Spine
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Delphi expert panel consensus. ⋯ Although telemedicine was initially introduced out of necessity, this technology most likely will remain due to evidence of high patient satisfaction and significant cost savings. This study was able to provide a framework for appropriate telemedicine utilization in spine surgery from a panel of experts. However, several questions remain for future research, such as whether or not an in-person consultation is necessary prior to surgery and which physical exam maneuvers are appropriate for telemedicine.Level of Evidence: 4.
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Genetic cross-over study of intervertebral disc degeneration (IDD) and its associated risk factors. ⋯ Genetic association between IDD and risk factors in the general population was revealed by association network. Important gene-related molecular pathways and chemical drugs closely related to IDD have been found. Further study can provide guidance for the treatment and prognosis of IDD.Level of Evidence: N/A.
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Observational Study
A Natural History of Patients Treated Operatively and Non-Operatively for Spinal Metastases Over 2 Years Following Treatment: Survival and Functional Outcomes.
Prospective observational study. ⋯ We found that patients treated operatively and nonoperatively for spinal metastases benefitted from treatment in terms of HRQL. Two-year mortality for the cohort as a whole was 70%. When prognosticating survival, the NESMS appears to be an effective utility, particularly among patients with scores of 0 or 1.Level of Evidence: 2.
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Retrospective study on 185 patients with 490 cervical disc herniation (CDH). ⋯ Patients who underwent CMEL developed a postoperative reduction of CDH volume, with more popularity, greater degree and earlier-staged than EOLP-patients. Young females with longer follow-up time were more likely occur.Level of Evidence: 4.
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Multicenter Study
Passive Recharge Burst Spinal Cord Stimulation provides sustainable improvements in pain and psychosocial function: 2-year results from the TRIUMPH study.
Prospective, international, multicenter, single-arm, post-market study. ⋯ Early positive results with B-SCS were maintained long term. Evidence across multiple assessment tools show that B-SCS can alleviate pain intensity, psychological distress, and improve physical function and health-related quality of life.Level of Evidence: 3.