Spine
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Effect of Cervical Stenosis and Rate of Impact on Risk of Spinal Cord Injury during Whiplash Injury.
Finite Element Study. ⋯ Increased spinal stenosis and rate of impact are associated with greater magnitude and spatial distribution of spinal cord stress and strain during a whiplash injury. Spinal canal stenosis of 6 mm was associated with consistent elevation of spinal cord stress and strain above SCI thresholds at 2.6 m/s.
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A retrospective cohort study. ⋯ Hybrid anterior cervical fixation with stand-alone interbody cage placement adjacent to plated segments may avoid long plate-related problems. Our results suggest that the cranial end of the construct may be more suitable for the stand-alone segment than the caudal end.
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Meta Analysis
Preoperative HbA1c and Postoperative Outcomes in Spine Surgery: A Systematic Review and Meta-Analysis.
Systematic review and meta-analysis. ⋯ IV.
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Multicenter Study
Machine Learning for Benchmarking Adolescent Idiopathic Scoliosis Surgery Outcomes.
Retrospective cohort. ⋯ Classification of benchmark outcomes is improved with ensemble ML techniques and may provide much needed case-adjustment for a surgeon performance program. Precise estimates of health-related quality of life scores and continuous variables were not possible, suggesting that performance classification is a better method of performance evaluation.
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Retrospective cohort study. ⋯ This study demonstrated that our novel TSRT anterior release technique demonstrated complication rates similar to those published in the literature for posterior release. TSRT can be used as an alternative to posterior release techniques for refractory cases or when a posterior approach is not considered viable.