Spine
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A retrospective study. ⋯ A sagittal Cobb angle difference between lumbar lordosis and thoracic kyphosis of > 20 degrees (higher lumbar lordosis) is advisable in most circumstances to achieve optimal sagittal balance.
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Retrospective clinical cohort study. ⋯ Researchers and clinicians should be aware of the potential for non-injury-related factors to delay recovery, and be aware of the interaction between the initial intensity of a patient's pain and other covariates when confirming these results.
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Comparative Study
Comparison of Scheuermann kyphosis correction by posterior-only thoracic pedicle screw fixation versus combined anterior/posterior fusion.
Retrospective comparison review. ⋯ With less operating time and intraoperative blood loss, posterior-only Scheuermann kyphosis treatment with thoracic pedicle screws achieved and maintained better correction, and had significantly less complications than with circumferential fusion.
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Comparative Study
Comparison of pelvic fixation techniques in neuromuscular spinal deformity correction: Galveston rod versus iliac and lumbosacral screws.
Retrospective radiographic and clinical review. ⋯ Using iliac screws for pelvic fixation in neuromuscular spinal deformity affords equivalent maintenance of pelvic obliquity and scoliosis correction compared to the Galveston technique. Furthermore, the iliac screw technique avoids complex, lumbosacral 3-dimensional rod bends and yields minimal implant complications.