Spine
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Retrospective cohort study. ⋯ The present study suggests an association of decompression within 12 hours and short transport times (<6 hours) with significant improvements in neurological outcomes.Level of Evidence: 4.
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Observational Study
Large Lumbar Lordosis is a Risk Factor for Lumbar Spondylolysis in Patients with Adolescent Idiopathic Scoliosis.
A retrospective, single-center, observational study. ⋯ We should be vigilant for lumbar spondylolysis in AIS patients whose LL and SS are large, especially with LL larger than 56.5°.Level of Evidence: 3.
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Retrospective study. ⋯ We found that there may be a correlation between Roussouly type and revision surgery for ASD after L4-5 TLIF for spondylolisthesis, with type 2 spines having the highest rate. Spinopelvic parameters may also correlate with revision surgery for ASD after L4-5 TLIF.Level of Evidence: 4.
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Monocenter case-control study. ⋯ SSAE are an important risk factor after acute traumatic cervical SCI with impact on neurological recovery, functional outcome, and healthcare costs. Reducing SSAE is a viable means to protect the limited intrinsic capacity for recovery from SCI.Level of Evidence: 4.
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Mechanical Complications in Adult Spinal Deformity Surgery: Can Spinal Alignment Explain Everything?
Cohort study. ⋯ The results point to the complexity of mechanical failure and the high likelihood that causative factors are multifactorial and not limited to alignment measures. GAP score should be used with caution as it may not explain or predict mechanical failure based on alignment in all populations as originally expected. Future studies should focus on etiology, surgical technique, and patient factors in order to generate a more universal score that can be applied to all populations.Level of Evidence: 4.