Spine
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MINI: We assessed 90-day readmission and evaluated risk factors associated with readmission after lumbar spinal fusion surgery in New York State. The overall 90-day readmission rate was 24.8%. Age, sex, race, insurance, procedure, number of operated spinal levels, health service area, and comorbidities are major risk factors for 90-day readmission.
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MINI: The neurological risks in posterior vertebral column resection can be resulted from spinal cord tension changes following correction maneuvers being performed. On the basis of intraoperative neuromonitoring alerts, to timely identify them as well to act prompt surgical interventions can decrease the risks. ⋯ 5.
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MINI: A modified selective anesthetics delivery rabbit model was used validated to a better preferential anesthesia than previous models. Furthermore, we found evidence that primarily the spinal cord mediated the skeletal muscle relaxation action of sevoflurane.
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MINI: The objective of this study was to determine the safety limits of anterior/anterolateral pedicle screw breaches. Through clinical and cadaveric study, it appears that less than 4 mm of breach has a significantly lower likelihood of impingement on vital structures (P < 0.001).
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MINI: Trends in lumbar spinal stenosis surgery are largely unknown outside of the United States. This population-based health record linkage study revealed that complex fusion surgery had a four-fold increase from 2003-2013 in Australia. This surgical procedure increased the risk of complications and resource use compared with decompression surgery alone.