Spine
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Spine Update on prognostic scoring systems for spinal metastases in the era of anti-vascular endothelial growth factor (VEGF) therapies. ⋯ The assessment of the available scores in recent cohorts of patients is mandatory to test their current validity and evidence the need for aggressive surgical management. New scoring systems taking into account the gain in survival induced by recent anticancer agents will likely be warranted in a close future.
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Prospective population-based cohort study. ⋯ Baseline variables in multiple domains predicted lumbar spine surgery. There was a very strong association between surgery and first provider seen for the injury even after adjustment for other important variables.
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Validation and reliability analysis of the new SRS-Schwab classification for adult spinal deformity.
An inter- and intra-observer reliability study. ⋯ With the nonpremarked cases, this new SRS-Schwab system for patients with ASD could achieve good to excellent intra- and inter-observer reliability, but the definition of thoracic or lumbar curves was still predisposed to confusion. Overall, the SRS-Schwab system is a simple and clear classification system with incorporated spinopelvic parameters, which significantly increase its value for practical usage.
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Single-center prospective study. ⋯ 4.