Spine
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A retrospective study. ⋯ The study has shown that low-dose spine CT is a reliable method in evaluating screw placement in patients with AIS after posterior scoliosis surgery with titanium implants, using the here proposed grading system. The new grading system of screw misplacement was feasible and in line with the general agreement about the harmlessness of misplacement with minor pedicle breach. The reliability of low-dose spine CT in evaluation of lateral and medial cortical perforations was substantial. To reduce the radiation load, the postoperative assessment of titanium implants should be performed with low-dose CT.
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A retrospective chart review of all patients who underwent posterior cervical fusion during a 1-year time period. ⋯ rhBMP can safely be used in patients undergoing posterior cervical fusion, as it does not produce complications at the rate previously seen with its use in the anterior cervical spine.
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Literature review. ⋯ In light of the difficulty in measuring BPD recurrence, transparent definitions and a clear understanding of the implications of using particular indicators is required. Future research should focus: on examining the capture BPD recurrence by various research instruments, improving understanding of the relationship between indicators, and gaining insight into how individuals experiencing BPD view recurrence.
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Review Meta Analysis
Spinal mechanical load as a risk factor for low back pain: a systematic review of prospective cohort studies.
Systematic review. ⋯ We found strong evidence that leisure time sport or exercises, sitting, and prolonged standing/walking are not associated with LBP. Evidence for associations in leisure time activities (e.g., do-it-yourself home repair, gardening), whole-body vibration, nursing tasks, heavy physical work, and working with ones trunk in a bent and/or twisted position and LBP was conflicting. We found no studies, thus no evidence, for an association between sleeping or sporting on a professional level and LBP.
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Prospective clinical study. ⋯ When performing a prone thoracoscopic release for severe thoracic deformity, excellent coronal plane correction is achieved. There does not appear to be any detrimental effect on pulmonary function when a prone thoracoscopic release using double lung ventilation is added to a PSFI. This technique can be efficacious in achieving excellent deformity correction without adversely affecting pulmonary function and is recommended when treating severe spinal deformity. Adding a thoracoplasty provided a negative effect on pulmonary function and limited the benefits of performing a thoracoscopic release to the PSFI patients.