Spine
-
Multicenter Study
The impact of facet dislocation on clinical outcomes after cervical spinal cord injury: results of a multicenter North American prospective cohort study.
A multicenter prospective cohort study. ⋯ Compared with patients without FD, cervical SCI patients with FD tended to present with a more severe degree of initial injury and displayed less potential for motor recovery at 1-year follow-up.
-
Multicenter Study
Adding thoracic fusion levels in Lenke 5 curves: risks and benefits.
Multicenter; review of prospectively collected data. ⋯ Adolescent idiopathic scoliosis surgeons attempt to achieve balanced correction with the fewest motion segments fused. Our data suggest that fusion of the thoracic curve in primary thoracolumbar scoliosis may improve coronal correction, but at the cost of decreased thoracic kyphosis and clinical flexibility 2 years postoperatively.
-
Multicenter Study
Complications after 147 consecutive vertebral column resections for severe pediatric spinal deformity: a multicenter analysis.
Retrospective multicenter review. ⋯ A total of 147 consecutive pediatric VCRs performed by 7 surgeons demonstrated excellent radiographical correction. However, these complex reconstructions were associated with a 59% complication rate, thus emphasizing the challenging nature of these patients and procedures.
-
Randomized Controlled Trial Multicenter Study
Patterns of care after magnetic resonance imaging of the spine in primary care.
Retrospective cohort study. ⋯ Patients receiving MRI scans of the spine in the primary care setting are frequently referred for surgical assessment and most do not receive subsequent surgery. MRI scan results do not discriminate very well between those who will and will not undergo surgery, suggesting that alternative models for the assessment of patients with spinal complaints in primary care should be explored, particularly in jurisdictions with long wait times for elective spinal surgery consultation.