Spondylodesis with transpedicular screw fixation is widely used for the treatment of different spine pathologies. Yet a potential conflict exists between the immediate benefit and later consequences or complications of this technique. The term adjacent segment degeneration is used to describe radiologic changes seen at levels adjacent to a previous spine fusion, which do not necessarily correla...

Twenty-eight patients with adolescent idiopathic scoliosis treated by anterior spinal fusion with Dwyer instrumentation were reviewed. The average length of follow-up was 6.9 years. This technique produced better correction of lateral curvature and rotation than Harrington instrumentation, particularly in the thoracolumbar and lumbar region. The length of spine requiring fusion was also shorter...

BACKGROUND There have been reports of serious complications associated with pedicle screw fixation, including nerve root injuries caused by accidental screw insertion. We have developed a new system of lumbar spinal instrumentation that we call Tadpole system. The purposes of this report were to show the results of a biomechanical study and the short-term outcome of a clinical study, as well as...

  Abstract   Objective: To evaluate and review our experience with pediatric spinal injuries and   factors affecting outcome, the authors conducted a retrospective clinical study of 43   cases (32 boys, 11 girls) of pediatric spine injuries treated during four years (January   1999 to December 2003).   Methods: Forty-three children with spinal injuries were studied retrospectively   over four y...

BACKGROUND There are quite a few controversies on the surgical management of single-segment thoracic spinal tuberculosis with neurological deficits (STSTND). In this study, the clinical efficacy and feasibility of one-stage posterior-only transpedicular debridement, interbody fusion, and posterior instrumentation for treating STSTND in adults were retrospectively evaluated. METHODS Thirty-fou...

BACKGROUND Spinal brucellosis is a less commonly reported infectious spinal pathology. There are few reports regarding the surgical treatment of spinal brucellosis in existing literature. This retrospective study was conducted to determine the effectiveness of single-stage transforaminal decompression, debridement, interbody fusion, and posterior instrumentation for lumbosacral spinal brucellos...

Over the last decades segmental spinal fusion has become the standard surgical procedure for lumbar degenerative spondyloarthropathy [1]. Its evolution towards the most modern instrumentation techniques has achieved a very high percentage of success in spinal fusion in the lumbar region [2]. This varies between 72 and 91%, depending on the technique used. But the success of lumbar fusion has be...

 Background: One of the important sites for extrapulmonary TB involvement is the skeleton. Tuberculous spondylitis (Pott’s disease) comprises 50-70% of the skeletal tuberculosis. Methods: In this case series study, we prospectively investigated the result of anterior surgery alone (anterior debridement, fusion and instrumentation) in the patients with spinal tuberculosis. The patients with imma...

STUDY DESIGN A retrospective study. PURPOSE We evaluated the results of the use of anterior debridement and interbody fusion followed by posterior spinal instrumentation. OVERVIEW OF LITERATURE An early diagnosis of pyogenic spondylitis is difficult to obtain. The disease can be treated with various surgical methods (such as anterior debridement and bone graft, anterior instrumentation, and...