European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
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Predicted survival of a patient is the most important parameter that helps to guide the treatment of a patient with metastatic spinal cancer. We aimed to investigate the reliability of modified Tokuhashi score in the decision-making process in patients with metastatic spinal cancer. ⋯ We can conclude from this study that, when used alone, modified Tokuhashi score may not be a reliable tool to predict survival in all patient groups.
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To identify the independent risk factors, based on available evidence in the literature, for patients developing surgical site infections (SSI) after spinal surgery. ⋯ Although there is no conclusive evidence for why postoperative SSI occurs, these data provide evidence to guide clinicians in admitting patients who will have spinal operations and to choose an optimal prophylactic strategy. Further research is still required to evaluate the effects of these above risk factors.
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To review and summarize the current knowledge regarding the outcome measures used to evaluate scoliosis surgery. ⋯ Evaluation of scoliosis treatment should include the patient's perspective, which can be obtained with the use of patient-reported outcome measures.
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The purpose of this study was to provide the readers with a reliable source of animal models currently being utilized to perform state-of-the-art scoliotic research. ⋯ All these different animal models compel us to believe that the clinical phenotype of what we call idiopathic scoliosis may well be caused by a variety of different underlying pathologies.
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Spinal deformity surgery is historically associated with significant blood loss and medical complications. Minimally invasive deformity correction is a promising approach to spinal deformity surgery where deformity correction and fusion can be achieved with less tissue trauma, reduced blood loss and potentially less complications. ⋯ Minimally invasive deformity correction is a promising method of spinal deformity correction. Early clinical results are similar to open techniques, with reduced blood loss and less complications than traditional approaches. Meticulous technique and careful patient selection are required for good results and to avoid complications.