Spine
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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
Incidence and Recurrence of Deep Spine Surgical Site Infections: A Systematic Review and meta-analysis.
Systematic review and meta-analysis. ⋯ The pooled incidence rate of deep SSI post-thoracolumbar spinal surgery is 1.5%. The rate of recurrence and repeat debridement is at least 12%, up to 25%. Persistent infection is a significant risk, highlighting the need for standardized treatment protocols. Our review further demonstrates heterogeneity in management strategies. Large-scale prospective studies are needed to develop better evidence around deep SSI incidence and management in the instrumented thoracolumbar adult spinal fusion population.
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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.