Spine
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Review
Cauda equina syndrome: assessing the readability and quality of patient information on the Internet.
A readability and quality control Internet-based study using recognized quality scoring systems. ⋯ Internet information relating to cauda equina syndrome is of variable quality and largely set at an inappropriate readability level. Given this variability in quality, health care providers should direct patients to known sources of reliable, readable online information. Identification of reliable sources may be aided by known markers of quality such as HON-code certification.
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Review Case Reports
Trachea-thoracic vertebral body fistula causing spinal cord injury: a case report.
A case report and review of the literature. ⋯ To our knowledge, this is the first case report of a trachea-thoracic vertebral body fistula. Because the trachea is adjacent to the anterior aspect of the thoracic vertebrae, in cases of retrosternal esophageal reconstruction, trachea-vertebral body fistula should be a differential diagnosis for destructive changes in thoracic vertebrae without any signs of trauma.
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Review
Inconsistencies between abstracts and manuscripts in published studies about lumbar spine surgery.
Systematic review. ⋯ Abstracts are discrepant with full manuscripts in a surprisingly high proportion of manuscripts. Authors, editors, and peer reviewers should strive to ensure that abstracts accurately represent the data in RCT manuscripts.
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Cross-sectional study. ⋯ Participants with LBP showed trunk postural and movement adaptations that seems to be compensatory strategies to decrease the risk of further injuries and aggravation of the symptoms, but their ability to regain the balance was not affected by LBP. Clinicians should encourage patients with LBP to remain active while they are experiencing pain.
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Retrospective medical record review. ⋯ Anterior lumbar interbody fusion via a midline incision and a retroperitoneal approach was associated with 37% overall rate of complication. Patients with a history of abdominal or pelvic surgery are at a higher risk of developing general, instrumentation, and anterior approach-related complications.