Spine
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Outcomes of muscle-preserving interlaminar decompression (MILD) for the lumbar spine are reported. ⋯ In MILD for the lumbar spine, damage to the posterior stabilizing structures such as the intervertebral facet joints, paravertebral muscles, thoracolumbar fascia, supra- and interspinous ligaments, can be minimized, while preserving the function of the spinous processes as lever arms for lumbar extension.
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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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Multicenter Study
Treatment of thoracic scoliosis: are monoaxial thoracic pedicle screws the best form of fixation for correction?
Multicenter retrospective cohort study of 100 consecutive patients. ⋯ Similar coronal and sagittal plane correction was achieved in thoracic adolescent idiopathic scoliosis with 3 different constructs. There was a trend toward improved correction of clinical rib hump deformity with MONO screw constructs compared with POLY screw constructs.
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Comparative Study
Computed tomography evaluation of rotation correction in adolescent idiopathic scoliosis: a comparison of an all pedicle screw construct versus a hook-rod system.
Retrospective review with historical cohort. ⋯ Our study finds axial rotation correction using APSs and a direct vertebral body derotation technique was significantly greater than that obtained with the HR construct.
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Retrospective review. ⋯ Patients with scoliosis and OTRC have a greater risk of adding-on proximally and of loss of correction with anterior-only instrumentation; they may also have less predictable lumbar correction from selective thoracic fusion. However, after combined surgery, they have results similar to those of more skeletally mature patients.