yoo JH

Purpose We aimed to analyze postoperative multidetector CT (MDCT) of acquired spondylolysis and spondylolisthesis after posterior lumbar laminectomy. Materials and Methods We enrolled 74 patients, from 2003 to 2017, who underwent...
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Spine Computed Tomography to Magnetic Resonance Image Synthesis Using Generative Adversarial Networks : A Preliminary Study

Lee JH, Han IH, Kim DH, Yu S, Lee IS, Song YS, Joo S, Jin CB, Kim H

Objective : To generate synthetic spine magnetic resonance (MR) images from spine computed tomography (CT) using generative adversarial networks (GANs), as well as to determine the similarities between synthesized and...
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Extramedullary tanycytic ependymoma of the lumbar spinal cord

Kim DJ, Han MH, Lee S

Tanycytic ependymoma is a rare variant of ependymoma that commonly affects the cervical and thoracic spinal cord. It usually arises as intramedullary lesions, and extramedullary cases are extremely rare. We...
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Methods and Early Clinical Results of Percutaneous Lumbar Interbody Fusion

Nakamura S, Ito F, Ito Z, Shibayama M

Objective: Percutaneous lumbar interbody fusion (PELIF) is a procedure that includes the use of new devices, which allow minimally invasive diskectomy under the percutaneous full-endoscopic guidance and safe percutaneous insertion...
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Chronic Opioid Use Following Lumbar Discectomy: Prevalence, Risk Factors, and Current Trends in the United States

Harris AB, Zhang B, Marrache M, Puvanesarajah V, Raad M, Hassanzadeh H, Bicket M, Jain A

Objective: Lumbar discectomy is commonly performed for symptomatic lumbar disc herniation. We aimed to examine prescribing patterns and risk factors for chronic opioid use following lumbar discectomy. Methods: Using a private...
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Comparison of Fusion Rate between Demineralized Bone Matrix versus Autograft in Lumbar Fusion : Meta-Analysis

Han S, Park B, Lim JW, Youm JY, Choi SW, Kim DH, Ahn DK

The demineralized bone matrix (DBM) as the bone graft material to increase the fusion rate was widely used in spinal fusion. The current study aimed to compare the fusion rate...
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The Influence of Comorbidities on Reoperations Following Primary Surgery of Lumbar Degenerative Diseases : A Nationwide Population-Based Retrospective Cohort Study from 2009–2016

Park HK, Park SY, Lee PH, Park HR, Park SQ, Cho SJ, Chang JC

Objective : Spinal degeneration is a progressive disease, worsening over time. Lumbar degenerative disease (LDD) is a major spinal disease in elderly patients. Surgical treatment is considered for medically intractable...
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Usefulness of Oblique Lateral Interbody Fusion at L5–S1 Level Compared to Transforaminal Lumbar Interbody Fusion

Mun HY, Ko MJ, Kim YB, Park SW

Objective : The use of oblique lateral interbody fusion at the L5–S1 level (OLIF51) is increasing, but no study has directly compared OLIF51 and transforaminal lumbar interbody fusion (TLIF) at...
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Ultrasonography for lumbar neuraxial block

Yoo S, Kim Y, Park SK, Ji SH, Kim JT

Ultrasonography can be useful to perform a lumbar neuraxial block. It aids in understanding the anatomy of the lumbar spine before the procedure. Pre-procedural ultrasound imaging provides information about the...
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Lumbar Interbody Fusion: Techniques, Pearls and Pitfalls

Kim YH, Ha KY, Rhyu KW, Park HY, Cho CH, Kim HC, Lee HJ, Kim SI

Lumbar interbody fusion (LIF) is an effective and popular surgical procedure for the management of various spinal pathologies, especially degenerative diseases. Currently, LIF can be performed with posterior, transforaminal, anterior,...
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