Spine
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Retrospective review of prospective, multicenter and international cohort study. ⋯ Both males and females experienced significantly improved HRQoL scores after treatment, but females demonstrated longer survival and a lower complication rate. This study suggests that gender may be a prognostic factor in survival and clinical outcomes for patients undergoing treatment for spine metastases and should be taken into consideration when counseling patients accordingly.
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Multicenter Study
Risk Factors for Cage Migration Following Lateral Lumbar Interbody Fusion Combined with Posterior Instrumentation: A Multicenter Retrospective Study of 983 Cases.
A multicenter retrospective study. ⋯ We identified risk factors for LCM after LLIF combined with posterior instrumentation. To avoid this complication, it is important to select the appropriate cage sizes and enhance posterior fixation for at-risk patients.
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Multicenter Study
Thoracolumbar Sagittal Shape Varies with Pelvic Morphology and Aging.
Retrospective study of a multicenter prospective database. ⋯ III.
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Randomized Controlled Trial
Longitudinal Relationship between Reduced Modic change Edema and Disability and Pain in Patients with Chronic Low Back Pain.
Secondary analyses of a randomized trial [Antibiotics In Modic changes (MCs) study]. ⋯ Level 3.
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Retrospective, single-center, cohort study. ⋯ Postoperative use of muscle relaxants as part of a multimodal analgesia regimen was associated with an increased risk of delirium in older adults after lumber fusion surgery. Although muscle relaxants may be beneficial in select patients, they should be used with caution in individuals at high risk for postoperative delirium.