Spine
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Randomized Controlled Trial
Natural history and risk factors for adjacent vertebral fractures in the fracture intervention trial.
Retrospective analysis of prospectively collected follow-up data for 2.9 years. ⋯ New vertebral fractures adjacent to prevalent fractures occurred relatively infrequently in this treatment trial of alendronate in females with osteoporosis, and were more common with older age at randomization, lower bone mineral density and placebo treatment.
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Multicenter Study
Complications in pediatric spine surgery using the vertical expandable prosthetic titanium rib: the French experience.
Multicenter retrospective study of 54 children. ⋯ The complication rate is consistent with that reported in the literature. Correct determination of the levels to be instrumented, preoperative improvement of nutritional status, and better evaluation of the preoperative and postoperative respiratory function are important factors in minimizing the potential complications of a technique that is used in weak patients with complex deformities.
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Prospective cohort study. ⋯ JobFit System PEFAs predict musculoskeletal injury risk in healthy mineworkers after 1.3 years of employment. Future research should assess whether use of these assessments as part of a holistic risk management program can decrease workplace musculoskeletal injuries.
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Comparative Study
Comparison of perioperative outcomes and cost of spinal fusion for cervical trauma: weekday versus weekend admissions.
Retrospective database analysis. ⋯ The weekend cohorts in all surgical approaches incurred a greater length of stay and total hospital costs than their weekday counterparts. The ACF-treated weekend cohort demonstrated significantly greater incidences of postoperative infection, cardiac complications, and urinary tract infection. There were no significant differences in mortality based on the admission day for any surgical approach. Further research is warranted to further evaluate hospital utilization, costs, and patient outcomes based on the admission day.
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Dual-center, retrospective study. ⋯ VBS is effective in controlling curve progression in the high-risk group of children younger than 10 years with idiopathic scoliosis between 30° and 39° in whom bracing may be ineffective.