Spine
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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.
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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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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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Retrospective review. ⋯ In the elderly patient, PSO and VCR can achieve significant restoration of sagittal and coronal balance and significant improvement in quality of life. However, both techniques can lead to serious complications and should be selectively used.
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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.