Spine
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Retrospective cross-sectional study. ⋯ With the recent rise of anterior cervical spine procedures in the United States, substantial variation in the delivery of surgical care exists along a number of demographic factors. A detailed investigation of variation in surgical decision-making algorithms among spine specialists, as well as a determination of differences among patient populations in attitudes toward surgery, may help elucidate the trends observed in this study.
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An in vitro biomechanical study. ⋯ We have designed a new type of AAOJ for correcting atlantoaxial instability arising from C1 to C2 anterior decompression procedures. The unique aspect of this joint is that it restores, to a great extent, the C1-C2 axial rotation that is lost during current stabilization procedures.
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Prospective observational study of prognostic indicators, using data from a randomized, controlled trial of physiotherapy care of acute low back pain (ALBP) with follow-up at 6 weeks, 3 months, and 6 months. ⋯ The profile derived from information collected at 6 weeks provided the best guide to long-term pain and disability. The baseline profile and change in status offered less predictive value.
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Database study using Nationwide Inpatient Sample (NIS) administrative data from 1993 to 2002. ⋯ Posterior lumbar fusion for acquired lumbar spondylolisthesis is safe. However, age and comorbidity independently increase in-hospital complications and complex disposition. These data may improve national estimates of surgical risk, patient selection, informed consent, and cost-efficacy analysis for posterior lumbar fusion operations for acquired spondylolisthesis.