Spine
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Retrospective. ⋯ Inflammatory findings, such as facet joint effusion, bone marrow edema, and soft tissue edema, are not commonly identified in radiology reports. Further investigations are needed to determine the clinical importance of MRI-detected lumbar facet joint inflammatory features as a potential mechanism of nociception and as a predictor of outcomes following injections or other therapies.
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A retrospective case series. ⋯ The authors describe a novel classification system that is of practical use for planning the complete resection of cervical dumbbell tumors.
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This was a retrospective study with prospective patient contact attempted to collect current data. ⋯ In this large consecutive series, 1.26% of TDRs were removed/revised. The low rate over a 20 year period supports the safety of these devices.
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A retrospective cohort study. ⋯ Postoperative sclerotic MCs generally appear within the first year after surgery, with a prevalence of 12.8%. The presence of postoperative sclerotic MCs can adversely impact postoperative outcomes. To prevent postoperative sclerotic MCs, the authors postulate extending the immobilization period with external bracing and improving the management of BMI and osteoporosis in the perioperative time window.
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Meta Analysis Comparative Study
The Statistical Fragility of Trials Comparing Cervical Disc Arthroplasty and Anterior Cervical Discectomy and Fusion: A Meta Analysis.
Meta-analysis. ⋯ RCTs comparing ACDF and CDA have fair to moderate statistical robustness and do not suffer from statistical fragility.