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Studies have suggested that the use of bone marrow aspirate (BMA) with HEALOS (DePuy Spine, Raynham, MA), a collagen-hydroxyapatite sponge (CHS), is an effective substitute for autologous iliac crest bone graft when used in fusion procedures of the lumbar spine.
ClinicalTrials.gov: NCT01224379 Some controversy remains regarding fusion procedures of the lumbar spine.
To establish this baseline, we examined CRP levels and white blood cell (WBC) count after 2 types of surgical procedures of the lumbar spine.
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The method requires a non-invasive CT-procedure of the lumbar spine resulting in a radiation exposure of about 30 μSv effective dose [2].
The pre-procedures of the lumbar FE model were established using ANSYS, Ed.9.0 software (ANSYS Inc., Canonsburg, PA, USA).
The procedures and analysis of the lumbar puncture and CSF analysis followed the Alzheimer's Association Flow Chart [ 24].
One-year follow-up measurements will be collected for most of the baseline procedures, with the exception of the lumbar puncture, the PET imaging, and apolipoprotein E genotyping.
The invasiveness of the lumbar puncture procedure, however, places a limitation on its applicability to widespread monitoring of at-risk populations.
The psoas muscle can be considered as a surgical landmark since incision at the ventral 2/3 of the region can prevent lumbar plexus injuries for procedures requiring exposure of the lateral anterior of the lumbar.
This may involve, for example, explaining the surgical procedure or 'back school' (education that focuses on biomechanics of the lumbar spine and ergonomics).
Lumbar spinal fusion is a standardized and widely accepted surgical procedure used for treating degenerative lumbar diseases; however, the classical posterior approach used in this procedure is recognized to cause vascular and neurologic damage of the lumbar muscles.
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