Spine
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Multicenter Study
Complications of spinal fusion for scheuermann kyphosis: a report of the scoliosis research society morbidity and mortality committee.
Retrospective review of a prospectively collected, multicentered database from the Scoliosis Research Society. ⋯ The incidence of complications associated with spinal fusion for SK in adults is significantly greater than in pediatric patients. There were no significant differences in complication rates between PSF and same-day ASF/PSF procedures. These data may be used to counsel patients regarding complications associated with spinal fusion for SK in the hands of experienced spinal deformity surgeons.
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Randomized Controlled Trial Multicenter Study
The impact of workers' compensation on outcomes of surgical and nonoperative therapy for patients with a lumbar disc herniation: SPORT.
Prospective randomized and observational cohorts. ⋯ Patients with a lumbar IDH improved substantially with both surgical and nonoperative treatment. However, there was no added benefit associated with surgical treatment for patients with workers' compensation at 2 years while those in the nonworkers' compensation group had significantly greater improvement with surgical treatment.
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Multicenter Study
Adolescent idiopathic scoliosis treated with open instrumented anterior spinal fusion: five-year follow-up.
A multicenter prospective database was queried for patients who underwent open instrumented anterior spinal fusion (OASF) for treatment of primary thoracic (Lenke 1) adolescent idiopathic scoliosis (AIS). ⋯ OASF is a reproducible and safe method to treat thoracic AIS. It provides good coronal and sagittal correction of the main thoracic and compensatory thoracolumbar/lumbar curves that is maintained with intermediate term follow-up. In skeletally immature children, this technique can cause an increase in kyphosis beyond normal values, and less correction of kyphosis should be considered during instrumentation. As with any procedure that employs a thoracotomy, pulmonary function is mildly decreased at final follow-up.