Spine
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Retrospective study. ⋯ This is the first long-term (minimum 5 years) follow-up study focusing on patient outcomes after an anterior thoracolumbar approach for adult spinal deformity treatment. This approach appears to be associated with an appreciable high rate of postoperative pain (32.3%), bulging (43.5%), and functional disturbance (24.2%). Therefore, surgeons should use caution when recommending this approach to future adult spinal deformity patients.
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An analysis of clinical and radiographic data of 40 consecutive patients with fixed sagittal imbalance. ⋯ PI and TK can predict the lumbar lordosis necessary to correct sagittal imbalance in patients under-going PSO with high sensitivity. Sagittal correction and clinical outcome scores were equivalent comparing PSO's performed at L2 and L3. Patients with degenerative sagittal imbalance and those with shorter fusions are more likely to lose correction with time.
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Study to determine the internal consistency and validity of adapted German version of Scoliosis Research Society-22 (SRS-22) questionnaire. ⋯ The adapted German version of the SRS-22 questionnaire can be used to assess the outcome of treatment for German-speaking patients with idiopathic scoliosis.
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Retrospective review. ⋯ Compared with custom-bent rods, unit rods provided superior correction of pelvic obliquity but were associated with higher transfusion requirements, higher infection rates, more proximal fixation problems, and longer intensive care unit and hospital stays.
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Retrospective cohort study of consecutive patients undergoing primary fusion with segmental fixation for adult spinal deformity. ⋯ Using a strict definition of reoperation for a well-defined cohort, in the presence of relevant risk factors, many patients undergoing primary fusion for adult spinal deformity required reoperation. The results indicate that complex medical and surgical factors contribute to the treatment challenges posed by patients with adult spinal deformity. This represents the largest cohort reported to date of patients undergoing primary fusion using third-generation instrumentation techniques.