Spine
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Prospective follow-up study. ⋯ There is variation between observers in the identification of an intravertebral cleft, and the identification of an intravertebral cleft is not always straightforward. For preoperative assessment, we recommend MRI with T1-weighted and STIR sequences. Regarding patient-reported outcome, patients with long-standing OVCFs with intravertebral clefts benefit from PVP, but, compared with patients with OVCFs without intravertebral clefts, the benefit obtained was not superior and may be delayed.
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Analysis of the National Inpatient Sample database from 2000 to 2008. ⋯ Patients with metabolic syndrome undergoing primary posterior lumbar spinal fusion represent an increasing financial burden on the health care system. Clinicians should recognize that metabolic syndrome represents a risk factor for increased perioperative morbidity.
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A retrospective cross-sectional study of all spinal fusions in California from 2003 to 2007. ⋯ Morbid obesity seems to increase the risk of multiple complication types in spinal fusion surgery, most particularly in anterior cervical and posterior lumbar approaches.
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Population-based, retrospective cohort. ⋯ Radiating spinal pain is an important risk factor for future sickness benefit. Radiating spinal pain was not associated with the duration of sickness benefit. These findings were independent of the effects of pain duration at baseline. The results highlight the need for interventions to prevent the onset of work disability, especially for those with radiating pain.
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Prospective cohort study. ⋯ MR images correlated with AO progressive scale of morphological damage, which showed a progressive orderly rupture sequence among the different PLC components as traumatic forces increased.