Spine
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Systematic review and meta-analysis. ⋯ The results of this review suggest that approximately 70%-80% of patients who undergo a microsurgical procedure for disc herniation return to work within the first month and a half. It also seems that returning to work after this period is quite unlikely. The duration of preoperative symptoms did not affect significantly the prevalence of RTW. Information about these trends should be taken into account both in the planning phase of the procedure and in setting goals for postoperative rehabilitation.
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Retrospective review of prospectively collected data. ⋯ Patients are expected to improve up to 6 months after MIS TLIF. Back pain and leg pain improve up to 3 months and disability and physical function improve up to 6 months. Beyond these timepoints, the trends in improvement tend to reach a plateau. 80% of patients feel better compared to preoperative by 3 months after surgery.
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Retrospective review of a prospectively collected single-center adolescent idiopathic scoliosis (AIS) database. ⋯ The mean lumbar Cobb angle (19°) and percentage of patients with a lumbar Cobb angle > 35° (10%) were similar for CSing and CBil groups at the latest follow-up. Thus, performing a bilateral VBT did not significantly improve the postoperative lumbar curve magnitude compared with thoracic-only VBT (CSing) in our cohort. There was a non-significant difference in revision rates for A/B vs. C groups (18% vs. 28%), and CSing vs. CBil (20% vs. 40%). Revision rates were threefold higher in all patients with preoperative open TRC.
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Systematic review. ⋯ MPSS is a feasible option when properly indicated. Future studies are needed to compare return to sport rates, postoperative performance, and reoperation rates between MPSS to spinal arthrodesis.