Spine
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Retrospective. ⋯ IOM data identified 386 (3.1%) patients with loss/degradation of data in 12,375 spinal surgical procedures. Fortunately, in 93.3% of patients, intervention led to data recovery and no neurological deficits. Reduction from a potential (worst-case scenario) 3.1% (386) of patients with significant change/loss of IOM data to a permanent neurological deficit rate of 0.12% (15) patients was achieved (P < 0.0001), thus confirming efficacy of IOM.
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Comparative Study
Comparative analysis of surgical approaches and osteotomies for the correction of sagittal plane spinal deformity in adults.
A retrospective review. ⋯ A posterior-only or combined surgical approach had comparable radiographical outcomes. Higher morbidity was significant in regard to operative time in the combined-approach group. Deciding on the approach best suited for achieving correction in the sagittal plane likely resides on the surgeon's experience and expertise.
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Analysis of the growth, utilization trends, and Medicare expenditures of spinal interventional pain management techniques from 2000 through 2008. ⋯ The study suggests explosive increases in spinal interventional techniques from 2000 to 2008, with some slowing of growth in later years.
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Retrospective study. ⋯ This study is the first to describe the prevalence of LUTS and NB according to the most recent criteria in patients with pure cervical spondylotic myelopathy, which demonstrated that neurological functions in NB patients may recover; however, the extent will be limited to two-thirds of those in patients with no-NB; moreover, the remaining symptoms derive from poor lower limb function.
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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.