Abstract:
STUDY DESIGN:Literature review. OBJECTIVE:Provide an overview of biomechanical strengths and weaknesses of long and short fixation constructs applied in thoracolumbar fractures, along with a discussion of specific indications for selecting an instrumentation construct for a given fracture. SUMMARY OF BACKGROUND DATA:Previous clinical and biomechanical studies have shown that segmental spinal instrumentation provides superior torsional, axial, and sagittal stability relative to nonsegmental systems. Multilevel fixation (long constructs) has proven reliable and effective in treating thoracic injuries, with or without anterior reconstruction. Short-segment pedicle instrumentation (short constructs) have proven effective in stabilizing thoracolumbar and lumbar fractures while limiting the disruption of lower lumbar motion segments. Loss of anterior column integrity leads to fixation failure when short constructs are not supplemented with further fixation or an anterior reconstruction. METHODS:Review of the applicable clinical and biomechanical literature. CONCLUSIONS:Long constructs serve well in thoracic and thoracolumbar fractures, while short-segment fixation offers advantages in selected thoracolumbar and lumbar fractures. Anterior column integrity determines the risk of sagittal collapse and kyphosis at the thoracolumbar junction. Recognition of fundamental biomechanical principles is necessary to make either construct work reliably.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
McLain RFdoi
10.1097/01.brs.0000218221.47230.ddsubject
Has Abstractpub_date
2006-05-15 00:00:00pages
S70-9; discussion S104issue
11 Suppleissn
0362-2436issn
1528-1159pii
00007632-200605151-00013journal_volume
31pub_type
杂志文章,评审相关文献
SPINE文献大全abstract:STUDY DESIGN:This is a report of a prospective case series. OBJECTIVE:The purpose of this study was to determine whether evoked potential activity recorded from occipital scalp electrodes in humans is similar to that recorded in animals, and to evaluate the independence of this activity from the classical somatosensor...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199511000-00010
更新日期:1995-11-01 00:00:00
abstract:STUDY DESIGN:A retrospective cohort study. OBJECTIVE:The aim of this study was to identify an association between preoperative opioid use and reoperations rates. SUMMARY OF BACKGROUND DATA:Chronic opioid use is a public health crisis in the United States and has been linked to worse outcomes after lumbar spine surger...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003751
更新日期:2021-02-01 00:00:00
abstract:STUDY DESIGN:A retrospective study was performed of 182 revisions on failed back surgery syndrome from the years 1965 to 1990. OBJECTIVE:To analyze the reasons for failure of primary discectomy, the outcome of the revisions, and factors that influenced those outcomes. SUMMARY OF BACKGROUND DATA:The reported reinterve...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199603010-00017
更新日期:1996-03-01 00:00:00
abstract:STUDY DESIGN:Retrospective Cohort Study OBJECTIVE.: To determine that rates of preoperative opioid use in patients undergoing single-level ACDF without myelopathy and determine the association with reoperations over 5 years SUMMARY OF BACKGROUND DATA.: Preoperative opioid use before cervical spine surgery has been link...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003861
更新日期:2020-12-07 00:00:00
abstract:STUDY DESIGN:Prospective observational study. OBJECTIVE:To investigate the potential association between fibrinogen, bleeding, and transfusion requirements after scoliosis surgery. SUMMARY OF BACKGROUND DATA:Bleeding complications during and after orthopedic surgery are associated with increased morbidity and mortali...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181d952dc
更新日期:2011-04-01 00:00:00
abstract:STUDY DESIGN:A biomechanical study was performed using cadaveric cervical spine specimens. OBJECTIVE:To determine the effect of cervical spine fusion on adjacent-level intradiscal pressure. SUMMARY OF BACKGROUND DATA:Clinical studies have reported that patients with spinal fusion are at greater risk of pathology and ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200211150-00003
更新日期:2002-11-15 00:00:00
abstract:STUDY DESIGN:Multicenter, randomized, patient-assessor blind, sham-controlled clinical trial. OBJECTIVE:To investigate the efficacy of acupuncture treatment with individualized setting for reduction of bothersomeness in participants with chronic low back pain (cLBP). SUMMARY OF BACKGROUND DATA:Low back pain is one of...
journal_title:Spine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/BRS.0b013e318275e601
更新日期:2013-04-01 00:00:00
abstract:STUDY DESIGN:A case report and literature review are presented. OBJECTIVE:To describe and review the clinical presentations, characteristic findings from imaging studies, types, differential diagnosis, prognosis, and treatment of amyloidoma arising within the vertebrae. SUMMARY OF BACKGROUND DATA:Amyloidoma can occur...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/01.brs.0000251016.54203.71
更新日期:2007-01-01 00:00:00
abstract:STUDY DESIGN:Statewide retrospective cohort study using prospectively collected data from the Spine Care and Outcomes Assessment Program, capturing ∼75% of the state's spine fusion procedures. OBJECTIVE:The aim of this study was to estimate the variation in patient-reported outcomes (PROs) 1 year after elective lumbar...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0000000000003299
更新日期:2020-04-01 00:00:00
abstract:STUDY DESIGN:This study examined the coactivation of trunk flexor and extensor muscles in healthy individuals. The experimental electromyographic data and the theoretical calculations were analyzed in the context of mechanical stability of the lumbar spine. OBJECTIVES:To test a set of hypotheses pertaining to healthy ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199710010-00003
更新日期:1997-10-01 00:00:00
abstract:STUDY DESIGN:Population-based, case-control and case-crossover study. OBJECTIVE:To investigate associations between chiropractic visits and vertebrobasilar artery (VBA) stroke and to contrast this with primary care physician (PCP) visits and VBA stroke. SUMMARY OF BACKGROUND DATA:Chiropractic care is popular for neck...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181644600
更新日期:2008-02-15 00:00:00
abstract:STUDY DESIGN:Using a rat spondylosis model, the distributions of cells expressing the basic fibroblast growth factor and its receptor were investigated in normal and degenerated intervertebral discs. Cell-proliferating activity in degenerated discs was also assessed. OBJECTIVES:This study was conducted to determine wh...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199509150-00002
更新日期:1995-09-15 00:00:00
abstract:STUDY DESIGN:A randomized controlled design superimposed on treatment as usual was used to compare the effects of a cognitive-behavior intervention aimed at preventing chronicity with two different forms of information. OBJECTIVE:To develop a coping-oriented preventive intervention applicable in primary care, and to c...
journal_title:Spine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007632-200011010-00017
更新日期:2000-11-01 00:00:00
abstract:STUDY DESIGN:Systematic literature review. OBJECTIVE:To determine the options, indications, and outcomes for conventional radiotherapy and radiosurgery for metastatic spine disease. METHODS:Three research questions were determined through a consensus among a multidisciplinary panel of spine oncology experts. A system...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3181b8b6f5
更新日期:2009-10-15 00:00:00
abstract:STUDY DESIGN:System validation study. OBJECTIVE:To develop and validate a motion sensor system for measuring cervical spine motion over extended time periods. SUMMARY OF BACKGROUND DATA:Many studies using different methodologies have tried to estimate cervical spine motion. These have mostly been carried out in a lab...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318145a93a
更新日期:2007-09-01 00:00:00
abstract::: This next issue of Evidence-Based Recommendations for Spine Surgery examines six articles that seek to address pressing and relevant issues in contemporary spine surgery. These articles explore the safety and efficacy of tranexamic acid during lumbar surgery, the utility of post-operative MRI after spinal decompress...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003512
更新日期:2020-06-15 00:00:00
abstract:STUDY DESIGN:This longitudinal experimental study was conducted to investigate electrophysiologic characteristics, pain behavior, and histological changes in a rat model of lumbar disc herniation. OBJECTIVE:To observe abnormal spontaneous activity (ASA) on needle electromyography (EMG) and to determine its relation wi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318210aa10
更新日期:2011-11-15 00:00:00
abstract::Spinal cord evoked potentials were recorded from spinous processes of the lumbar, thoracic, and cervical levels of the spinal column of normal cats in response to direct stimulation of the sciatic nerve and subcutaneous stimulation of the posterior tibial nerve. The typical primary response was altered by changes in l...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-197911000-00007
更新日期:1979-11-01 00:00:00
abstract::This work is a critical analysis of the term "flexibility of scoliosis." The authors demonstrate that this measure includes two very different and noncorrelated phenomena: the collapse and the reducibility of the structural curve. In 228 paralytic curves, these two phenomena were quantified and correlated with differe...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1985-06-01 00:00:00
abstract::Changes consistent with Scheuermann's kyphosis were noted in 103 specimens (7.4%) of a sample of 1,384 thoracic spines in the Hamann-Todd collection of human skeletons. In 94% of the affected vertebrae, a distinct anterior elongation of the vertebral centrum was present. This anterior extension was composed of mature ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198907000-00011
更新日期:1989-07-01 00:00:00
abstract:STUDY DESIGN:Retrospective clinical series. OBJECTIVE:To compare perioperative parameters, clinical outcomes, radiographic parameters, and complication rates of three reconstructive techniques after the anterior decompression of four-level cervical spondylotic myelopathy (CSM). SUMMARY OF BACKGROUND DATA:At present, ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001907
更新日期:2017-05-15 00:00:00
abstract:STUDY DESIGN:A biomechanical study was designed to assess relative rigidity provided by anterior, posterior, or combined cervical fixation using cadaveric cervical spine models for flexion-distraction injury and burst fracture. OBJECTIVES:To compare the construct stability provided by anterior plating with locked fixa...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200101010-00005
更新日期:2001-01-01 00:00:00
abstract:STUDY DESIGN:A radiographic study was conducted to investigate sacral morphology in a children and adolescent population with developmental L5-S1 spondylolisthesis. OBJECTIVE:To determine the relationship between sacral morphology and developmental L5-S1 spondylolisthesis. SUMMARY AND BACKGROUND DATA:The morphology o...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181857f70
更新日期:2008-09-15 00:00:00
abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:This study aimed to identify the rates and causes of unplanned hospital readmission at 30 days and 1 year after surgical treatment of primary and metastatic spinal tumors. SUMMARY OF BACKGROUND DATA:Primary spine tumors and non-spine tumors metastatic to the spine ca...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000517
更新日期:2014-10-01 00:00:00
abstract:STUDY DESIGN:Retrospective database review. OBJECTIVE:To determine the 90-day complication rate and 90-day and 1-year mortality in patients 80 years of age and older who were treated with posterolateral lumbar spinal fusion surgery and to compare these rates against those of elderly patients ages 65 to 79. SUMMARY OF...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001759
更新日期:2017-03-15 00:00:00
abstract:STUDY DESIGN:Prospective observational cohort study. OBJECTIVE:To compare the outcomes of our new technique, distraction arthrodesis of C1-C2 facet joint with C2 root preservation (Study group), to those of conventional C1-C2 fusion with C2 root transection (Control group) for the management of intractable occipital n...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001031
更新日期:2015-10-15 00:00:00
abstract:STUDY DESIGN:A meta-analysis of surgical outcomes of cauda equina syndrome secondary to lumbar disc herniation. OBJECTIVES:To determine the relationship between time to decompression after onset of cauda equina syndrome and clinical outcome, and to identify preoperative variables that were associated with outcomes. S...
journal_title:Spine
pub_type: 杂志文章,meta分析
doi:10.1097/00007632-200006150-00010
更新日期:2000-06-15 00:00:00
abstract:STUDY DESIGN:A new way to study pain in experimental animals without handling of the animals and based on registration of spontaneous behavior using video recordings. OBJECTIVES:To evaluate if experimental disc herniation in the rat may induce changes in spontaneous behavior. SUMMARY OF BACKGROUND DATA:The knowledge ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200206150-00013
更新日期:2002-06-15 00:00:00
abstract:STUDY DESIGN:Structural investigation of mechanically induced herniations in ovine lumbar motion segments. OBJECTIVE:This new study addresses the question of whether there are regions other than the posterior and posterolateral aspects that are implicated in the initiation of disc disruption and herniation. SUMMARY O...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002181
更新日期:2017-11-01 00:00:00
abstract:STUDY DESIGN:Opportunistic prospective follow-up study. OBJECTIVE:To describe the natural history of low back pain in the community and to model the factors predictive of recovered versus persistent low back pain. SUMMARY OF BACKGROUND DATA:A two-phase questionnaire was mailed to adults in the Bradford Metropolitan H...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200008150-00013
更新日期:2000-08-15 00:00:00