Spine
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A cross-sectional study. ⋯ A 25-item LSS symptom scale was developed, and its reliability and validity were confirmed.
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Comparative Study
Comparative safety of simultaneous and staged anterior and posterior spinal surgery.
Analysis of population-based national hospital discharge data collected for the Nationwide Inpatient Sample. ⋯ Staging circumferential spine surgery procedures during the same hospitalization offers no mortality benefit and may even expose patients to increased morbidity.
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Retrospective analysis of a consecutive cohort of 62 adolescent patients treated by posterior spinal fusion (PSF) with a minimum follow-up of 2 years. ⋯ In a large consecutive cohort, reduction of scoliosis by ST2R is a simple method that allows 70% of correction in the coronal plane, equivalent to screw instrumentations, and a restoration of normal thoracic kyphosis.
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A retrospective cohort study reporting the use of intraoperative computed tomography (CT) and image-guided navigation system for the placement of pedicle screws in pediatric compared with adult patients. ⋯ We report 96.4% accuracy in pediatric pedicle screw placement using intraoperative CT and a 3D navigation system. This is similar to other reports and has better accuracy than a recent meta-analysis of nonnavigated screws in children.
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Retrospective cohort study of Medicare claims. ⋯ In this older population having fusion surgery for lumbar stenosis, uptake of BMP was rapid, and greatest among patients with prior surgery or having complex fusion procedures. BMP appeared safe in the perioperative period, with no increase in major medical complications. Use of BMP was associated with greater hospital charges but fewer nursing home discharges, and was not associated with reduced likelihood of reoperation.