Spine
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Randomized Controlled Trial
Longitudinal Relationship between Reduced Modic change Edema and Disability and Pain in Patients with Chronic Low Back Pain.
Secondary analyses of a randomized trial [Antibiotics In Modic changes (MCs) study]. ⋯ Level 3.
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Retrospective database cohort study. ⋯ Surgical treatment for RAS is rare but increased over a 19-year period. Cases appear to be clustering by region, with the highest proportion in the South. The higher Elixhauser Comorbidity Index in RAS patients predicted higher costs, longer hospital stays, more complications (particularly respiratory), and more nonroutine discharge disposition than in other patients with NMS. RTT was independently associated with higher odds of complications and longer length of stay. Because RAS cases appear to be increasing in number, future studies should emphasize methods to reduce morbidity and investigate deformity-specific metrics to help better understand this population.
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Multicenter Study
Thoracolumbar Sagittal Shape Varies with Pelvic Morphology and Aging.
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Multicenter Study
Risk Factors for Cage Migration Following Lateral Lumbar Interbody Fusion Combined with Posterior Instrumentation: A Multicenter Retrospective Study of 983 Cases.
A multicenter retrospective study. ⋯ We identified risk factors for LCM after LLIF combined with posterior instrumentation. To avoid this complication, it is important to select the appropriate cage sizes and enhance posterior fixation for at-risk patients.
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Retrospective, single-center, cohort study. ⋯ Postoperative use of muscle relaxants as part of a multimodal analgesia regimen was associated with an increased risk of delirium in older adults after lumber fusion surgery. Although muscle relaxants may be beneficial in select patients, they should be used with caution in individuals at high risk for postoperative delirium.