European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
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The purpose of this report is to describe the development of an evidence-based care pathway that can be implemented globally. ⋯ A care pathway for the management of individuals presenting with spine-related concerns includes evidence-based recommendations to guide health care providers in the management of common spinal disorders. The proposed pathway is person-centered and evidence-based. The acceptability and utility of this care pathway will need to be evaluated in various communities, especially in low- and middle-income countries, with different cultural background and resources. These slides can be retrieved under Electronic Supplementary Material.
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To determine the link between the rate of spontaneous lumbar curve correction (SLCC) and the sagittal profile characteristics both before and after selective thoracic fusion in Lenke 1 adolescent idiopathic scoliosis (AIS). ⋯ In Lenke 1, patients with a higher pre-operative sagittal thoracic to lumbar apical translation ratio are associated with lower rate of SLCC at the most recent follow-up. These slides can be retrieved under Electronic Supplementary Material.
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To identify preoperative predictors for postoperative shoulder imbalance (PSI) after corrective surgery of adolescent idiopathic scoliosis (AIS) and using the fulcrum-bending radiograph to assess flexibility. ⋯ III. These slides can be retrieved under Electronic Supplementary Material.
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Proximal junctional kyphosis (PJK) is a devastating complication for adult spinal deformity (ASD) after correction surgery. However, there is no consensus on the risk factors of PJK, and whether it can be predicted remains unknown. The aim of this study is to detect the primary risk factors for PJK in ASD, and introduce a novel index for prediction of PJK. ⋯ Preoperative TLK, LL at follow-up, preoperative PT/SS and PT/SS at follow-up were primary factors for PJK. PJK index could be used to predict occurrence of PJK effectively. These slides can be retrieved under Electronic Supplementary Material.