Spine
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Multicenter Study
Impact of direct vertebral body derotation on rib prominence: are preoperative factors predictive of changes in rib prominence?
Multicenter retrospective review of prospectively collected data. ⋯ Utilizing DVBD, the surgeon can expect approximately 50% reduction in the rib deformity as assessed by inclinometer. This is irrespective of preoperative inclinometer measures, thoracic curve flexibility, and vertebral body rotation on standing and bending radiographs.
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Randomized Controlled Trial Multicenter Study Comparative Study
The access randomized clinical trial of public versus private physiotherapy for low back pain.
Pragmatic randomized clinical trial. ⋯ Despite differences between public and private PT regarding waiting times for treatment and therapist experience, there were no significant differences between groups in the majority of clinical outcome measure scores at follow-up, apart from SF-36 Role Physical and satisfaction with treatment outcome in favor of the private PT group.
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Reliability study of the computer-assisted SDSG (Spinal Deformity Study Group) classification of lumbosacral spondylolisthesis. ⋯ Substantial intra- and interobserver reliability was found for the computer-assisted SDSG classification, and all 6 types of lumbosacral spondylolisthesis were identified. Refinement of the computer-assisted classification technique is, however, needed to further increase the reliability of the SDSG classification and facilitate its clinical use.
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Case report. ⋯ We report a rare case of complete excision of an osteosarcoma of the C1 lateral mass in our patient via a direct lateral and posterior approach to secure additional fixation of occipitocervical joint. We describe our technique for reconstructing the lateral mass of the atlas. This reconstruction technique will also be applicable to other resection surgeries involving the occipitocervical junction.
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Retrospective case-control study. ⋯ Spinal fusion for scoliosis in RS can give a satisfactory technical result, but a high rate of early postoperative medical problems should be anticipated.