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 article. ⋯ Congenital vertebral anomalies invariably result from disturbed asymmetric growth and can have serious consequences.
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We reviewed three-dimensional (3D) computed tomography (CT) images of congenital spinal deformities and proposed a new classification based on the information obtained. ⋯ The large volume of information that can be obtained by evaluating 3D CT images of congenitally deformed vertebrae can be a great help in developing a strategy for surgical treatment. We need to develop a new classification of congenital scoliosis based on the perspective of 3D imaging to understand the etiology and embryology, as well as to determine an operative strategy.
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A focused review of the literature with regard to the important system abnormalities of patients with spinal deformities associated with exotic congenital syndromes with additional data from the author's own experience in assessment of patients with rare syndromes treated for thoracic insufficiency syndrome. ⋯ For optimal patient care, it is necessary to have a clear understanding of exotic congenital syndromes and how they may impact on both the presentation of spinal deformity and the response to treatment, as well as how they may introduce additional morbidity into standard treatment plans. It is clear that with this understanding that preoperative strategies can be employed to enhance the safety of spinal treatment for these unique children.