Spine
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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.
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Comparative Study
Biomechanical comparison of three methods of sacral fracture fixation in osteoporotic bone.
Biomechanical cadaveric bench study. ⋯ All 3 fixation methods resulted acutely in motion similar to that of the intact pelvis. Although motion increased as a function of cyclical loading, no significant differences were found between fixation methods. All 3 repair methods reduced fracture site motion, but clinical studies are needed to determine if each method relieves pain and provides sufficient fixation for fracture healing.
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Surgeon survey. ⋯ The catastrophic morbidity of a symptomatic postoperative epidural hematoma remains a substantial disincentive to start chemoprophylaxis after spinal surgery. The rarity of this complication makes study of its risk factors difficult. Although many surgeons perceive the risk to be higher, the reported incidences of clinically relevant postoperative epidural hematoma are lower, ranging from 0% to 1%. Despite this finding, there is insufficient published data available to precisely define the safety of postoperative chemoprophylaxis. Though not pertaining to prophylaxis, the available evidence does suggest that use of therapeutic doses of heparin in postoperative spinal patients who sustain a PE may have a higher incidence of bleeding complications.
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Randomized Controlled Trial Comparative Study
Is a behavioral graded activity program more effective than manual therapy in patients with subacute neck pain? Results of a randomized clinical trial.
A randomized clinical trial. ⋯ Based on this trial it can be concluded that there are only marginal, but not clinically relevant, differences between a BGA program and MT.