Clinical spine surgery
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Clinical spine surgery · Nov 2019
Can the American College of Surgeons Risk Calculator Predict 30-Day Complications After Cervical Spine Surgery?
This was a retrospective cohort study. ⋯ The ACS Risk Calculator accurately predicted complications in the categories of "any complication" (P<0.0001) and "discharge to the skilled nursing facility" (P<0.001) for our cohort. We conclude that the ACS Risk Calculator was unable to accurately predict specific complications on a more granular basis for the patients of this study. Although the ACS risk calculator may be useful in the field of general surgery and in the development of new institutional strategies for risk mitigation, our findings demonstrate that it does not necessarily provide accurate information for patients undergoing cervical spinal surgery.
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Clinical spine surgery · Nov 2019
The Effect of Surgical Decompression on Functional Balance Testing in Patients With Cervical Spondylotic Myelopathy.
A prospective cohort study. ⋯ Human motion video capture can be used to robustly quantify balance parameters in the setting of CSM. Compared with healthy controls, such patients exhibited increased standing sway and poorer performance on a tandem gait task. The surgical intervention resulted in significant improvement in many of the measures of functional balance, but overall profiles had not completely returned to normal when measured 3 months after surgery. These data reinforce the importance of operative intervention in the treatment of symptomatic CSM with the goal of halting disease progress but the expectation that balance may actually improve postoperatively.
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Clinical spine surgery · Nov 2019
Crossing the Cervicothoracic Junction in Cervical Arthrodesis Results in Lower Rates of Adjacent Segment Disease Without Affecting Operative Risks or Patient-Reported Outcomes.
Retrospective cohort study. ⋯ Crossing the CTJ in cervical arthrodesis does not increase operative risk as measured by blood loss, operative time, and length of hospital stay. However, it leads to lower revision rates, likely because of the avoidance of ASD, and comparable PROs. Thus, crossing the CTJ may help prevent ASD without negatively affecting operative risk or long-term PROs.