Spine
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Retrospective review of a prospectively enrolled adult spinal deformity (ASD) database. ⋯ When addressing adult spine deformities, poor outcomes tend to occur in severely comorbid patients with major baseline psychological distress scores, poor neurologic function, and concomitant cervical malalignment.
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Retrospective review of prospectively collected data. ⋯ The PTED learning curve was found to be 31 cases and did not impact PROMs or complication rates. Although this learning curve reflects the experiences of a single surgeon and may not be broadly applicable, PTED can serve as an effective modality for the treatment of lumbar disc herniation.
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Multicenter Study
Perioperative Complications and Health-Related Quality of Life Outcomes in Severe Pediatric Spinal Deformity.
Prospective multicenter cohort study. ⋯ Most perioperative complications for severe pediatric spinal deformity resolve within 2-years postoperatively and do not result in adverse HRQoL outcomes. However, patients with unresolved complications have decreased HRQoL outcomes.
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Retrospective cohort study. ⋯ ACDF performed for patients with CCLF grade 2 showed inferior JOA score improvement compared with those with CCLF grade 0 or 1. ACDF cannot remove posterior compressive structures, which limits its utility when ligamentum flavum significantly contributes to cord compression.