Spine
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Retrospective comparative study. ⋯ From this study a low PI was identified as a risk factor for the occurrence of PJK in Lenke type 5 AIS patients. The occurrence of PJK is influenced by lordotic changes in the fused area and the limited compensatory capacity of the pelvis in patients with a low PI.
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Retrospective cohort. ⋯ This study suggests that in patients with T2DM, semaglutide treatment is not associated with higher rates of short-term adverse events after CSDF. The effect of semaglutide use on long-term outcomes remains unknown.
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Retrospective comparative cohort. ⋯ The MHT was an independent predictor of pain, satisfaction, and ODI scores for up to 1 year post fusion, while a mental disorder diagnosis was not. An MHT score below 40 may be risk factor for patients undergoing elective lumbar fusion.
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Systematic review. ⋯ The challenges faced in preventing proximal junctional complications are mired in the heterogenous groundwork by which PJK and PJF are defined. Most definitions of PJK use radiographic thresholds without consideration of clinical relevance and variations in individual alignment. Conversely, definitions of PJF are based on clinical criteria, which are often subjective. Future research should focus on understanding the mechanisms of PJK/PJF, as only then will we be able to accurately define and prevent these complications.
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Retrospective cohort. ⋯ After 1:1 exact matching, the results of this study suggest that ZP (stand-alone) implants have similar outcomes compared with grafts with plating systems, with no observed differences in all-cause surgical or medical complications profile.