Spine deformity
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Comparative Study
Biomechanics of Prophylactic Tethering for Proximal Junctional Kyphosis: Comparison of Posterior Tether Looping Techniques.
Biomechanical study. ⋯ Level V, biomechanical study.
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Single-center retrospective study. ⋯ Level 4.
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Perioperative Complications After Spinal Fusion in Pediatric Patients With Congenital Heart Disease.
Children with congenital heart disease (CHD) have been reported to be at increased risk of developing scoliosis following cardiac surgery. Previous sample studies have reported that these patients may safely undergo posterior spinal fusion (PSF) with low complication rates. The goal of this study is to provide an updated analysis of the perioperative complication profile for posterior spinal fusion in a large cohort of pediatric patients with CHD, using a nationwide database. ⋯ Level III.
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Retrospective reliability study. ⋯ The PMC Cobb and VAR can be measured reliably on US images. Future studies should validate the PMC Cobb angle and to include a wider Cobb angle range on participants.
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Intraoperative neuromonitoring (IONM) is used to detect impending neurologic damage during complex spinal surgeries. Although IONM is increasingly used during pediatric scoliosis surgeries in the United States, the effect of IONM on the outcomes of such surgeries at a national level is unclear. ⋯ Reported use of IONM in this database was significantly less compared with other databases, suggesting that IONM might be underreported in the NIS database. Nevertheless, in this database, IONM was significantly associated with increased home discharge. Hospital charges and LOS were not affected by IONM. There was a trend toward lower risk of neurologic complications with IONM use, though this finding was not statistically significant.