Department of Orthopedic Surgery, Spine Unit, Centre Hospitalier de l’Université de Montréal (CHUM), Canada.
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. This also increased the axial, sagittal and torsional stiffness of the construct. 52 The use of this technique obviates the need for a long construct ( Fig. 6 ). Some authors described even shorter constructs to decrease fusion levels. Wei et al
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Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, UK
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). Consequently, in case of trauma, the exclusion of a potential C-spine injury is crucial. Primary cervical immobilization with a stiff collar is only appropriate during the rescue period and needs to be evaluated as soon as the primary survey has been completed
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hyperkyphosis, and care must be taken to preserve sagittal alignment. With the reduction in intervertebral motion, the spine is thought to improve stability with fusion after instrumentation, and previous researchers have postulated that stiffer constructs allow
Anatomy Institute and Orthopedics Department, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
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column by a percutaneous posterior pathway, this way avoiding the aggression of the anterior approaches. At the same time, they increase the construct stiffness, reducing the load and bending moments on the pedicle screw instrumentation, and preventing
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biomechanical considerations Anatomy Lumbosacral junction is a relatively ‘stiff’ region due to the presence of the L5/S1 disc, the articular processes of L5 and S1, and the iliolumbar ligaments attached from L4 and L5 transverse processes to the iliac
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contributed to inferior post-operative outcomes and clinical scores. Others found that higher volumes are associated with better compressive stiffness and recommend a volume of 4 mL to 6 mL to achieve acceptable physical properties. 24 Yet there is
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/11 High Chronic LBP 2431 29 RCTs >12 weeks Inception to 04/2015 Smith et al . ( 21 ) 7/11 Moderate LBP NA 29 RCTs Pain or stiffness between lower rib and buttock crease (studies with specific pathology were excluded) 10
Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China
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Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China
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palsy Yu et al. ( 61 ) 28 healthy and 28 with non-specific chronic low back pain 18–30 GPS to assess pelvic asymmetry Pimentel-Santos et al. ( 62 ) 17 (M: 8) healthy 18–50 MTM (stiffness, elasticity, and tone) and ultrasound
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stiffness and prevent the concentration of stress forces only at the cranial adjacent segment and sacroiliac joint. Proper selection of upper instrumented vertebrae (UIV) is also an important factor as it influences the risk of developing ASD, primarily
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SUNY Downstate Medical School, New York City, New York, USA
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Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
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their body image ( 61 , 62 ). This decline in self-image is typically worse in surgically treated patients, likely due to spinal fusion-related stiffness and scarring, and awareness of implants and surgical incisions ( 63 , 64 ). Osteopenia