Spine
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This study was a retrospective propensity-matched study of patients receiving opioid sparing anesthesia (OSA) and those who did not receive an opioid sparing anesthesia regimen. ⋯ OSA regimens have numerous benefits in patients undergoing spinal deformity surgery including less opioid use, fewer postoperative complications, and a reduced length of stay.
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Cross-sectional analysis of a prospectively enrolled cohort. ⋯ TPA and LPA normative values are 7o and 6o, respectively, and vary between Roussouly morphotypes 1,2 and 3 versus type 4. Using the midpoint of the superior endplate of T1 and L1 versus the centroid yielded similar results and therefore could be easier to use intraoperatively.
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Cost-effectiveness of two trial interventions for low back pain. ⋯ Risk-stratified care was not cost-effective for medium- and low-risk individuals compared to usual care. Further research is needed to assess whether there is value for high-risk individuals or for other risk-stratification approaches.
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A retrospective review. ⋯ Based on PROMIS PF scores, patients with functional comorbidities do not recover to the same extent and are less likely to achieve an MCID compared to patients without baseline functional comorbidities. PROMIS-PF can help benchmark patients along their recovery, and other metrics may be needed to better understand the recovery of patients with functional comorbidities.
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Retrospective study of a multicentric prospective database. ⋯ This study highlights the importance of vertebral contribution to lumbar lordosis, ranging from 8 to 21% among PI groups. Lumbar lordosis decreased with aging through decreased disc lordosis in the lower lumbar spine and increased body kyphosis in the upper lumbar spine. These results may help surgeons in the assessment of sagittal alignment and the selection of operative technique to achieve surgical correction.