Spine
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Retrospective study. ⋯ The use of our combined CPT and ICD-9-CM algorithm to identify cervical spine surgery was highly sensitive and specific. For categories such as surgical approach, accuracy of our combined algorithm was similar to that of our ICD-9-CM-only algorithm. However, the combined algorithm improves sensitivity, and allows identification of procedures not defined by ICD-9-CM procedure codes, and number of levels instrumented and decompressed. The combined algorithm better defines cervical spine surgery and specific factors that may impact outcome and cost.
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A cross-sectional survey of 2083 schoolchildren. ⋯ There is a high prevalence of LBP in Chinese schoolchildren. The occurrence of LBP increases with age in both sexes. LBP is significantly more prevalent in girls.
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Case Reports
Septic shock after posterior spinal arthrodesis on a patient with Scheuermann kyphosis and multiple body piercings.
A case report. ⋯ The development of septic shock as a result of piercing reinsertion in the postoperative period has not been previously reported. This is an important consideration to prevent potentially life-threatening complications following major spinal surgery.
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Analysis of a prospective series of 300 consecutive cases undergoing intraoperative monitoring in pediatric orthopedic spinal surgery, of which 10% were children younger than 4 years. ⋯ In some cases of kyphoscoliosis, during a posterior-based vertebral column resection, monitoring changes were corrected by positioning a rod that allowed correction of the position of the spine in the sagittal plane. Intraoperative spinal cord monitoring can be performed in children younger than 4 years and allows real-time assessment of spinal functional integrity.
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Case report of a patient with rheumatoid arthritis (RA) and a positional occlusion of the left vertebral artery (VA). ⋯ Doppler ultrasonography and CT angiography allow valuable measurements in the diagnosis of positional VA occlusion. The one-sided destruction of the C1/C2 lateral masses might be a causal factor for VA occlusion in RA. This is the first report of a new pathomechanism underlying positional VA occlusion demonstrated with three-dimensional CT angiography.