Spine
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Randomized Controlled Trial
Five-year Follow-up of a Prospective, Randomized Trial Comparing Two Lumbar Total Disc Replacements.
This was a prospective, randomized, controlled, multicenter study. ⋯ This prospective, randomized study comparing two TDRs found no significant differences in outcomes during 5-year follow-up. Both provided statistically significant improvements by 6 weeks that were maintained. This results support other studies. Serum ion levels in TDR patients were well below the recommended threshold levels to merit monitoring.
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Meta-analysis of 4 randomized controlled clinical trials (RCTs). ⋯ The presence of radiographic fusion is clinically significant, as patients with fusion had better clinical outcomes at 1 and 2 years postoperative than those with nonunion; however, patient-centered clinical outcomes should also be taken into consideration as independent, complimentary variables when assessing treatment success.
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Multicenter Study
Surgical Consent of Children and Guardians For The Treatment of Adolescent Idiopathic Scoliosis is Incompletely Informed.
Prospective, multicenter cohort analysis. ⋯ Patients who undergo surgical intervention for AIS and their guardians understand approximately 60% of the surgical consent. The use of preoperative multimodal teaching techniques and "peer-support groups" may improve patient and guardian comprehension.
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Comparative Study
Primary and Revision Posterior Lumbar Fusion Have Similar Short-term Complication Rates.
Retrospective cohort study. ⋯ 3.