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Old 06-19-2004, 10:21 AM   #1
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Guess before you look. How many ways to correct your spine problem

Low Back Degenerative


1.A Comparison of Microdiscectomy to Microendoscopic Discectomy
2.A Randomized, Prospective, Blinded, Placebo Controlled Trial of Epidural Analgesia During Lumbar Discectomy
3.An Introduction to Open Anterior Lumbar Interbody Fusion (ALIF); 4.Indications, Approaches, Techniques, and Nursing Care
5.Anterior Lumbar lnterbody Fusion Utilizing The AO Titanium Interbody Spacer (TIS)
6.Clinical Experience of Percutaneous Vertebroplasty in 40 Cases of Vertebral Body Collapse
7.Comparison of Instrumented Anterior and Posterior Lumbar Interbody 8.Fusions with Posterolateral Lumbar Fusions Using Pedicle Fixation For Management of Mechanical Back Pain
9.Development and Testing of a Novel Cortical Allograft Wedge for Posterior Lumbar Interbody Fusion
10.Dynamic Cervical Plates: Do They Load Share at the Expense of Stability?
11.Impacted PLIF: Posterior Lumbar Interbody Fusion with Machined, Pre–sized Allograft
12.Instrumented Fusion in the Management of Post–laminectomy Lumbar Spinal Stenosis
13.Midline Sparing Bilateral PLIF with Single Side Plate/Contralateral Cage Stabilization
14.Minimally Invasive 360 Degree Instrumented Lumbar Fusion
15.PLIF with Allograft Bone: Preliminary Results Comparing Cylindrical Dowels and Impacted Wedges
16.Robotically Assisted Laparoscopic Anterior Lumbar Interbody Fusion
17.Segmental Stability and Compressive Strength of Posterior Lumbar Interbodey Fusion Implants
18.Single Stage Anterior Cervical Reconstruction with Harms Titanium Mesh Cages, Local Bone Graft, and Plating
19.The Surgical Management of Lumbar Disc Disease with Neurological Deficits During Pregnancy
20.The Use of lntraoperative Neurophysiologic Monitoring During Anterior and Posterior Lumbar lnterbody Fusions
21.Percutaneous Polymethylmethacrylate Vertebroplasty In the Treatment of Osteoporotic Thoracic and Lumbar Vertebral Compression Fractures: Early Outcome of 159 Patients
22.The Surgical Management of Lumbar Disc Disease with Neurological Deficits During Pregnancy
23.Preliminary Followup of Impacted Posterior Lumbar lnterbody Fusion (PLIF)
24.Far–Lateral Approach to Lumbar Peripheral Nerve Sheath Tumors
25.The Increase in Spinal Canal Area After Inverse Laminoplasty
26.A Prospective Study of Calcium Sulfate Pellets as Bone Graft Extenders in Lumbar Posterolateral Arthrodesis
27.Long–term Efficacy of GRAF Soft Fixation and PLIF with Cages in Multiple Spondylotic Stenosis in Lumbar Spine
28.Retroperitoneal Approach for Anterior Lumbar Interbody Fusion and Combined Anteroposterior Lumbar Fusion
29.Multilevel Corpectomy Strut Graft Can Be Stabilized By Appropriate Reconstruction and Plating
30&31.Microsurgical Decompression of Lumbar Spinal Stenosis: Two Methods
IDET and PED: Benefits of Combination Treatment
32.Use of Autologous Growth Factors in Lumbar Spinal Fusion
33.Outcomes Assesment in Military Patients After Ultrarigid Lumbar Spinal Fusion
34.A Preliminary Report on the FRA Spacer: Uniform Allograft for Anterior Interbody Fusion of the Lumbar Spine
35.Lumbar Spondylolisthesis and Stenosis Treated with Interbody Fusion Cages: A Five Year Experience
36.Clinical Experience with the Z–plate for Management of Fractures of the

Cervical
37.Anterior Cervical Foraminotomy for Radiculopathy
38.Anterior Cervical Fusion with Cages
39&40. Biomechanical Comparison of Anterior Cervical Plating and Combined Anterior/Lateral Mass Plating
41.Cervical Interbody Cage Fixation through Microscope
42.Cervical Pedicle Screws: Comparative Accuracy of Two Insertion Techniques
43.Clinical Experience of Percutaneous Vertebroplasty in 40 Cases of Vertebral Body Collapse
44.Clinical Experience with a New Load Sharing Dynamic Anterior Cervical Plate
45.Cost Advantages of Two–Level Anterior Cervical Fusion with Rigid Internal Fixation for Radiculopathy and Degenerative Disease
46.Early Clinical Outcomes with Kyphoplasty, the Minimally Invasive Reduction and Fixation of Painful Osteoporotic Vertebral Body Compression Fracture VCF
47.Evaluation of a Monocortical Screw for Anterior Cervical Fusion and Plating
48.Evaluation of Open Door Expansile Laminoplasties using Titanium Miniplates for Treatment of Cervical Stenosis
49.Corpectomy Decompression
50.Management of Acute Odontoid Fractures with Single–Screw Anterior Fixation
51.Microsurgical Wedge–Corpectomy Without Bone Grafting for Cervical Spondylosis with Myeloathy or Radiculopathy
52.Midline T–Saw Laminoplasty for the Management of Cervical Spondylotic Myelopathy:
53.Occipitocervical Reconstruction with the OMI Loop: Posterior Spinal 54+Fixation for Disorders of the Cervico–Thoracic Junction
55.Prospective Study of Microsurgical Anterior Foramenotom@ for Cervical Radiculopathy
56.Preliminary Results Using A New Anterior Hybrid Cervical Plate System
57.Pulsed Electromagnetic Field Stimulation Increases Multilevel Cervical Fusion Rates
58.Thoracoscopic surgical Resection of Thoracic Neurogenic Tumors
59.Treatment of Severe Cervical Spondylosis via Combined Anterior and Posterior (360 degree) Decompression and Fusion:
60.Virtual Fluoroscopy for Cervical Spine Surgery
61.Improvement of Cervical Sagittal Angulation Using Dynamic Stabilization Implant
62.Transoral Odontoidectomy and Occipitocervical Fusion
63.Early Experience With the 'Cervifix' Modular Tension System
64."Skip" Corpectomies for Anterior Cervical Decompression:
65.C1–C2 Transarticular Screw Fixation for Atianto–Axial Instability:A Case 66.Intradiscal Depomedrol and Bupivicaine for Treating Refractory Spine Pain
67-68.Comparison of Instrumented Anterior and Posterior Lumbar Interbody Fusions with Posterolateral Lumbar Fusions Using Pedicle Fixation For Management of Mechanical Back Pain
69.Occipitocervical Reconstruction with the OMI Loop:
70.Treatment of Chronic Traumatic Atlanto–axial Rotatory Subluxation in an Adult
71.Improvement of Cervical Sagittal Angulation Using Dynamic Stabilization Implant
72. Transoral Odontoidectomy and Occipitocervical Fusion for Basilar Impression
73-74-75.Comparison of Anterolateral, Lateral Extracavitary and Bilateral Transpedicular Approaches to Thoracolumbar Spine Reconstruction
76.Use of Titanium Mesh and Vertebral Autograft in the Reconstruction of Anterior Spinal Column
77.Surgical Technique and Results of Anterior Decompression and Fusion for Ossification of Cervical Posterior Longitudinal Ligament
78.Management of Unstable Thoracolumbar Burst Fractures Using a Titanium Mesh Cage and the Kanada System:
79.Percutaneous Vertebroplasty of Vertebra Plana
80.Clinical Experience with the Z–plate for Management of Fractures of the Thoracic and Lumbar Spine
81.Spinal Brachytherapy with 1125 for Malignant Tumors
82.Far–Lateral Approach to Lumbar Peripheral Nerve Sheath Tumors
83.Early Experience With the 'Cervifix' Modular Tension System
84.The Tethered Cord Syndrome: Urodynamic Evidence of Improved Outcome With Early Untethering
85.Microsurgical Wedge–Corpectomy Without Bone Grafting for Cervical Spondylosis with Myeloathy or Radiculopathy;
86.The Increase in Spinal Canal Area After Inverse Laminoplasty
87.Calcium Sulfate Pellets as Bone Graft Extenders in Lumbar Posterolateral Arthrodesis
88-89.Long–term Efficacy of GRAF Soft Fixation and PLIF with Cages in Multiple Spondylotic Stenosis in Lumbar Spine
90.Retroperitoneal Approach for Anterior Lumbar Interbody Fusion and Combined Anteroposterior Lumbar Fusion
91.Multilevel Corpectomy Strut Graft Can Be Stabilized By Appropriate Reconstruction and Plating
92-93-94.Comparison of Anterolateral, Lateral Extracavitary and Bilateral Transpedicular Approaches to Thoracolumbar Spine Reconstruction
95.Use of Titanium Mesh and Vertebral Autograft in the Reconstruction of Anterior Spinal Column
96.Circumferential Approaches for the Correction of Occipitocervical and Subaxial Deformity

[B]Sorry, Tired of counting but still wondering what the corect way to fix a problem is.
continued on next page

 
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Old 06-19-2004, 10:23 AM   #2
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Re: Guess before you look. How many ways to correct your spine problem

Instrumentation and Technology

A Comparison of Microdiscectomy to Microendoscopic Discectomy
A Different Approach to Posterior Spinal Instrumentation
Anterior Lumbar lnterbody Fusion Utilizing The AO Titanium Interbody Spacer (TIS)
Application–Specific Accuracy Requirements for Image Guided Spinal Surgery
Biomechanical Assessment of Hydroxyapetite Vertebroplasty in Cadaveric Compression Fractures
Biomechanical Comparison of Anterior Cervical Plating and Combined Anterior/Lateral Mass Plating
Biomechanical Comparison of Anterior versus Transverse Threaded Fusion Cages
Cervical Pedicle Screws: Comparative Accuracy of Two Insertion Techniques
Clinical Experience of Percutaneous Vertebroplasty in 40 Cases of Vertebral Body Collapse
Clinical Experience with a New Load Sharing Dynamic Anterior Cervical Plate
Comparison of Clinical Outcome: Posterolateral Fusion with Transpedicular Screw Fixation and Cage
Comparison of Instrumented Anterior and Posterior Lumbar Interbody Fusions with Posterolateral Lumbar Fusions Using Pedicle Fixation For Management of Mechanical Back Pain
Development and Testing of a Novel Cortical Allograft Wedge for Posterior Lumbar Interbody Fusion
Discography in Failed Back Syndrome
Early Clinical Outcomes with Kyphoplasty, the Minimally Invasive Reduction and Fixation of Painful Osteoporotic Vertebral Body Compression Fracture VCF
Endoscopic Thoracic Sympathectomy
Evaluation of a Monocortical Screw for Anterior Cervical Fusion and Plating
Evaluation of Open Door Expansile Laminoplasties using Titanium Miniplates for Treatment of Cervical Stenosis
Failure and Complication Rates of Anterior Instrumentation in Patients Undergoing Cervical Corpectomy Decompression
Fluoroscopic Guided Targeting System with a Robotic Arm for Pedicle Screw Insertion
Impacted PLIF: Posterior Lumbar Interbody Fusion with Machined, Pre–sized Allograft
In Vitro Evaluation of Self–Centering Pedicle Screws Using Computer–Aided Surgery Techniques
Increased Pedicle Screw Pullout Strength with Vertebroplasty Pedicle Augmentation
Magnetic Resonance Neurography of Sciatic Nerve Following Crush Injury, and Correlation with Functional Deficit
Midline Sparing Bilateral PLIF with Single Side Plate/Contralateral Cage Stabilization
Oblique Cervical Wiring: Technique Modification with Biomechanical Failure Testing
Outcomes and Complications of 179 Thoracoscopic Approaches to the Thoracic Spine
Pulsed Electromagnetic Field Stimulation Increases Multilevel Cervical Fusion Rates
Pyogenic Spine Infections – New Perspectives
Radiation Exposure During Fluoroscopically–Assisted Pedicle Screw Insertion
Robotically Assisted Laparoscopic Anterior Lumbar Interbody Fusion
Segmental Stability and Compressive Strength of Posterior Lumbar Interbodey Fusion Implants
Single Stage Anterior Cervical Reconstruction with Harms Titanium Mesh Cages, Local Bone Graft, and Plating
Surgical Anatomy of the C2 Pedicle
Percutaneous Polymethylmethacrylate Vertebroplasty In the Treatment of Osteoporotic Thoracic and Lumbar Vertebral Compression Fractures: Early Outcome of 159 Patients
Preliminary Results Using A New Anterior Hybrid Cervical Plate System
Prospective Randomized Multi–Center Clinical Trial of Cervical Fusion Cages
The Treatment of Posterior Wound Complication with Myocutaneous Flaps in Cancer Patients
The Use of lntraoperative Neurophysiologic Monitoring During Anterior and Posterior Lumbar lnterbody Fusions
Thoracoscopic surgical Resection of Thoracic Neurogenic Tumors
Transthoracic Video Assisted Endoscopic Discectomy
Treatment of Severe Cervical Spondylosis via Combined Anterior and Posterior (360 degree) Decompression and Fusion: Initial Results
Virtual Fluoroscopy for Cervical Spine Surgery
Virtual Fluoroscopy: Multiplanar X–Ray Guidance with Minimal Radiation Exposure
Far–Lateral Approach to Lumbar Peripheral Nerve Sheath Tumors
Volumes of Degenerated Lumbar Intervertebral Disks Determined From Volumetric Image Analysis
The Increase in Spinal Canal Area After Inverse Laminoplasty
A Prospective Study of Calcium Sulfate Pellets as Bone Graft Extenders in Lumbar Posterolateral Arthrodesis
Long–term Efficacy of GRAF Soft Fixation and PLIF with Cages in Multiple Spondylotic Stenosis in Lumbar Spine
Retroperitoneal Approach for Anterior Lumbar Interbody Fusion and Combined Anteroposterior Lumbar Fusion
Multilevel Corpectomy Strut Graft Can Be Stabilized By Appropriate Reconstruction and Plating
Microsurgical Decompression of Lumbar Spinal Stenosis: Two Methods
IDET and PED: Benefits of Combination Treatment
Use of Autologous Growth Factors in Lumbar Spinal Fusion
Outcomes Assesment in Military Patients After Ultrarigid Lumbar Spinal Fusion
A Preliminary Report on the FRA Spacer: Uniform Allograft for Anterior Interbody Fusion of the Lumbar Spine
Lumbar Spondylolisthesis and Stenosis Treated with Interbody Fusion Cages: A Five Year Experience
Improvement of Cervical Sagittal Angulation Using Dynamic Stabilization Implant
Surgical Outcome After Transoral Odontoidectomy and Occipitocervical Fusion for Basilar Impression
Early Experience With the 'Cervifix' Modular Tension System
"Skip" Corpectomies for Anterior Cervical Decompression: Technical Note
C1–C2 Transarticular Screw Fixation for Atianto–Axial Instability: A Six Year Experience
A Case Review of Intradiscal Depomedrol and Bupivicaine for Treating Refractory Spine Pain
Comparison of Anterolateral, Lateral Extracavitary and Bilateral Transpedicular Approaches to Thoracolumbar Spine Reconstruction
Use of Titanium Mesh and Vertebral Autograft in the Reconstruction of Anterior Spinal Column
Surgical Technique and Results of Anterior Decompression and Fusion for Ossification of Cervical Posterior Longitudinal Ligament
Fluoroscopically Visible Vertebral Fracture Instability Observed During Percutaneous Vertebroplasty
Provocative Annulography for the Diagnosis of Outer Annular Lesions
Management of Unstable Thoracolumbar Burst Fractures Using a Titanium Mesh Cage and the Kanada System: A Report of 21 Cases
Surgical Management of Patients with Multiple Thoracic Herniated Disks: Analysis of Seven Cases with 18–month Follow–up
Percutaneous Vertebroplasty of Vertebra Plana
The Surgical Management of Craniocervical Junction Tumors Involving the Occipital Condyle
Circumferential Approaches for the Correction of Occipitocervical and Subaxial Deformity
Adaptation of Therapies Established in Clinical Neurosurgery to an Endangered Species
Utilization of Autogenous Blood Products for Spine Surgery
Anterior Discectomy and Fusion With BAK: The First 225 Patients
Clinical Experience with the Z–plate for Management of Fractures of the Thoracic and Lumbar Spine
Operating Surgeon's Evaluation of
Bone Marrow Derived Mesenchymal Stem Cells Transduced with an Adenoviral Vector Carrying the Gene for Human BMP–2 Can Induce Anterior Spinal Fusion
Endoscopic Thoracic Sympathectomy
Posterior Spinal Fixation for Disorders of the Cervico–Thoracic Junction
Sensory Ganglionectomy Versus Rhizotomy: Theory, Technical Aspects and Clinical Experience
The Tethered Cord Syndrome: Urodynamic Evidence of Improved Outcome With Early Untethering
The Treatment of Posterior Wound Complication with Myocutaneous Flaps in Cancer Patients
Transthoracic Video Assisted Endoscopic Discectomy

360° And Posterior Spinal Fusion Segmental Biomechanics: A Cadaveric Model
A Biomechanical and Sem Analysis on Repetitive Use of Spinal Screws
Anterior Lumbar lnterbody Fusion Utilizing Titanium Mesh Cages and Coralline Hydroxyapatite
Anterior Single Solid Rod Instrumentation in Thoracolumbar Adolescent Idiopathic Scoliosis With and Without the Use of Interbody Structural Support

Complex Pediatric Thoracolumbar Spinal Deformity: Neurosurgical Management
Delayed Epidural Hematomas after Spinal Surgery
lnterbody Fusion for Disk Disease Following Discectomy
Interbody Fusion with Transpedicular Screw Fixation in Adult Spondylolisthesis
Lateral Extrapedicular Screw Fixation in the Thoracic Spine
Large Magnitude Adolescent Idiopathic Scoliosis: Anterior vs. Posterior Surgical Stabilization
Microscopic Anterior Lumbar lnterbody Fusion for Lumbar Radiculopathy
The "Crank shaft" phenomenon : Treatment options and complexity when growth is completed
Thoracic Pedicle vs Pedicle / Rib screw Fixation : A Biomechanical Study
Spinal Resources on the Internet – An Extensive Review
A Case Review of Intradiscal Depomedrol and Bupivicaine for Treating Refractory Spine Pain
Percutaneous Vertebroplasty of Vertebra Plana
Adaptation of Therapies Established in Clinical Neurosurgery to an Endangered Species
Utilization of Autogenous Blood Products for Spine Surgery
Anterior Discectomy and Fusion With BAK: The First 225 Patients
Biomechanical and Electrophysiological Characterization of the Intact and Injured Peripheral Nerve
[/B]I thought ya'll might be blown away if you knew how many ways there were to corect a problem, get 100 different surgical opinions and be offered 100 different aproaches.
Take care, Dave
PS. Sorry, I got tired of counting, what can we learn? Get more than 1 or 2 opinions and then rersearch the aproach the doc wants to take, then research the rates of succes for each procedure. There are at least 150 ways to do a fusion, which is the right way with the highest succes rate? Ask your surgeon why his method is betyter than the other 150 or so methods. It's not simply posterior or global or screws or cages, the differences are very significant.

Last edited by Shoreline; 06-19-2004 at 02:31 PM.

 
Old 06-19-2004, 03:23 PM   #3
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Re: Guess before you look. How many ways to correct your spine problem

Wow Shoreline -- Really puts it in perspective. Thanks for the information.

Jo
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080807-Cervical-Stim~071707-ACDF-C5-C7 w/instrumentation/bone graft~'07/06 Lumber instrum. removed 05/04-Fusion(DDD/Collapsed Disc L5-S1)08/99-Microdisectomy(Herniated Disc) ~Lupus/EDS,Migraine

 
Old 06-19-2004, 07:32 PM   #4
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Re: Guess before you look. How many ways to correct your spine problem

How are you doing Fiona, your mighty fresh out surgery. Does your doc use theturtle shells for the first 3 months? Did you use your own bone or cadavor, didyou use a bone groth stim? Did they use the new enzymes to promote bone growth and reduce scar tissue? Do you know what line of hardware he used.

There are at last a hundred variables to the method used to fuse your spine. L4-5 fusions tend to put alot of pressure on L5-S1 and from what I have been reading it's foolish to even try to do a posterior fusion of L5-s1 and things tend to go like dominoes when displacing the stress on your spine by fusion.

Although I wouldn't want a global fusion, the changes in the last few years and just looking at a skeleton in a docs office, where they try to fuse L5-S1 posteriorlly, It's like trying to attach sheets of plywood end to end. If they go in from the front they can rip the disc completely out and replace with bone and the pressure placed on the grafted material actually helps the fusion process on a large flat area rather than anarrow portion of the pedicles between L5 and S1, three posterior attempts have failed in that area every time.

You don't want to take all the weight of a fusion because that weight promotes bone growth. So fixation is changing drastically and methods to do these non FDA aproved methods seem to be making more sense from a mechanical perspective.

The best thing you can do to promote your fusion is to walk every day, If you need to wear the turtle shell that's OK, But being upright mashing bone against bone actually helps, It hurts untill your fused but it helps promote bone growth.

Kind of like the external fixation you see on a broken leg without a cast. The fixation keeps the alignment, but the weight bearing is essential to promote healing. You learn a lot being a guinea pig although the smell of cedar chips gets old. LOL
Take it easy, Dave

Last edited by Shoreline; 06-19-2004 at 07:35 PM.

 
Old 06-19-2004, 10:12 PM   #5
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Re: Guess before you look. How many ways to correct your spine problem

Hey Shore, I hope you've got a voice-activated typing program! Otherwise, what nimble fingers you have.

 
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