Spine
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A descriptive epidemiologic study. ⋯ Lumbosacral transforaminal and interlaminar/caudal spinal epidural injections were shown to decrease by 52.37% per 100,000 patients from 2010 to 2019. Changing demographics of those undergoing such injections and practice patterns are important to consider in the picture of overall spine service utilization. Variations in injection utilization trends by patient insurance raise questions regarding disparities in care.
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Retrospective cohort. ⋯ 4.
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Retrospective cohort. ⋯ The deep neural network may be used to predict complications for clinical applications after multicenter validation. The results suggest limited added knowledge exists in interactions between the input variables used for this task. Future work should identify novel variables to increase predictive power.
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Multicenter Study Observational Study
The Utility of Transcranial Stimulated Motor-evoked Potential Alerts in Cervical Spine Surgery Varies Based on Preoperative Motor Status.
A prospective multicenter observational study. ⋯ The utility of Tc-MEP in patients with a preoperative severe motor status was enhanced, even in those without high-risk spine surgery. Regardless of the motor status, appropriate interventions following Tc-MEP alerts may prevent postoperative paralysis.