Spine
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Comparative Study
Comparison of different Surgical Systems for Treatment of Early Onset Scoliosis in the Context of Release of Titanium Ions.
Case-control study. ⋯ Neverless the system used, the concentration of soluble titanium forms in both ST and blood was only slightly higher than in the control and did not exceed the allowable levels. The increased level of titanium with GGS system is probably associated with the friction between implant components, whereas the components in the other systems are immobile relative to each other.Level of Evidence: 3.
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Comparative Study
PLF vs PLIF and the fate of L5-S1: Analysis of Operative Nonunion Rates among 3065 Patients with Lumbar Fusions from a Regional Spine Registry.
A retrospective cohort study with chart review. ⋯ In a large cohort of patients with >4 years of follow-up, we found no difference in operative nonunions between PLF and PLIF except for constructs that included L5-S1 in which the risk of nonunion was limited to PLF patients.Level of Evidence: 3.
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Using Predictive Modeling and Machine Learning to Identify Patients Appropriate for Outpatient ACDF.
Retrospective, case-control. ⋯ Predictive analytics and machine learning can be leveraged to aid in identification of patients who may be safe candidates for single-level outpatient ACDF. Surgeons and perioperative teams may find these tools useful to augment clinical decision-making.Level of Evidence: 3.
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Comparative Study
Comparison of Freshly Isolated Adipose Tissue-derived Stromal Vascular Fraction and Bone Marrow Cells in a Posterolateral Lumbar Spinal Fusion Model.
Rat posterolateral lumbar fusion model. ⋯ In a rat model, A-SVF cells yielded a comparable fusion mass volume and radiographic rate of fusion to BMCs when combined with a clinical-grade bone graft substitute. These results suggest the feasibility of using freshly isolated A-SVF cells in spinal fusion procedures.Level of Evidence: N/A.