Spine
-
Retrospective cohort analysis. ⋯ Plastic spinal closure for 1 to 4 level revision posterior thoracolumbar fusions had no advantage in reducing wound complications over spine surgeon closure but increased postoperative seroma formation.Level of Evidence: 4.
-
Observational Study
Subjective and Objective Change in Cervical Spine Mobility After Single-level Anterior Cervical Decompression and Fusion.
Prospective, observational study. ⋯ The concern of many patients of being severely restricted in their cervical spine mobility after single-level ACDF can be denied. Objectively, the rotation even showed a significant improvement. Regarding the subjective restriction, which is more important for the patients, we found a significant improvement in general and for all directions of movement after surgery.Level of Evidence: 3.
-
Randomized Controlled Trial
The Efficacy of Intraoperative Freehand Erector Spinae Plane Block in Lumbar Spondylolisthesis: A Randomized Controlled Study.
Prospective randomized comparative (controlled) study. ⋯ Intraoperative ESPB as a part of multimodal analgesia was effective. For posterior instrumented patients with spondylolisthesis, it can relieve postoperative backache and reduce opioid consumption.Level of Evidence: 1.
-
Retrospective analysis of administrative billing data. ⋯ A metric of serious complications was unreliable for benchmarking cervical fusion outcomes and only modestly reliable for thoracolumbar fusion. When assessed using administrative datasets, these measures appear inappropriate for high-stakes applications, such as public reporting or pay-for-performance.Level of Evidence: 3.