Spine
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Intraoperative vancomycin use in spinal surgery: single institution experience and microbial trends.
Retrospective case series. ⋯ Prophylactic intraoperative vancomycin use in the wound bed in spinal surgery may increase the incidence of gram-negative or polymicrobial spinal infections. The use of intraoperative vancomycin may correlate with postoperative seromas, due to the high incidence of nonpositive cultures. Large, randomized, prospective trials are needed to demonstrate causation and dose-response relationship.
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Three-dimensional (3D) analysis of the spinopelvic alignment in adolescent idiopathic scoliosis (AIS). ⋯ Novel pelvic parameters were introduced to characterize the spinopelvic relative alignment in scoliotic subgroups. The proposed method related the orientation of the pelvis in the coronal and transverse planes to both thoracic and lumbar spinal deformities.
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Cross-sectional study. ⋯ A single-item screening question was sensitive for depression but less sensitive for anxiety. The screening questions further performed equal to 2 widely used questionnaires. Validation of these results in other populations and compared with other short-item screeners is needed.
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Retrospective. ⋯ Routine full-length spine radiographs used with high frequency in the first 6 months after posterior spinal fusion rarely detected a radiographical abnormality that resulted in a meaningful change to a patient's clinical management. Blanket postoperative screening algorithms should be reconsidered to minimize patient radiation exposure.
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Retrospective cohort. ⋯ We could not demonstrate that the training of new (or newly promoted) residents is associated with an increase in the adverse events of spine surgery. Safeguards that have been put in place to ensure patient safety during this training period seem to be effective. Although adverse events were more common among cases with resident involvement than among cases without resident involvement, our data suggest that this association is more likely a product of the riskier population of cases in which residents participate than of the resident involvement itself.