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A review of pediatric lumbar spine trauma

Christina Sayama, Tsulee Chen, Gregory Trost, and Andrew Jea

pediatric population varies with age. In young children ages 0–9 years, the predominant cause of injury is falls and automobile-versus-pedestrian accidents (> 75%). In children ages 10–14 years, motor vehicle accidents (40%) are the major cause of lumbar fractures, and falls and automobile-versus-pedestrian accidents are less prevalent. In children 15–17 years of age, motor vehicle and motorcycle accidents become the leading cause of spine injuries (> 70%), and there is also an increase in sports-related spine trauma. The pediatric spinal column is different from the

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Biportal endoscopic discectomy for high-grade migrated lumbar disc herniation

Taewook Kang, Si Young Park, Gun Woo Park, Soon Hyuck Lee, Jong Hoon Park, and Seung Woo Suh

M icroendoscopic discectomy has been a common surgical procedure in patients with lumbar disc herniation. 1 Percutaneous discectomy was first introduced by Hijikata in 1973. 2 Kambin and Sampson introduced an endoscopic discectomy technique. 3 Since then, new percutaneous endoscopic discectomy techniques have been developed. Minimally invasive spine surgery, which focuses on preservation of normal spine anatomy, is replacing conventional discectomy. 4 Recently, percutaneous endoscopic lumbar discectomy is becoming widely used for the treatment of lumbar disc

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Comparison of sleep improvement in patients undergoing lumbar spine decompression

Ryan McNassor, Jennifer Yang, Michael D. Shost, and Deborah L. Benzil

surgery outcomes. Methods Database Our institute’s surgical database was queried retrospectively for all patients who underwent lumbar spine surgery for a diagnosis of degenerative spine disease from January 1, 2012, through December 31, 2021. The primary aim of the study was to investigate changes in the patient’s reported sleep quality from the pre- to postoperative period. To measure this change, the Patient-Reported Outcomes Measurement Information System (PROMIS) sleep disturbance score was utilized. Patients were excluded if they did not have at least

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Midline lumbar interbody fusion: a review of the surgical technique and outcomes

Vincent J. Alentado, Dillon Mobasser, Jean-Pierre Mobasser, and Eric A. Potts

D egenerative spinal conditions are ubiquitous within the aging population. Despite the prevalence of degenerative spinal pathology, the optimal treatment for various conditions remains controversial. The historic mainstay of posterior interbody fusion is posterior lumbar interbody fusion (PLIF), which later evolved into the transforaminal lumbar interbody fusion (TLIF) technique. Both techniques utilize traditional pedicle screw fixation to stabilize the segment while the interbody fusion develops. The surgical outcomes of PLIF and TLIF are overwhelmingly

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Biportal endoscopic transforaminal lumbar interbody fusion using a large cage for degenerative spondylolisthesis with stenosis

Dong Hwa Heo

or Wilson frame was used as in conventional posterior fusion surgeries. Specifically, for single-level biportal endoscopic TLIF procedures, it is preferred to administer epidural or spinal anesthesia. 2:00 A large cage akin to an oblique lumbar interbody fusion (OLIF) cage was employed during this procedure. This larger cage’s dimensions were slightly less than those of OLIF cages yet notably larger than standard TLIF cages. I am able to incorporate this larger cage during the biportal endoscopic TLIF. 2:24 Under C-arm fluoroscopic guidance, two

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Early postoperative dislocation of the anterior Maverick lumbar disc prosthesis

Report of 2 cases

Cristian Gragnaniello, Kevin A. Seex, Lukas G. Eisermann, Matthew H. Claydon, and Gregory M. Malham

T he Maverick lumbar disc prosthesis (Medtronic Inc.) was introduced in January 2002 (approved for implantation in Europe in December 2001), and since then 15,000 prostheses have been implanted worldwide. The Maverick has a ball-and-socket design with a fixed posterior center of rotation and is made of cobalt-chromium-molybdenum metal plates covered with hydroxyapatite at the bone-prosthesis interface. The superior and inferior endplates have keels to resist translation forces and are coated with an acid etching of the cobalt chrome followed by a high

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Increased incidence of pseudarthrosis after unilateral instrumented transforaminal lumbar interbody fusion in patients with lumbar spondylosis

Clinical article

Yakov Gologorsky, Branko Skovrlj, Jeremy Steinberger, Max Moore, Marc Arginteanu, Frank Moore, and Alfred Steinberger

T ransforaminal lumbar interbody fusion (TLIF) has been increasing in popularity since its introduction by Harms and Rolinger in 1982. 14 , 15 The TLIF procedure involves a far-lateral transforaminal approach to the disc space through the vertebral foramen combined with posterior instrumentation. This procedure promotes circumferential fusion based on the principle of load sharing and provides anterior column support and a posterior tension band. TLIF is designed to restore normal lumbar lordosis, widen the neural foramen, restore disc height, and relieve

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Patient-specific factors affecting hospital costs in lumbar spine surgery

Ross C. Puffer, Ryan Planchard, Grant W. Mallory, and Michelle J. Clarke

S urgery has long been an accepted treatment for symptomatic lumbar degenerative disease. Although outcomes at 2 years are similar with surgery and nonoperative measures, some recent studies have suggested that continued medical management beyond 6 weeks without improvement is not cost-effective. 11 , 17 Furthermore, although the upfront costs of operative management are higher, the overall economic impact (e.g., loss of productivity, continued medical evaluation, and treatment) may be higher in patients who are managed conservatively than in those who

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Fully endoscopic lumbar interbody fusion using a percutaneous unilateral biportal endoscopic technique: technical note and preliminary clinical results

Dong Hwa Heo, Sang Kyu Son, Jin Hwa Eum, and Choon Keun Park

L umbar fusion surgery is a treatment option for lumbar degenerative disease, such as segmental instability. 4 , 6 , 9 , 13 , 14 There are many types of lumbar fusion surgery, including anterior lumbar interbody fusion (ALIF), lateral lumbar interbody fusion (LLIF), posterior lumbar interbody fusion (PLIF), and transforaminal lumbar interbody fusion (TLIF). 4 , 6 , 9 , 11 Among these treatment modalities, PLIF and TLIF can result in direct posterior neural decompression. 11 Although conventional posterior open fusion surgeries can achieve wide decompression

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Long-term results for total lumbar facet joint replacement in the management of lumbar degenerative spondylolisthesis

Yossi Smorgick, Yigal Mirovsky, Yizhar Floman, Nahshon Rand, Michael Millgram, and Yoram Anekstein

F or the management of lumbar degenerative spondylolisthesis with spinal stenosis, surgical treatment has better results than nonoperative care. 15 Herkowitz and Kurz, in a randomized prospective study, found that laminectomy with fusion was superior to laminectomy alone. 8 Two recent randomized controlled trials comparing laminectomy alone to laminectomy with instrumented posterolateral fusion reported conflicting results. The first found that lumbar laminectomy with fusion was associated with a slightly greater but clinically meaningful improvement in