Spine
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Retrospective review of a prospectively collected single-center adolescent idiopathic scoliosis (AIS) database. ⋯ The mean lumbar Cobb angle (19°) and percentage of patients with a lumbar Cobb angle > 35° (10%) were similar for CSing and CBil groups at the latest follow-up. Thus, performing a bilateral VBT did not significantly improve the postoperative lumbar curve magnitude compared with thoracic-only VBT (CSing) in our cohort. There was a non-significant difference in revision rates for A/B vs. C groups (18% vs. 28%), and CSing vs. CBil (20% vs. 40%). Revision rates were threefold higher in all patients with preoperative open TRC.
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Meta Analysis
Do Obese Patients Have Worse Outcomes in Adult Spinal Deformity Surgeries? A Meta-Analysis.
A meta-analysis study. ⋯ Nonobese patients undergoing ASD corrective surgery are associated with fewer implant-related complications, a lower EBL, shorter LOS, and a higher likelihood of being discharged home compared with their obese counterparts.
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Multicenter Study
Assessing Abnormal Proximal Junctional Angles in Adult Spinal Deformity: A Normative Data Approach to Define Proximal Junctional Kyphosis.
Multicentric retrospective study of prospectively collected data. ⋯ Level II.
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Retrospective cohort study. ⋯ Patients from socioeconomically disadvantaged communities experience longer hospitalizations and are more likely to be discharged to a rehabilitation or skilled nursing facility following PCDF. Social and economic barriers should be addressed as part of presurgical counseling and planning in elective spine surgery to mitigate these disparities and improve the quality and value of health care delivery, regardless of socioeconomic status.
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Prospective cohort study. ⋯ Level 3.