Spine
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Retrospective. ⋯ Preoperative pain relief expectations were not associated with functional outcomes or satisfaction following 1-2 level primary ACDF or CDR at 12-month follow-up. Patients' dissatisfaction with their preoperative spinal condition was significantly associated with greater 12-month NDI improvement. Assessing preoperative satisfaction may help identify those most likely to benefit from surgery.
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A prospective single-arm clinical study. ⋯ The 29% change in intended surgical plans suggested that SPSI was considered by spine surgeons as an adjunct metric in deciding whether to perform decompression only or to add instrumented fusion. This change exceeded the a priori defined 15% considered necessary to show the potential clinical utility of SPSI.
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Systematic review and meta-analysis. ⋯ In summary, our meta-analysis suggests that LSSE can potentially improve disability, especially when used as a single treatment. LSSE appears more beneficial in reducing disability than alleviating pain. Future research on different patient groups is needed to understand comprehensively LSSE's effects on other musculoskeletal disorders.
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Multicenter Study
Temporal Shape Changes of Pedicle screw-rod Constructs After Lumbar Interbody Fusion.
Retrospective multicenter study. ⋯ The temporal shape changes of screw-rod constructs following short-segment lumbar interbody fusion progressed up to 6 months after surgery but not significantly thereafter.
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Observational epidemiological study. ⋯ 4.