Spine
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Randomized Controlled Trial Multicenter Study Comparative Study
The MRC spine stabilization trial: surgical methods, outcomes, costs, and complications of surgical stabilization.
A review of the surgical costs and results in a group of patients randomly allocated to surgery as part of a large prospective randomized trial of patients with chronic back pain. ⋯ These observational changes in the ODI after surgery are similar to those reported from other studies of spinal fusion. More complex surgery is more expensive with more complications than postero-lateral fusion.
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Single institution, single surgeon retrospective review. ⋯ The present study showed that radical debridement of spinal infection and anterior insertion of titanium cage, filled with autogenous bone graft, secured with pedicle screw instrumentation should have had a beneficial influence on the eradication of infection, segmental and global spinal reconstruction and fusion. Supplementary posterior minimal invasive pedicle screw fixation eliminates posterior soft tissue injury and preserves blood supply, and reduces surgical time, blood loss, and surgical complications.
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Randomized Controlled Trial Comparative Study
Urgent surgical decompression compared to methylprednisolone for the treatment of acute spinal cord injury: a randomized prospective study in beagle dogs.
Experimental dog model of acute spinal cord injury. ⋯ In the setting of acute and persistent spinal cord compression in beagle dogs, surgical decompression 6 hours after injury, with or without methylprednisolone, is more effective for improving neurologic recovery than methylprednisolone alone.
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Comparative Study
Blood conservation techniques in spinal deformity surgery: a retrospective review of patients refusing blood transfusion.
A retrospective review. ⋯ These blood conservation techniques allow satisfactory completion of deformity surgery on those patients not willing to be transfused and without major anesthetic or medical complications.