Spine
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Consecutive case series with prospective data collection. ⋯ Although it is not easy to master the minimally invasive TLIF technique, the surgeon's experience with this operation correlated with reduced operation time and blood loss during surgery. After the initial learning curve, this technique could be an effective and reliable option for the surgical treatment of lumbar degenerative disease.
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Multicentered randomized controlled trial with quality of life and resource use data collected. ⋯ On the basis of this trial, 12 weekly group classes of specialized yoga are likely to be a cost-effective intervention for treating patients with chronic or recurrent low back pain.
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Investigation of injectable nucleus pulposus (NP) implant. ⋯ An injectable implant that mimics nondegenerate NP has the potential to return motion segment ROM to normal subsequent to injury.
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Multicenter Study Comparative Study
Spinal deformity correction in Marfan syndrome versus adolescent idiopathic scoliosis: learning from the differences.
Retrospective case control study. ⋯ Patients with Marfan syndrome differ in several ways from those with AIS: they require more levels of surgical correction, more distal fusion, greater correction of sagittal balance, and more reoperations, and they have more intraoperative cerebrospinal fluid leaks and instrumentation-related complications. Knowledge of these differences is important for planning surgery.
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A systematic review of the available medical literature from 1980 to 2010 was conducted and combined with expert opinion from a recent survey of experts regarding cervical spine fractures. Using an objective, hierarchical approach, the best available evidence is presented for health-related quality-of-life outcomes for these injuries. ⋯ By overcoming gaps in the literature with consensus expert opinion, our study provides surgeons and others with evidence-based medicine guidelines for patient-centered outcomes after cervical spine injury. This information can be presented to patients to frame expectations of typical outcomes during and after treatment to optimize patient care and quality of life.