Spine
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Multicenter Study
Does operative level impact dysphagia severity following anterior cervical discectomy and fusion? a multicenter prospective analysis.
Prospective multicenter cohort study. ⋯ The location of prevertebral soft tissue swelling may impact the duration and severity of patient-reported dysphagia outcomes at up to 24 weeks postoperatively. In particular, the inclusion of C3-C4 and C4-C5 into the fusion may be associated with dysphagia severity.
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Multicenter Study Comparative Study
Critical Analysis of Radiographic and Patient Reported Outcomes Following Anterior/Posterior Staged vs. Same Day Surgery in Patients Undergoing Identical Corrective Surgery for Adult Spinal Deformity.
A retrospective cohort study of a prospectively collected multicenter adult spinal deformity (ASD) database. ⋯ This investigation is among the first to compare multicenter staged and same-day surgery A/P ASD patients fused to ilium using propensity matching. Staged procedures resulted in significant improvement radiographically, reduced intensive care unit admissions, and superior patient-reported outcomes compared with same-day procedures. An interval of at least 3 days between staged procedures is associated with superior outcomes in terms of Global Alignment and Proportion score proportionality.
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Multicenter Study
Complication Rates Following Adult Spinal Deformity Surgery: Evaluation of the Category of Complication and Chronology.
Provide benchmarks for the rates of complications by type and timing. ⋯ 3.
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Retrospective review of a prospective multicenter adult spinal deformity (ASD) study. ⋯ Level III-prognostic.
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Multicenter Study
Practical Methods of Assessing Coronal Alignment and Outcomes in Adult Spinal Deformity Surgery: A Comparative Analysis.
Asymptomatic cohort: prospective, cross-sectional, multicenter. Symptomatic: retrospective, multisurgeon, single-center. ⋯ Preoperative OD-L5, ORB-L5, and C7-L5 lateral to pedicles were associated with worse preoperative ODI and higher intraoperative complexity. Postoperative OD-L5-L was associated with higher rates of proximal junctional kyphosis and pseudarthrosis. Postoperative CM, approximated by the cranial plumb line lateral to the L5 pedicles, was associated with sagittal plane complications.