Spine
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Randomized Controlled Trial
The use of curare during anesthesia to prevent iatrogenic muscle damage caused by lumbar spinal surgery through a posterior approach.
Prospective randomized study of patients undergoing lumbar arthrodesis. ⋯ The use of curare during anesthesia did not limit the muscle damage caused by surgery.
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Multicenter Study Comparative Study
Thoracoscopic scoliosis surgery affects pulmonary function less than thoracotomy at 2 years postsurgery.
Prospective evaluation of pulmonary function before and 2 years after surgery following anterior scoliosis instrumentation. ⋯ This study shows a clear advantage to the minimally invasive thoracoscopic approach with regards to pulmonary function when compared with the open thoracotomy approaches.
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Surgeons attending a Cervical Spine Research Society (CSRS) meeting were surveyed about the surgical approach to cervical spondylotic myelopathy (CSM). ⋯ These results measure surgeons' opinions on the suitability of cases for randomization and help to define entry and exclusion criteria for a RCT comparing ventral to dorsal strategies. Over 50% of CSM cases from a general spinal practice might be eligible for randomization.
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Comparative Study
Posterior spinal fusion for scoliosis in duchenne muscular dystrophy diminishes the rate of respiratory decline.
To assess the rate of decline in pulmonary function in Duchenne muscular dystrophy (DMD) before and after posterior spinal fusion for scoliosis. ⋯ Posterior spinal fusion for scoliosis in DMD is associated with a significant decrease in the rate of respiratory decline postsurgery compared with presurgery rates.