Adjacent segment degeneration and revision surgery after circumferential lumbar fusion: outcomes throughout 15 years of follow-up

Abstract Purpose This retrospective study analyzes long-term outcomes (15 years) of circumferential lumbar fusion (CF) for degenerative spine disease using instrumented PLIF. The occurrence of adjacent segment degeneration (ASD) and the reintervention rate was specially focused. Methods A series of 73 patients who underwent CF (1–3 levels) was reviewed. Patients were evaluated preoperatively, at 2, 5, […]

Neuralgia amiotrófica

CASO CLÍNICO 06-02 Fecha: Febrero – 2006 Hospital: Hospital da Costa. Hospital comarcal de Monforte de Lemos (Lugo) Moderadores: Dr. Vaquero, Dr. Caeiro Neuralgia amiotrófica Caso aportado por Dres. I. Valenciano Bilbao y S. Pagazaurtundúa Gómez Historia Clínica Paciente masculino de 23 años que consulta por dolor y debilidad en hombro izquierdo de aproximadamente 1 […]

Escoliosis secundaria a tumor vertebral

CASO CLÍNICO 04-10 Fecha: Octubre – 2004 Hospital: Complexo Hospitalario Juan Canalejo (A Coruña) Moderadores: Dr. Novillo, Dr. Vaquero, Dr. Caeiro Escoliosis secundaria a tumor vertebral Caso aportado por Dres. Pedro González Herranz, Luis García y Suárez Guijarro. Historia Clínica Niña de 12 años de edad que está siendo vista en la consulta externa por […]

Dolor lumbar de larga evolución

CASO CLÍNICO 04-02 Fecha: Febrero – 2004 Hospital: Complexo Hospitalario de Ourense (Ourense) Moderadores: Dr. Caeiro, Dr. Novillo Dolor lumbar de larga evolución Caso aportado por Dr. Diego Novillo Dolor lumbar de larga evolución Caso aportado por el Dr. Diego Novillo Complexo Hospitalario de Ourense Ourense. España. e-mail: diegonov@yahoo.es Historia Clínica Mujer de 18 años, […]

Posterior Lumbar Fusion: Choice of Approach and Adjunct Techniques

Charla R. Fischer J Am Acad Orthop Surg August 2014 vol. 22 no. 8 The choice among the many options of approach and adjunct techniques in planning a posterior lumbar fusion can be problematic. Debates remain as to whether solid fusion has an advantage over pseudarthrosis regarding long-term symptom deterioration and whether an instrumented or […]

Traumatic Atlanto-occipital Dislocation in Children

Nelson 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 craniovertebral stability. Early surgical stabilization is recommended […]

Adhesive Capsulitis of the Hip: A Review

Colin 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 synovial inflammation in the acute stages of […]

Choosing Fusion Levels in Adolescent Idiopathic Scoliosis

Per 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 instrumented. The Lenke classification is the benchmark […]

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