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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Randomized Controlled Trial Comparative Study
Five-year reoperation rates, cervical total disc replacement versus fusion, results of a prospective randomized clinical trial.
Prospective randomized clinical trial. ⋯ Five-year follow-up of a prospective randomized clinical trial revealed 5-fold difference in reoperation rates when comparing patients who underwent ACDF (14.5%) with patients who underwent TDR (2.9%). These findings suggest the durability of TDR and its potential to slow the rate of adjacent-level disease.
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Prospective cohort study. ⋯ Adopting the new stability criteria, MRI accuracy in PLC injury diagnosis increases. Specificity is increased (true positives) both in isolated component analysis and PLC as a whole.
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Cross-sectional analysis of patient-reported preoperative data. ⋯ We developed a valid and reliable patient-derived expectations survey for patients undergoing cervical spine surgery that addresses expectations for physical and psychological well-being and generates an easy-to-interpret overall score. The survey can be used clinically and for research and fills a gap in the comprehensive preoperative assessment of patients undergoing cervical spine surgery.
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Comparative Study
Comparison of the EuroQOL-5D with the Oswestry Disability Index, back and leg pain scores in patients with degenerative lumbar spine pathology.
Cross-sectional study. ⋯ The EQ-5D correlated well with established spine outcome measures, including ODI, and back and leg pain scores. EQ-5D correlated best with ODI scores. Correlation with back pain was stronger than leg pain, but all correlations were relatively strong. The EQ-5D can serve spine surgeons as an effective measure of clinical outcome and health utility for economic analysis.