Spine
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A critical appraisal of the literature. ⋯ Authors of RCTs should adequately report on items that are essential to assess the applicability and clinical relevance of results. The presented list of items may help clinicians reading RCTs and authors of systematic reviews to draw more balanced conclusions on applicability and clinical relevance of results.
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We performed a retrospective study of 668 consecutive patients with congenital spine deformities. ⋯ The prevalence of Goldenhar-associated conditions in patients with congenital spine deformities was 2%. Failures of vertebral segmentation were the most frequent abnormality in the cervical spine, whereas failures of vertebral formation most commonly occurred in the thoracic or thoracolumbar spine.
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This is a case series in which case notes review and telephone interview update were used to assess the outcome following coccygectomy. ⋯ It is possible that degenerate changes in sacrococcygeal discs and/or intercoccygeal discs are associated with pain. Surgical results are better in those with a severe degree of degenerative change. Coccygectomy remains a successful treatment for a majority of severely disabled patients with coccydynia.
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Retrospective study. ⋯ Based on patient derived outcome data using a validated instrument, revision discectomy is as efficacious as primary discectomy in selected patients.
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A retrospective study. ⋯ Spinal reconstruction using cervical pedicle screws improved spinal stability, pain, and neurologic function. These improvements were maintained throughout the survival period in 94% of the patients. Anterior column reconstruction could be avoided in 78% of the patients in spite of damaged anterior column.