Spine
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A questionnaire survey. ⋯ The majority (90.5%) of responding surgeons used the steroid protocol; however, only 24.1% used the steroid protocol due to a belief in improved clinical outcomes.
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Comparative Study
Outcome of local bone versus autogenous iliac crest bone graft in the instrumented posterolateral fusion of the lumbar spine.
Retrospective, comparative study of clinical and radiologic outcome with independent, blinded observer. ⋯ Use of local bone graft alone achieved a similar fusion rate in single-level fusion but a much smaller fusion rate in multilevel fusion compared with the ICBG group. Local bone graft alone achieved a similar clinical outcome but less morbidity irrespective of number of fusion level.
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Retrospective study. ⋯ This clinical study showed that patients with thoracolumbar osteomyelitis can successfully undergo anterior surgery with insertion of titanium mesh cage and posterior instrumented fusion performed sequentially on the same day under one anesthesia. The presence of the mesh cage anteriorly at the site of spondylitis had no negative influence on the course of infection healing, and additionally it stabilized the affected segment maintaining sufficient sagittal profile.
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Prospective inception cohort study. ⋯ Patients with chronic LBP had more fear-avoidance beliefs for work than patients with acute LBP. There were small changes in fear-avoidance beliefs during the year of follow-up, except for a rapid decrease during the first month in the FABQ-PA in the acute sample. Fear-avoidance beliefs predicted pain and disability at 12 months after adjusting for socio-demographic and pain variables. Distress was a stronger predictor than fear-avoidance beliefs.
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Retrospective analysis of our experience with os odontoideum at the Children's Hospital of Philadelphia. ⋯ Our data supports two separate etiologies for the os odontoideum: post-traumatic and congenital. The data should raise awareness that some children with preexisting syndromes may develop os odontoideum without previous trauma.