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STUDY DESIGN A retrospective review of a case series. OBJECTIVE To describe a novel surgical technique for a minimally disruptive lateral transthoracic transpleural approach to treat thoracic disc herniations. SUMMARY OF BACKGROUND DATA Thoracic disc herniation is a relatively uncommon spinal condition, and surgical treatment is indicated for patients(More)
Introduction Studies document rod fracture in pedicle subtraction osteotomy (PSO) settings where disk spaces were preserved above or adjacent to the PSO. This study compares the multidirectional bending rigidity and fatigue life of PSO segments with or without interbody support. Methods Twelve specimens received bilateral T12-S1 posterior fixation and L3(More)
PURPOSE This study aimed at evaluating the additional stability that is provided by anterior external and internal fixators in an unstable pelvic fracture model (OTA 61-C). METHODS An unstable pelvic fracture (OTA 61-C) was created in 27 synthetic pelves by making a 5-mm gap through the sacral foramina (posterior injury) and an ipsilateral pubic rami(More)
STUDY DESIGN Observational, cross-sectional. OBJECTIVE To evaluate cervical spine clearance protocols in level 1 trauma centers in the United States. SUMMARY OF BACKGROUND DATA Cervical spine clearance protocols were developed to prevent missed injuries that could result in neurological deficits. The degree of incorporation of evidence-based guidelines(More)
BACKGROUND CONTEXT Few studies exist for magnetic resonance imaging (MRI) issues and ballistics, and there are no studies addressing movement, heating, and artifacts associated with ballistics at 3-tesla (T). Movement because of magnetic field interactions and radiofrequency (RF)-induced heating of retained bullets may injure nearby critical structures.(More)
The objective of this project was to evaluate magnetic resonance imaging (MRI) issues at 3 T for an armor-piercing bullet and to determine if this item could be identified using a ferromagnetic detection system. An armor-piercing bullet (.30 caliber, 7.62 × 39, copper-jacketed round, steel core; Norinco) underwent evaluation for magnetic field interactions,(More)
BACKGROUND Pseudoarthrosis after pedicle subtraction osteotomy (PSO) can require revision surgery due to posterior rod failure, and the stiffness of these revision constructs has not been quantified. OBJECTIVE To compare the multidirectional bending stiffness of 7 revision strategies following rod failure. METHODS Seven fresh-frozen human spines(More)
Cobb method has been shown to be the most reliable technique with a reasonable measurement error to determine the kyphosis in fresh fractures of young patients. However, measurement errors may be higher for elderly patients as it may be difficult to determine the landmarks due to osteopenia and the degenerative changes. The aim of this study is to(More)
AIMS We compared the accuracy, operating time and radiation exposure of the introduction of iliosacral screws using O-arm/Stealth Navigation and standard fluoroscopy. MATERIALS AND METHODS Iliosacral screws were introduced percutaneously into the first sacral body (S1) of ten human cadavers, four men and six women. The mean age was 77 years (58 to 85).(More)
UNLABELLED Femoral head-neck junction osteochondroplasty is commonly used to treat femoroacetabular impingement, yet remodeling of the osteochondroplasty site is not well described. We therefore describe bony remodeling at the osteochondroplasty site and analyze clinical outcomes and complications associated with femoral osteochondroplasty. We(More)