Spine
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Case-report and literature review. ⋯ Instrumentation removal and metallosis debridement seems to be useful for symptomatic patients, but remains controversial on fixed asymptomatic patients. If solid fusion has not been achieved, extension, and reinforcement of the failed fixation could be required.Level of Evidence: 4.
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Multicenter Study Comparative Study
A Comparison of Three Different Positioning Techniques on Surgical Corrections and Post-operative Alignment in Cervical Spinal Deformity (CD) Surgery.
Retrospective review of a prospective multicenter cervical deformity database. ⋯ Postoperative cervical sagittal correction or alignment was not affected by patient position. The majority of segmental correction occurred at C4-5-6 across all positioning methods, while bivector traction had the largest corrective ability at the cervicothoracic junction.Level of Evidence: 4.
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Comparative Study Observational Study
In-Hospital Course and Complications of Laminectomy alone Versus Laminectomy plus Instrumented Posterolateral Fusion for Lumbar Degenerative Spondylolisthesis: A Retrospective Analysis of 1,804 Patients from the NSQIP Database.
Retrospective analysis of data from the National Surgical Quality Improvement Program (NSQIP). ⋯ We found single-level laminectomy plus fusion for lumbar DS to have a comparable short-term safety profile to laminectomy alone. However, fusion was associated with longer operative time and LOS, higher risk of blood transfusion, and greater need for inpatient rehabilitation. These factors should be recognized by clinicians and discussed with patients in the context of their values when weighing surgical treatment of lumbar DS.Level of Evidence: 3.
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Retrospective descriptive, multicenter study. ⋯ Both preoperative patient-specific and surgeon modifiable parameters predicted the 3D global spinal alignment at two-year post PSF. Surgeon was determined as a predictor of the outcomes despite including 20 factors in the analysis that described the surgical moves. Methods to quantify the differences between the implemented surgeon modifiable factors are essential to improve outcome prediction in AIS spinal surgery.Level of Evidence: 3.
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Survey study. ⋯ More than 90% of spine specialists still use orthosis in conservative treatment of adult patients with acute TL fractures. Orthosis cost vary significantly between continents, and it is influenced by the country's economy.Level of Evidence: 4.