Spine
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Retrospective population-based database analysis from the Physician/Supplier Procedure Summary Medicare/Medicaid Data Set. ⋯ While utilization of spinal orthosis decreased between 2010 and 2021, increased utilization was observed among a subset of specialties. Identifying these specialties allows for focused research and educational efforts to minimize unnecessary durable medical equipment use for effective health care spending.
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Observational Study
Intraoperative Surgeon Assessment of Bone: Correlation to Bone Mineral Density, CT Hounsfield units and Vertebral Bone Quality.
Retrospective observational study of consecutive patients. ⋯ Spine surgeons' qualitative intraoperative assessment of bone correlates with preoperative radiologic parameters, particularly in posterior thoracolumbar surgeries. This information is valuable to surgeons as this supports the idea that decisions based on feel in surgery have a statistical foundation.
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Retrospective longitudinal study. ⋯ We found that smoking, high BMI, monthly drunkenness, chronic diseases, and low family SES in adolescence increased the likelihood of degenerative low back pain hospitalizations in adulthood. In addition, high BMI, smoking, and monthly drunkenness in adolescence increased the odds of spinal surgeries.
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Retrospective case series. ⋯ In this series of 590 patients, conservative treatment yielded high bone union rates for pediatric LS. However, union rates decreased with stage advancement, especially in bilateral cases. These findings provide valuable insights for prognosticating natural history and outcome regarding LS treatment, bone union, and return to activity.