Study Design. A retrospective study (level of evidence: level 4). Objective. To evaluate the radiographic outcomes after extreme lateral lumbar interbody fusion (XLIF) and oblique (OLIF) procedures especially effect indirect decompression to ligamentum flavum facet degeneration these procedures. Summary Background Data. Indirect via provides spinal canal area expansion. However, thickness at operated is unclear. Methods. Thirty-five patients (57 levels) underwent XLIF or OLIF with...

Prospective, randomized controlled trial.To evaluate the effect of topically applied tranexamic acid (TXA) on postoperative blood loss neurologically intact patients with thoracolumbar spine trauma.Few articles exist regarding use topical TXA for bleeding and transfusion in spinal surgery.A total 57 were operated long-segment instrumented fusion without decompression. In 29 patients, a solution containing 1 g (20 mL) was to site surgery via drain tube after fascia closed, then clamped 2...

Introduction:To compare post-operative outcomes of percutaneous pedicle screw fixation (PPSF) vs open (OPSF) in patients with thoracolumbar spine fractures no neurological deficits.Materials and methods: In a randomised controlled trial, received short-segment intermediate screws.We assessed back pain (Visual Analog Scale or VAS), blood loss, operative/fluoroscopy times, radiographic parameters, oswestry disability index (ODI) scores at 1, 2, 3, 6, 9, 12 months.Results: Between January 2018...

Objective: This study aimed to compare and analyze differences in clinical magnetic resonance imaging (MRI) findings between tuberculous spondylodiscitis (TbS) pyogenic (PyS), develop validate a simplified multiparameter MRIbased scoring system for differentiating TbS from PyS.Methods: We compared predisposing factors 190 patients: 123 with 67 PyS, confirmed by laboratory tests, culture, or pathology. Data encompassing patient demographics, characteristics, results, MRI were collected 2015...

<h3>Background</h3> Thoracic spinal tuberculosis (TB) causes destruction of the spine and compression adjacent cord. This study aimed to identify risk factors for neurological deterioration in patients with thoracic TB guide decision-making regarding immediate surgery before onset weakness. <h3>Methods</h3> Demographic, clinical, laboratory, radiologic (x-ray magnetic resonance imaging) data 115 active were retrospectively analyzed. Patients status categorized as Frankel grades A, B, or C...

The thoracolumbar spine is the most frequently affected portion of during fractures. In surgical management, short-segment fixation treatment choice because preserved motion and fewer complications. However, this technique causes concerns kyphosis progression compared with long-segment fixation. widely used load-sharing classification was limited value for predicting in recent literature. goal study to identify incidence explore factors associated fractures.Retrospective cohort...

Introduction: Patients who sustained thoracolumbar spine fracture without neurological deficit often require surgical treatment. The conventional open posterior approach had some disadvantages including post-operative pain, blood loss, and duration of the operation. minimally invasive approach, muscle-preserving pedicle screw fixation, was proposed to have more benefit than approach. This study evaluated clinical perioperative outcomes burst fixation using Methods: A prospective cohort from...

Case: Immunoglobulin G4 (IgG4)-related spinal hypertrophic pachymeningitis (IgG4-RHP) is a rare disease characterized by diffuse inflammatory fibrosis of the dura mater that can cause myelopathy and neurological deficits. Here, we report 2 cases in which both patients presented with paraplegia. They underwent decompressive laminectomy, diagnoses were confirmed through histopathologic examination. Both received prednisolone postoperatively, was subsequently switched to methotrexate for...

Purpose: This study aimed to verify the accuracy of revised Tokuhashi scoring system identify prognosis and life expectancy lung cancer patients with spinal metastasis. We also find factors that were related actual death. Method: Lung metastasis who diagnosed between January 2014 December 2018 included in this study. Demographic data, radiographic score parameters, death, treatment administered collected from hospital tumor database. The relationship each parameter death multivariable...

Purpose: There is limited literature regarding the topical use of tranexamic acid (TXA) to control postoperative bleeding during spinal deformity correction and fusion procedures, which often require blood transfusions. This study aimed evaluate effect TXA on loss in patients undergoing posterior (PSF) surgeries. Methods: A retrospective was conducted between January 2011 April 2017 51 with adolescent idiopathic scoliosis who underwent long-segment PSF hybrid thoracic-hook pedicle screw...

Purpose: We aimed to present a case of spondylodiscitis with extensive spinal epidural abscess (SEA) that was successfully treated using minimally invasive technique supplemented fluoroscopically guided catheter drainage and systemic antibiotic therapy. Methods: A 58-year-old man presented severe back pain high-grade fever. He had progressive radiating in the lower extremities, followed by sensory deficits both limbs. Laboratory investigations revealed leukocytosis high C-reactive protein...