Spine
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Review Case Reports
Predictors for mortality in elderly patients with cervical spine injury: a systematic methodological review.
Systematic methodological review. ⋯ Although there is no conclusive evidence regarding the mortality of elderly patients with CSI, these data provide information that can help us to make recommendations and to counsel patients and their families. Special attention should be paid to the 3 strong predictors. Further studies will be required to validate these predictors.
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Review Case Reports
Systematic review of randomized controlled trials of clinical prediction rules for physical therapy in low back pain.
Systematic review. ⋯ There is a lack of good quality randomized controlled trials validating the effects of a clinical prediction rule for LBP. Furthermore, there is no agreement on appropriate methodology for the validation and impact analysis. The evidence for, and development of, the existing prediction rules is generally weak.
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Review Case Reports Comparative Study
Comparison of untreated adolescent idiopathic scoliosis with normal controls: a review and statistical analysis of the literature.
Review and statistical analysis of studies evaluating health-related quality of life (HRQOL) in adolescents with untreated adolescent idiopathic scoliosis (AIS) using Scoliosis Research Society (SRS) outcomes. ⋯ Pain and self-image tend to be statistically lower among cohorts with AIS than those unaffected. The literature to date suggests that it is only self-image which consistently differs clinically. This should be considered when assessing the possible benefits of surgery.
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A cross-sectional study. ⋯ Reduction of AAS has a negative effect on the oropharyngeal airway space. Therefore, reduction of AAS during occipitocervical fusion may cause postoperative dysphagia despite maintenance of the O-C2A.
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Review Case Reports
What is the effect of surgery on the quality of life of the adolescent with adolescent idiopathic scoliosis? A review and statistical analysis of the literature.
Review and statistical analysis of studies evaluating the effect of surgery on the health-related quality of life of adolescents with adolescent idiopathic scoliosis, using Scoliosis Research Society (SRS) outcomes. ⋯ Evidence suggests that surgery can lead to clinically important improvement in patient self-image. Surgeons and patients should be aware of the limited evidence for improvements in domains other than self-image after surgery. Surgical decision-making will also be influenced by the natural history of adolescent idiopathic scoliosis.