Spine
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Randomized Controlled Trial
Effect of Topical Steroid on Swallowing following ACDF: Results of a Prospective Double-Blind Randomized Control Trial.
Randomized, double-blinded, controlled trial. ⋯ Local administration of corticosteroid after multilevel ACDF can decrease postoperative severity and symptomatology of dysphagia during the immediate postoperative period to 1-month postoperatively. The long-term effects of local steroid administration on fusion and other complications will need to be established in future studies.Level of Evidence: 1.
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Multicenter Study
Depression Symptoms Are Associated with Poor Functional Status Among Operative Spinal Deformity Patients.
Retrospective review of prospective multicenter database. ⋯ ASD patients with low MCS are more likely to experience functional limitations before and after surgery and are less likely to be satisfied postoperatively, even when similar clinical goals are achieved. Incorporating psychological factors may assist in decision making.Level of Evidence: 3.
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Retrospective multicenter study. ⋯ CSM patients with diabetes experienced improvements in neurological function and neck pain as a result of posterior decompression to the same extent seen in patients without diabetes.Level of Evidence: 3.
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Retrospective case-control study. ⋯ Many medical comorbidities have less impact in obese patients than nonobese patients in predicting adverse outcomes despite increased rates of adverse outcomes in obese patients. These findings reflect the impact of obesity as an independent risk factor and have important implications for preoperative optimization.Level of Evidence: 3.
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Multicenter Study Observational Study
Impact of New Motor Deficit on HRQOL after Adult Spinal Deformity Surgery: Subanalysis from Scoli Risk 1 Prospective Study.
International, multicenter, prospective, longitudinal observational cohort. ⋯ In the subgroup of deformity patients who developed a new motor deficit, total HRQOLs and HRQOL changes were negatively impacted. Patients with more than 2 points of LEMS worsening had the worst changes, but still showed overall HRQOL improvement at 6 months and 2 years compared with pre-op baseline.Level of Evidence: 3.