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). However, regardless of the pathology and surgical technique used, there is a variable percentage of patients who remain symptomatic and with functional disability ( 2 , 4 , 5 ). Following spine surgery, postoperative rehabilitation is considered
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advantages in speed of rehabilitation and lesser soft-tissue injury. One major disadvantage quoted was that of a limitation of access to the root foramen by bone overgrowth. This problem is now well addressed as reported in several of the cohort trials, 15
Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China
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thus favoring patients’ postoperative rehabilitation. In recent years, the number of TLIF procedures has significantly increased globally, which may be attributed to the development of TLIF driven by advances in surgical techniques and medical devices
Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon
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Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon
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) FLD, first lordotic vertebra; LIV, lower instrumented vertebra; SSV, sagittal stable vertebra; UIV, upper instrumented vertebra. Non-surgical management In 2010, the International Society on Scoliosis Orthopaedic and Rehabilitation
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Major Trauma Centre, Leeds Teaching Hospitals NHS Trust, University of Leeds, United Kingdom
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managed operatively. The patient was discharged to a rehabilitation institute 2 weeks later. Full weight-bearing was started 3 months postoperatively, and he completed his follow-up a year later with uneventful healing of his femoral fractures ( Fig. 1
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therapeutic option to add to physiotherapy programs. There has been an increase in the creation and use of virtual reality hardware and software in physical rehabilitation, which has shown to be effective in pathologies such as total knee arthroplasty ( 25
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order. Does asymptomatic lesions require surgery? Although some studies have demonstrated that coexisting asymptomatic stenosis does not interfere with postoperative improvement ( 26 , 28 , 73 ), clinicians have observed that latent LSS does
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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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hypolordosis and thoracic hypokyphosis, as it allows for a greater degree of sagittal curve correction and improved postoperative mobility of the spine ( 78 ). Combined anterior and posterior spinal fusion may, ultimately, be necessary in cases of large
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, the patient only presented radiating pain and numbness in the left lower limb without any convulsion symptoms before surgery. The patient's nerve compression symptoms were relieved through surgery, and the postoperative review showed that the screw did
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1911, this operative procedure has gradually become the most widely used for treating spinal pathologies ( 4 ). Pedicle screw placement played an important role in the reconstruction of spinal stability, promoting fusion and early rehabilitation, and