Spine
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Comparative Study
Total motion generated in the unstable cervical spine during management of the typical trauma patient: a comparison of methods in a cadaver model.
Biomechanical cadaveric study. ⋯ We have demonstrated the total angular motion incurred to the unstable cervical spine as experienced by the typical trauma patient from the field to stabilization in the operating room using the best compared with the most commonly used techniques. As previously reported, using log-roll techniques consistently results in unwanted motion at the injured spinal segment.
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Retrospective clinical case series. ⋯ PEISR, combined with WO, through a single posterior approach is a technically challenging but safe and effective procedure for severe rigid scoliosis. This posterior-only approach allows for dramatic radiographical correction that surpasses that reported for posterior VCR.
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Retrospective analysis. ⋯ VCR achieved significant pelvic obliquity restoration and coronal and sagittal correction in children with neuromuscular disorders and severe, rigid spinal deformity. However, this challenging procedure involves the potential for major complications.
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Case Reports
Treatment of a thoracic dural-pleural fistula with a vascularized omental flap: a case report.
Case report. ⋯ Treatment of thoracic psuedomeningoceles and fistulas can be difficult due to the unique negative intrathoracic pressure environment that complicates closure using traditional methods. Alternative treatment options may be necessary when more traditional techniques fail. Our report highlights one such option, a vascularized omental flap, which was used to successfully treat the patient.
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Retrospective analysis of an insurance claims database. ⋯ Patients with CLBP are characterized by greater comorbidity and economic burdens compared with those without CLBP. This economic burden can be attributed to greater prescribing of pain-related medications and increased health resource utilization.