Treatment of unstable thoracolumbar and lumbar spine injuries using Cotrel-Dubousset instrumentation.

Abstract:

STUDY DESIGN:In this prospective study, the results of treating unstable thoracolumbar and lumbar injuries with Cotrel-Dubousset instrumentation were investigated. OBJECTIVE:To determine the pain and work status of the patients, to evaluate neurologic status, and to assess the efficacy of instrumentation in the short term. SUMMARY OF BACKGROUND DATA:Short-segment pedicle screw construct is the method of choice for reduction and stabilization of unstable thoracolumbar spinal injuries. Many investigators have recently reported a high rate of instrument failure. In this study, the use of segmental transpedicular fixation two levels above the kyphosis decreased instrument failure and sagittal collapse. METHODS:Thirty patients, who had unstable thoracolumbar and lumbar spinal injuries, underwent application from a posterior approach of Cotrel-Dubousset instrumentation two levels above and one below at the thoracolumbar junction and short segment fixation in the lumbar area. Radiologic parameters were evaluated before and after surgery. RESULTS:The mean follow up was 31 months (range, 25-49) months. There were statistically significant differences between the pre- and postoperative values in all radiologic parameters. Neurologic status improved in 70% of the patients, with a mean Frankel grade of 1.3 grades. CONCLUSIONS:Cotrel-Dubousset instrumentation provided spinal stability in unstable injuries, forming a rigid construct and restoring physiologic thoracolumbar and lumbar postural contours because of its highly corrective effect in the sagittal profile with no loss of correction.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Katonis PG,Kontakis GM,Loupasis GA,Aligizakis AC,Christoforakis JI,Velivassakis EG

doi

10.1097/00007632-199911150-00011

keywords:

subject

Has Abstract

pub_date

1999-11-15 00:00:00

pages

2352-7

issue

22

eissn

0362-2436

issn

1528-1159

journal_volume

24

pub_type

杂志文章

相关文献

SPINE文献大全
  • Effects of Training and Overtraining on Intervertebral Disc Proteoglycans.

    abstract:STUDY DESIGN:Animal experimental study. OBJECTIVE:Evaluate the effect of physical activity and overtraining condition on glycosaminoglycan concentration on the intervertebral disc (IVD) using a rat running model. SUMMARY OF BACKGROUND DATA:Some guidelines recommend the implementation of a physical exercise program as...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002368

    authors: Ueta RHS,Tarini VAF,Franciozi CES,Tamaoki MJS,Medeiros VP,Nader HB,Faloppa F

    更新日期:2018-01-01 00:00:00

  • Study of distribution and characteristics of spinal disorders using a validated questionnaire in a group of male subjects not exposed to occupational spinal risk factors.

    abstract::This article presents the content and the application criteria of a questionnaire intended for the study of spinal disorders in workers and the results of an investigation, carried out via this questionnaire, in a group of 1205 male workers not exposed to occupational risks for the spine either currently or in the pas...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199307000-00006

    authors: Occhipinti E,Colombini D,Grieco A

    更新日期:1993-07-01 00:00:00

  • Efficacy of Intraoperative Intervention Following Transcranial Motor-evoked Potentials Alert During Posterior Decompression and Fusion Surgery for Thoracic Ossification of the Posterior Longitudinal Ligament: A Prospective Multicenter Study of the Monitor

    abstract:STUDY DESIGN:Prospective, multicenter, observational study. OBJECTIVE:The aim of this study was to investigate the efficacy of intervention after an alert in intraoperative neurophysiological monitoring (IONM) using transcranial motor-evoked potentials (Tc-MEPs) during surgery for thoracic ossification of the posterio...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003774

    authors: Kobayashi K,Imagama S,Yoshida G,Ando M,Kawabata S,Yamada K,Kanchiku T,Fujiwara Y,Taniguchi S,Iwasaki H,Tadokoro N,Takahashi M,Wada K,Yamamoto N,Shigematsu H,Funaba M,Yasuda A,Ushirozako H,Tani T,Matsuyama Y

    更新日期:2021-02-15 00:00:00

  • Kinematics of the canine lumbar intervertebral joint. An in vivo study before and after adjacent instrumentation.

    abstract:STUDY DESIGN:In vivo, canine lumbar spine intervertebral motion was measured before and after instrumentation of caudal segments. The three-dimensional kinematics of the intervertebral joint were described using helical axes and Fourier series. OBJECTIVE:The in vivo three-dimensional kinematics of the intervertebral j...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Schendel MJ,Dekutoski MB,Ogilvie JW,Olsewski JM,Wallace LJ

    更新日期:1995-12-01 00:00:00

  • Impact of surgical intervention on quality of life in patients with spinal metastases.

    abstract:STUDY DESIGN:Prospective clinical study. OBJECTIVE:To assess Health-Related Quality of Life outcomes in patients undergoing surgery for spinal metastases. SUMMARY OF BACKGROUND DATA:Increasing life expectancy of patients with spinal metastases has resulted in greater interest in overall quality of life, including pai...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.brs.0000245838.37817.40

    authors: Falicov A,Fisher CG,Sparkes J,Boyd MC,Wing PC,Dvorak MF

    更新日期:2006-11-15 00:00:00

  • Concomitant noncontiguous thoracolumbar and sacral fractures.

    abstract::Seventeen patients were identified with concomitant thoracolumbar and sacral fractures representing 26% of sacral fractures and 7.7% of pelvic fractures. The thirteen men and four women exhibited a bimodal age distribution. There were thirteen vertical compression thoracolumbar fractures, three transverse process frac...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199308000-00007

    authors: Albert TJ,Levine MJ,An HS,Cotler JM,Balderston RA

    更新日期:1993-08-01 00:00:00

  • What is the correlation of in vivo wear and damage patterns with in vitro TDR motion response?

    abstract:STUDY DESIGN:This study combined the evaluation of retrieved total disc replacements (TDRs) with a biomechanical study using human lumbar spines. Thirty-eight CHARITE TDRs were retrieved from 32 patients after 7.3 years average implantation. All implants were removed because of intractable back pain and/or facet degene...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318165e3be

    authors: Kurtz SM,Patwardhan A,MacDonald D,Ciccarelli L,van Ooij A,Lorenz M,Zindrick M,O'Leary P,Isaza J,Ross R

    更新日期:2008-03-01 00:00:00

  • Ligation and partial excision of the cauda equina as part of a wide resection of vertebral osteosarcoma: a case report and description of surgical technique.

    abstract:STUDY DESIGN:A case report. OBJECTIVES:To describe the unique challenges and novel surgical approach to treatment of vertebral osteosarcoma involving the dura as a margin. SUMMARY OF BACKGROUND DATA:Osteosarcoma of the vertebral column is a rare, malignant osseous tumor, carrying a poor prognosis. Currently, best ava...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000153396.39009.a3

    authors: Keynan O,Fisher CG,Boyd MC,O'Connell JX,Dvorak MF

    更新日期:2005-02-15 00:00:00

  • Predicting the outcome of selective thoracic fusion in false double major lumbar "C" cases with five- to twenty-four-year follow-up.

    abstract:STUDY DESIGN:Retrospective radiographic and clinical study. OBJECTIVE:To examine the long-term outcome of selective thoracic fusion (STF) performed for lumbar "C" modifier curves in adolescent idiopathic scoliosis. SUMMARY OF BACKGROUND DATA:The efficacy of STF in lumbar "C" false double major curves is controversial...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181e5e36e

    authors: Chang MS,Bridwell KH,Lenke LG,Cho W,Baldus C,Auerbach JD,Crawford CH 3rd,O'Shaughnessy BA

    更新日期:2010-11-15 00:00:00

  • Fluoroscopically assisted percutaneous translaminar facet screw fixation following anterior lumbar interbody fusion: technical report.

    abstract:STUDY DESIGN:A technical report of fluoroscopically assisted percutaneous translaminar facet screw fixation after anterior lumbar interbody fusion (ALIF). OBJECTIVES:To describe a minimally invasive translaminar facet screw fixation technique that was modified from the Magerl method, and to assess its technical feasib...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000157473.17313.6f

    authors: Shim CS,Lee SH,Jung B,Sivasabaapathi P,Park SH,Shin SW

    更新日期:2005-04-01 00:00:00

  • Safety and Efficacy of Reconstruction of Complex Cervical Spine Pathology Using Pedicle Screws Inserted with Stealth Navigation and 3D Image-Guided (O-Arm) Technology.

    abstract:STUDY DESIGN:Retrospective analysis. OBJECTIVE:To determine safety and efficacy of cervical pedicle screw placement using O-Arm and Stealth Navigation in patients with cervicothoracic spinal deformities and revision subaxial cervical pathology. SUMMARY OF BACKGROUND DATA:Cervical pedicle screws are biomechanically ad...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001026

    authors: Theologis AA,Burch S

    更新日期:2015-09-15 00:00:00

  • Safety of sublaminar wires with Isola instrumentation for the treatment of idiopathic scoliosis.

    abstract:STUDY DESIGN:To investigate the incidence of acute neurologic complications of use of sublaminar wires with third-generation spine instrumentation for the treatment of idiopathic scoliosis. OBJECTIVES:To assess the safety of sublaminar wires in the surgical treatment of idiopathic scoliosis. SUMMARY OF BACKGROUND DAT...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200003150-00007

    authors: Girardi FP,Boachie-Adjei O,Rawlins BA

    更新日期:2000-03-15 00:00:00

  • Effect of low-dose ketamine on voltage requirement for transcranial electrical motor evoked potentials in children.

    abstract:STUDY DESIGN:Randomized controlled trial. OBJECTIVE.: To determine the effect of low-dose ketamine on the voltage needed to elicit maximal amplitude of the motor-evoked response to transcranial electrical stimulation during propofol/remifentanil anesthesia in children undergoing scoliosis surgery. SUMMARY OF BACKGROUN...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0b013e3181573eb4

    authors: Zaarour C,Engelhardt T,Strantzas S,Pehora C,Lewis S,Crawford MW

    更新日期:2007-10-15 00:00:00

  • Real-time direct measurement of spinal cord blood flow at the site of compression: relationship between blood flow recovery and motor deficiency in spinal cord injury.

    abstract:STUDY DESIGN:An in vivo study to measure rat spinal cord blood flow in real-time at the site of compression using a newly developed device. OBJECTIVES:To evaluate the change in thoracic spinal cord blood flow by compression force and to clarify the association between blood flow recovery and motor deficiency after a s...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181316310

    authors: Hamamoto Y,Ogata T,Morino T,Hino M,Yamamoto H

    更新日期:2007-08-15 00:00:00

  • Relative safety of anterior microsurgical decompression versus laminoplasty for cervical myelopathy with a massive ossified posterior longitudinal ligament.

    abstract:STUDY DESIGN:A retrospective clinical study was conducted. OBJECTIVE:To investigate the relative safety of anterior microsurgical decompression with iliac strut graft fusion versus laminoplasty for a massive ossified posterior longitudinal ligament in the cervical spine. SUMMARY OF BACKGROUND DATA:The question of how...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200211150-00013

    authors: Tani T,Ushida T,Ishida K,Iai H,Noguchi T,Yamamoto H

    更新日期:2002-11-15 00:00:00

  • Three-year incidence of low back pain in an initially asymptomatic cohort: clinical and imaging risk factors.

    abstract:STUDY DESIGN:Prospective cohort study of randomly selected Veterans Affairs out-patients without baseline low back pain (LBP). OBJECTIVE:To determine predictors of new LBP as well as the 3-year incidence of magnetic resonance imaging (MRI) findings. SUMMARY OF BACKGROUND DATA:Few prospective studies have examined cli...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000167536.60002.87

    authors: Jarvik JG,Hollingworth W,Heagerty PJ,Haynor DR,Boyko EJ,Deyo RA

    更新日期:2005-07-01 00:00:00

  • Perioperative complications of combined anterior and posterior cervical decompression and fusion crossing the cervico-thoracic junction.

    abstract:STUDY DESIGN:Retrospective review. OBJECTIVE:To determine the perioperative complications for patients undergoing single stage, multilevel, anterior, and posterior cervical fusions crossing the cervico-thoracic junction. SUMMARY OF BACKGROUND DATA:Cervical spinal stenosis with kyphosis involving 3 or more disc levels...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318190affe

    authors: Hart RA,Tatsumi RL,Hiratzka JR,Yoo JU

    更新日期:2008-12-15 00:00:00

  • Cervical electromyogram profile differences between patients of neck pain and control.

    abstract:STUDY DESIGN:A comparative analysis of electromyogram (EMG) signals of patients of cervical pain and normal controls. OBJECTIVES:To determine the differences between frequency and time domain parameters of EMG signals of patients of cervical pain and normal controls. SUMMARY OF BACKGROUND DATA:No diagnostic technique...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000259927.85981.31

    authors: Kumar S,Narayan Y,Prasad N,Shuaib A,Siddiqi ZA

    更新日期:2007-04-15 00:00:00

  • Beliefs about low back pain in the Norwegian general population: are they related to pain experiences and health professionals?

    abstract:STUDY DESIGN:A baseline study of the general population and the health care providers in 3 Norwegian counties. OBJECTIVE:To investigate if beliefs about low back pain (LBP) are related to personal experiences and profession sought for care. SUMMARY OF BACKGROUND DATA:Myths about LBP that are abandoned by health profe...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000171909.81632.fe

    authors: Werner EL,Ihlebaek C,Skouen JS,Laerum E

    更新日期:2005-08-01 00:00:00

  • Effect of Preoperative Sagittal Balance on Cervical Laminoplasty Outcomes.

    abstract:STUDY DESIGN:Retrospective case series. OBJECTIVE:To clarify how preoperative global sagittal imbalance influences outcomes in patients with cervical compression myelopathy undergoing cervical laminoplasty. SUMMARY OF BACKGROUND DATA:The influence of sagittal balance on outcomes of cervical laminoplasty remains uncer...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001615

    authors: Oshima Y,Takeshita K,Taniguchi Y,Matsubayashi Y,Doi T,Ohya J,Soma K,Kato S,Oka H,Chikuda H,Tanaka S

    更新日期:2016-11-01 00:00:00

  • An acute cervical epidural hematoma as a complication of dry needling.

    abstract:STUDY DESIGN:A retrospective case report. OBJECTIVE:The objective of this article is to report an unusual complication of dry needling. SUMMARY OF BACKGROUND DATA:Epidural hematomas after dry needling are quite unusual and only a few cases of epidural hematoma after acupuncture have been reported in the literature. W...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181fc1e38

    authors: Lee JH,Lee H,Jo DJ

    更新日期:2011-06-01 00:00:00

  • Surgical revision rates of hooks versus hybrid versus screws versus combined anteroposterior spinal fusion for adolescent idiopathic scoliosis.

    abstract:STUDY DESIGN:Multi-institution retrospective review. OBJECTIVE:To determine the surgical revision rates of hook, hybrid, anteroposterior, and total pedicle screw constructs for adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA:Much debate continues on the safety, efficacy, and cost of thoracic pedicle...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0b013e31814b1ba6

    authors: Kuklo TR,Potter BK,Lenke LG,Polly DW Jr,Sides B,Bridwell KH

    更新日期:2007-09-15 00:00:00

  • Iliac Crest Bone Graft for Minimally Invasive Transforaminal Lumbar Interbody Fusion: A Prospective Analysis of Inpatient Pain, Narcotics Consumption, and Costs.

    abstract:STUDY DESIGN:Retrospective Analysis OBJECTIVE.: The aim of this study was to determine whether an association between increased acute pain, postoperative time, and direct hospital costs exists between the use of iliac crest bone grafting (ICBG) and bone morphogenic protein (BMP)-2 following a primary, single-level mini...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002599

    authors: Haws BE,Khechen B,Narain AS,Hijji FY,Cardinal KL,Guntin JA,Singh K

    更新日期:2018-09-15 00:00:00

  • Posterior osteosynthesis of the atlas for nonconsolidated Jefferson fractures: a new surgical technique.

    abstract:STUDY DESIGN:Case report and surgical technique. OBJECTIVE:To describe a new technique to treat atlas burst fractures by selectively reconstructing the atlas from a posterior approach. SUMMARY OF BACKGROUND DATA:The two surgical techniques reported until now for stabilizing atlas burst fractures are associated with s...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318206cf63

    authors: Abeloos L,De Witte O,Walsdorff M,Delpierre I,Bruneau M

    更新日期:2011-09-15 00:00:00

  • What is the role of "nonorganic somatic components" in functional capacity evaluations in patients with chronic nonspecific low back pain undergoing fitness for work evaluation?

    abstract:STUDY DESIGN:Analytical cross-sectional study. OBJECTIVE:To assess the association of "nonorganic somatic components" together with physical and other psychosocial factors on functional capacity evaluation (FCE) in patients with chronic nonspecific low back pain (NSLBP) undergoing fitness-for-work evaluation. SUMMARY...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31822e6088

    authors: Oesch P,Meyer K,Jansen B,Mowinckel P,Bachmann S,Hagen KB

    更新日期:2012-02-15 00:00:00

  • A novel method of cervical pedicle screw placement from C3 to C5 and its clinical applications.

    abstract:STUDY DESIGN:Applied anatomical study and clinical application. OBJECTIVE:To design and optimize the method of cervical pedicle screw placement for cervical vertebrae C3-C5, and to test it in clinical applications. SUMMARY OF BACKGROUND DATA:Most of the anatomical studies on cervical pedicle screw placement previousl...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182880065

    authors: Liu J,Li Y,Wu Y,Zhu Q

    更新日期:2013-04-15 00:00:00

  • The course of low back pain from adolescence to adulthood: eight-year follow-up of 9600 twins.

    abstract:STUDY DESIGN:Prospective study with 8-year follow-up. OBJECTIVE:To describe the evolution of low back pain from adolescence into adulthood. SUMMARY OF BACKGROUND DATA:High prevalence rates of low back pain among children and adolescents have been demonstrated in several studies, and it has been theorized that low bac...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000199958.04073.d9

    authors: Hestbaek L,Leboeuf-Yde C,Kyvik KO,Manniche C

    更新日期:2006-02-15 00:00:00

  • Can Elective Spine Surgery Be Performed Safely Among Nonagenarians?: Analysis of a National Inpatient Database in Japan.

    abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:To compare morbidity and mortality between nonagenarians and other older adult patients who underwent elective spine surgery. SUMMARY OF BACKGROUND DATA:There is a lack of information of the perioperative risks of nonagenarians undergoing spine surgery. METHODS:Data...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002842

    authors: Oichi T,Oshima Y,Matsui H,Fushimi K,Tanaka S,Yasunaga H

    更新日期:2019-03-01 00:00:00

  • Trephine Technique for Iliac Crest Bone Graft Harvest: Long-term Results.

    abstract:STUDY DESIGN:Report of surgical technique and long-term outcome; review of prospectively gathered data and follow-up survey of patient cohort. OBJECTIVE:The aim of this study was to review surgical technique for a trephine graft harvest technique and assess perioperative complications/pain, long-term outcome, and pati...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003702

    authors: McLain RF,Techy F

    更新日期:2021-01-01 00:00:00

  • Diagnosis, heritability, and outcome assessment in cervical myelopathy: a consensus statement.

    abstract::This section of the cervical spondylotic myelopathy (CSM) Spine focus issue collates evidence related to diagnosis, outcome assessment, and genetics. Given that a variety of different disease states can present similarly, a guide for diagnosing and differentiating CSM from other neurological conditions is initially pr...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182a7f4bf

    authors: Wilson JR,Fehlings MG,Kalsi-Ryan S,Shamji MF,Tetreault LA,Rhee JM,Chapman JR

    更新日期:2013-10-15 00:00:00