Spine
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Retrospective cohort. ⋯ Prophylactic antibiosis with IV vancomycin leads to a 2.5 times higher risk of infection compared with IV cefazolin in primary spine surgery. We recommend the routine use of IV cefazolin for infection prophylaxis, and caution against the elective use of alternative regimens like IV vancomycin unless clinically warranted.
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Comparative Study
Cervical Laminoplasty versus Laminectomy and Fusion: A Comprehensive Time-Driven Activity-Based Cost Analysis.
Retrospective study. ⋯ Using time-driven activity-based costing, we found that total facility costs were lower in patients treated with laminoplasty. These findings suggest that laminoplasty may offer a less costly and more efficient surgical option for treating cervical myelopathy.
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Retrospective cohort study. ⋯ This is one of the first studies to assess preoperative sagittal parameters in conjunction with demographic variables to determine predictors of the need for fusion after index decompression. We demonstrated that decompression at L4-L5, greater L5-S1 segmental lordosis, decreased sacral slope, and decreased endplate obliquity were associated with higher rates of fusion after decompression surgery.
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Retrospective analysis of prospectively collected data. ⋯ Therapeutic 3.