Spine
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Prospective cohort study. ⋯ Assuming that good spinal cord pulsation represents good spinal circulation, these results suggest that the supine position will provide the most favorable condition for recovery of the cervical spinal cord.
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Retrospective review of prospectively accrued cohorts. ⋯ In pediatric patients, PVCR resulted in small but significant improvements in postoperative FVC and FEV1. In adult patients, no significant increases in PFTs were found. Patients who have the greatest potential for lung and thoracic cage growth after spinal correction are most likely to have improved pulmonary function after PVCR.
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Retrospective national database analysis. ⋯ This national study demonstrated that the early resident academic year was associated with a greater length of stay among July patients in teaching hospitals. This study did not demonstrate an increase in mortality or total hospital costs among July patients in either hospital cohort. In teaching hospitals, ACF-treated patients in July were associated with a greater incidence of postoperative thromboses and surgical site infection. In addition, the incidence of dysphagia was significantly greater among July patients in teaching hospitals than nonteaching hospitals.
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Retrospective review of prospectively collected databases. ⋯ On the basis of the simplified collection system, the rate of mortality for spinal deformity surgery was 1.50 per 1000 cases. Compared with the detailed system, the simplified system had significantly improved compliance and similar mortality rates. Although the simplified system is limited by less data collected, it achieves better compliance and may prove effective, especially if supplemented with focused data collection modules.