Spine
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Retrospective cohort analysis. ⋯ The presented data quantify the increasing incidence of SI fusions over the years, with the increase being driven by MIS cases. This was largely related to an expanded population (those who are older and with greater comorbidity), fitting the definition of disruptive technology with lesser adverse events than open procedures. Nonetheless, geographic variation highlights the differential adoption of this technology.
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Retrospective cohort study with interrupted time series analysis. ⋯ 3.
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Cross-sectional survey and retrospective review of prospectively collected data. ⋯ Higher decisional regret was encountered in the setting of need for revision fusion, increased in-hospital complications, and worse PROMs. However, 90% of patients overall were satisfied with their decision to undergo spine surgery for degenerative conditions. Current tools for assessing patient improvement postoperatively may not adequately capture the psychosocial values and patient expectations implicated in decisional regret.
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Observational Study
Healthcare Costs Following Anterior Cervical Discectomy and Fusion or Cervical Disc Arthroplasty.
Observational cohort study. ⋯ Lower two-year health care costs were found for patients undergoing CDA compared with ACDF. Further work is necessary to determine the drivers of these findings and the associated longer-term outcomes.
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A retrospective study. ⋯ Level III.