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of somatosensory spinal pathways (dorsal column–medial lemniscus) is based on sub/cortical responses to continuous electrical stimulation of peripheral nerves (e.g. tibial, peroneal, ulnar/median nerve). Although sensory deficit is less debilitating
Centre for Spinal Surgery, Queens Medical Centre, Nottingham University NHS Trust, Nottingham, UK
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Introduction Disc herniation is a localized displacement of disc material beyond the normal margins of the intervertebral disc space. The pain pathway originates in impingement of the nerve root by the herniated disc, which may in turn lead to
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essential role in the stabilization of the sacro-iliac joint. Their section in pudendal nerve release surgery does not produce a significant increase in sacro-iliac joint pain. The muscles also contribute to the stability of this junctional structure. The
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patient. Evaluation of the nerve roots from L4 to S4 is mandatory. The L5 nerve root is at risk in the L5/S1 foramina, and more importantly, the lumbosacral trunk is at high risk considering that it runs across the anterior aspect of sacral ala
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in too much sponge to prevent cord compression. Neural impingement: removal of facets and compression to correct kyphosis leads to a decrease in foraminal height. This may lead to nerve root impingement. A wide facetectomy can solve this problem
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Universitat Autónoma de Barcelona, Spain
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and pelvis have shown good reliability in detecting thoracolumbar spinal injuries, only requiring reconstruction in cases where some abnormality is found and further information is needed. 6 However, significant soft-tissue disruptions can be
These authors contributed equally to this work and should be considered co-first authors
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These authors contributed equally to this work and should be considered co-first authors
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arthroplasty (CDA). Each technique has its proponents and inherent drawbacks mainly related to the adequacy of decompression of the spinal cord and nerve roots, maintenance of the stability of the spinal column, duration of the procedure and blood loss, and
Clínica Universidad de los Andes, Santiago, Chile
Universidad Andrés Bello, Hospital del Trabajador, Facultad de Medicina, Santiago, Chile
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Sanatorio Güemes, Buenos Aires, Argentina
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Spine Unit, Department of Traumatology, Clínica Alemana, Santiago, Chile
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vehicle accidents representing its main etiology ( 7 ). In this context, the clinical spectrum of cervical facet injuries is variable, and its principal symptomatology includes from fracture-dislocations with neurological impairment (from nerve roots or
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paravertebral abscesses, skip lesions, contiguous subligamentous spread, involvement of the posterior elements and encroachment on the spinal canal and nerve roots are suggestive of TB spondylodiscitis. 77 , 78 Another MRI feature in patients with TB
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). TLIF involves removing the unilateral superior together with inferior articular processes and utilizing the intervertebral foramen space to achieve nerve root decompression and interbody cage implantation. This technique achieves reconstruction of the