Spine
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Randomized Controlled Trial
Posterior multilevel vertebral osteotomy for severe and rigid idiopathic and nonidiopathic kyphoscoliosis: a further experience with minimum two-year follow-up.
Prospective randomized study. ⋯ PMVO exhibited satisfactory clinical and radiologic results in patients with severe and rigid scoliosis associated with hyperkyphosis at minimum 2-year follow-up. It can be safely applied with modifications in original technique for complex congenital scoliosis with multilevel hemi or block vertebrae and idiopathic/nonidiopathic spinal deformities.
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A retrospective review of coronal spine balance after tethered cord release for children with tight filum terminale. ⋯ A significant number of children with tight filum terminale were found to present with scoliosis. In patients with less severe curves, tethered cord release may halt scoliosis progression.
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Retrospective review of a prospective, multicentered database. ⋯ Collectively, these data demonstrate the preoperative TL/L Cobb angle and LSTOA can be useful predictors of postoperative TL/L Cobb angle after a selective instrumented fusion. Analyses of distal fixation levels demonstrated that to appreciably change the LSTOA using a posterior instrumented fusion, the distal level of fixation must be beyond the lumbar apex.
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Review Meta Analysis
Physiotherapy rehabilitation post first lumbar discectomy: a systematic review and meta-analysis of randomized controlled trials.
Systematic review and meta-analysis. ⋯ Inconclusive evidence exists for the effectiveness of outpatient physiotherapy post first lumbar discectomy. Best practice remains unclear.
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Multicenter Study
Selective thoracic fusion in adolescent idiopathic scoliosis: factors influencing the selection of the optimal lowest instrumented vertebra.
Analysis of multicenter, prospectively collected data. ⋯ When performing a selective thoracic fusion of Lenke type 1B, 1C, and 3C AIS curves in which the SV was at/or below the EV, the greatest correction of the main thoracic and compensatory lumbar curves occurred when the LIV was at/or at least one level distal to the SV. This more distal LIV did not result in an increased rate of truncal imbalance.