Spine
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Systematic review and Meta-analysis. ⋯ Compared with laminectomy alone, laminectomy with fusion is associated with greater postoperative improvement in pain and disability, albeit with a longer duration of surgery and hospital stay.
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Multicenter Study Observational Study
Outcome and Health Related Quality of Life after Combined Anteroposterior Surgery vs Anterior Surgery alone in Subaxial Cervical Spine Fractures: Analysis of a National Multicenter Dataset.
Observational study on prospectively collected data. ⋯ Patients operated on with anteroposterior or anterior surgery for subaxial cervical spine fractures are equally satisfied and report similar health-related quality of life measures.
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Retrospective matched cohort study. ⋯ Females with scoliosis were significantly more likely to receive EA at delivery compared with females without scoliosis. Rates and RR of cesarean delivery were not significantly lower among women with scoliosis, but females treated nonoperatively for scoliosis had a significantly lower CS rate than those without scoliosis. Females treated with spine fusion for scoliosis were far less likely to receive EA than both females without scoliosis and females with scoliosis treated nonoperatively.
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Retrospective chart review. ⋯ A statistically significant association with undergoing surgery was observed with a referral by an MSK provider, older age, male sex, high BMI, and a high-income quartile home zip code. Understanding these factors and patterns is critical for optimizing practice efficiency and reducing the burdens of inappropriate referrals.