Results 141 to 150 of about 2,223,373 (198)

Comparative Analysis of Three Vertebral Screw Placement Directions in Anterior Thoracolumbar Fracture Surgery: A Finite Element Study

open access: yesOrthopaedic Surgery, Volume 17, Issue 5, Page 1464-1477, May 2025.
This study compares the biomechanical effects of three anterior fixation systems in thoracolumbar surgery—HXTL, NHXTL, and Medtronic's CD Horizon ANTERIOR. Finite element analysis evaluates stress and displacement across vertebral bodies and support structures under varying load conditions. Results indicate the HXTL system minimizes nail–rod stress yet
Xuehai Jia   +7 more
wiley   +1 more source

Factors and Experiences Associated With Unscheduled Hospital Readmission After Lateral Lumbar Interbody Fusion: A Case–Controlled Study

open access: yesOrthopaedic Surgery, Volume 17, Issue 5, Page 1389-1396, May 2025.
The research utilized a case–control approach to contrast patients experiencing unscheduled readmissions with those undergoing planned readmissions due to staged surgery. Findings indicated a 3.88% rate of unscheduled readmissions, mainly linked to adjacent segment disease, with 3.35% necessitating reoperation.
Wangmi Liu   +5 more
wiley   +1 more source

Establishing a Staging System for Adjacent Segment Disease and Exploring Its Significance in Guiding Surgical Decisions: A Retrospective Study

open access: yesOrthopaedic Surgery, Volume 17, Issue 5, Page 1418-1432, May 2025.
Developed a staging system for adjacent segment disease based on degeneration characteristics. Verified the feasibility and reliability of stage‐guided surgical decision‐making through surgical data, radiological data, and follow‐up data. This staging system was closely correlated with intervertebral disc degeneration and disc height while also ...
Changpeng Qu   +9 more
wiley   +1 more source

Comparison of Wiltse Approach‐Based Invasion‐Controlled Surgery With Traditional Open Surgery for Thoracolumbar Spinal Metastases Within the NOMS Framework

open access: yesOrthopaedic Surgery, EarlyView.
Invasion‐controlled surgery via the Wiltse approach for thoracolumbar spine metastasis significantly reduces blood loss, shortens operation time, and accelerates postoperative radiotherapy, while maintaining neurological outcomes—optimizing tumor control under the NOMS framework.
Pengru Wang   +7 more
wiley   +1 more source

Balancing Iliac Crest Avoidance and Neural Safety in L5/S1 TELD: Quantitative Identification of a Candidate Balanced Trajectory Window Using AI‐Assisted 3D MRI Reconstruction

open access: yesOrthopaedic Surgery, EarlyView.
Using AI‐reconstructed 3D models, we defined an optimal trajectory zone (CPA 20°–25°, CSA 25°–30°) for L5/S1 TELD. This window safely bypasses the iliac crest while protecting neural structures, establishing critical geometric constraints for automated planning and surgical robotics. ABSTRACT Objective Transforaminal endoscopic lumbar discectomy (TELD)
Yunfei Wang   +14 more
wiley   +1 more source

Two‐Dimensional Electromagnetic Navigation‐Assisted Percutaneous Transforaminal Endoscopic Discectomy for Lumbar Disc Herniation: A Retrospective Comparative Study

open access: yesOrthopaedic Surgery, EarlyView.
This study compares 2D versus 3D electromagnetic navigation‐assisted PTED for lumbar disc herniation. The 2D system significantly reduced surgical time, radiation exposure, and learning curve while maintaining similar clinical outcomes. It offers an efficient, safe, and practical alternative for less experienced surgeons.
Zhong Wei   +9 more
wiley   +1 more source

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