Spine
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Prospective cohort study. ⋯ This study found that being older, having lower fitness scores, wearing armor longer, and wearing heavier loads increased the risk of LBP in deployed soldiers. Units more likely to wear loads such as the Infantry and Cavalry and tasks commonly involving wearing loads such as patrolling all increased the risk of LBP as well.
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Retrospective institutional database review. ⋯ Preoperative in-room time prior to the start of surgical incision is an independent risk factor for SSI. All possible steps should be taken prior to entry into the operating theater to reduce in-room time and opening of surgical sterile instrumentation be delayed until the surgery is ready to proceed.
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A retrospective analysis using prospectively collected data from 3-dimensional computed tomography angiography (3D-CTA). ⋯ The VAs and PPCW vary considerably. Preoperative 3D-CTA provides important information for preventing tragic vascular complications caused by iatrogenic VA injury. Taking the risk of radiation into consideration, we recommend this method for patients at the highest risk for iatrogenic VA injury.
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Descriptive register study. ⋯ Back pain is generally experienced to a high extent by patients scheduled for spinal stenosis surgery. HRQoL and function are low preoperatively irrespective of whether back or leg pain is predominant. In this large patient material patients who grade their back and leg pain as likeworthy have significantly lower values for HRQoL and function compared to patients reporting predominant leg or back pain but the difference is not clinically relevant.
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Anonymous patient survey. ⋯ Patients think that orthopedic spine surgeons should be compensated over 10 to 20 times more than current Medicare reimbursement rates. Patients overestimate the actual amount that Medicare reimburses by a factor of approximately 7 to 10. Less than 10% of patients think that the current Medicare payment is about right, and less than 2% think that surgeons are overpaid.