Spine
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Prospective cohort study. ⋯ In this sample of workers' compensation recipients, the high procedure cost of SCS was not counterbalanced by lower costs of subsequent care, and SCS was not cost-effective. The benefits and potential cost savings reported in RCTs may not be replicated in workers' compensation patients treated in community settings.
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Controlled Clinical Trial
Gastroesophageal reflux after anterior cervical surgery: a controlled, prospective analysis.
Prospective controlled clinical study. ⋯ Compared to the lumbar control group, patients in the cervical group had increased incidence, and severity of GERD-like symptoms in the early postoperative period.
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A retrospective clinical and radiological study. ⋯ The results of this study suggest that the CT-based computer-assisted surgical navigation systems are precise, granting an elevated accuracy in pedicle screw positioning.
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A case report. ⋯ The case report highlights the clinical significance of the atypical posterior SN that could be a channel for large disc extrusion after a traumatic event in Scheuermann's disease and the clinical importance of surgeon's close attention to the possibility of abruptly progressing neurologic compromise in this situation.
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A retrospective cohort study from a single institution of a consecutive series of spine surgery patients. ⋯ Adjunctive local application of vancomycin powder decreases the postsurgical wound infection rate with statistical significance in posterior instrumented thoracolumbar spine fusions.