Spine
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Population-based cross-sectional study of clinically assessed low back syndromes. ⋯ The increased risk of low back disorders related to professional car driving is more likely due to strenuous work tasks rather than to driving itself.
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Retrospective cohort study. ⋯ In a cohort of elderly patients, Type II odontoid fractures were associated with a high rate of mortality, regardless of intervention.
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This retrospective study assessed the total hospital charges for performing 102 single-level anterior cervical discectomy/fusion (1-ADF) procedures performed during a single year at one institution. All cases were in a single diagnosis-related group (DRG) category (473: cervical spine fusion), and used a single Principle Procedure Code (81.02). ⋯ Both the surgeon's choice of instrumentation and the choice of surgeons contributed to large- variations in total hospital charges for 102 patients undergoing 1-ADF.
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A case series of eight consecutive patients with severe (Meyerding Grade ≥ 3) adolescent isthmic spondylolisthesis (SAIS) who underwent reduction and stabilization by using a new surgical technique. ⋯ This safe 3-stage procedure assists sudden reduction and circumferential fusion of SAIS without any neurologic deficit and excellent clinicoradiologic outcome restoring normal lumbosacral biomechanics.
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Retrospective analysis using positional MRI. ⋯ Changes in sagittal alignment may lead to kinematic changes in the lumbar spine. This may subsequently influence load bearing and the distribution of disc degeneration at each level. Sagittal alignment, disc degeneration, and segmental mobility likely have a reciprocal influence on one another.