Spine
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Retrospective review. ⋯ Patients with spine fractures and ASD are at high risk for complications and death and should be counseled accordingly. Multilevel posterior segmental instrumentation allows effective fracture healing. AS and DISH patients represent similar patient populations for the purpose of treatment and future research.
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Prospective clinical-radiographic study. ⋯ Changes in thoracic kyphosis on fulcrum bending due to natural coupling of deformities are directed towards "self-normalization." There is no difference in the sagittal plane deformity correction with the use of hook-rod system or pedicle screw-rod constructs. This can be used as a guideline for exact preoperative rod contouring to reduce the stress on the bone-implant interface and the rate of postoperative failures. The findings also suggest that it is not how big or strong the implants are, but rather the natural curve behavior will at least partially determine the final sagittal outcome.
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Retrospective database review. ⋯ PPAC and LOS varied by region. Although there was no significant difference in treatment type based on age or region, older patients tended to have more complex procedures and a higher LOS. This did not translate into a significant change in PPAC based on age. These data point to the need for further studies examining reasons for geographic variability in idiopathic scoliosis surgeries.
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Review Meta Analysis
A meta-analysis of the clinical effectiveness of school scoliosis screening.
A meta-analysis that systematically reviewed the evaluation studies of a scoliosis screening program reported in the literature. ⋯ The use of the FBT alone in school scoliosis screening is insufficient. We need large, retrospective cohort studies with sufficient follow-up to properly assess the clinical effectiveness of school scoliosis screening.
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Multicenter Study
Variations in pelvic and other sagittal spinal parameters as a function of race in adolescent idiopathic scoliosis.
A retrospective review of clinical and radiographic data from a multicenter adolescent idiopathic scoliosis (AIS) database. OBJECTIVE.: The purpose of this study was to perform a comprehensive radiographic evaluation of the differences in pelvic parameters between 2 groups (white and black) in a scoliotic population. ⋯ In our study, significant differences were found in 3 of the 6 sagittal plane parameters between the 2 groups. With a larger PI, a larger LL is required in order maintain a neutral sagittal balance. Our results suggest that race may influence an individual's natural spinopelvic alignment, and serves as a reminder when planning surgical reconstruction for spinal deformity.