Clinical spine surgery
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Clinical spine surgery · Apr 2019
Meta AnalysisAddition of Intrathecal Morphine for Postoperative Pain Management in Pediatric Spine Surgery: A Meta-analysis.
Meta-analysis. ⋯ Addition of ITM in pediatric spine surgery produced a potent analgesic effect in the immediate postoperative period. Patients administered ITM did not request opiates as early as control and consumed fewer opiates by the second postoperative day. Furthermore, use of ITM did not increase complications such as respiratory depression, nausea, vomiting, or pruritus.
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Clinical spine surgery · Mar 2019
Postoperative Blood Loss and Coagulation Changes After Balanced 6% Hydroxyethyl Starch 130/0.4 Administration During Spine Surgery: A Retrospective Study.
Retrospective analysis. ⋯ Level III.
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Clinical spine surgery · Feb 2019
Sagittal Imbalance Does Not Influence Cup Anteversion in Total Hip Arthroplasty Dislocations.
Retrospective Cohort. ⋯ A majority of patients with a THA dislocation demonstrated abnormal sagittal balance. However, sagittal balance was not associated with acetabular cup anteversion. As such, the relationship between spinal deformity and dislocation rates after THA may not be because of inaccurate cup orientation.
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Clinical spine surgery · Feb 2019
Comparative StudyImpact of Epidural Versus General Anesthesia on Major Lumbar Surgery in Elderly Patients.
This was a retrospective comparative study. ⋯ There was an association between those who received EA and superior perioperative outcomes. However, some concerns including airway security, operation duration, and obesity, must be carefully evaluated. In addition, it should be noted that this study was retrospective and selection bias may probably exist which may interfere with the results.
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Clinical spine surgery · Dec 2018
Effect of Cervical Decompression Surgery on Gait in Adult Cervical Spondylotic Myelopathy Patients.
This is a prospective cohort study. ⋯ Preoperatively, CSM patients clearly showed altered gait parameters compared with controls. However, after cervical decompression surgery, CSM patients exhibited improved gait pattern, spatiotemporal parameters, spine and lower extremity ROM, as well as patient-reported outcomes. Postoperatively, CSM patients did not show major differences in gait when compared with matched asymptomatic controls.