Spine
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Case control study. ⋯ In this limited series, 265 pedicle screws were placed in 33 patients 10 years or younger with 0.75% of pedicle screws resulting in a complication. The rates of screw malposition revealed on computed tomographic scan were similar to those of adolescent children. These data support the use of pedicle screws in children 10 years or younger for the treatment of complex spinal deformity.
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Review Meta Analysis
Prevalence of adjacent segment degeneration after spine surgery: a systematic review and meta-analysis.
Systematic review of published prevalence of adjacent segment degeneration (ASD) after spine surgery. ⋯ Spine surgery is associated with significant risk of ASD. These figures may be useful in the estimation of the burden of the ASD after spine surgery.
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Review
Lumbar spine fusion for chronic low back pain due to degenerative disc disease: a systematic review.
Systematic literature review. ⋯ The body of literature supports fusion surgery as a viable treatment option for reducing pain and improving function in patients with chronic LBP refractory to nonsurgical care when a diagnosis of disc degeneration can be made.
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Randomized Controlled Trial Comparative Study
Spinal high-velocity low amplitude manipulation in acute nonspecific low back pain: a double-blinded randomized controlled trial in comparison with diclofenac and placebo.
A randomized, double-blinded, placebo-controlled, parallel trial with 3 arms. ⋯ In a subgroup of patients with acute nonspecific LBP, spinal manipulation was significantly better than nonsteroidal anti-inflammatory drug diclofenac and clinically superior to placebo.
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Multicenter Study
Posterior global malalignment after osteotomy for sagittal plane deformity: it happens and here is why.
Multicenter, retrospective analysis of 183 consecutive patients undergoing lumbar osteotomy. ⋯ A significantly lower pelvic incidence and lack of restoration of thoracic kyphosis may lead to sagittal overcorrection with a posterior alignment. Although the clinical significance of posterior malalignment is still unclear, this study showed a compensatory loss of cervical lordosis in these patients. Particular attention must be paid to preoperative planning before sagittal realignment procedures. Further study will be necessary to evaluate long-term clinical outcomes of these patients.