Spine
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Retrospective cohort study. ⋯ Unplanned hospital readmissions after spine fusion for adult spinal deformity are common, and are most often due to surgical site infection. Patient medical comorbidities are an important part of assessing risk and can be used by providers and patients to better assess individual risk prior to treatment.
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Case Reports
Multiple abscesses with osteomyelitis and destruction of both the atlas and the axis in a 4-week-old infant.
Case report. ⋯ C1-C2 osteomyelitis is a very rare entity even in children. There is limited experience with treatment, but immobilization of the neck, surgical debridement, drainage, and antibiotic treatment can be recommended. Close follow-up is required to check the reconstitution of affected bones and ligaments, any development of instability, and the necessity of surgical stabilization.
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Retrospective national database analysis. ⋯ We demonstrated an overall incidence of 5.3 cases of aspiration per 1000 cervical procedures. Patients most commonly affected by aspiration were older males with greater comorbidity. Hospital courses complicated by aspiration had greater length of stay, costs, and mortality. Identification of patients with risk factors for aspiration may assist in early diagnosis and treatment to prevent further morbidity and mortality.
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Retrospective analysis of 73 standalone lateral lumbar interbody fusion (LLIF) procedures to identify any association between the amount of coronal curve correction and lumbosacral plexus injuries and/or postoperative pain. ⋯ 4.
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Therapeutic level II cohort study. ⋯ 2.