Spine
-
Meta Analysis Comparative Study
Fluoroquinolones versus beta-lactam based regimens for the treatment of osteomyelitis: a meta-analysis of randomized controlled trials.
A meta-analysis of randomized control trials. ⋯ Fluoroquinolones are as effective as beta-lactams for the treatment of osteomyelitis and can be considered as a useful alternative in the physician's armamentarium. The value of fluoroquinolones for the treatment of osteomyelitis lies in the fact that they can be administered in an outpatient setting. However, they should be used with caution, so as to preserve their activity against increasingly resistant bacteria.
-
Multicenter Study Comparative Study
Adolescent idiopathic scoliosis patients report increased pain at five years compared with two years after surgical treatment.
A multicenter study of changes in Scoliosis Research Society (SRS) outcome measures after surgical treatment of adolescent idiopathic scoliosis (AIS). ⋯ There was a statistically significant increase in reported pain from 2 to 5 years after surgical treatment; however, the etiology of worsening pain scores could not be elucidated. Given continued patient satisfaction, the clinical relevance of this small reduction remains unknown. Nevertheless, this observation deserves further evaluation and must be considered in relation to the natural history of this disease.
-
Multicenter Study Comparative Study
Spontaneous lumbar curve correction in selective thoracic fusions of idiopathic scoliosis: a comparison of anterior and posterior approaches.
A retrospective evaluation of adolescent idiopathic scoliosis (AIS) patients treated with selective thoracic instrumentation and fusion. ⋯ Anterior and posterior instrumented fusions performed selectively on the appropriate curves result in equal SLCC when matched by LIV, flexibility of the lumbar curve, and percent thoracic curve correction achieved. This suggests that the observed phenomenon of SLCC after selective thoracic fusion in AIS is independent of surgical approach and can be reliably achieved with either technique.
-
Comparative Study
Prospective pulmonary function comparison of anterior spinal fusion in adolescent idiopathic scoliosis: thoracotomy versus thoracoabdominal approach.
Prospective clinical study of a retrospective database. ⋯ An open thoracotomy approach for treating a main thoracic curve demonstrated a significant decrease in the absolute pulmonary function tests values at 2 years postoperative while the thoracoabdominal approach for treating a TL/L curve did not.
-
Comparative Study
Fusion rates after thoracoscopic release and bone graft substitutes in idiopathic scoliosis.
A retrospective assessment of fusion rates using either morselized allograft bone or demineralized bone matrix (DBM) following video-assisted thoracoscopic surgery (VATS) in idiopathic scoliosis. ⋯ Demineralized bone matrix (Grafton DBM Flex) seem to be an effective bone graft substitute in thoracoscopic surgery for idiopathic scoliosis.