Spine
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Randomized Controlled Trial
Acetaminophen improves analgesia but does not reduce opioid requirement after major spine surgery in children and adolescents.
A randomized, placebo-controlled, double-blind study to evaluate the effect of intravenously (IV) administered acetaminophen on postoperative pain in children and adolescents undergoing surgery for idiopathic scoliosis or spondylolisthesis. ⋯ IV-administered acetaminophen 90 mg/kg/day, adjuvant to oxycodone, did improve analgesia, but did not diminish oxycodone consumption during 24 hours after major spine surgery in children and adolescents. All acetaminophen concentrations were in nontoxic levels.
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Comparative Study
Lumbar modic changes-a comparison between findings at low- and high-field magnetic resonance imaging.
A cross-sectional observational study. ⋯ There was a significant difference between low- and high-field MRI regarding the overall prevalence of any Modic change, but this had opposite directions for types 1 and 2: type 2 dominated in high field and conversely in high field [corrected]. The type of MRI unit should be taken into consideration when diagnosing patients with Modic changes
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Comparative Study
A comparative analysis of 4 curvature measurement methods in early-onset scoliosis.
Observational study with 3 examiners. ⋯ In this study, the pedicle method showed constantly higher ICCs and lower MAD values in the early-onset scoliosis regardless of severity. However, the other 3 methods showed lower ICCs and higher MAD values, which showed lowest reliability in the lateral tangent method. For improved treatment of early-onset scoliosis, we recommend the pedicle method for measuring curvature regardless of severity.
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A retrospective cohort study. ⋯ Referral to a PTC/SC did not yield improved functional outcomes in this cohort. A major factor contributing to this finding was the length of time to referral to PTC/SC after the initial injury.