New journal archive - Canadian Journal of Surgery

The following journal from the Canadian Medical Association has been added to the PubMed Central archive:
Canadian Journal of Surgery
URL:http://www.pubmedcentral.nih.gov/tocrender.fcgi?action=archive&journal=505
Archive includes: v. 50 (2007) to the present. There is no embargo delay for this journal. Back issues will be forthcoming.

Getting patients back to work after carpal tunnel surgery

Link to journal
Getting patients back to work after carpal tunnel surgery
Journal Perioperative Practice, Feb 2008, vol. 18, no. 2, p. 60-3,
Newey-M, Clarke-M.
Development of a nurse-led carpal tunnel service in Leicester. The
anatomy, causes and management of carpal tunnel syndrome are outlined
and the rationale for developing a day surgery service managed by a
nurse practitioner is explained. Patient satisfaction and the
economic impact of the service, particularly relating to return to
work times, are discussed. 8 refs.

Use of Dermabond tissue adhesive in hand surgery

Use of Dermabond tissue adhesive in hand surgery.
Journal of Wound Care, Nov 2007, vol. 16, no. 10, p. 441-3
Hancock-N, Samuel-A.
Research in Winchester on the efficacy and safety of Dermabond tissue
adhesive used for wound closure in elective hand surgery in place of
sutures. The wound complication rate, wound healing and patient
satisfaction were assessed and savings in nursing and medical time
are discussed. 13 refs.

NICE guidance - Total wrist replacement

Total wrist replacement
The Interventional Procedures Advisory Committee has considered this procedure and NICE has now issued a consultation document about its safety and efficacy. This has been issued for 4 weeks public consultation (until 5pm on 23 May 2008).

Clinical Orthopaedics and Related Research Volume 466 Number 6

N.B. We are awaiting online access to this title


Symposium: Selected Papers Presented at the 2007 Meeting of the Musculoskeletal Tumor Society
Selected Papers Presented at the 2007 Meeting of the Musculoskeletal Tumor Society: Editorial Comment
Kristy L. Weber, John H. Healey
Online since April 18, 2008
Page 269 - 1270

Symposium: Selected Papers Presented at the 2007 Meeting of the Musculoskeletal Tumor Society
Predicting Distal Femur Bone Strength in a Murine Model of Tumor Osteolysis
Kenneth A. Mann, John Lee, Sarah A. Arrington, Timothy A. Damron, Matthew J. Allen
Online since April 11, 2008
Page 271 - 1278

Symposium: Selected Papers Presented at the 2007 Meeting of the Musculoskeletal Tumor Society
Mirels’ Rating for Humerus Lesions is Both Reproducible and Valid
Andrew R. Evans, John Bottros, William Grant, Benjamin Y. Chen, Timothy A. Damron
Online since March 21, 2008
Page1279 - 1284

Symposium: Selected Papers Presented at the 2007 Meeting of the Musculoskeletal Tumor Society
Attenuated Salmonella typhimurium with IL-2 Gene Reduces Pulmonary Metastases in Murine Osteosarcoma
Brent S. Sorenson, Kaysie L. Banton, Natalie L. Frykman, Arnold S. Leonard, Daniel A. Saltzman
Online sinceApril 18, 2008
Page1285 - 1291

Symposium: Selected Papers Presented at the 2007 Meeting of the Musculoskeletal Tumor Society
Intraarterial Chemotherapy for Extremity Osteosarcoma and MFH in Adults
Ronald R. Hugate, Ross M. Wilkins, Cynthia M. Kelly, Walt Madsen, Ioana Hinshaw, Anne B. Camozzi
Online since April 25, 2008
Page 1292 - 1301

Symposium: Selected Papers Presented at the 2007 Meeting of the Musculoskeletal Tumor Society
Complications and Risk Factors for Failure of Rotationplasty: Review of 25 Patients
Chigusa Sawamura, Francis J. Hornicek, Mark C. Gebhardt
Online since April 11, 2008
Page 1302 - 1308

Symposium: Selected Papers Presented at the 2007 Meeting of the Musculoskeletal Tumor Society
Does the Second-generation Intercalary Humeral Spacer Improve on the First?
Timothy A. Damron, Taninnit Leerapun, Ronald R. Hugate, Thomas C. Shives, Franklin H. Sim
Online since April 18, 2008
Page 1309 - 1317

Symposium: Selected Papers Presented at the 2007 Meeting of the Musculoskeletal Tumor Society
A Comparison of Intramedullary and Juxtacortical Low-grade Osteogenic Sarcoma
Joseph H. Schwab, Cristina R. Antonescu, Edward A. Athanasian et al
Online sinceApril 19, 2008
Page 1318 - 1322

Symposium: Selected Papers Presented at the 2007 Meeting of the Musculoskeletal Tumor Society
Analysis of the Pathology Section of the OITE Will Aid in Trainee Preparation
Frank J. Frassica, Derek Papp, Edward McCarthy, Kristy Weber
Online since April 19, 2008
Page 1323 - 1328

Symposium: Papers Presented at the 2007 Meeting of the Musculoskeletal Infection Society
The Classic: Maggots in Treatment of Osteomyelitis: A Simple Inexpensive Method
Duncan Clark McKeever
Online since April 11, 2008
Page 1329 - 1335

Symposium: Papers Presented at the 2007 Meeting of the Musculoskeletal Infection Society
Papers Presented at the 2007 Meeting of the Musculoskeletal Infection Society: Editorial Comment
Montri D. Wongworawat, George Cierny
Online since April 23, 2008
Page 1336 - 1337

Symposium: Papers Presented at the 2007 Meeting of the Musculoskeletal Infection Society
FDG-PET Imaging Can Diagnose Periprosthetic Infection of the Hip
Timothy Chryssikos, Javad Parvizi, Elie Ghanem et al
Online since April 18, 2008
Page 1338 - 1342

Symposium: Papers Presented at the 2007 Meeting of the Musculoskeletal Infection Society
A Preoperative Decolonization Protocol for Staphylococcus aureus Prevents Orthopaedic Infections
Nalini Rao, Barbara Cannella, Lawrence S. Crossett, A. J. Yates, Richard McGough
Online since April 11, 2008
Page1343 - 1348

Symposium: Papers Presented at the 2007 Meeting of the Musculoskeletal Infection Society
Staphylococcus aureus Nasal Decolonization in Joint Replacement Surgery Reduces Infection
Donna M. Hacek, William J. Robb, Suzanne M. Paule, James C. Kudrna et al
Online since March 18, 2008
Page 1349 - 1355

Symposium: Papers Presented at the 2007 Meeting of the Musculoskeletal Infection Society
Multidrug-resistant Organisms in Military Wounds from Iraq and Afghanistan
Jason H. Calhoun, Clinton K. Murray, M. M. Manring
Online since March 18, 2008
Page1356 - 1362

Symposium: Papers Presented at the 2007 Meeting of the Musculoskeletal Infection Society
Infection Associated With Hematoma Formation After Shoulder Arthroplasty
Emilie V. Cheung, John W. Sperling, Robert H. Cofield
Online since April 18, 2008
Page 1363 - 1367

Symposium: Papers Presented at the 2007 Meeting of the Musculoskeletal Infection Society
Procrastination of Wound Drainage and Malnutrition Affect the Outcome of Joint Arthroplasty
Fereidoon M. Jaberi, Javad Parvizi, C. Thomas Haytmanek, Ashish Joshi, James Purtill
Online since April 11, 2008
Page 1368 - 1371

Symposium: Papers Presented at the 2007 Meeting of the Musculoskeletal Infection Society
Generic Tobramycin Elutes From Bone Cement Faster Than Proprietary Tobramycin
R. L. McLaren, A. C. McLaren, B. L. Vernon
Online since March 14, 2008
Page1372 - 1376

Symposium: Papers Presented at the 2007 Meeting of the Musculoskeletal Infection Society
Chitosan Films: A Potential Local Drug Delivery System for Antibiotics
Scott P. Noel, Harry Courtney, Joel D. Bumgardner, Warren O. Haggard
Online since April 18, 2008
Page 1377 - 1382

Symposium: Papers Presented at the 2007 Meeting of the Musculoskeletal Infection Society
Daptomycin Eluted From Calcium Sulfate Appears Effective Against Staphylococcus
Nathan D. Webb, Jonathan D. McCanless, Harry S. Courtney et al
Online since April 23, 2008
Page 1383 - 1387

Symposium: Papers Presented at the 2007 Meeting of the Musculoskeletal Infection Society
Hematogenous Septic Ankle Arthritis
Paul D. Holtom, Lawrence Borges, C. G. Zalavras
Online since April 18, 2008
Page 1388 - 1391

Symposium: Papers Presented at the 2007 Meeting of the Musculoskeletal Infection Society
Treatment of Primary Isolated Shoulder Sepsis in the Adult Patient
Scott F. M. Duncan, John W. Sperling
Online since March 18, 2008
Page 1392 - 1396

Symposium: Papers Presented at the 2007 Meeting of the Musculoskeletal Infection Society
Polymicrobial Prosthetic Joint Infections: Risk Factors and Outcome
Camelia E. Marculescu, J. Robert Cantey
Online since April 18, 2008
Page 1397 - 1404

Symposium: Papers Presented at the 2007 Meeting of the Musculoskeletal Infection Society
Increased Oxacillin Resistance in Thigh Pyomyositis in Diabetic Patients
C. G. Zalavras, N. Rigopoulos, L. Poultsides, M. J. Patzakis
Online since March 08, 2008
Page 1405 - 1409

Original Article
Consequences of Scapular Anatomy for Reversed Total Shoulder Arthroplasty
Bart Middernacht, Pieter-Jan Roo, Georges Maele, Lieven F. Wilde
Online since March 06, 2008
Page 1410 - 1418

Original Article
Correction of Forearm Malunion Guided by the Preoperative Complaint
Ladislav Nagy, Linas Jankauskas, Charles E. Dumont
Online since April 11, 2008
Page 1419 - 1428

Original Article
Small Stem Total Hip Arthroplasty in Hypoplasia of the Femur
F. Harald R. Man, Daniel Haverkamp, Harm M. Vis, Philip P. Besselaar, René K. Marti
Online since March 15, 2008
Page 1429 - 1437

Original Article
High Incidence of Squeaking in THAs with Alumina Ceramic-on-ceramic Bearings
J. C. Keurentjes, R. M. Kuipers, D. J. Wever, B. W. Schreurs
Online since February 26, 2008
Page 1438 - 1443

Original Article
A New Technique to Reattach an Extended Trochanteric Osteotomy in Revision THA Using Suture Cord
Renuka Reddy Kuruvalli, Ronald Landsmeer, Ujjwal Kanti Debnath et al
Online since April 03, 2008
Page 1444 - 1448

Original Article
Simultaneous Bilateral MIS-TKA Results in Faster Functional Recovery
Ilkyu Han, Sang Cheol Seong, Sahnghoon Lee, Jae Ho Yoo, Myung Chul Lee
Online since March 20, 2008
Page 1449 - 1453

Multimedia Article
New Tendon Transfer for Correction of Drop-foot in Common Peroneal Nerve Palsy
Adolfo Vigasio, Ignazio Marcoccio, Alberto Patelli, Valerio Mattiuzzo, Greta Prestini
Online since April 15, 2008
Page 1454 - 1466

Original Article
Reconstruction Technique Affects Femoral Tunnel Placement in ACL Reconstruction
Maria K. Kaseta, Louis E. DeFrate, Brian L. Charnock, Robert T. Sullivan, William E. Garrett
Online since April 11, 2008
Page 1467 - 1474

Original Article
Ligament Reconstruction versus Distal Realignment for Patellar Dislocation
Petri Sillanpää, Ville M. Mattila, Tuomo Visuri, Heikki Mäenpää, Harri Pihlajamäki
Online since March 18, 2008
Page 1475 - 1484

Survey
Sclerosing Epithelioid Fibrosarcoma: Case Presentation and a Systematic Review
Christian Ossendorf, Gabriela M. Studer, Beata Bode, Bruno Fuchs
Online since March 14, 2008
Page 1485 - 1491

Original Article
Copal Bone Cement Is More Effective in Preventing Biofilm Formation than Palacos R-G
Geert T. Ensing, Jim R. Horn, Henny C. Mei, Henk J. Busscher, Daniëlle Neut
Online since March 13, 2008
Page 1492 - 1498

Case Report
Peter Bonutti, Daniel Dethmers, James B. Stiehl
Online since February 09, 2008
Page 1499 - 1502

Case Report
Matthew B. Dobbs, Stephanie Boehm, Dorothy K. Grange, Christina A. Gurnett
Online since March 06, 2008
Page 1503 - 1509

Erratum
Type III Acetabular Defect Revision With Bilobed Components
Joseph T. Moskal, Michael E. Higgins, Joseph Shen
Online since March 29, 2008
Page 1510

Orthopaedic • Radiology • Pathology Conference
A Slow-growing Prepatellar Mass in a 31-year-old Woman
J. L. Bron, W. J. Mooi, R. Saouti, P. I. J. M. Wuisman
Online since February 08, 2008
Page 1511 - 1515

50 Years Ago in CORR: The Iliac Apophysis: An Invaluable Sign in the Management of Scoliosis Joseph C. Risser MD CORR 1958;11:111–119
Richard A. Brand
Online since April 18, 2008
Page 1516 - 1517

Spine May 2008, Volume 33, Issue 11

Presidential Address
1159-1162
The Mentoring and Education of Spine Physicians: The ISSLS Mission
Harry N. Herkowitz, MD

Basic Science
1163-1169
Sympathectomy Reduces Mechanical Allodynia, Tumor Necrosis Factor-Alpha Expression, and Dorsal Root Ganglion Apoptosis Following Nerve Root Crush Injury
Miho Sekiguchi, MD, PhD; Hideo Kobayashi, MD, PhD; Yasufumi Sekiguchi, MD, PhD; Shin-ichi Konno, MD, PhD; Shin-ichi Kikuchi, MD, PhD

Biomechanics
1170-1179
Loads on a Telemeterized Vertebral Body Replacement Measured in Two Patients
Antonius Rohlmann, Dr Ing; Friedmar Graichen, Dr Ing; Ralph Kayser, MD, PhD; Alwina Bender, Dr Rer Nat; Georg Bergmann, Dr Ing

Cervical Spine
1180-1184
Vestibular-Evoked Myogenic Potential (VEMP) to Evaluate Cervical Myelopathy in Human T-Cell Lymphotropic Virus Type I Infection
Lilian Felipe, ScM; Denise Utsch Gonçalves, MD, PhD; Marco Aurélio Rocha Santos, MD, PhD; Fernando Augusto Proietti, MD, ScD; João Gabriel Ramos Ribas, MD; Anna Bárbara Carneiro-Proietti, MD, PhD; José Roberto Lambertucci, MD, PhD

1185-1191
Anterior Cervical Fusion Assessment: Surgical Exploration Versus Radiographic Evaluation
Jacob M. Buchowski, MD, MS; Gabriel Liu, MD; Torphong Bunmaprasert, MD; Peter S. Rose, MD; K Daniel Riew, MD

Clinical Case Series
1192-1198
Degeneration of Sacroiliac Joint After Instrumented Lumbar or Lumbosacral Fusion: A Prospective Cohort Study Over Five-Year Follow-up
Kee-Yong Ha, MD; Jun-Seok Lee, MD; Ki-Won Kim, MD

1199-1208
Clinical Results and Complications of Circumferential Spinal Cord Decompression Through a Single Posterior Approach for Thoracic Myelopathy Caused by Ossification of Posterior Longitudinal Ligament
Masahiko Takahata, MD; Manabu Ito, MD; Kuniyoshi Abumi, MD; Yoshihisa Kotani, MD; Hideki Sudo, MD; Akio Minami, MD

Deformity
1209-1218
Influence of Idiopathic Scoliosis on Three-Dimensional Thoracic Growth
Yann Philippe Charles, MD; Alain Diméglio, MD; Michel Marcoul, MPO; Jean-François Bourgin, MPO; Amélie Marcoul, MPO; Marie-Cécile Bozonnat, MSc

1219-1223
Anterior Arthrodesis With Instrumentation for Thoracolumbar Scoliosis: Comparison of Efficacy in Adults and Adolescents
Vedat Deviren, MD; Vikas V. Patel, MD; Lionel N. Metz, MD; Sigurd H. Berven, MD; Serena H. Hu, MD; David S. Bradford, MD

1224-1228
Short-term Mortality and Its Association With Independent Risk Factors in Adult Spinal Deformity Surgery
Dhruv B. Pateder, MD; Ricardo A. Gonzales, MD; Khaled M. Kebaish, MD; David B. Cohen, MD, MPH; Jen-Yi Chang, MD; John P. Kostuik, MD

1229-1235
Surgical Treatment of Severe Angular Kyphosis With Myelopathy: Anterior and Posterior Approach With Pedicle Screw Instrumentation
Kwang-Sup Song, MD; Bong-Soon Chang, MD; Jin Sup Yeom, MD; Jae Hyup Lee, MD; Kun-Woo Park, MD; Choon-Ki Lee, MD

Epidemiology
1236-1241
Genetic Factors Are Associated With Modic Changes in Endplates of Lumbar Vertebral Bodies
Jaro Karppinen, MD, PhD; Iita Daavittila, BM, PhD; Svetlana Solovieva, PhD; Mari Kuisma, MD; Simo Taimela, MD, PhD; Antero Natri, MD, PhD; Marianne Haapea, MSc; Raija Korpelainen, PhD; Jaakko Niinimäki, MD; Osmo Tervonen, MD, PhD; Leena Ala-Kokko, MD, PhD; Minna Männikkö, PhD

Health Services Research
1242-1249
A Retrospective Cohort Study of Pulmonary Function, Radiographic Measures, and Quality of Life in Children With Congenital Scoliosis: An Evaluation of Patient Outcomes After Early Spinal Fusion
Michael G. Vitale, MD, MPH; Hiroko Matsumoto, MA; Michael R. Bye, MD; Jaime A. Gomez, MD; Whitney A. Booker, BS; Joshua E. Hyman, MD; David P. Roye, Jr, MD

1250-1255
Effects of Age and Comorbidities on Complication Rates and Adverse Outcomes After Lumbar Laminectomy in Elderly Patients
Gordon Li, MD; Chirag G. Patil, MD; Shivanand P. Lad, MD, PhD; Chris Ho, BS; Wendy Tian, MS; Maxwell Boakye, MD

1256-1261
Association of a Single Nucleotide Polymorphism in the Insulin-Like Growth Factor-1 Receptor Gene With Spinal Disc Degeneration in Postmenopausal Japanese Women
Tomohiko Urano, MD, PhD; Ken’ichiro Narusawa, MD, PhD; Masataka Shiraki, MD, PhD; Takahiko Usui, MD, PhD; Noriko Sasaki, BS; Takayuki Hosoi, MD, PhD; Yasuyoshi Ouchi, MD, PhD; Toshitaka Nakamura, MD, PhD; Satoshi Inoue, MD, PhD

Literature Review
1262-1269
An Evidence-Based Medicine Approach in Determining Factors That May Affect Outcome in Lumbar Total Disc Replacement
Michael R. Zindrick, MD; Michael N. Tzermiadianos, MD; Leonard I. Voronov, MD; Mark Lorenz, MD; Alexander Hadjipavlou, MD

Occupational Health/Ergonomics
1270-1275
Association of Psychosocial Work Characteristics With Low Back Pain Outcomes
Thelma J. Mielenz, PT, PhD, OCS; Joanne M. Garrett, PhD, MSPH; Timothy S. Carey, MD, MPH

Surgery
1276-1283
Revision Strategies in Lumbar Total Disc Arthroplasty
Alpesh A. Patel, MD; Darrel S. Brodke, MD; Luiz Pimenta, MD, PhD; Christopher M. Bono, MD; Alan S. Hilibrand, MD; James S. Harrop, MD; K Daniel Riew, MD; Jim A. Youssef, MD; Alexander R. Vaccaro, MD, PhD

1284-1290
Calcium-Phosphate and Polymethylmethacrylate Cement in Long-term Outcome After Kyphoplasty of Painful Osteoporotic Vertebral Fractures
Ingo A. Grafe, MD; Martin Baier, MD; Gerd Nöldge, MD, PhD; Christel Weiss, PhD; Katharina Da Fonseca, MD; Jochen Hillmeier, MD, PhD; Martin Libicher, MD, PhD; Gottfried Rudofsky, MD; Cornelia Metzner, MD; Peter Nawroth, MD, PhD; Peter-Jürgen Meeder, MD, PhD; Christian Kasperk, MD, PhD

Anatomy
E334-E341
Differences in Standing and Forward Bending in Women With Chronic Low Back or Pelvic Girdle Pain: Indications for Physical Compensation Strategies
Jan-Paul van Wingerden, BSc, PT; Andry Vleeming, PhD; Inge Ronchetti, MSc

E342-E348
The Influence of Pain-Related Fear on Peak Muscle Activity and Force Generation During Maximal Isometric Trunk Exertions
James S. Thomas, PhD; Christopher R. France, PhD; DaoHang Sha, PhD; Nicole Vander Wiele, DPT

E349-E354
Surgical Anatomy of the Nuchal Muscles in the Posterior Cervicothoracic Junction: Significance of the Preservation of the C7 Spinous Process in Cervical Laminoplasty
Atsushi Ono, MD, PhD; Yoshikazu Tonosaki, PhD; Toru Yokoyama, MD, PhD; Shuichi Aburakawa, MD, PhD; Kazunari Takeuchi, MD, PhD; Takuya Numasawa, MD, PhD; Kanichiro Wada, MD, PhD; Takashi Kachi, MD, PhD; Satoshi Toh, MD, PhD

Diagnostics
E355-E361
Measurement of Vertebral Kinematics Using Noninvasive Image Matching Method–Validation and Application
Shaobai Wang, BS; Peter Passias, MD; Gang Li, MD; Guoan Li, PhD; Kirkham Wood, MD

Health Services Research
E362-E365
The Cultural Adaptation, Reliability and Validity of Neck Disability Index in Patients With Neck Pain: A Turkish Version Study
Emine Aslan, PT, PhD; Ayse Karaduman, PT, PhD; Yavuz Yakut, PT, PhD; Bahar Aras, PT, PhD; İbrahim Engin Simsek, PT, MSc; Naciye Yaglý, PT, MSc

Case Report
E366-E370
Subaxial Positional Vertebral Artery Occlusion Corrected by Decompression and Fusion
Vincent J. Miele, MD; John C. France, MD; Charles L. Rosen, MD, PhD

Injury Extra Volume 39, Issue 7, July 2008

Delayed onset ulnar nerve palsy and carpal tunnel syndrome following blunt injury to the wrist Pages 239-242 F. Dakhil-Jerew, M.S. Ikram and F. Schreuder

Deep infection with Mycoplasma arginini in an open femur fracture secondary to an African lion bite: A case report Pages 243-246 Michael J. Prayson, Indresh Venkatarayappa, Monica Srivastava, Ike Northern and Steven D. Burdette

Paediatric multiple carpal fractures: A case report Pages 247-249 Gauraang Bhatnagar, David Crone and Hasan Ahmed

An unusual case of cerebrospinal fluid leak and pneumocephalus following a lumbar stab injury Pages 250-252 A.G. Marsh, A. Barker, A. Campbell, S. Stoica and U. Nkere

Delayed cardiac tamponade following blunt thoracic trauma Pages 253-255 Anne M. Collins, Paul Ridgway, Ken McDonald and Michael Tolan

Ligamentous reconstruction of the elbow in a 13-year old using a circumferential technique Pages 256-259 Roger P. van Riet, Yeow Wai Lim, Robert Baird and Gregory I. Bain

Foot and Ankle Clinics Volume 13, Issue 2, June 2008

N.B. This journal is not available to us in full text

Cavovarus Foot Edited by J.S. Early

The Anatomy of Cavus Foot Deformity Pages 191-198 Arash Aminian and Bruce J. Sangeorzan

Pediatric Issues with Cavovarus Foot Deformities Pages 199-219 Mark C. Lee and Daniel J. Sucato

Hindfoot Issues in the Treatment of the Cavovarus Foot Pages 221-227 Kaj Klaue

Midfoot and Forefoot Issues Cavovarus Foot: Assessment and Treatment Issues Pages 229-241 Richard M. Marks

Neuromuscular Issues in Cavovarus Foot Pages 243-258 Fabian G. Krause, Kevin J. Wing and Alastair S.E. Younger

Charcot-Marie-Tooth Disease and the Cavovarus Foot Pages 259-274 Timothy C. Beals and Florian Nickisch

Tibial Compartment Syndrome and the Cavovarus Foot Pages 275-305 Srinivas Thati, Chad Carlson, John D. Maskill, John G. Anderson and Donald R. Bohay

The Adult Clubfoot (Congenital Pes Cavus) Pages 307-314 Arthur K. Walling

The Subtle Cavus Foot and Association with Ankle Instability and Lateral Foot Overload Pages 315-324 Margaret Chilvers and Arthur Manoli II

The Cavovarus/Supinated Foot Deformity and External Tibial Torsion: The Role of the Posterior Tibial Tendon Pages 325-328 Sigvard T. Hansen

Foot and Ankle Surgery Volume 14, Issue 2, 2008

N.B. This journal is not available to us in full text

Review
Results of simple excision technique in the surgical treatment of symptomatic accessory navicular bones Pages 57-61 Barbara Jasiewicz, Tomasz Potaczek, Wojciech Kącki, Maciej Tęsiorowski and Ewa Lipik

Original articles
The results of utilizing proximal tibial bone graft in reconstructive procedures of the foot and ankle Pages 62-66 Nelson F. SooHoo and Andrea Cracchiolo III

A prospective 2-year follow-up study of plantar incisions in the treatment of primary intermetatarsal neuromas (Morton's neuroma) Pages 67-73 Christian Åkermark, Tönu Saartok and Zbigniew Zuber

Multidisciplinary treatment of diabetic foot ulcers in Canadian Aboriginal and non-Aboriginal people Pages 74-81 Greg Rose, Frank Duerksen, Elly Trepman, Mary Cheang, J. Neil Simonsen, Joshua Koulack, Hank Fong, Lindsay E. Nicolle and John M. Embil

Long-term follow-up on microsurgical free-tissue transfer in foot and ankle reconstruction Pages 82-88 Ramzi Musharafieh, Joseph Wehbe, Ghassan Maalouf and Bishara Atiyeh

Acquired adult flat foot due to isolated plantar calcaneonavicular (spring) ligament insufficiency with a normal tibialis posterior tendon Pages 89-95 M. Tryfonidis, W. Jackson, R. Mansour, P.H. Cooke, J. Teh, S. Ostlere and R.J. Sharp

Case reports
Open infected Achilles tendon injury—Reconstruction of tendon with fascia lata graft and soft tissue cover with a reverse flow sural flap Pages 96-99 P.R.J.V.C. Boopalan, Thilak S. Jepegnanam, V.T.K. Titus, Seetharam Y. Prasad and Samuel B. Chittaranjan

Rupture of the extensor hallucis longus tendon caused by talar neck osteophyte Pages 100-102 George E. Fadel and Faz Alipour

Book review
Michael J. Coughlin, Roger A. Mann and Charles L. Salzmann, Surgery of the Foot and Ankle , Mosby Elsevier (2007) ISBN-13: 978-0-323-03305-3. Page 103 T.W.D. Smith

Special report
Special report: Highlights of the 23rd Annual Summer Meeting of the American Orthopaedic Foot and Ankle Society, Toronto, Ontario, Canada, 13–15 July 2007 Pages 104-112 Elly Trepman, Lowell D. Lutter, E. Greer Richardson, David B. Thordarson, Lowell H. Gill and Christopher W. DiGiovanni

Announcements:10th EFAS Instructional Course and 7th EFAS Congress Page I

Journal of Foot and Ankle Surgery Volume 47, Issue 3, May-June 2008

N.B. This journal is not available to us in full text

A Focus on Kaiser Foot and Ankle Surgeons Page 177 D. Scot Malay

The Road to Anywhere Pages 177-178 John Schuberth

The Bee Thrive Pages 178-179 Neal Michael Blitz

Special Kaiser Section
Bilateral Single-stage Middle Facet Talocalcaneal Coalition Resection Combined with Flatfoot Reconstruction: A Report of 3 Cases and Review of the Literature. Investigations Involving Middle Facet Coalitions—Part 1 Pages 180-190 Klaus J. Kernbach, Neal M. Blitz and Shannon M. Rush

Posterior Bone Block Distraction Arthrodesis of the Subtalar Joint: A Review of 22 Cases Pages 191-198 Jason D. Pollard and John M. Schuberth

A Posttraumatic, Joint-connected Sural Intraneural Ganglion Cyst—With a New Mechanism of Intraneural Recurrence: A Case Report Pages 199-205 Neal M. Blitz, James Prestridge, Kimberly K. Amrami and Robert J. Spinner

Giant Solitary Osteochondroma of the Inferior Medial Calcaneal Tubercle: A Case Report and Review of the Literature Pages 206-212 Neal M. Blitz and Kenneth T. Lopez

Original Research
Clinical Outcome Scoring of Intra-articular Calcaneal Fractures Pages 213-218 Tim Schepers, Martin J. Heetveld, Paul G.H. Mulder and Peter Patka

The Effects of Sectioning the Spring Ligament on Rearfoot Stability and Posterior Tibial Tendon Efficiency Pages 219-224 Meagan M. Jennings and Jeffery C. Christensen

New and Recurrent Ulcerations after Percutaneous Achilles Tendon Lengthening in Transmetatarsal Amputation Pages 225-229 Javier La Fontaine, Damieon Brown, Moffatt Adams and Michael VanPelt
A Retrospective Analysis of Joint Salvage Procedures for Grades III and IV Hallux Rigidus Pages 230-236 Lawrence M. Oloff and Gita Jhala-Patel

Early Results of the Mau Osteotomy for Correction of Moderate to Severe Hallux Valgus: A Review of 24 Cases Pages 237-242 Jason P. Glover, Christopher F. Hyer, Gregory C. Berlet and Thomas H. Lee

Review
Thromboembolism Following Foot and Ankle Surgery: A Case Series and Literature Review Pages 243-249 Dane K. Wukich and Dana H. Waters

Case Report
Treatment of Lisfranc Fracture Dislocations with an Interosseous Suture Button Technique: A Review of 3 Cases Pages 250-258 James M. Cottom, Christopher F. Hyer and Gregory C. Berlet

Tips, Quips, and Pearls
Distal First Metatarsal Dome (Crescentic) Osteotomy for Repair of Mild to Moderate Hallux Valgus Deformity Pages 259-262 Murat Tonbul, Mujdat Adas, Ilker Keris and Serdar Zengin

Letters to the Editor
Letter to the Editor, Long-term outcomes of patients undergoing war-related amputations of the foot and ankle Page 263 Ahmadreza Afshar

Spine May 2008, Volume 33, Issue 10

1051-1054
Rationale Behind the Current State-of-the-Art Treatment of Scoliosis (in the Pedicle Screw Era)
Lawrence G. Lenke, MD; Timothy R. Kuklo, MD; Stephen Ondra, MD; David W. Polly, Jr, MD

Clinical Case Series
1055-1060
Prospective Pulmonary Function Comparison of Anterior Spinal Fusion in Adolescent Idiopathic Scoliosis: Thoracotomy Versus Thoracoabdominal Approach
Yongjung J. Kim, MD; Lawrence G. Lenke, MD; Keith H. Bridwell et al

1061-1067
Thoracoplasty in Thoracic Adolescent Idiopathic Scoliosis
Se-Il Suk, MD, PhD; Jin-Hyok Kim, MD, PhD; Sung-Soo Kim et al

1068-1073
Spontaneous Lumbar Curve Correction in Selective Thoracic Fusions of Idiopathic Scoliosis: A Comparison of Anterior and Posterior Approaches
Prerana N. Patel, MD; Vidyadhar V. Upasani, MD; Tracey P. Bastrom et al

1074-1078
Juvenile Idiopathic Scoliosis: The Effectiveness of Part-Time Bracing
James Jarvis, MD, FRCSC; Shawn Garbedian, MD; Ganesh Swamy, MD, FRCSC

1079-1083
Fusion Rates After Thoracoscopic Release and Bone Graft Substitutes in Idiopathic Scoliosis
Brett Weinzapfel, MD, PhD; Jochen P. Son-Hing, MD, FRCSC; Douglas G. Armstrong et al

Diagnostics
1084-1092
Comparison of Radiographic Outcomes for the Treatment of Scoliotic Curves Greater Than 100 Degrees: Wires Versus Hooks Versus Screws
Kei Watanabe, MD; Lawrence G. Lenke, MD; Keith H. Bridwell, et al

1093-1099
Loss of Spinal Cord Monitoring Signals in Children During Thoracic Kyphosis Correction With Spinal Osteotomy: Why Does It Occur and What Should You Do?
Gene Cheh, MD; Lawrence G. Lenke, MD; Anne M. Padberg, et al

1100-1106
Transcranial Motor-Evoked Potentials Combined With Response Recording Through Compound Muscle Action Potential as the Sole Modality of Spinal Cord Monitoring in Spinal Deformity Surgery
Brian Hsu, MBBS, FRACS; Andrew K. Cree, MBBS, FRACS; Jim Lagopoulos et al

Health Services Research
1107-1112
Adolescent Idiopathic Scoliosis Patients Report Increased Pain at Five Years Compared With Two Years After Surgical Treatment
Vidyadhar V. Upasani, MD; Christine Caltoum, MD; Maty Petcharaporn et al

1113-1118
Perioperative Outcomes and Complications Related to Teaching Residents and Fellows in Scoliosis Surgery
Joshua D. Auerbach, MD; Baron S. Lonner, MD; M Darryl Antonacci, MD; Kristin E. Kean

1119-1124
Postoperative Ketorolac Does Not Predispose to Pseudoarthrosis Following Posterior Spinal Fusion and Instrumentation for Adolescent Idiopathic Scoliosis
Daniel J. Sucato, MD, MS; John F. Lovejoy, MD; Sundeep Agrawal et al

Surgery
1125-1132
Surgical Treatment of Adult Scoliosis: Is Anterior Apical Release and Fusion Necessary for the Lumbar Curve?
Youngbae B. Kim, MD; Lawrence G. Lenke, MD; Yongjung J. Kim et al

1133-1140
Surgical Correction of Scoliosis in Pediatric Patients With Cerebral Palsy Using the Unit Rod Instrumentation
Athanasios I. Tsirikos, MD, FRCS; Glen Lipton, MD; Wei-Ning Chang, MD; Kirk W. Dabney, MD; Freeman Miller, MD

Technical Note
1141-1148
Free-Hand Pedicle Screw Placement During Revision Spinal Surgery: Analysis of 552 Screws
Young-Woo Kim, MD, PhD; Lawrence G. Lenke, MD; Yongjung J. Kim et al

1149-1155
A Central Hook–Rod Construct for Osteotomy Closure: A Technical Note
Kota Watanabe, MD; Lawrence G. Lenke, MD; Michael D. Daubs, MD; Young-Woo Kim et al

Letters
1156
Letters
James E. Barone, MD, FACS, FCCM

1156
Letters
Suat Erol Çelik, MD; Ayhan Kara, MD

1156-1157
Letters
Ricardo Vieira Botelho, MD, PhD

1157
Letters
Rick Sasso, MD; John Heller, MD; Bob Hacker, MD; Joe Smucker, MD

1157-1158
Letters
Laxmaiah Manchikanti, MD; James Giordano, PhD

1158
Letters
Nancy Kim, MD; Elva Delport, MD; Tony Cucuzzella, MD

Randomized Trial
E297-E304
Fluoroquinolones Versus β-Lactam Based Regimens for the Treatment of Osteomyelitis: A Meta-Analysis of Randomized Controlled Trials
Eirinaios M. Karamanis, MD; Dimitrios K. Matthaiou, MD; Lampros I. Moraitis et al

Cervical Spine
E305-E310
Prognostic Value of Somatosensory-Evoked Potentials in the Surgical Management of Cervical Spondylotic Myelopathy
Yong Hu, PhD; Yu Ding; Dike Ruan, MD; Y W. Wong et al

Diagnostics
E311-E316
Clinical Magnification Error in Lateral Spinal Digital Radiographs
Bheeshma Ravi, HonBSc; Raja Rampersaud, MD, FRCSC

Technique
E317-E324
Polymethylmethacrylate Augmentation of Pedicle Screw for Osteoporotic Spinal Surgery: A Novel Technique
Ming-Chau Chang, MD; Chien-Lin Liu, MD; Tain-Hsiung Chen, MD

Case Report
E325-E328
Surgical Management of Severely Displaced Pediatric Seat-Belt Fracture-Dislocations of the Lumbar Spine Associated With Occlusion of the Abdominal Aorta and Avulsion of the Cauda Equina: A Report of Two Cases
Charles H. Crawford, III, MD; Rolando M. Puno, MD; Mitchell J. Campbell et al

E329-E333
Inferior Vena Cava Syndrome Following Percutaneous Vertebroplasty With Polymethylmethacrylate
Feng-Chen Kao, MD; Yuan-Kun Tu, MD; Po-Liang Lai, MD; Shang-Won Yu et al

A10-A11
Online Article Abstracts

Spine. 33(9): E287-E292 April 20, 2008.

Link to journal

Metz, Lionel N. BS; Burch, Shane MD, MSc;
Computer-Assisted Surgical Planning and Image-Guided Surgical Navigation in Refractory Adult Scoliosis Surgery: Case Report and Review of the Literature
E287-E292
Abstract
Study Design. Case report and literature review.Objective. In this case report, we present the utility of computer-assisted surgical planning and image-guided surgical navigation in the planning and execution of a major osteotomy to correct severe kyphoscoliosis.Summary of Background Data. Computer-assisted surgical planning is useful to appreciate the three-dimensional nature of scoliotic deformities and allows for operative maneuvers to be simulated on a computer before their implementation in the operating room. Image-guided surgical navigation improves surgical accuracy and can help translate a virtual surgical plan to the operative setting.Methods. We report the case of a 38-year-old woman with severe, congenital kyphoscoliosis refractory to many previous surgeries, who presents with moderate progressive myelopathy and severe pain attributable to a sharp angular deformity at T12. Three-dimensional computed tomography reconstruction and computer-assisted surgical planning were used to determine the optimal corrective osteotomy. The surgical plan was translated to the operating room where a posterior vertebrectomy and instrumented correction were executed with the aid of image-guided surgical navigation.Results. The osteotomy was safely performed resulting in improved sagittal and coronal alignments, as well as, correction of the sharp kyphoscoliotic deformity at the thoracolumbar junction. At 6-month follow-up, the patient's myelopathy and pain had largely resolved and she expressed high satisfaction with the procedure.Conclusion. We advocate this novel application of virtual surgical planning and intraoperative surgical navigation to improve the safety and efficacy of complex spinal deformity corrections

Sayer, Faisal T. MD, MSc; Vitali, Aleksander M. MD; Low, Hu Liang MSc, FRCS(SN); Paquette, Scott MD, FRCS(C); Honey, Christopher R. MD, DPhil, FRCS(C);
Brown-Sequard Syndrome Produced by C3-C4 Cervical Disc Herniation: A Case Report and Review of the Literature.
E279-E282
Abstract
Study Design. The article presents a case in which Brown-Sequard syndrome resulted from a painless C3-C4 disc herniation.Objective. To raise spinal surgeons' awareness of this unusual clinical problem.Summary of Background Data. Brown-Sequard syndrome involves ipsilateral loss of motor function combined with contralateral loss of pain and temperature sensation. Brown-Sequard syndrome is commonly seen in the setting of spinal trauma or an extramedullary spinal neoplasm, but rarely it can be caused by a herniated cervical disc.Methods. A 46-year-old man presented with progressive numbness and weakness in the left arm, mild neck pain, and reduced temperature sensation on the right side of the body. There was weakness in left arm and leg and proximal right lower limb. Magnetic resonance imaging showed large C3-C4 disc herniation compressing the spinal cord at that level. Anterior cervical discectomy and fusion with iliac crest bone graft was performed.Results. Follow-up showed complete resolution of the neck pain, normal sensory function, and complete recovery of motor power in the left upper and right lower limb. There was a slight residual weakness in the left leg.Conclusion. Brown-Sequard syndrome is rarely caused by a cervical disc herniation. This etiology may be underdiagnosed but has a more favorable outcome in those cases where rapid diagnosis is followed by spinal cord decompression

Matsumoto, Morio; Chiba, Kazuhiro ; Toyama, Yoshiaki et al
Surgical Results and Related Factors for Ossification of Posterior Longitudinal Ligament of the Thoracic Spine: A Multi-Institutional Retrospective Study
1034-1041
Abstract
Study Design. Retrospective multi-institutional studyObjective. To describe the surgical outcomes in patients with ossification of the posterior longitudinal ligament in the thoracic spine (T-OPLL) and to clarify factors related to the surgical outcomes.Summary of Background Data. Detailed analyses of surgical outcomes of T-OPLL have been difficult because of the rarity of this disease.Methods. The subjects were 154 patients with T-OPLL who were surgically treated at 34 institutions between 1998 and 2002. The surgical procedures were laminectomy in 36, laminoplasty in 51, anterior decompression via anterior approach in 25 and via posterior approach in 29, combined anterior and posterior fusion in 8, and sternum splitting approach in 5 patients. Instrumentation was conducted in 52 patients. Assessments were made on (1) The Japanese Orthopedic Association (JOA) scores (full score, 11 points), its recovery rates, (2) factors related to surgical results, and (3) complications and their consequences.Results. (1) The mean JOA score before surgery was 4.6 +/- 2.0 and, 7.1 +/- 2.5 after surgery. The mean recovery rate was 36.8% +/- 47.4%. (2) The recovery rate was 50% or higher in 72 patients (46.8%). Factors significantly related to this were location of the maximum ossification (T1-T4) (odds ratio, 2.43-4.17) and the use of instrumentation (odds ratio, 3.37). (3) The frequent complications were deterioration of myelopathy immediately after surgery in 18 (11.7%) and dural injury in 34 (22.1%) patients.Conclusion. The factors significantly associated with favorable surgical results were maximum ossification located at the upper thoracic spine and use of instrumentation. T-OPLL at the nonkyphotic upper thoracic spine can be treated by laminoplasty that is relatively a safe surgical procedure for neural elements. The use of instrumentation allows correction of kyphosis or prevention of progression of kyphosis, thereby, enhancing and maintaining decompression effect, and its use should be considered with posterior decompression
Stadhouder, Agnita ; Buskens, Erik ; de Klerk, Luuk W. ; Verhaar, Jan A. et al
Traumatic Thoracic and Lumbar Spinal Fractures: Operative or Nonoperative Treatment: Comparison of Two Treatment Strategies by Means of Surgeon Equipoise.
1006-1017
Abstract
Study Design. A center parallel cohort study with blinded inclusion based on clinical equipoise.Objective. To compare outcomes of nonoperative and operative treatment strategies in terms of quality of life and neurologic and functional status.Summary of Background Data. Despite a considerable body of literature, sound evidence regarding the optimal treatment for traumatic thoracic and lumbar spine fractures is lacking.Methods. Medical records of patients hospitalized for traumatic spinal fractures between 1991 and 2002 were identified in 2 trauma centers in the same country with established and different treatment strategies. Eligibility was retrospectively assessed for each case by a panel of orthopaedic surgeons who were representative of the 2 medical centers, and who were blinded to the treatment actually administered. Patients were included in the study when there was disagreement on the suggested treatment method. Thus, 2 comparable groups were identified undergoing nonoperative or operative treatment. Outcome assessment and comparison across groups focused on quality of life, residual pain, neurologic recovery, and employment in the middle-long-term follow-up.Results. Discordance in regards to choice of treatment was identified in 190 (95 treated nonoperative, 95 operative) of 636 potentially eligible patients. Patients were comparable regarding baseline characteristics, except for a somewhat higher proportion of males and neurologic impairment in the operative group. Seventeen percent of the nonoperative and 21% of the operative group developed complications and 3 patients displayed neurologic deterioration for which a treatment change was considered necessary. Follow-up was complete in 79%; mean follow-up time was 6.2 years with a minimum of 2 years. Pain scores, disability indexes, and general health outcome were comparable at follow-up. Compared with matched population norms, outcomes were poorer regardless of treatment method. Neurologic recovery was better in the operative group, but this difference did not reach statistical significance. Multivariate regression analyses revealed that female gender and neurologic impairment were independent predictors of poor functional outcome. Eighty-eight and 83% of the nonoperatively and operatively treated patients were employed at some point after a rehabilitation period.Conclusion. Overall outcome of nonoperative and operative treatment in middle-long-term follow up is comparable, although there seems to be a difference in neurologic recovery patterns. Studies on the cost-effectiveness of treatment options and the patterns of recovery within 2 years after injury would assist in guideline development and stimulate interest for future research

Hay, Douglas FRCS; Izatt, Maree T. BPhty; Adam, Clayton J et al
The Use of Fulcrum Bending Radiographs in Anterior Thoracic Scoliosis Correction: A Consecutive Series of 90 Patients.
999-1005
Abstract
Study Design. A prospective, consecutive series of 90 patients receiving fulcrum bending radiographs before endoscopic anterior scoliosis correction.Objective. To assess the effectiveness of fulcrum bending radiographs in predicting correction of the structural curve in anterior scoliosis surgery for a series of 90 consecutive patients.Summary of Background Data. The fulcrum bending radiograph is highly predictive of scoliosis curve correction for posterior instrumented fixation. However, its use has been questioned in relation to anterior scoliosis surgery due to the disc removal in anterior procedures.Methods. Fulcrum bending radiographs were performed before endoscopic anterior scoliosis correction following the protocol of Cheung and Luk. All patients received a single anterior rod and vertebral body screws using a standard compression technique. In all cases, cleared disc spaces were packed with mulched femoral head allograft. Surgical correction was assessed using 6- to 8-week postoperative standing radiographs. Paired t tests and least squares linear regression analysis were used to compare the preoperative major Cobb angle achieved on the fulcrum bending radiograph with the postoperative Cobb angles for each patient.Results. Mean (+/-SD) major curve correction rate was 60.1% +/- 12.4%. Mean instrumented curve correction rate was 63.7% +/- 11.7%. Mean fulcrum flexibility was 60.8% +/- 15.5%. Mean fulcrum bending correction index was 104%. There was no statistically significant difference between the mean fulcrum bending radiograph Cobb angle (20.4 +/- 9[degrees]) and the mean postoperative major Cobb angle for the structural curve (20.5 +/- 7.1[degrees]).Conclusion. The results of this study show that fulcrum bending radiographs are predictive of surgical correction for anterior scoliosis surgery

Lurie, Jon D.; Tosteson, Anna N. A.; Tosteson, Tor et al
Reliability of Magnetic Resonance Imaging Readings for Lumbar Disc Herniation in the Spine Patient Outcomes Research Trial (SPORT).
991-998
Abstract
Study Design. Assessment of the reliability of standardized magnetic resonance imaging (MRI) interpretations and measurements.Objective. To determine the intra- and inter-reader reliability of MRI parameters relevant to patients with intervertebral disc herniation (IDH), including disc morphology classification, degree of thecal sac compromise, grading of nerve root impingement, and measurements of cross-sectional area of the spinal canal, thecal sac, and disc fragment.Summary of Background Data. MRI is increasingly used to assess patients with sciatica and IDH, but the relationship between specific imaging characteristics and patient outcomes remains uncertain. Although other studies have evaluated the reliability of certain MRI characteristics, comprehensive evaluation of the reliability of readings of herniated disc features on MRI is lacking.Methods. Sixty randomly selected MR images from patients with IDH enrolled in the Spine Patient Outcomes Research Trial were each rated according to defined criteria by 4 independent readers (3 radiologists and 1 orthopedic surgeon). Quantitative measurements were performed separately by 2 other radiologists. A sample of 20 MRIs was re-evaluated by each reader at least 1 month later. Agreement for rating data were assessed with kappa statistics using linear weights. Reliability of the quantitative measurements was assessed using intraclass correlation coefficients (ICCs) and summaries of measurement error.Results. Inter-reader reliability was substantial for disc morphology [overall kappa 0.81 (95% confidence interval (CI): 0.78, 0.85)], moderate for thecal sac compression [overall kappa 0.54 (95% CI: 0.37, 0.68)], and moderate for grading nerve root impingement [overall kappa 0.47 (95% CI: 0.36, 0.56)]. Quantitative measures showed high ICCs of 0.87 to 0.96 for spinal canal and thecal sac cross-sectional areas. Measures of disc fragment area had moderate ICCs of 0.65 to 0.83. Mean absolute differences between measurements ranged from approximately 15% to 20%.Conclusion. Classification of disc morphology showed substantial intra- and inter-reader agreement, whereas thecal sac and nerve root compression showed more moderate reader reliability. Quantitative measures of canal and thecal sac area showed good reliability, whereas measurement of disc fragment area showed more modest reliability

Hoogland, Thomas; van den Brekel-Dijkstra, Karolien et al
Endoscopic Transforaminal Discectomy for Recurrent Lumbar Disc Herniation: A Prospective, Cohort Evaluation of 262 Consecutive Cases
973-978
Abstract
Study Design. A prospective, cohort evaluation of 262 consecutive patients who underwent transforaminal endoscopic excision for recurrent lumbar disc herniation, after previous discectomy.Objective. To review complications and results of the endoscopic transforaminal discectomy (ETD) for recurrent herniated disc with a 2-year follow-up.Summary of Background Data. Recurrent herniation is a significant problem, as scar formation and progressive disc degeneration may lead to increased morbidity after traditional posterior reoperation. The studies published until now on recurrent disc herniation concern various operative techniques, mostly the lumbar microdiscectomy, which is still seen as the standard. The advantage of ETD could be that there is no need to go through the old scar tissue and the procedure can be performed in local anesthesia. The disadvantage may be a long learning curve for the surgeon.Method. Between January 1994 and November 2002, 262 patients with primarily radicular problems underwent an ETD for a recurrent herniated disc. Two hundred and thirty-eight of these patients (90.84%) completed our 2-year follow-up questionnaire. Initial surgery of 82 patients was performed in-house, 180 external. Average age was 46.4 years. The female/male ratio was 29/71%.Results. At 2-year follow-up 85.71% of patients rated the result of the surgery as excellent or good. 9.66% reported a fair and 4.62% patients an unsatisfactory result. Average improvement of back pain of 5.71 points and 5.85 points of leg pain on the VAS scale (1-10). According to Mac Nab, 30.67% of the patients felt fully regenerated, 50% felt their functional capacity to be slightly restricted, 16.81% felt their functional capacity noticeably restricted, and 2.52% felt unimproved or worse. All patients participated in a 3-month follow-up to establish the perioperative complications. The overall complication rate was 10/262 (3.8%), including 3 nerve root irritations and 7 early recurrent herniations (<3 month). There was no case of infection or discitis.After 3 months and within 2 years, 4 patients have been treated for a recurrent herniated disc in our own center and 7 patients have been treated elsewhere, resulting in a recurrence rate 11/238 (4.62%).Conclusion. ETD for recurrent disc herniation seems to be an effective method with few complications and a high patient satisfaction

Hoogendoorn, Roel J. W. ; Helder, Marco N. ; Kroeze, Robert Jan et al
Reproducible Long-term Disc Degeneration in a Large Animal Model.
949-954
Abstract
Study Design. Twelve goats were chemically degenerated and the development of the degenerative signs was followed for 26 weeks to evaluate the progression of the induced degeneration. The results were also compared with a previous study to determine the reproducibility.Objectives. The purpose of this study was determine whether this Chondroitinase ABC (CABC) induced goat model is reproducible and to study the development of the degeneration in time up to 26 weeks.Summary of Background Data. Injecting CABC into goat intervertebral discs results in mild disc degeneration after 12 weeks. Spontaneous recovery or leveling off of the degeneration has been reported before and is relevant when the goat model is used in regeneration studies. Reproducibility of the induced degeneration is relevant as well.Methods. Twelve goats were used in this study. The development of degeneration was studied after the injection of 0.25 U/mL CABC intradiscally. The development of degenerative signs was studied after 18 (n = 6) and 26 (n = 6) weeks by means of radiograph, magnetic resonance imaging, macroscopic analysis, and histology and biochemical evaluation. The induced degeneration was compared with the results from a previous study, in which degeneration was induced similarly and analysis was performed after 12 weeks.Results. The severity of the degenerative signs was mild and was consequently present in all parameters analyzed. When compared with the results after 12 weeks, the degeneration was similar in the present study. Spontaneous recovery was not observed up to 26 weeks.Conclusion. The injection with CABC in the intervertebral disc reproducibly results in mild disc degeneration in the goat. These findings corroborate the goat model as a suitable large animal model to evaluate mild disc degeneration and potential new therapies

Ruetten, Sebastian ; Komp, Martin ;Merk, Harry et al
Full-Endoscopic Cervical Posterior Foraminotomy for the Operation of Lateral Disc Herniations Using 5.9-mm Endoscopes: A Prospective, Randomized, Controlled Study
940-948
Abstract
Study Design. Prospective, randomized, controlled study of patients with lateral cervical disc herniations, operated either in a full-endoscopic posterior or conventional microsurgical anterior technique.Objective. Comparison of results of cervical discectomies in full-endoscopic posterior foraminotomy technique with the conventional microsurgical anterior decompression and fusion.Summary of Background Data. Anterior cervical decompression and fusion is the standard procedure for operation of cervical disc herniations with radicular arm pain. Mobility-preserving posterior foraminotomy is the most common alternative in the case of lateral localization of the pathology. Despite good clinical results, problems may arise due to traumatization of the access. Endoscopic techniques are considered standard in many areas, since they may offer advantages in surgical technique and rehabilitation. These days, all disc herniations of the lumbar spine can be operated in full-endoscopic technique. With the full-endoscopic posterior cervical foraminotomy a procedures is available for cervical disc operations.Methods. One hundred and seventy-five patients with full-endoscopic posterior or microsurgical anterior cervical discectomy underwent follow-up for 2 years. In addition to general and specific parameters, the following measuring instruments were used: VAS, German version North American Spine Society Instrument, Hilibrand Criteria.Results. After surgery 87.4% of the patients no longer had arm pain, and 9.2% had occasional pain. The clinical results were the same in both groups. There were no significant difference between the groups in the revision or complication rate. The full-endoscopic technique brought advantages in operation technique, preserving mobility, rehabilitation, and traumatization.Conclusion. The recorded results show that the full-endoscopic posterior foraminotomy is a sufficient and safe supplement and alternative to conventional procedures when the indication criteria are fulfilled. At the same time, it offers the advantages of a minimally invasive intervention.

New online journal

The following journal has been added to PubMed Central:
Strategies in Trauma and Limb Reconstruction
Archive includes v. 2 (2007) and v. 3(1) (2008). Current content is forthcoming and will have no delay