The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · Apr 2013
Comparative StudyIntensive care unit versus hospital floor: a comparative study of postoperative management of patients with adolescent idiopathic scoliosis.
Patients undergoing posterior spinal instrumentation and fusion surgery for adolescent idiopathic scoliosis were admitted to the intensive care unit until two years ago, at which time we changed our protocol to admit these patients to the general hospital floor following a brief stay in a postanesthesia care unit. This study compared postoperative management on a hospital floor with that in the intensive care unit for patients with adolescent idiopathic scoliosis undergoing posterior spinal fusion. ⋯ Initial postoperative management of patients with adolescent idiopathic scoliosis following a posterior spinal instrumentation and fusion surgery on a general hospital floor, rather than in an intensive care unit, was associated with a shorter hospital stay, fewer blood tests, less analgesic and antianxiety medication usage, and fewer physical therapy sessions at this high-volume, academic, tertiary-care children's hospital. In addition to improved patient outcomes, there was a significant decrease of 16% in hospital charges for the group that did not go to the intensive care unit.
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J Bone Joint Surg Am · Apr 2013
What is the relationship between number of publications during orthopaedic residency and selection of an academic career?
Although many residents partake in academic pursuits, including the publication of clinical studies, laboratory research, case reports, and review articles, it is uncertain whether such experiences are associated with a career-long interest in an academic orthopaedic career. ⋯ Graduates of our orthopaedic residency program who pursued an academic career were likely to have published more articles during residency compared with their nonacademic peers.
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J Bone Joint Surg Am · Apr 2013
CommentVertebral body stenting: establishing the value of a novel percutaneous cement augmenting technique for the treatment of vertebral body compression fractures: Commentary on an article by Clément M.L. Werner, MD, et al.: "Vertebral body stenting versus kyphoplasty for the treatment of osteoporotic vertebral compression fractures. A randomized trial".