Spine
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A prospective study of 209 patients undergoing spinal surgery. ⋯ DVT assessment using ultrasonography is important for proper management of VTE during the perioperative period of spinal surgery, especially for high-risk patients, such as those with advanced age or neurological deficit. The institutional protocol for VTE using pneumatic sequential compression device and compression stockings is effective, although the administration of chemoprophylaxis should be considered for high-risk patients, such as those with spinal tumors and spinal trauma.
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Retrospective case series of surgically treated patients with adult spine deformity (ASD). ⋯ The incidence of PJF among surgically treated patients with ASD was 1.4%. The most common type of PJF was 2N. Preoperative large sagittal vertical axis change and large amount of correction was a causative factor for spondylolisthesis above the UIV. After the revision surgery, further PJF was a commonly occurred event.
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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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This is a prospective case-control study. ⋯ This study confirms that even at the initial visit, 3D morphological differences exist between P and NP AIS. It supports the use of 3D reconstructions of the spine in the initial evaluation of AIS to help predict outcome.