Spine
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Systematic Review. ⋯ Our analysis is the largest study to date on pedicle screw placement. Pedicle screw placement through robotics was found to be superior due to its low misplacement rates compared with other modalities. Intraoperative 3D fluoroscopic navigation was found to have comparable misplacement rates. In addition, pedicle screw placement accuracy with robotics has continued to improve over time. This speaks to both the stability of the technology and the potential for continued improvement with new and more accurate robotic systems.
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Retrospective review. ⋯ 3.
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Literature review. ⋯ Bone health assessment and optimization are important for decreasing surgical risks and improving outcomes in spine surgery patients.
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Observational Study
Differences in Outcomes and Healthcare Resource Utilization After Surgical Intervention for Metastatic Spinal Column Tumor in Safety-Net Hospitals.
Observational cohort study. ⋯ 3.
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Double-blinded, prospective laboratory animal study. ⋯ These results demonstrate that spine surgery for unilateral laminectomy induces central sensitization that results in postoperative pain hypersensitivity. Intraoperative SCS after laminectomy may be able to mitigate the development of this hypersensitivity in appropriately selected cases.