Spine
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Matched case-control study. ⋯ Our results suggest that pediatric patients undergoing spinal fusion might benefit from antimicrobial prophylaxis that covers gram-negative organisms. Surgical duration, graft implantation, and blood loss are potentially modifiable operative risk factors. Neuromuscular scoliosis, high weight-for-age, and American Society of Anesthesiologists scores 3 or more may help surgical teams identify patients at high risk for SSI.
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Review Meta Analysis
Measuring lumbar reposition accuracy in patients with unspecific low back pain: systematic review and meta-analysis.
Systematic review and meta-analysis. ⋯ Although patients with NSCLBP seemed to produce a larger lumbar RE compared with healthy controls, study limitations render firm conclusions unsafe. Future studies should pay closer attention to power, precision, and reliability of the measurement approach, definition of outcome measures, and patient selection. We recommend a large, well-powered, prospective randomized control study that uses a standardized measurement approach and definitions for absolute error, CE, and variable error to address the hypothesis that proprioception may be impaired with CLBP.
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Randomized Controlled Trial Multicenter Study Observational Study
Long-term outcomes of lumbar spinal stenosis: eight-year results of the Spine Patient Outcomes Research Trial (SPORT).
Randomized trial with a concurrent observational cohort study. ⋯ Patients with symptomatic spinal stenosis show diminishing benefits of surgery in as-treated analyses of the randomized group between 4 and 8 years, whereas outcomes in the observational group remained stable. Loss to follow-up of patients with worse early outcomes in both treatment groups could lead to overestimates of long-term outcomes but likely not bias treatment effect estimates.
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Randomized Controlled Trial Multicenter Study Comparative Study
Minimally invasive decompression versus x-stop in lumbar spinal stenosis: a randomized controlled multicenter study.
Prospective randomized controlled multicenter study. ⋯ Both MID and X-Stop led to significant symptom improvements. There were no significant clinical differences in effect between the methods at any of the follow-up time points. X-Stop had significant higher risk of secondary surgery. Complication was more severe for MID.
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Randomized Controlled Trial
Monitoring the quality of robot-assisted pedicle screw fixation in the lumbar spine by using a cumulative summation test.
Prospective randomized controlled trial. ⋯ First, this study demonstrates the adequacy of quality control of robot-assisted pedicle screw fixation even early in the application period based on the CUSUM analysis. Second, the CUSUM test can be a useful tool for monitoring of the quality of procedures related with spine surgery.