Spine
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Translation and psychometric testing. ⋯ The NDI-FI and the mNPDS-FI are reliable, valid instruments for assessing disability among Finnish patients with neck pain.
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Cross-sectional measurement study. ⋯ Most SRS-22 domains had acceptable levels of ceiling effects (<20%) in the majority of the subgroups examined. However, more sensitive measurements may be needed to supplement the SRS-22 in assessing Pain in patients below 18 years or Satisfaction after surgery.
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A prospective study. ⋯ Endoscopically assisted anterior retropharyngeal release combined with posterior fixation is a safe and effective alternative for the treatment of irreducible atlantoaxial dislocation.
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Retrospective clinical and radiologic evaluation. ⋯ The 1-stage combined posterior and anterior approaches with the patient lying in the lateral position, used to excise thoracolumbar and lumbar spinal tumors, is feasible and permits sufficient exposure, reduces the risk of neurovascular injury and blood loss during surgery, facilitates total en bloc spondylectomy and spinal reconstruction, and reduces the surgical time of a 2-stage procedure and repositioning the patient. This method can be used effectively for excising spinal tumors.
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A prospective cohort of adult scoliosis patients treated nonoperatively had a minimum of 2-year follow-up during which time data were collected on the type and quantity of nonoperative treatment used. ⋯ This study questions the value of nonoperative treatment commonly used for adult scoliosis patients. Documented costs are substantial and no improvement in health status was observed. An important caveat is that treatment was not randomized and therefore the treatment group might have deteriorated if not for the treatment they received.