Spinal Fusion

Publication Title: 
The American Journal of Clinical Hypnosis
Author(s): 
Jones, C. W.
Publication Title: 
Anesthesia and Analgesia

In this study we compared the effects of propofol, small-dose isoflurane, and nitrous oxide (N(2)O) on cortical somatosensory evoked potentials (SSEP) and bispectral index (BIS) monitoring in adolescents undergoing spinal fusion. Twelve patients received the following anesthetic maintenance combinations in a randomly determined order: treatment #1: isoflurane 0.4% + N(2)O 70% + O(2) 30%; treatment #2: isoflurane 0.6% + N(2)O 70% + O(2) 30%; treatment #3: isoflurane 0.6% + air + O(2) 30%; treatment #4: propofol 120 microg . kg(-1) . min(-1) + air + O(2) 30%.

Author(s): 
Clapcich, Anthony J.
Emerson, Ronald G.
Roye, David P.
Xie, Hui
Gallo, Edward J.
Dowling, Kathy C.
Ramnath, Brian
Heyer, Eric J.
Publication Title: 
British Journal of Anaesthesia

BACKGROUND: This study evaluated the A-Line Autoregressive Index (AAI) response to surgical stimulation during lumbar arthrodesis, as an estimate of the anti-nociceptive component of a Bispectral Index (BIS) guided anaesthesia combined with epidural analgesia. METHODS: An epidural catheter was inserted in 23 patients allocated randomly to receive ropivacaine plus clonidine (Group R) or normal saline (Group S) epidurally.

Author(s): 
Bonhomme, V.
Llabres, V.
Dewandre, P.-Y.
Brichant, J. F.
Hans, P.
Publication Title: 
Women & Health

The most common form of scoliosis (lateral curvature of the spine) is adolescent idiopathic scoliosis (AIS). The prevalence of AIS is 10-20 individuals per 1,000 population screened. Progressive AIS affects females more frequently than males. Only 1-2 per 1,000 individuals have progressive AIS and need brace or surgical treatment. Early screening programs for scoliosis and other spinal deformities are instituted in schools in the fifth to ninth grades to achieve early detection of progressive AIS.

Author(s): 
Emans, J. B.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To present a case of an uncommon presentation of cellulitis of the neck as benign neck pain. CLINICAL FEATURES: A 44-year-old man had severe neck pain and headaches for 2 weeks with an unknown cause. Minimal response to chiropractic treatment leads to coordination of treatment with the patient's primary care physician. Laboratory assessment and magnetic resonance imaging initially were viewed as insignificant but were repeated and showed a retropharyngeal abscess. INTERVENTION AND OUTCOME: Chiropractic treatment did not reduce the patient's neck pain as expected.

Author(s): 
Fogeltanz, Kay A.
Pursel, Kevin J.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: Cases of chronic noncancer pain are both the most frequent and the most difficult that the spine care professional is called upon to treat. We use this case to illustrate the potential effectiveness of repeat positional upright, weight-bearing magnetic resonance (MR) imaging to diagnose disorders and to detect changes in disorders. CLINICAL FEATURES: We present the case of a 35-year-old man referred to our neurosurgical clinic with complaints of chronic, noncancer lower back pain and right-greater-than-left sciatica.

Author(s): 
Gilbert, John W.
Wheeler, Greg R.
Kreft, Martin P.
Upadhyay, Shailesh P.
Storey, Benjamin B.
Spitalieri, John R.
Mick, Gregory E.
Gibbs, Richard A.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: This is the last article in a series of 3 articles introducing a new animal model, the external link model (ELM), that permits reversible, nontraumatic control of the cardinal biomechanical features of the subluxation: fixation and misalignment. A detailed description of current ELM procedures is presented and practical issues are reviewed such as expense (dollars and time) and construct failure rates during and after the surgical implant procedure.

Author(s): 
Henderson, Charles N. R.
Cramer, Gregory D.
Zhang, Qiang
DeVocht, James W.
Sozio, Randall S.
Fournier, Jaeson T.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: Although chiropractic manipulation is commonly used for low back pain, applying this procedure to the patient with postlumbar spine surgery has not been adequately studied. The purpose of this retrospective chart review is to report on the results of chiropractic management (including Cox flexion distraction technique) of patients with postsurgical lumbar spine pain to determine the change in reported pain based on surgical type.

Author(s): 
Kruse, Ralph A.
Cambron, Jerrilyn
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: Recent development of a chiropractic subluxation mimic, the external link model, uses titanium implants on lumbar vertebrae in the rat. The objective of this study was to evaluate potential correlations in the model between linking history, bone resorption, exudate formation, and experimentally induced intervertebral hypomobility. METHODS: Serial lateral radiographs of 73 male Sprague Dawley rats with implanted devices were reviewed.

Author(s): 
Homb, Nicole M.
Henderson, Charles N. R.
Publication Title: 
Journal of Spinal Disorders & Techniques

STUDY DESIGN: Retrospective. OBJECTIVE: To evaluate the clinical safety and accuracy of the Tai Chi ((Equation is included in full-text article.)) technique for placing pedicle screws, without intraoperative radiographic imaging, in severe scoliotic spines.

Author(s): 
Chang, Kao-Wha
Wang, Yu-Fei
Zhang, Guo-Zhi
Cheng, Ching-Wei
Chen, Hung-Yi
Leng, Xiangyang
Chen, Yin-Yu

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