Spine
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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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Comparative Study
Comparative analysis of clinical outcomes and complications in patients with degenerative scoliosis undergoing primary versus revision surgery.
Retrospective cohort analysis of prospectively collected data. ⋯ Revision patients achieved the same radiographical and clinical outcomes as primary patients. The complication rates were similar between primary and revision patients. Revision patients benefit from surgery just as much as primary patients at 2-year follow-up.
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A prospective study on a series of consecutive patients. ⋯ DTI can be a useful tool to determine the pathological spinal cord levels in multilevel CSM. This information from orientation entropy-based DTI analysis, in addition to conventional MRI and clinical neurological assessment, should help spine surgeons in deciding the optimal surgical strategy.
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Retrospective analysis of kinematic magnetic resonance (MR) images. ⋯ Dynamic cord compression was most common at the C5-C6 segment. Cervical segments with greater disc bulge, more severe disc degeneration, greater angular motion, segmental kyphosis, and developmental stenosis may be at risk for missed dynamic stenosis.
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Retrospective analysis. ⋯ Overweight and obese patients demonstrated an increased risk of postoperative complications relative to normal weight patients. Despite these findings, a BMI 25 kg/m or more was not associated with a greater risk of mortality. Further studies are warranted to characterize the impact of postoperative complications associated with overweight and obese patients on hospital resource utilization and costs after lumbar spine surgery.