Spine
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Randomized Controlled Trial
Effects of using intravenous antibiotic only versus local intrawound vancomycin antibiotic powder application in addition to intravenous antibiotics on postoperative infection in spine surgery in 907 patients.
A prospective randomized controlled trial. ⋯ The local application of vancomycin powder in surgical wounds did not significantly reduce the incidence of infection in patients with surgically treated spinal pathologies. The use of vancomycin powder may not be effective when incidence of infection is low.
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Multicenter Study
No relationship between body mass index and changes in pain and disability after exercise rehabilitation for patients with mild to moderate chronic low back pain.
A retrospective multicenter study. ⋯ There was no significant relationship between BMI and self-reported pain and disability in cLBP participants. BMI was not a predictor of exercise-induced changes in pain and disability. The reliance on BMI as a sole measurement of obesity in cLBP research may be unwarranted.
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Multicenter Study
Complications in pediatric spine surgery using the vertical expandable prosthetic titanium rib: the French experience.
Multicenter retrospective study of 54 children. ⋯ The complication rate is consistent with that reported in the literature. Correct determination of the levels to be instrumented, preoperative improvement of nutritional status, and better evaluation of the preoperative and postoperative respiratory function are important factors in minimizing the potential complications of a technique that is used in weak patients with complex deformities.
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Comparative Study
Comparison of perioperative outcomes and cost of spinal fusion for cervical trauma: weekday versus weekend admissions.
Retrospective database analysis. ⋯ The weekend cohorts in all surgical approaches incurred a greater length of stay and total hospital costs than their weekday counterparts. The ACF-treated weekend cohort demonstrated significantly greater incidences of postoperative infection, cardiac complications, and urinary tract infection. There were no significant differences in mortality based on the admission day for any surgical approach. Further research is warranted to further evaluate hospital utilization, costs, and patient outcomes based on the admission day.
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Case report. ⋯ The authors think that this is an effective method for reduction of these severe fractures.