Exeter Spinal Surgery Unit
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Research outputs from the Exeter Spinal Surgery Unit. The Spinal Unit comprises of 5 consultant spinal surgeons in addition to offering clinical fellowships to surgical trainees from around the world. For more information visit the Exeter Spinal Surgery Unit website.
Recent Submissions
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Magnet Fracture within a Magnetically Controlled Growing Rod: A Case Report of a New Mechanism of Failure
(Indian Orthopaedic Research Group, 2021-08-01)Introduction: Magnetically controlled growing rods (MCGRs) have been widely adopted in the management of early-onset scoliosis since they were first described in 2012. Recent reports have highlighted concerns around their ... -
Management of malignant pleural effusion associated with trapped lung syndrome
(SAGE, 2008-04-03)Management of recurrent malignant pleural effusion associated with trapped lung syndrome remains problematic. An alternative treatment using a pleural catheter has been advocated. Between August 1999 and August 2002, 127 ... -
Current surgical practice for multi-level degenerative cervical myelopathy: Findings from an international survey of spinal surgeons
(Cell Press, 2021-05-01)Degenerative cervical myelopathy (DCM) results from compression of the cervical spine cord as a result of age related changes in the cervical spine, and affects up to 2% of adults, leading to progressive disability. Surgical ... -
MRI versus CT: a retrospective investigation of the feasibility and agreeability in post-operative evaluation of screw position after posterior lumbar interbody fusion.
(Springer, 2021-01-01)PURPOSE: Many patients receive magnetic resonance (MR) and computed tomography (CT) scans post-operatively to review screw placement. Traditionally, CT is diagnostic but as metal artefact reduction sequences are advancing ... -
The Management of Symptomatic Lumbar Disc Herniation in Pregnancy: A Systematic Review
(Atypon, 2020-10)Study design: Systematic review. Objectives: Lumbar disc herniation (LDH) has been reported to affect 1 in 10 000 pregnant women. There is limited evidence available regarding the optimal management of LDH in pregnant ... -
Multiple injections for low back pain: what's the future?
(Springer, 2020-03)Aims: To examine the strength of evidence available for multiple facet joint injections (FJIs) and medial branch blocks (MBBs), and to report on the variations in the NHS England framework using the getting it right first ... -
Decreased tibial nerve movement in patients with failed back surgery syndrome and persistent leg pain
(Springer, 2019-07)Purpose To measure and compare the total and normalised tibial nerve movements during forward bending in patients with and without failed back surgery syndrome (FBSS) and persistent leg pain following anatomically successful ... -
In vivo assessment of thoracic vertebral shape from MRI data using a shape model
(Elsevier, 2019-07)STUDY DESIGN: Feasibility study on characterizing thoracic vertebral shape from magnetic resonance images using a shape model. OBJECTIVES: Assess the reliability of characterizing thoracic vertebral shape from magnetic ... -
The National Health Service (NHS) in England: Trying to Achieve Value-Based Healthcare
(Springer, 2018-10)The National Health System (NHS) in England allows system-wide control of quality determined at a national level. This chapter brings together the three processes which have been influencing quality and value in spinal ... -
Anterior Cervical Discectomy and Fusion YouTube Videos as a Source of Patient Education.
(Asian Spine Journal, 2018-10-16)Cross sectional study. -
Can spinal surgery in England be saved from litigation: a review of 978 clinical negligence claims against the NHS.
(Springer, 2018-08-27)The aim of this study is to evaluate the true incidence of all clinical negligence claims against spinal surgery performed by orthopaedic spinal surgeons and neurosurgeons in the National Health Service (NHS) in England, ... -
Percutaneous suction and irrigation for the treatment of recalcitrant pyogenic spondylodiscitis.
(Springer, 2018-08-20)The primary management of pyogenic spondylodiscitis is conservative. Once the causative organism has been identified, by blood culture or biopsy, administration of appropriate intravenous antibiotics is started. Occasionally ... -
Clinical examination of the spine
(Elsevier, 2018-07) -
Discitis and spinal infection
(Elsevier, 2018-07) -
Development and validation of two clinical prediction models to inform clinical decision-making for lumbar spinal fusion surgery for degenerative disorders and rehabilitation following surgery: protocol for a prospective observational study.
(BMJ, 2018-05-22)Potential predictors of poor outcome will be measured at baseline: (1) preoperatively to develop a clinical prediction model to predict which patients are likely to have favourable outcome following lumbar spinal fusion ... -
Discitis caused by rat bite fever in a rheumatoid arthritis patient on tocilizumab-first ever case.
(Oxford Journals, 2018-03-07) -
Time Factor and Disc Herniation Size: Are They Really Predictive for Outcome of Urinary Dysfunction in Patients With Cauda Equina Syndrome?
(Oxford Academic, 2018-02-06)Timing of surgery and the importance of the size of disc prolapse in cauda equina syndrome (CES) remain controversial. -
Assessing the amount of distraction needed for expandable anterior column cages in the cervical spine.
(Royal College of Surgeons, 2017-11)