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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Randomized Controlled Trial
The Canadian Occupational Performance Measure's semi-structured interview: its applicability to lumbar spinal fusion patients. A prospective randomized clinical study.
Although lumbar spinal fusion has been performed for more than 70 years, few studies have examined rehabilitation strategies for spinal fusion patients, and there is only sparse information about the patient's activity level after surgery. The Canadian Occupational Performance Measure (COPM) is a standardized semi-structured interview, developed to identify patients' problems in relation to activities of daily living (ADL). The COPM has neither been examined in a randomised clinical study nor employed in relation to lumbar spinal fusion patients. We aimed to examine whether or not the use of the semi-structured interview COPM during in-hospital rehabilitation could: (1) identify more ADL-related problems of importance to the patients after discharge from the hospital, (2) enhance the patients' ADL performance after discharge from hospital ⋯ Use of the COPM during hospitalization helped in identifying more ADL problems encountered by patients during the first 3 months post-discharge period as COPM served to identify more treatment goals and plans of action. Use of the COPM had no impact on the patients' ADL performance, and the difference is so small that COPM may be of little clinical consequence.
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Multicenter Study Comparative Study
How do idiopathic scoliosis patients who improve after surgery differ from those who do not exceed a minimum detectable change?
The minimum detectable change (MDC) of the SRS-22 subtotal score is 6.8 points. With the use of this value, patients who have undergone surgery for idiopathic scoliosis can be dichotomized into two groups: the successful (S) group (those who have reached or exceeded this limit) and the unsuccessful (Un-S) group (those in whom the change was smaller). The aim of this study was to analyze the clinical and radiological differences between these patient groups, as well as those related to the surgical technique. ⋯ The preop subtotal score of the SRS-22 is a good predictor of the clinical response to surgery.
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Multicenter Study
Effect of direct vertebral body derotation on the sagittal profile in adolescent idiopathic scoliosis.
We sought to clarify the effect of applying derotation maneuvers in the correction of adolescent idiopathic scoliosis (AIS) on the sagittal plane. ⋯ Although patients in both groups had decreased mean thoracic kyphosis postoperatively, application of DVBD in the correction of scoliosis did not additionally worsen the sagittal profile.
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Randomized Controlled Trial
Use of computed tomographic reconstruction to establish the ideal entry point for pedicle screws in idiopathic scoliosis.
To determine the ideal entry point for individual pedicle screw in the surgical treatment of idiopathic scoliosis using computed tomographic (CT) three-dimensional (3D) reconstruction. ⋯ We conclude that in the surgical treatment of severe scoliosis, individual screw placement guided by entry points determined by CT reconstruction can result in improved accuracy and ease of the procedure.