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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The choice of the best management for Adult Spine Deformity (ASD) is challenging. Health-related quality of life (HRQoL), comorbidities, symptoms and spine geometry, along with surgical risk and potential residual disability play a role, and a definite algorithm for patient management is lacking. Machine learning allows to analyse complex settings more efficiently than other available statistical tools. Aim of this study was to develop a machine-learning algorithm that, based on baseline data, would be able to predict whether an ASD patient would undergo surgery or not. ⋯ Three clusters could be identified along with the variables that, in each, are most likely to drive the choice of management.
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To investigate the value of routine T2-weighted magnetic resonance imaging (MRI) and contrast-enhanced magnetic resonance angiography (CE-MRA) sequences in locating the fistula level of spinal arteriovenous fistula (SAVF). ⋯ Both routine T2-weighted MRI and CE-MRA sequences are valuable in the detection of SAVF fistula, we can locate the fistula level by the clues of the perimedullary varicose vessels.
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This study aims to (1) evaluate whether the endplate bone quality (EBQ) scores can independently predict adjacent segment disease (ASD); and (2) judge the predictive value of EBQ compared to vertebral bone quality (VBQ) for ASD after single-level transforaminal lumbar interbody fusion (TLIF). ⋯ Higher VBQ and EBQ scores are both independent risk factors of ASD after single-segment TLIF surgery, and EBQ scores perform better in predicting ASD. When EBQ > 3.511, there is a considerable risk of ASD.
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Review
The economic burden of diabetes in spinal fusion surgery: a systematic review and meta-analysis.
This study aimed at comparing the costs of spinal fusion surgery between patients with and without diabetes. ⋯ Patients with diabetes undergoing spinal fusion surgery had increased costs, prolonged LOS, increased 30-day/90-day readmission rates, and more frequent non-routine discharges.