Spine
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Review Meta Analysis
Rehabilitation after lumbar disc surgery: an update Cochrane review.
Cochrane systematic review of randomized controlled trials. ⋯ Exercise programs starting 4 to 6 weeks postsurgery seem to lead to a faster decrease in pain and disability than no treatment. High intensity exercise programs seem to lead to a faster decrease in pain and disability than low intensity programs. There were no significant differences between supervised and home exercises for pain relief, disability, or global perceived effect. There is no evidence that active programs increase the reoperation rate after first-time lumbar surgery.
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A retrospective clinical review. ⋯ Spinal surgeons taking care of children with congenital spine deformities need to be trained in all aspects of modern spinal instrumentation.
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Review of relevant literature including personal opinions. ⋯ Growing rod technique should be used in patients where the primary problem is at the vertebral column. If the patient has rib fusions and/or TIS has developed, in other words, if the primary problem involves the thoracic cage, expansion thoracostomy and VEPTR should be an appropriate option.
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Review Case Reports
Sagittal plane considerations and the pelvis in the adult patient.
Research update, focused review. ⋯ It has become evident that good clinical outcome in the treatment of spinal deformity requires proper alignment. Pelvis parameters play an essential role not only in terms of spine morphotypes but also in regulating standing balance and postoperative alignment. Thus, optimal treatment of a patient with spinal deformity requires integration of the pelvis in the preoperative evaluation and treatment plan.
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Literature review. ⋯ The origin of congenital scoliosis may be environmental, genetic, or a combination of factors. Research on these various factors continues. Early identification and management of concomitant defects can improve the patient's quality of life.