Spine
-
Multicenter Study
Complications and Revision Rates in Minimally Invasive Robotic-Guided Versus Fluoroscopic-Guided Spinal Fusions: The MIS ReFRESH Prospective Comparative Study.
Prospective, multicenter, partially randomized. ⋯ Mazor robotic-guidance was found to have a 5.8 times lower risk of a surgical complication and 11.0 times lower risk for revision surgery. Surgical time was similar between groups and robotic-guidance reduced fluoro time per screw by 80% (approximately 1 min/case).Level of Evidence: 2.
-
Database study. ⋯ Over 60% of pediatric spinal fractures occur in children aged 15 to 17 years, coinciding with the beginning of legal driving. MVA is the most common cause and has significant association with morbidity/mortality. Nearly two- thirds pediatric spinal fractures sustained in MVAs occurred without seatbelts. Absence of seatbelts associated with >20% greater odds of mortality. Ensuring new drivers wear protective devices can greatly reduce morbidity/ mortality associated with MVA.Level of Evidence: 3.
-
Cross-sectional radiographic comparison study. ⋯ Whole-body balancing requires understanding of the balance between kyphosis and lordosis, which varies with the posture of patients. Analysis of kypholordotic ratios obtained in this study allude to the importance of performing whole-body imaging in the directed standing posture, and whole-spine or whole-body imaging in the natural standing posture, so as to fully understand spinal and whole body balancing for spinal realignment surgeries.Level of Evidence: Level 3.
-
A laboratory study performed in a self-controlled fashion. ⋯ "Surgical smoke" generated by electrocauterization of porcine spinal tissues contains viable bacteria. Further research in actual spine surgery is needed next.Level of Evidence: N/A.
-
Case-controlled animal study. ⋯ Results confirmed slow muscle fiber loss in the multifidus in the chronic phase of IVD degeneration induced spontaneously and by injury. Whole-body PA did not attenuate changes to muscle fiber distribution. More specific approaches to muscle activation might be required to achieve more complete reversal of muscle fiber changes, with potential implications for therapy in humans.Level of Evidence: N/A.