Spine
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A biomechanical comparison study using finite element method. ⋯ Under static and vibration loadings, the PBDSSbased topping-off device (Bioflex) provided a better protection for transition segment, and likelihood of degeneration of supraadjacent segment might be relatively lower when using the ISPbased topping-off device (DIAM).Level of Evidence: 5.
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Retrospective cohort study at a single institution. Patients undergoing specific, elective spinal procedures between 2012 and 2018. ⋯ Patients receiving the lowest dosage of opioid prescriptions with sufficient nonopiate analgesics did not report worse pain relief at POD 30 compared to those receiving higher opioid prescriptions. In light of the opioid epidemic, this study supports initial dosing recommendations by the American Society for Addiction Medicine.Level of Evidence: 3.
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Observational Study
Initial Choice of Spinal Manipulative Therapy for Treatment of Chronic Low Back Pain Leads to Reduced Long-term Risk of Adverse Drug Events Among Older Medicare Beneficiaries.
Retrospective observational study. ⋯ Among older Medicare beneficiaries who received long-term care for cLBP the adjusted rate of ADE for patients who initially chose OAT was substantially higher than those who initially chose SMT.Level of Evidence: 2.
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A retrospective analysis of prospectively collected data. ⋯ Constructing a prognostic ML model for surgical outcomes in patients with OPLL is feasible, suggesting the potential application of ML for predictive models of spinal surgery.Level of Evidence: 4.