Spine
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Retrospective. ⋯ Although Black and White patients undergoing ASD surgery do not differ significantly in terms of postoperative complications and length of hospital stay, there is a growing disparity in utilization of ASD surgery between White and Black patients from 2004 to 2014 in the United States. There is need for continued focus on identifying ways to reduce racial disparities in surgical selection and perioperative management in spine deformity surgery.Level of Evidence: 3.
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Observational Study
No Benefit with Preservation of Midline Structures in Decompression for Lumbar Spinal Stenosis: Results from the National Swedish Spine Registry 2-Year Post-Op.
Observational cohort study. ⋯ In this study on decompression techniques for LSS, there was no benefit in preserving the midline structures compared to LE 2 years after decompression. The conclusion is that the surgeon is free to choose the surgical method that is thought most suitable for the patient and the condition with which the patient presents.Level of Evidence: 3.
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Retrospective study. ⋯ The incidence rate of iliac screw-related complications was relatively high. However, they had a little effect on sagittal alignment deterioration and there were few cases that required revision surgery.Level of Evidence: 4.
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General population utility valuation study. ⋯ This study provides a simple technique for converting the mJOA score to utilities and quantify the importance of mJOA domains. The ability to evaluate QALYs for DCM will facilitate economic analysis and patient counseling. Clinicians should heed these findings and offer treatments that maximize function in the attributes viewed most important by patients.Level of Evidence: 3.
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Multicenter Study
Scheuermann Kyphosis Patients have a Similar Revision and Infection Rate to Adolescent Idiopathic Scoliosis Patients.
Multicenter retrospective review. ⋯ Contrary to previously published literature, our analyses indicate that in a matched population, postoperative complication rates (i.e., infection and revision rates) are not significantly different between SK and AIS patients.Level of Evidence: 4.