Spine deformity
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Retrospective case-series. ⋯ Level IV.
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Case Reports
Importance of intraoperative dynamic spinal cord mapping (DSCM) during complex spinal deformity surgery.
Case report and review of literature. ⋯ Dynamic spinal cord mapping helps map areas of neurophysiologic data loss permitting focused attention to the site of compromise to reverse the offending agent. This improves the chance for return of baseline data, avoiding the potential for permanent neurologic catastrophe for the patient. LOE: IV.
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Retrospective cohort study. ⋯ III.
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Finite element analysis. ⋯ The greater mechanical demand on the posterior rods in the lower lumbar spine in the major failure cohort further emphasizes the importance of proper sagittal alignment. This finite element analysis validates the classification of lumbopelvic fixation failure.
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Patients with neuromuscular scoliosis (NMS) who undergo posterior spinal fusion (PSF) often have long, protracted hospital stays because of numerous comorbidities. Coordinated perioperative pathways can reduce length of hospitalization (LOH) without increasing complications; however, a subset of patients may not be suited to rapid mobilization and early discharge. ⋯ Therapeutic Level III.