Spine
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A case-control study. ⋯ The patients with non-IS and IS had similar health-related quality of life and low back pain. The patients with non-IS were found to have lower function and self-image in the SRS-22 questionnaire and more severe low back pain in the RDQ than healthy subjects. The patients with non-IS had a significantly lower marriage rate than the other 2 groups.
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A retrospective case series. ⋯ Using rigorous evaluation methods, we found no significant incremental utility of AP films obtained in addition to lateral films. Therefore, given the inherent cost, time, and radiation exposure associated with each additional view, we propose that AP films should not be part of routine follow-up imaging after ACDF.
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A nonrandomized, nonblinded prospective review. ⋯ Contrary to popular belief, immediate outcomes and hospitalizations between non-WC and WC populations did not differ regardless of surgical technique (MIS/open). Differences occurred in improved outcomes with an MIS TLIF versus an open TLIF even in a WC environment. MIS TLIF WC and non-WC patient hospital costs were lower than their open TLIF counterparts.
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A systematic review. ⋯ In the cervical spine, the rate of RASP in patients with fusion for degenerative reasons indications is greater than the rate of RASP in patients with congenital fusion suggesting that the pre-existing health and status of the adjacent level at the time of fusion may play a contributory role in the development of ASP. Strength of Statement: Weak.
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A retrospective comparative study. ⋯ Fifty-six percent of patients with clinically mild CSM with ISI had not deteriorated or undergone surgery at 10 years. Large range of motion, segmental kyphosis, and instability at the narrowest canal were considered to be adverse prognostic factors.