Abstract:
STUDY DESIGN:Retrospective study. OBJECTIVE:To evaluate the incidence of fusion failure after anterior screw fixation of type II and rostral shallow type III fractures and to identify related risk factors. SUMMARY OF BACKGROUND DATA:Although several studies have reported fusion rates after anterior odontoid screw fixation of type II and rostral shallow type III fractures, few reports have analyzed in detail the risk factors associated with fusion failure. METHODS:Forty-one patients with a type II and rostral shallow type III odontoid fracture were treated using anterior screw fixation. The patients were 33 men and 8 women mean age = 46.6 years; age range = 15-79 years. Range of follow-up was 7 to 48 months. RESULTS:Anterior odontoid screw fixation resulted in solid bony union in 33 patients (80.5%), fibrous union in 3 (7.3%), and nonunion in 5 (12.2%). When surgery was delayed for more than 1 week, the incidence of fusion failure significantly increased (P = 0.0051). Furthermore, a fracture gap of 2 mm or more was found to be significantly associated with fusion failure (P = 0.0172). However, patient age and fracture displacement were not found to be significantly associated with fusion failure (P = 0.8236 and P = 0.5762, respectively). CONCLUSION:Our study of anterior odontoid screw fixation reveals that the risk of fusion failure is 37.5 times greater in patients with a delay of more than 1 week before operation, and 21 times greater in patients with a fracture gap of greater than 2 mm.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Cho DC,Sung JKdoi
10.1097/BRS.0b013e31820e6418subject
Has Abstractpub_date
2012-01-01 00:00:00pages
30-4issue
1eissn
0362-2436issn
1528-1159journal_volume
37pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:We used the Climent Quality of Life for Spinal Deformities Scale prospectively in a nonrandomized prospective comparative cohort of operative versus observational management of adolescent idiopathic scoliosis. OBJECTIVE:To compare the change in disease-specific quality of life associated with operating on...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/BRS.0b013e31815a51cd
更新日期:2007-11-15 00:00:00
abstract:STUDY DESIGN:This is a 3-year prospective study of juvenile low back pain (LBP). OBJECTIVES:To investigate persistence and change in LBP. SUMMARY OF BACKGROUND DATA:Earlier episodes of LBP are a strong risk factor for LBP in adults, while the persistence of LBP through adolescence is not known. METHODS:The material ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000143666.58758.8b
更新日期:2004-11-01 00:00:00
abstract:STUDY DESIGN:The histology of lumbar intertransverse process spinal fusion was studied in an experimental model in rabbits. OBJECTIVES:To qualitatively and quantitatively analyze the sequential histology of spinal fusion using a previously validated animal model. SUMMARY OF BACKGROUND DATA:Few previous studies have d...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199512150-00003
更新日期:1995-12-15 00:00:00
abstract:STUDY DESIGN:Retrospective comparative cohort study. OBJECTIVE:Assess the incidence, risk factors, and outcomes of recurrent proximal junctional kyphosis (r-PJK) in PJK revision patients. SUMMARY OF BACKGROUND DATA:Several studies have identified the incidence and risk factors for PJK after primary surgery. However, ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003202
更新日期:2020-01-01 00:00:00
abstract::Chronic cervical pain is not always attributable to radiculopathy. Pain may derive from peripheral myofascial syndromes and/or central inflammatory root irritation from degradation of discal proteoglycans. This concept is presented with its application in 30 patients with follow-up observations up to 30 months. Twelve...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199210001-00004
更新日期:1992-10-01 00:00:00
abstract:STUDY DESIGN:Two case reports of telangiectatic osteosarcoma treated with complete segmental resection of the spine, including the spinal cord. OBJECTIVES:To report the en bloc tumor excision, including the spinal cord, for telangiectatic osteosarcoma, and discuss the indication of cord transection and influence after...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000200132.59292.4b
更新日期:2006-02-15 00:00:00
abstract::Two-hundred-and-one patients with femoral shaft fractures were identified in a 5 year period at three institutions. Seven patients (3.5%) were found to have associated thoracic or lumbar fractures of various types. All resulted from high-velocity trauma. Four (57%) of these patients had thoracic or lumbar fractures th...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199403000-00011
更新日期:1994-03-01 00:00:00
abstract::A retrospective review was carried out on 40 patients who met the criteria of 1) having a significant lumbar scoliosis associated with spinal stenosis, with symptoms of neurogenic claudication; and 2) having been treated with posterior decompression and pedicular screw fixation techniques. The average age of the patie...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199206001-00009
更新日期:1992-06-01 00:00:00
abstract:STUDY DESIGN:Potential precipitating events and risk factors for vertebrobasilar artery dissection were reviewed in an analysis of the English language literature published before 1993. OBJECTIVES:To assess the literature pertaining to precipitating neck movements and risk factors for vertebrobasilar artery dissection...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-199904150-00010
更新日期:1999-04-15 00:00:00
abstract:STUDY DESIGN:Cross-sectional cohort study of chronic low back pain (CLBP) patients and matched controls. OBJECTIVE:To explore the interplay between vertebral endplate damage and adjacent paraspinal muscle (PSM) quality, and to test their association in a cohort of patients with CLBP and matched controls. SUMMARY OF B...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003035
更新日期:2019-07-15 00:00:00
abstract:STUDY DESIGN:Retrospective review of medical records. OBJECTIVE:To describe pre- and postoperative ambulatory status and lower limb motor power, and compare characteristics of patients with metastatic spinal cord compression (MSCC) who were ambulatory at 48 hours postoperatively with those of patients with MSCC who we...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182927559
更新日期:2013-06-01 00:00:00
abstract:STUDY DESIGN:Interbody spinal fusion rates were compared in patients with and without direct current stimulation. OBJECTIVE:To determine whether direct current improves interbody fusion rates. BACKGROUND:High pseudarthrosis rates have been reported for anterior lumbar interbody fusions and failure of posterior lumbar...
journal_title:Spine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007632-199411000-00004
更新日期:1994-11-01 00:00:00
abstract::The role of thermography for diagnosing lumbar radiculopathy was evaluated by literature review and meta-analysis. From 81 relevant citations, 28 studies could be analyzed for diagnostic-accuracy data (sensitivity and specificity) and method. Diagnostic-accuracy data varied significantly between studies; therefore mea...
journal_title:Spine
pub_type: 杂志文章,meta分析
doi:10.1097/00007632-199106000-00005
更新日期:1991-06-01 00:00:00
abstract:STUDY DESIGN:During vertebroplasty (VP), polymethylmethacrylate (PMMA) may leak into the posterior epidural venus plexus, provoking symptoms ranging from radicular pain to medullar compression. OBJECTIVES:To propose and test the feasibility of a procedure (cooling system) to prevent radicular irritation caused by fora...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200307150-00027
更新日期:2003-07-15 00:00:00
abstract:STUDY DESIGN:Retrospective study of instrumentation failure after posterior vertebral column resection (pVCR) in adult spinal deformity (ASD) patients. OBJECTIVE:The morbidity and related risk factors of the instrumentation failure. SUMMARY OF BACKGROUND DATA:Instrumentation failure is another common complication aft...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001844
更新日期:2017-04-01 00:00:00
abstract:STUDY DESIGN:Analysis of nationally representative survey data for spine-related health care expenditures, utilization and self-reported health status. OBJECTIVE:To study trends from 1997 to 2006 in per-user expenditures for spine-related inpatient, outpatient, pharmacy, and emergency services; and to compare these tr...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181b1fad1
更新日期:2009-09-01 00:00:00
abstract:STUDY DESIGN:Retrospective review. OBJECTIVES:To determine the risk of postlaminectomy thoracolumbar kyphosis in skeletally immature achondroplasts and evaluate the need for concurrent fusion at multilevel decompression. SUMMARY OF BACKGROUND DATA:Spinal stenosis is a relatively common complication of achondroplasia....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000194778.60486.a3
更新日期:2006-01-15 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVE:To report the first case of posterior spinal artery (PSA) infarct due to patent foramen ovale (PFO). SUMMARY OF BACKGROUND DATA:Infarct in the territories of PSA are very rare: till now 38 cases are reported in the literature. Moreover only 1 case of spinal cord infarction was attr...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181cf29ea
更新日期:2010-03-01 00:00:00
abstract:STUDY DESIGN:Recent literature regarding the psychological impact of scoliosis was reviewed. OBJECTIVE:To determine the impact of scoliosis on health-related quality of life (HRQL), psychosocial functioning, and body image to improve patient outcomes. SUMMARY OF BACKGROUND DATA:Adolescents and adults with adolescent ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000249555.87601.fc
更新日期:2006-12-15 00:00:00
abstract:STUDY DESIGN:Osteoporotic human cadaveric thoracic vertebral bodies and vertebral bodies from mature sheep were used as model systems to assess coral resorption and new bone formation after injection of coral granules. OBJECTIVE:To evaluate the use of natural coral exoskeleton, an osteoconductive material, for the fil...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200005010-00006
更新日期:2000-05-01 00:00:00
abstract:STUDY DESIGN:Retrospective analysis using kinetic magnetic resonance images (MRIs). OBJECTIVE:To investigate the relationship of changes in the sagittal alignment of the cervical spine on the kinematics of the functional motion unit and disc degeneration. SUMMARY OF BACKGROUND DATA:Normal lordotic alignment is one of...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181839733
更新日期:2008-11-01 00:00:00
abstract:STUDY DESIGN:A comparative study of aggrecanases and aggrecan fragmentation profile in the human intervertebral disc at early and advanced stages of disc degeneration. OBJECTIVE:To determine differences in the content of the aggrecanases and the profile of aggrecan fragmentation in early and advanced stages of disc de...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318158cb85
更新日期:2007-11-01 00:00:00
abstract:STUDY DESIGN:Retrospective. OBJECTIVE:To examine the relationship between American Society of Anesthesiologists (ASA) score and inpatient pain and narcotics consumption following anterior cervical discectomy and fusion (ACDF). SUMMARY OF BACKGROUND DATA:Higher ASA scores have been previously linked to increased posto...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003135
更新日期:2019-11-15 00:00:00
abstract:STUDY DESIGN:A case of destructive spondyloarthropathy was reported. OBJECTIVES:To describe the rapid destruction of intervertebral disc and vertebral body as a consequence of destructive spondyloarthropathy in a patients with end-stage renal disease receiving hemodialysis. SUMMARY OF BACKGROUND DATA:An important fac...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:2005-01-01 00:00:00
abstract:STUDY DESIGN:Porcine lumbar spine specimens were cyclically loaded in flexion and extension with a pure moment. The resistance to flexion and extension of the individual spinal elements was quantified using a sequential resection procedure. OBJECTIVE:To determine the biomechanical contribution of the individual poster...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200406010-00010
更新日期:2004-06-01 00:00:00
abstract:STUDY DESIGN:In vitro cadaveric study. OBJECTIVE:The purpose of this study was to quantify the relative biomechanical protection resulting from "saving a level" in long spinal fusions. SUMMARY OF BACKGROUND DATA:"Saving levels" in spinal deformity surgery is desirable. Constructs with lowest instrumented vertebra (LI...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31821e1106
更新日期:2012-03-01 00:00:00
abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To determine the difference in postoperative sagittal alignment when single level cervical radiculopathy or myelopathy is treated with an anterior cervical discectomy and fusion (ACDF) using a structural graft and plate, a stand-alone ACDF, or a total disc arthroplasty (TDR). ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003077
更新日期:2019-10-01 00:00:00
abstract:STUDY DESIGN:A cross sectional multicenter study in six outpatient Rehabilitation Centers (RCs) in the Netherlands. OBJECTIVE:This study aims to confirm or refute the finding that a strong relationship exists between psychosocial distress and self-reported disability in patients with nonspecific chronic low back pain ...
journal_title:Spine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/BRS.0b013e3181e8af83
更新日期:2011-05-20 00:00:00
abstract:STUDY DESIGN:Retrospective case-control study. OBJECTIVE:The purpose of this study was to examine the factors of postoperative paralysis in patients who have undergone thoracic ossification of posterior longitudinal ligament (OPLL) surgery. SUMMARY OF BACKGROUND DATA:A higher percentage of thoracic OPLL patients expe...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001585
更新日期:2016-10-01 00:00:00
abstract:STUDY DESIGN:Clinical, neuroradiologic, and neurophysiologic description of 21 patients with compressive cervical spondylotic myelopathy (CCSM). OBJECTIVE:To describe the utility of cutaneous silent periods (CSPs) for functional evaluation of mild CCSM. SUMMARY OF BACKGROUND DATA:Electroneurography, electromyography,...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31818f8be3
更新日期:2009-01-01 00:00:00