Spine
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A critical review of published literature from 2 decades. ⋯ The present data indicate that clinical outcomes and fusion rates statistically differ among the various subgroups of degenerative disc disease. Concerning the use of instrumentation, it appears that it may have greater clinical benefit in patients with DDDsp than DDDn. These findings underscore the importance of delineating specific clinical diagnoses when documenting results of lumbar fusion. This information might also be useful for both selecting surgical candidates and discussing anticipated operative outcomes.
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Video observation study. ⋯ Effort level can be determined validly by means of visual observation.
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A retrospective comparison of postoperative continuous epidural analgesia and patient-controlled analgesia following surgical treatment for adolescent idiopathic scoliosis. ⋯ Although both continuous epidural analgesia and patient-controlled analgesia provide effective pain control following surgery for adolescent idiopathic scoliosis, patients with continuous epidural analgesia had significantly better pain scores for all time periods, less fluctuations in pain, and lower maximum pain levels during the postoperative period.
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Calculate the apparent pseudarthrosis rate for anteriorly plated cervical spine fusions using different threshold levels of intervertebral rotation. ⋯ The apparent pseudarthrosis rate was highly dependent on the threshold of motion used to define a pseudarthrosis.
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A retrospective study on the correlation between preoperative pulmonary function tests, preoperative pulmonary symptoms, and postoperative pulmonary complications. ⋯ The incidence of postoperative pulmonary complications increased with the deterioration of pulmonary function tests. The posterior procedure had a very low incidence of postoperative pulmonary complications, but a transthoracic procedure increased the complications significantly. Preoperative pulmonary symptoms usually predicted abnormal results of pulmonary function tests but had no correlation with postoperative pulmonary complication.