Spine
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Prospective in vivo radiation exposure study. ⋯ Prolonged exposure to "low-level" radiation as an occupational risk remains a concern for medical personnel. Radiation exposures to unprotected, radiosensitive locations, such as the axilla or eye, are worrisome. However, following radiation safety guidelines, 2700 LLIF procedures can be performed per year before exceeding occupational dose limits. Adherence to radiation safety guidelines is necessary to avoid sequelae related to an invisible but potentially deadly risk of minimally invasive spine surgery procedures.
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Clinical Trial
Specific neck training induces sustained corticomotor hyperexcitability as assessed by motor evoked potentials.
Experimental investigation of short-term and long-term corticomotor effects of specific neck training, coordination training, and no training. ⋯ Specific neck training induced a sustained hyperexcitability of motor neurons controlling the neck muscles compared with coordination training and controls. These findings may prove valuable in the process of developing more effective clinical training programs for unspecific neck pain.
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A retrospective case-control analysis of prospectively collected data. ⋯ This study shows that young males with JHM were found to have excessive lumbar segmental motion that was associated with increased low back pain, disability, and limited physical activity.
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Retrospective review. ⋯ The use of chemoprophylaxis appears to be safe in at-risk patients in the immediate postoperative period after spinal trauma surgery. No epidural hematomas occurred, and the risk of wound drainage is small. Body mass index, injury severity score, presence of neurological deficits, and number of spinal levels fused should be considered when determining which patients should receive chemoprophylaxis after surgical stabilization.
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Systematic review. ⋯ Based on a combination of excellent and good quality studies, transverse area correlates with recovery ratio but not with postoperative functional score assessed by Japanese Orthopaedic Association/modified Japanese Orthopaedic Association scores. SI changes defined by (1) its presence on T2WI, (2) its extent (focal or multisegmental), (3) its brightness, and (4) its presence on both T1-/T2WI can predict surgical outcomes in degenerative compressive myelopathy.