Spine
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Review Case Reports
Bilateral traumatic dislocation without fracture of the lumbosacral junction: case report and review of the literature.
Case report. ⋯ A careful clinical examination and imaging assessment must be done for appropriate diagnosis and treatment of this rare type of injury. Reduction in the face of intact articulating processes and pars interarticularis is challenging because of acting heavy forces on the lumbosacral joint. Facetectomies, nerve root decompression, and circumferential instrumented fusion are ways to decompress the neural elements, restore alignment, and maintain segmental stability.
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Multicenter Study
Prevalence and predictors of pain in surgical treatment of adolescent idiopathic scoliosis.
Multicenter, prospective, consecutive clinical series. ⋯ Back pain affects three-quarters of adolescents with idiopathic scoliosis and is reduced after posterior fusion. Patients who are overweight, older, and have larger proximal thoracic curve magnitudes report more preoperative pain. Patients who view themselves as more deformed tend to have more absolute pain, and less reduction in pain after operation.