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Article
Open AccessHealthcare burden changes by restricted physical activities in lumbar spinal stenosis and spondylolisthesis: a retrospective large cohort study during the COVID-19 pandemic
Lumbar spinal stenosis (LSS) and spondylolisthesis (SPL) are characterized as degenerative spinal pathologies and share considerable similarities. However, opinions vary on whether to recommend exercise or res...
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Article
Open AccessLong-term effects of lumbar flexion versus extension exercises for chronic axial low back pain: a randomized controlled trial
This study aimed to compare the long-term effects of flexion- and extension-based lumbar exercises on chronic axial low back pain (LBP). This was a 1-year follow-up of a prospective, assessor-blind, randomized...
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Article
Open AccessScreening patients requiring secondary lumbar surgery for degenerative lumbar spine diseases: a nationwide sample cohort study
This study aims to identify healthcare costs indicators predicting secondary surgery for degenerative lumbar spine disease (DLSD), which significantly impacts healthcare budgets. Analyzing data from the Nation...
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Article
Open AccessMulti-pose-based convolutional neural network model for diagnosis of patients with central lumbar spinal stenosis
Although the role of plain radiographs in diagnosing lumbar spinal stenosis (LSS) has declined in importance since the advent of magnetic resonance imaging (MRI), diagnostic ability of plain radiographs has im...
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Article
Is laminectomy necessary for C1-C2 epidural schwannomas?
Spinal schwannomas often require laminectomy for gross total resection. However, laminectomy may not be necessary due to the unique anatomy of epidural schwannomas at the C1-2 level, even with the intradural p...
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Article
Open AccessComparing zero-profile and conventional cage and plate in anterior cervical discectomy and fusion using finite-element modeling
Conventional cage and plate (CCP) implants usually used in ACDF surgery, do have limitations such as the development of postoperative dysphagia, adjacent segment degeneration, and soft tissue injury. To reduce...
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Article
Open AccessNationwide sample data analysis of additional surgery rate after anterior or posterior cervical spinal surgery
Surgical outcomes of degenerative cervical spinal disease are dependent on the selection of surgical techniques. Although a standardized decision cannot be made in an actual clinical setting, continued educati...
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Article
Open AccessHigh peak inspiratory pressure may be associated with intraoperative coughing during neurosurgery under general anesthesia without neuromuscular blockade: a retrospective study
The endotracheal cuff pressure depends on the airway pressure during positive-pressure ventilation. A high endotracheal cuff pressure may be related to intraoperative coughing, which can be detrimental during ...
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Chapter
Navigation Guided Spine Surgery
Since the introduction of the basic principle of stereotactic surgery, navigation-guided spine surgery has evolved from using fluoroscopy to computed tomography-guided navigation systems. Among them, the O-arm...
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Article
Open AccessThe complex of miRNA2861 and cell-penetrating, dimeric α-helical peptide accelerates the osteogenesis of mesenchymal stem cells
The restoration of the functional ability of mesenchymal stem cells (MSCs) using epigenetic modification is very promising for patients with weak osteogenesis ability. This study focused on the acceleration of...
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Article
Open AccessA cost-utility analysis between decompression only and fusion surgery for elderly patients with lumbar spinal stenosis and sagittal imbalance
Lumbar spinal stenosis (LSS) and sagittal imbalance are relatively common in elderly patients. Although the goals of surgery include both functional and radiological improvements, the criteria of correction ma...
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Article
Open AccessValidity of magnetic resonance imaging (MRI) in the primary spinal cord tumors in routine clinical setting
MRI is the primary diagnostic modality for spinal cord tumors. However, its validity has never been vigorously scrutinized in daily routine clinical practice, where MRI tissue diagnosis is usually not a single...
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Article
Open AccessReoperations after fusion surgeries for degenerative spinal diseases depending on cervical and lumbar regions: a national database study
Reoperation is one of the key factors affecting postoperative clinical outcomes. The reoperation rates of cervical surgeries might be different from those of lumbar surgeries due to the anatomical and biomecha...
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Article
Open AccessTreatment strategy to maximize the treatment outcome of spinal dural arteriovenous fistula after initial endovascular embolization attempt at diagnostic angiography
Initial attempt of endovascular treatment (EVT) for spinal dural arteriovenous fistula (SDAVF) is preferred because of concurrent diagnosis and treatment. However, outcomes following further treatment with ini...
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Article
Open AccessAccuracy and precision of the spinal instability neoplastic score (SINS) for predicting vertebral compression fractures after radiotherapy in spinal metastases: a meta-analysis
Radiotherapy has played an important role in the treatment of spinal metastases. One of the major complications of radiotherapy is vertebral compression fracture (VCF). Although the spinal instability neoplast...
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Article
Open AccessNonsurgical treatment outcomes for surgical candidates with lumbar disc herniation: a comprehensive cohort study
Physicians often encounter surgical candidates with lumbar disc herniation (LDH) who request non-surgical management even though surgery is recommended. However, second opinions may differ among doctors. There...
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Chapter
How to Approach Anatomical Compartment; Dural Tumor
The representative tumor originated from dura is a mesenchymal tumor of the fibroblastic type, presumably originating from soft tissue fibroblasts, and constitutes a heterogeneous group of rare spindle-cel...
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Article
Open AccessComparison of the use of opioids only and pregabalin add-on for the treatment of neuropathic pain in cervical myelopathy patients: a pilot trial
Among patients with cervical myelopathy who were diagnosed with neuropathic pain (NP) by the LANSS test, the study participants were randomly assigned to one of the two study groups. The participants in one st...
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Chapter
Posteriorly Approached Cervical Endoscopy
Posterior cervical foraminotomy is a well-known surgical procedure for patients with radiculopathy. Nowadays, improved surgical techniques and instruments enable minimally invasive posterior cervical foraminot...
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Article
Open AccessRepeat decompression and fusions following posterolateral fusion versus posterior/transforaminal lumbar interbody fusion for lumbar spondylosis: a national database study
There is a low incidence of reoperation after surgery. It is difficult to detect statistical differences between reoperation rates of different lumbar fusion surgeries. National population-based databases prov...
