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Columna Vertebral

Traumatic Atlanto-occipital Dislocation in Children

Última actualización 8/05/14Nelson Astur J Am Acad Orthop Surg. May 2014 vol. 22 no. 5 Abstract Although once considered an invariably fatal injury, improvements in diagnosis and management have made atlanto-occipital dislocation (AOD) a survivable injury. MRI is the preferred imaging modality; occasionally, flexion/extension/distraction fluoroscopy may be required to determine …

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Adhesive Capsulitis of the Hip: A Review

Última actualización 9/12/13Colin G. Looney J Am Acad Orthop Surg December 2013 vol. 21 no. 12 Abstract Adhesive capsulitis of the hip (ACH) is a rare clinical entity. Similar to adhesive capsulitis of the shoulder, ACH is characterized by a painful decrease in active and passive range of motion as …

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Choosing Fusion Levels in Adolescent Idiopathic Scoliosis

Última actualización 30/09/13Per David Trobisch J Am Acad Orthop SurgSeptember 2013vol. 21 no. 9 Abstract Correct identification of fusion levels in surgical planning for the management of adolescent idiopathic scoliosis is a complex task. Several classification systems and algorithms exist to assist surgeons in determining the appropriate levels to be …

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Wrong-site Spine Surgery

Última actualización 20/05/13Mark A. Palumbo, MD, Abstract Wrong-site spine surgery is an adverse event that has potentially devastating consequences for the patient as well as the surgeon. Despite substantial efforts to prevent wrong-site spine surgery, this complication continues to occur and has the potential for serious medical, personal, and legal …

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Patient-reported Outcome Measures in Spine Surgery

Última actualización 5/03/13John D. McCormick J Am Acad Orthop Surg February 2013 ; 21 Abstract The ultimate goals of intervention for spinal pathology are to improve the patient’s quality of life, restore function, and relieve pain. Traditional clinician-based assessments typically fall short of adequately addressing these important outcomes because these …

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Adjacent Segment Disease Following Cervical Spine Surgery

Última actualización 4/02/13Samuel K. Cho, Abstract Cervical spine surgery is broadly divided into fusion and nonfusion procedures. Anterior cervical diskectomy and fusion (ACDF) is a common procedure, although adjacent segment disease following the surgery is an ongoing clinical concern. Adjacent segment cervical disease occurs in approximately 3% of patients per …

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Dropped Head Syndrome: Etiology and Management

Última actualización 17/12/12Alok D. Sharan Abstract Dropped head syndrome (DHS) is characterized by severe weakness of the cervical paraspinal muscles that results in the passively correctable chin-on-chest deformity. DHS is most commonly associated with neuromuscular disorders. However, it is not always accompanied by electromyographic findings or noticeable changes on muscle …

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Radiologic Assessment of Spinal Fusion

Última actualización 12/11/12J Am Acad Orthop Surg November 2012 ; 20 Michael Derrick Selby Abstract Since surgical fusion of the spine was first described in 1911, multiple methods have been used to assess it. Although open surgical exploration remains the standard of care for determination of fusion, it is impractical …

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