Spine
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Multicenter Study
Adding thoracic fusion levels in Lenke 5 curves: risks and benefits.
Multicenter; review of prospectively collected data. ⋯ Adolescent idiopathic scoliosis surgeons attempt to achieve balanced correction with the fewest motion segments fused. Our data suggest that fusion of the thoracic curve in primary thoracolumbar scoliosis may improve coronal correction, but at the cost of decreased thoracic kyphosis and clinical flexibility 2 years postoperatively.
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Multicenter Study
Complications after 147 consecutive vertebral column resections for severe pediatric spinal deformity: a multicenter analysis.
Retrospective multicenter review. ⋯ A total of 147 consecutive pediatric VCRs performed by 7 surgeons demonstrated excellent radiographical correction. However, these complex reconstructions were associated with a 59% complication rate, thus emphasizing the challenging nature of these patients and procedures.
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Biomechanical analysis of vertebral derotation techniques for the surgical correction of thoracic scoliosis. ⋯ Biomechanically, it is possible to significantly improve the correction of thoracic scoliotic deformities, particularly in the transverse plane, when using vertebral derotation maneuvers.
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Survey report. ⋯ Changes in research priorities seem to reflect recent advances, new opportunities, and limitations in our ability to improve care.
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Basic imaging experiment. ⋯ We conclude that DTT could be useful for detecting the early changes associated with the compressed spinal cord in cervical ossification of the posterior longitudinal ligament.