Spine
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Retrospective chart review. ⋯ Prior thyroidectomy and number of spinal levels addressed during ACDF were identified as risk factors for postoperative otolaryngologic complications including dysphagia. Revision ACDF was not associated with increased odds of postoperative otolaryngologic symptoms or dysphagia.Level of Evidence: 4.
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Meta Analysis
Vertebral Augmentation of Cancer-Related Spinal Compression Fractures: A Systematic Review and Meta-Analysis.
Systematic review and meta-analysis. ⋯ The included randomized controlled trials demonstrated an overall positive and statistically significant effect of vertebral augmentation surgeries, such as vertebroplasty and kyphoplasty, for the treatment of cancer-related vertebral compression fractures, especially when compared with nonsurgical management, radiofrequency ablation, or chemotherapy alone.Level of Evidence: 1.
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Observational Study
Initial Choice of Spinal Manipulative Therapy for Treatment of Chronic Low Back Pain Leads to Reduced Long-term Risk of Adverse Drug Events Among Older Medicare Beneficiaries.
Retrospective observational study. ⋯ Among older Medicare beneficiaries who received long-term care for cLBP the adjusted rate of ADE for patients who initially chose OAT was substantially higher than those who initially chose SMT.Level of Evidence: 2.
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Secondary analysis of a national all-payer database. ⋯ The present study demonstrates substantial disparities in the receipt of nonelective surgery across sociodemographic groups and highlights its association with nonroutine discharge and extended LOS.Level of Evidence: 3.
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A biomechanical comparison study using finite element method. ⋯ Under static and vibration loadings, the PBDSSbased topping-off device (Bioflex) provided a better protection for transition segment, and likelihood of degeneration of supraadjacent segment might be relatively lower when using the ISPbased topping-off device (DIAM).Level of Evidence: 5.