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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Numerous studies have reported that corrective surgery improves postoperative health-related quality of life (HRQOL) in patients with adult spinal deformity (ASD), and postoperative HRQOL is maintained over 5-year follow-up. However, few studies have investigated factors associated with mid-term patient satisfaction. This study aimed to examine the factors contributing to 5-year patient satisfaction in patients with ASD following corrective surgery. ⋯ These findings underscore the significance of functional and social function improvements following corrective surgery, as they contribute to higher levels of satisfaction among patients with ASD.
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Destructive spondyloarthropathy (DSA) is a serious complication of long-term haemodialysis; it commonly occurs in the cervical spine and has been investigated in cervical lesions. Although DSA of the lumbar spine has been reported, only few studies have investigated this, and the characteristics of patients with lumbar DSA are unclear. The present study aimed to elucidate the prevalence of DSA and its clinical characteristics in patients with DSA in the lumbar spine using computed tomography (CT) images of the patients who underwent lumbar spine surgery. ⋯ Among patients on haemodialysis who underwent lumbar spine surgery, the prevalence of patients with DSA was 31.3%. Classification of DSA using CT showed moderate-to-substantial agreement. Patients with DSA tended to have a longer haemodialysis duration.
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Clinicians monitor scoliosis progression using radiographs during growth. Three standing positions were assessed because the arms must be elevated to visualize all vertebrae on radiographs, possibly affecting sagittal parameters. 3D Ultrasound (3DUS) is safe to assess positions without radiation, but its test-retest reliability has not been established for common radiograph positions. The aim was to determine the test-retest reliability of frontal, sagittal, and transverse measurements obtained from three positions using 3DUS imaging. ⋯ 3DUS produces reliable frontal, sagittal, and transverse measurements for research use in three standing positions. Hands on wall produces reliable measurements for clinical practice.