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1.

001-es BibID:BIBFORM034524
Első szerző:Eggspuehler, Andreas
Cím:Multimodal intraoperative monitoring (MIOM) during cervical spine surgical procedures in 246 patients / Eggspuehler Andreas, Sutter Martin A., Grob Dieter, Jeszenszky Dezsö, Porchet Francois, Dvorak Jiri
Dátum:2007
ISSN:0940-6719
Megjegyzések:A prospective study of 246 patients who received multimodal intraoperative monitoring during cervical spine surgery between March 2000 and December 2005. To determine the sensitivity and specificity of MIOM techniques used to monitor spinal cord and nerve root function during cervical spine surgery. It is appreciated that complication rate of cervical spine surgery is low, however, there is a significant risk of neurological injury. The combination of monitoring of ascending and descending pathways may provide more sensitive and specific results giving immediate feedback information and/or alert regarding any neurological changes during the operation to the surgeon. Intraoperative somatosensory spinal and cerebral evoked potentials combined with continuous EMG and motor-evoked potentials of the spinal cord and muscles were evaluated and compared with postoperative clinical neurological changes. A total of 246 consecutive patients with cervical pathologies, majority spinal stenosis due to degenerative changes of cervical spine were monitored by means of MIOM during the surgical procedure. About 232 patients presented true negative while 2 patients false negative responses. About ten patients presented true positive responses where neurological deficit after the operation was predicted and two patients presented false positive findings. The sensitivity of MIOM applied during cervical spine procedure (anterior and/or posterior) was 83.3% and specificity of 99.2%. MIOM is an effective method of monitoring the spinal cord functional integrity during cervical spine surgery and can help to reduce the risk of neurological deficit by alerting the surgeon when monitoring changes are observed.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 16 : S2 (2007), p. 209-215. -
További szerzők:Sutter, Martin A. Grob, Dieter Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Porchet, Françis Dvorak, Jiri
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2.

001-es BibID:BIBFORM034523
Első szerző:Eggspuehler, Andreas
Cím:Multimodal intraoperative monitoring during surgery of spinal deformities in 217 patients / Eggspuehler Andreas, Sutter Martin A., Grob Dieter, Jeszenszky Dezsö, Dvorak Jiri
Dátum:2007
ISSN:0940-6719
Megjegyzések:A prospective study was performed on 217 patients who received MIOM during corrective surgery of spinal deformities between March 2000 and December 2005. Aim is to determine the sensitivity and specificity of MIOM techniques used to monitor spinal cord and nerve root function during corrective spine surgery. MIOM is becoming an increasingly used method of monitoring function during corrective spine surgery. The combination of monitoring of ascending and descending pathways may provide more sensitive and specific results giving immediate feedback information regarding any neurological deficits during the operation. Intraoperative somatosensory spinal and cerebral evoked potentials combined with continuous EMG and motor evoked potentials of the spinal cord and muscles were evaluated and compared with postoperative clinical neurological changes. A total of 217 consecutive patients with spinal deformities of different aetiologies were monitored by means of MIOM during the surgical procedure. Out of which 201 patients presented true negative findings while one patient presented false negative and three patients presented false positive findings. Twelve patients presented true positive findings where neurological deficit after the operation was predicted. All neurological deficits in those 12 patients recovered completely. The sensitivity of MIOM applied during surgery of spinal deformities has been calculated of 92.3% and the specificity 98.5%. Based upon the results of this study MIOM is an effective method of monitoring the spinal cord and nerve root function during corrective surgery of spinal deformities and consequently improves postoperative results. The Wake-up test for surgical procedure of spinal deformities became obsolete in our institution.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 16 : S2 (2007), p. 188-196. -
További szerzők:Sutter, Martin A. Grob, Dieter Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Dvorak, Jiri
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3.

001-es BibID:BIBFORM034466
Első szerző:Eggspuehler, Andreas
Cím:Multimodal intraoperative monitoring (MIOM) during surgical decompression of thoracic spinal stenosis in 36 patients / Eggspuehler Andreas, Sutter Martin A., Grob Dieter, Porchet F., Jeszenszky Dezsö, Dvorak Jiri
Dátum:2007
ISSN:0940-6719
Megjegyzések:A prospective study of 36 patients who received multimodal intraoperative monitoring (MIOM) during decompression of thoracic spinal stenosis between March 2000 and December 2005 was chosen as the study design. The objective was to determine the sensitivity and specificity of MIOM techniques used for monitoring spinal cord during surgical thoracic decompression. The background data revealed that the surgical decompression for thoracic spinal stenosis is less frequent than in other regions of the spine. However, due to the relative narrow spinal canal, neurological complications could be severe. The combination of monitoring ascending and descending pathways may provide an early alert to the surgeon in order to alter the surgical procedure, and avoid neurological complications. The methods involved evaluation of intraoperative somatosensory spinal and cerebral evoked potentials and motor evoked potentials of the spinal cord and muscles that were compared with post operative clinical neurological changes. 36 consecutive patients with thoracic spinal stenosis of different aetiologies were monitored by the means of MIOM during the surgical procedure. 31 patients had true negative while one patient had false positive findings. Three patients had true positive and one patient had false negative findings. This indicates a sensitivity of 75% and a specificity of 97%. The one case of false negative findings recovered completely within 3 months. In conclusion, the MIOM is an effective method of monitoring the spinal cord during surgical decompression of the thoracic spine.
Tárgyszavak:Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 16 : S2 (2007), p. 216-220. -
További szerzők:Sutter, Martin A. Grob, Dieter Porchet, Françis Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Dvorak, Jiri
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4.

001-es BibID:BIBFORM034535
Első szerző:Grob, Dieter
Cím:A comparison of outcomes of cervical disc arthroplasty and fusion in everyday clinical practice : surgical and methodological aspects / Grob Dieter, Porchet Francois, Kleinstück Frank S., Lattig Friederike, Jeszenszky Dezsoe, Luca Andrea, Mutter Urs, Mannion Anne F.
Dátum:2010
ISSN:0940-6719
Megjegyzések:Randomised controlled trials (RCTs) of cervical disc arthroplasty vs fusion generally show slightly more favourable results for arthroplasty. However, RCTs in surgery often have limited external validity, since they involve a select group of patients who fit very rigid admission criteria and who are prepared to subject themselves to randomisation. The aim of this study was to examine whether the findings of RCTs are verified by observational data recorded in our Spine Center in association with the Spine Society of Europe Spine Tango surgical registry. Patients undergoing fusion/stabilisation or disc arthroplasty for degenerative cervical spinal disease were selected for inclusion. They completed a questionnaire pre-operatively and at 12 and 24 months follow-up (FU). The questionnaire comprised the multidimensional Core Outcome Measures Index (COMI; 0-10 scale) and, at FU, questions on global outcome and satisfaction with treatment (5-point scales, dichotomised to "good" and "poor"), re-operation and patient-rated complications. The surgeon completed a Spine Tango Surgery form. The outcome data from 266 (208 fusion, 58 arthroplasty) out of 284 eligible patients who had reached 12 months FU, and 169 (139 fusion, 30 arthroplasty) out of 178 who had reached 24 months FU, were included. Patients with cervical disc arthroplasty were younger [46 (SD 8) years vs 56 (SD 11) years for fusion; P < 0.05], had less comorbidity (P < 0.05), more often had only mono-segmental pathology (69% arthroplasty, 47% fusion) and only one type of degenerative pathology (69% arthroplasty, 46% fusion). Surgical complication rates were similar in each group (arthroplasty, 1.5%; fusion, 2.6%). The reduction in the COMI score was significantly greater in the arthroplasty group (at 12 months, 4.8 (SD 3.0) vs 3.7 (SD 2.9) points for fusion, and at 24 months 5.1 (SD 2.8) vs 3.8 (SD 2.9) points; each P < 0.05). In the arthroplasty group, a "good" global outcome was recorded in 90% patients (at 12 months) and 93% (at 24 months); in the fusion group the figures were 80 and 82%, respectively (group differences at each timepoint, P > 0.09). Satisfaction with treatment was similar in both groups (89-93%), at each timepoint. In multiple regression analysis, treatment group was of borderline significance as a unique predictor of the change in COMI at FU (P = 0.059 at 12 months, P = 0.055 at 24 months) in a model in which known confounders (age, comorbidity, number of affected levels) were controlled for. Being in the arthroplasty group was associated with an approximately 1-point greater reduction in the COMI score at FU. The results of this observational study appear to support those of the RCTs and suggest that, in patients with degenerative pathology of the cervical spine, disc arthroplasty is associated with a slightly better outcome than fusion. However, given the small size of the difference, its clinical relevance is questionable, especially in view of the a priori more favourable outcome expected in the arthroplasty group due to the more rigorous selection of patients.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 19 : 2 (2010), p. 297-306. -
További szerzők:Porchet, Françis Kleinstück, Frank S. Lattig, Friederike Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Luca, Andrea Mutter, Urs Mannion, Anne F.
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5.

001-es BibID:BIBFORM034529
Első szerző:Grob, Dieter
Cím:A prospective, cohort study comparing translaminar screw fixation with transforaminal lumbar interbody fusion and pedicle screw fixation for fusion of the degenerative lumbar spine / Grob, D., Bartanusz, V., Jeszenszky, D., Kleinstuck, F. S., Lattig, F., O'Riordan, D., Mannion, A. F.
Dátum:2009
ISSN:0301-620X
Megjegyzések:In a prospective observational study we compared the two-year outcome of lumbar fusion by a simple technique using translaminar screws (n = 57) with a more extensive method using transforaminal lumbar interbody fusion and pedicular screw fixation (n = 63) in consecutive patients with degenerative disease of the lumbar spine. Outcome was assessed using the validated multidimensional Core Outcome Measures Index. Blood loss and operating time were significantly lower in the translaminar screw group (p < 0.01). The complication rates were similar in each group (2% to 4%). In all, 91% of the patients returned their questionnaire at two-years. The groups did not differ in Core Outcome Measures Index score reduction, 3.6 (sd 2.5) (translaminar screws) vs 4.0 (sd 2.8) (transforaminal lumbar interbody fusion) (p = 0.39); 'good' global outcomes, 78% (translaminar screws) vs 78% (transforaminal lumbar interbody fusion) (p = 0.99) or satisfaction with treatment, 82% (translaminar screws) vs 86% (transforaminal lumbar interbody fusion) (p = 0.52). The two fusion techniques differed markedly in their extent and the cost of the implants, but were associated with almost identical patient-orientated outcomes. Extensive three-point stabilisation is not always required to achieve satisfactory patient-orientated results at two years.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Journal Of Bone And Joint Surgery-British Volume. - 91-B : 10 (2009), p. 1347-1353. -
További szerzők:Bartanusz, Viktor Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Kleinstück, Frank S. Lattig, Friederike O'Riordan, David Mannion, Anne F.
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6.

001-es BibID:BIBFORM080628
Első szerző:Kleinstück, Frank S.
Cím:To fuse or not to fuse in lumbar degenerative spondylolisthesis: do baseline symptoms help provide the answer? / F. S. Kleinstueck, T. F. Fekete, A. F. Mannion, D. Grob, F. Porchet, U. Mutter, D. Jeszenszky
Dátum:2011
ISSN:0940-6719
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
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Megjelenés:European Spine Journal. - 21 : 2 (2011), p. 268-275. -
További szerzők:Fekete Tamás Fülöp Mannion, Anne F. Grob, Dieter Porchet, Françis Mutter, Urs Jeszenszky Dezső (1954-) (idegsebész, ortopédus)
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7.

001-es BibID:BIBFORM034537
Első szerző:Kleinstück, Frank S.
Cím:The outcome of decompression surgery for lumbar herniated disc is influenced by the level of concomitant preoperative low back pain / Kleinstueck, F. S., Fekete, T., Jeszenszky, D., Mannion, A. F., Grob, D., Lattig, F., Mutter, U., Porchet, F.
Dátum:2011
ISSN:0940-6719
Megjegyzések:Decompression surgery is a common and generally successful treatment for lumbar disc herniation (LDH). However, clinical practice raises some concern that the presence of concomitant low back pain (LBP) may have a negative influence on the overall outcome of treatment. This prospective study sought to examine on how the relative severity of LBP influences the outcome of decompression surgery for LDH. The SSE Spine Tango System was used to acquire the data from 308 patients. Inclusion criteria were LDH, first-time surgery, maximum 1 affected level, and decompression as the only procedure. Before and 12 months after surgery, patients completed the multidimensional Core Outcome Measures Index (COMI; includes 0-10 leg/buttock pain (LP) and LBP scales); at 12 months, global outcome was rated on a Likert scale and dichotomised into "good" and "poor" groups. In the "good" outcome group, mean baseline LP was 2.8 (SD 3.1) points higher than LBP; in the "poor" group, the corresponding value was 1.1 (SD 2.9) (p < 0.001 between groups). Significantly fewer patients with back pain as their "main problem" had a good outcome (69% good) when compared with those who reported leg/buttock pain (84% good) as the main problem (p = 0.04). In multivariate regression analyses (controlling for age, gender, co-morbidity), baseline LBP intensity was a significant predictor of the 12-month COMI score, and of the global outcome (each p < 0.05) (higher LBP, worse outcome). In conclusion, patients with more back pain showed significantly worse outcomes after decompression surgery for LDH. This finding fits with general clinical experience, but has rarely been quantified in the many predictor studies conducted to date. Consideration of the severity of concomitant LBP in LDH may assist in establishing realistic patient expectations before the surgery.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 20 : 7 (2011), p. 1166-1173. -
További szerzők:Fekete Tamás Fülöp Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Mannion, Anne F. Grob, Dieter Lattig, Friederike Mutter, Urs Porchet, Françis
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8.

001-es BibID:BIBFORM034530
Első szerző:Kleinstück, Frank S.
Cím:The Influence of Preoperative Back Pain on the Outcome of Lumbar Decompression Surgery / Kleinstück Frank S., Grob Dieter, Lattig Friederike, Bartanusz Viktor, Porchet Francois, Jeszenszky Dezsö, O'Riordan David, Mannion Anne F.
Dátum:2009
ISSN:0362-2436
Megjegyzések:STUDY DESIGN:Prospective study with 12-month follow-up.OBJECTIVE:To examine how the relative severity of low back pain (LBP) to leg/buttock pain (LP) influences the outcome of decompression surgery for spinal stenosis.SUMMARY OF BACKGROUND DATA:Decompression surgery is a common treatment for lumbar spinal canal stenosis, with generally good outcome. However, concomitant LBP at presentation can make it difficult to decide whether decompression alone will result in a good overall outcome.METHODS:The Spine Society of Europe Spine Tango system was used to acquire the data from 221 patients. Inclusion criteria were lumbar degenerative spinal stenosis, first-time surgery, maximum 3 affected levels, and decompression as the only procedure. Before and 12 months after surgery, patients completed the multidimensional Core Outcome Measures Index (COMI; includes 0-10 LP and LBP scales); at 12 months, global outcome was rated on a Likert-scale and dichotomized into "good" and "poor" groups.RESULTS:There was a low but significant positive correlation between baseline LP-minus-LBP scores and both improvement in the multidimensional COMI score after 12 months (r = 0.21, P = 0.003) and the score on the 12-month global outcome scale (r = 0.19, P = 0.007). In the good outcome group, mean baseline LP was 2.3 (+/-3.7) points higher than LBP; in the poor group, the corresponding value was 0.8 (+/-3.4) (P = 0.01 between groups). In multivariate regression analyses (controlling for age, gender, comorbidity), baseline LBP intensity was the most significant predictor of the 12-month COMI score, and preoperative LP-minus-LBP score of the global outcome (each P < 0.05).CONCLUSION:Overall, greater back pain relative to LP at baseline was associated with a significantly worse outcome after decompression. This finding seems intuitive, but has rarely been quantified in the many predictor studies conducted to date. Consideration of relative LBP and LP scores may assist in clinical decision-making and in establishing realistic patient expectations.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Spine. - 34 : 11 (2009), p. 1198-1203. -
További szerzők:Grob, Dieter Lattig, Friederike Bartanusz, Viktor Porchet, Françis Jeszenszky Dezső (1954-) (idegsebész, ortopédus) O'Riordan, David Mannion, Anne F.
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9.

001-es BibID:BIBFORM034538
Első szerző:Lattig, Friederike
Cím:Lumbar facet joint effusion in MRI : a sign of instability in degenerative spondylolisthesis? / Lattig Friederike, Fekete Tamás F., Grob Dieter, Kleinstück Frank S., Jeszenszky Dezsö, Mannion Anne F.
Dátum:2012
ISSN:0940-6719
Megjegyzések:PURPOSE: The term "segmental instability" of the lumbar spine is not clearly defined, especially as it relates to degenerative spondylolisthesis (DS) and rotational translation (RT). We investigated whether facet joint effusion on conventional supine MRI indicated increased abnormal motion in DS and RT.METHODS:160 patients (119 female, 41 male, mean age 68.8 years, range 38.8-89.3 years) who had undergone decompression only or decompression with instrumented fusion for degenerative spondylolisthesis with different degrees of narrowing of the spinal canal were identified retrospectively from our spine surgery database. All had preoperative upright X-rays in AP and lateral views as well as supine MRI. The imaging studies were assessed for the following parameters: percent of slippage, absolute value of facet joint effusion, facet angles, degree of facet degeneration and spinal canal central narrowing, disc height, presence of facet cysts and the presence of rotational translation in the AP X-ray.RESULTS:40/160 patients showed no facet joint effusion, and in these the difference in the values for the % slip on upright X-ray and % slip on supine MRI was ?3%. A further 12 patients also showed a difference ?3%, but had some fluid in the joints (0.44 ? 0.38 mm). In 108 patients, the difference in the % slip measured on X-ray and on MRI was >3% (mean 10.6%, range 4-29%) and was associated with a mean facet effusion size of 2.15 ? 0.85 mm. The extent of effusion correlated significantly with the relative slippage difference between standing and supine positions (r = 0.64, p < 0.001), and the extent of the left/right difference in effusion was associated with the presence of rotational translation (RT 1.31 ? 0.8 mm vs. no-RT 0.23 ? 0.17 mm, p < 0.0001).CONCLUSIONS:Facet joint effusion is clearly correlated with spontaneous reduction of the extent of slippage in the supine position compared to the upright position. Also, the greater the difference in right and left facet effusion, the higher the likelihood of having a RT. Future studies should assess whether analysis of facet joint effusion measured on routine MRI can help in decision-making regarding the optimal surgical treatment to be applied (decompression alone or combined with fusion).
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 21 : 2 (2012), p. 276-281. -
További szerzők:Fekete Tamás Fülöp Grob, Dieter Kleinstück, Frank S. Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Mannion, Anne F.
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10.

001-es BibID:BIBFORM034531
Első szerző:Lattig, Friederike
Cím:Ratings of global outcome at the first post-operative assessment after spinal surgery : how often do the surgeon and patient agree? / Lattig Friederike, Grob Dieter, Kleinstueck Frank S., Porchet Francois, Jeszenszky Dezsö, Bartanusz Viktor, O'Riordan David, Mannion Anne F.
Dátum:2009
ISSN:0940-6719
Megjegyzések:Patient-orientated questionnaires are becoming increasingly popular in the assessment of outcome and are considered to provide a less biased assessment of the surgical result than traditional surgeon-based ratings. The present study sought to quantify the level of agreement between patients' and doctors' global outcome ratings after spine surgery. 1,113 German-speaking patients (59.0 +/- 16.6 years; 643 F, 470 M) who had undergone spine surgery rated the global outcome of the operation 3 months later, using a 5-point scale: operation helped a lot, helped, helped only little, didn't help, made things worse. They also rated pain, function, quality-of-life and disability, using the Core Outcome Measures Index (COMI), and their satisfaction with treatment (5-point scale). The surgeon completed a SSE Spine Tango Follow-up form, blind to the patient's evaluation, rating the outcome with the McNab criteria as excellent, good, fair, and poor. The data were compared, in terms of (1) the correlation between surgeons' and patients' ratings and (2) the proportions of identical ratings, where the doctor's "excellent" was considered equivalent to the patient's "operation helped a lot", "good" to "operation helped", "fair" to "operation helped only little" and "poor" to "operation didn't help/made things worse". There was a significant correlation (Spearman Rho = 0.57, p < 0.0001) between the surgeons' and patients' ratings. Their ratings were identical in 51.2% of the cases; the surgeon gave better ratings than the patient ("overrated") in 25.6% cases and worse ratings ("underrated") in 23.2% cases. There were significant differences between the six surgeons in the degree to which their ratings matched those of the patients, with senior surgeons "overrating" significantly more often than junior surgeons (p < 0.001). "Overrating" was significantly more prevalent for patients with a poor self-rated outcome (measured as global outcome, COMI score, or satisfaction with treatment; each p < 0.001). In a multivariate model controlling for age and gender, "low satisfaction with treatment" and "being a senior surgeon" were the most significant unique predictors of surgeon "overrating" (p < 0.0001; adjusted R (2) = 0.21). Factors with no unique significant influence included comorbidity (ASA score), first time versus repeat surgery, one-level versus multilevel surgery. In conclusion, approximately half of the patient's perceptions of outcome after spine surgery were identical to those of the surgeon. Generally, where discrepancies arose, there was a tendency for the surgeon to be slightly more optimistic than the patient, and more so in relation to patients who themselves declared a poor outcome. This highlights the potential bias in outcome studies that rely solely on surgeon ratings of outcome and indicates the importance of collecting data from both the patient and the surgeon, in order to provide a balanced view of the outcome of spine surgery.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 18 : S3 (2009), p. 386-394. -
További szerzők:Grob, Dieter Kleinstück, Frank S. Porchet, Françis Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Bartanusz, Viktor O'Riordan, David Mannion, Anne F.
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11.

001-es BibID:BIBFORM080627
Első szerző:Mannion, Anne F.
Cím:The bothersomeness of patient self-rated "complications" reported 1 year after spine surgery / A. F. Mannion, U. M. Mutter, F. T. Fekete, D. O'Riordan, D. Jeszenszky, F. S. Kleinstueck, F. Lattig, D. Grob, F. Porchet
Dátum:2012
ISSN:0940-6719
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:European Spine Journal. - 21 : 8 (2012), p. 1625-1632. -
További szerzők:Mutter, Urs Fekete Tamás Fülöp O'Riordan, David Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Kleinstück, Frank S. Lattig, Friederike Grob, Dieter Porchet, Françis
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12.

001-es BibID:BIBFORM077976
Első szerző:Mannion, Anne F.
Cím:The assessment of complications after spine surgery: time for a paradigm shift? / Anne F. Mannion, Tamas F. Fekete, David O'Riordan, François Porchet, Urs M. Mutter, Dezsö Jeszenszky, Friederike Lattig, Dieter Grob, Frank S. Kleinstueck
Dátum:2013
ISSN:1529-9430
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:The Spine Journal. - 13 : 6 (2013), p. 615-624. -
További szerzők:Fekete Tamás Fülöp O'Riordan, David Porchet, Françis Mutter, Urs Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Lattig, Friederike Grob, Dieter Kleinstück, Frank S.
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