Spine
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Multicenter Study Comparative Study
Comparative study of 2 surgical procedures for osteoporotic delayed vertebral collapse: anterior and posterior combined surgery versus posterior spinal fusion with vertebroplasty.
Retrospective comparative study. ⋯ AP surgery provides stable spinal fixation and reduces implant failure particularly at the thoracolumbar junction because of load bearing of anterior spinal elements. Surgery-related complications in AP surgery were as few in number as with the VP group, and AP surgery is useful for osteoporotic delayed vertebral fracture.
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Retrospective review of medical records and administrative data. ⋯ Claims data accurately reflected certain diagnoses and type of procedures, but were less accurate at characterizing operative features other than the surgical approach. This study highlights both the potential and current limitations of claims-based analysis for spine surgery.
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International web-based survey. ⋯ More than 80% of an international group of health care professionals experienced in the clinical care of adult spinal trauma patients indicated 13 of 143 ICF categories as definitely relevant to measure outcomes after spinal trauma. This study creates an evidence base to define a core set of ICF categories for outcome measurement in adult spinal trauma patients.
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A prospective study. ⋯ During kyphoplasty, the use of the remote control injection system can significantly reduce surgeons' radiation exposure without affecting the efficiency of procedures.
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A quality-control Internet-based study using recognized quality-scoring systems. ⋯ The overall quality of information regarding discectomy remains poor and variable despite an exponential increase in the number of users and Web sites, with a slight trend toward improvement, only 20% to 30% are of good quality, compared with that 10 years ago (<10%). Presence of Health on the Net code is a very reliable marker for health information quality.