Spine
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Review Case Reports
Development of scoliosis following intrathecally placed opioid pump for chronic low back pain.
Case report. ⋯ Although there may not be a direct correlation between implantation of an intrathecal opioid pump with subsequent development of adult onset scoliosis, deformity must be considered a potential sequela in patients treated with such neuromodulation.
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Multicenter Study
Surgical rates and operative outcome analysis in thoracolumbar and lumbar major adult scoliosis: application of the new adult deformity classification.
Multicenter prospective consecutive clinical series. ⋯ This investigation appears to offer the first comprehensive analysis of classification, treatment, and outcomes in a large adult deformity patient group. Significant treatment patterns and outcomes are coming to light as is the impact of surgical strategy.
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Retrospective study. ⋯ Two-year postoperative PJK prevalence in AIS following 3 different posterior segmental spinal instrumentation and fusion surgeries was 27%. A larger preoperative thoracic kyphosis angle, greater immediate postoperative thoracic kyphosis angle decrease, thoracoplasty, and male sex correlated significantly with PJK. There were no significant differences in Scoliosis Research Society Patient Questionnaire-24 outcome-scores between the PJK and non-PJK group.
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Case Reports
Late spontaneous hemothorax complicating anterior spinal instrumentation in adolescent idiopathic scoliosis.
Case report. ⋯ Late spontaneous HT in patients with anterior fusion and instrumentation for AIS is a rare but life-threatening complication.
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Multicenter Study
The impact of perioperative complications on clinical outcome in adult deformity surgery.
Retrospective case-control series. ⋯ This study suggests that risk for minor complications may be a less substantial obstacle than previously assumed for surgical treatment in adult spinal deformity. In contrast, major complications were reported in approximately 10% of cases and adversely affected outcome as evidenced by the deterioration in SF-12 general health scores at 1 year after surgery.