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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Synthetic cages are commonly used in posterior and transforaminal lumbar interbody fusion procedures. Using morselized corticocancellous bone from spinous processes and laminae has been suggested as an alternative, especially in low-resource settings where access to synthetic cages is limited. The aim of this study was to compare radiographic and functional outcomes of synthetic cages with those of morselized local autograft. ⋯ Usage of morselized corticocancellous autograft to achieve interbody fusion can be a suitable alternative to synthetic cages, especially in low-resource settings where the cost of synthetic cages can be prohibitive.
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To develop a deep learning system for automatic segmentation of compression fracture vertebral bodies on thoracolumbar CT and differentiate between fresh and old fractures. ⋯ The deep learning model can automatically and accurately segment the vertebral bodies with compression fractures and classify them as fresh or old fractures, thereby assisting clinicians in making clinical decisions.
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The evaluation of lumbar spine degeneration on magnetic resonance imaging (MRI) is prone to inter-reader variability, including when assessing foraminal changes. This variability, often due to subjective criteria and inconsistent terminology, may affect clinical correlations. Standardized criteria could help improve agreement among readers. ⋯ Levels of agreement can differ depending on the scale used. Simpler dichotomous scales may return higher levels of agreement compared to more complex ones. For the non-dichotomous scales, using different scales may not result in overall different levels of agreement. Given the overall low inter-rater agreements observed, there is probably significant potential to enhance agreement through more rigorous training and consensus-building.
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To characterize the type, content, and results of care interventions that support spine surgery patients in their early post-discharge recovery. ⋯ The included studies demonstrated diverse interventions across settings, populations, interventions, controls, follow-up times, and outcome measures. This variability suggests unclear patient needs and preferences for post-discharge care. Given the heterogeneity and overall study quality, further high-quality research is essential. Future studies should prioritize identifying these needs before intervention design.