The spine journal : official journal of the North American Spine Society
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Review Meta Analysis
Symptoms of depression as a prognostic factor for low back pain: a systematic review.
It has been proposed that depression plays an important role in the course of low back pain; however, there is considerable uncertainty on its predictive value. ⋯ Although a definitive answer on the effect of depression on the course of low back pain is not available, the findings of this systematic review suggest that depression might have an adverse effect on the prognosis of low back pain. Future large studies that enroll an inception cohort and that employ a standardized method for assessing depression and low back pain are needed.
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Although the negative aspects of blood transfusion are increasingly recognized, less is known about transfusion-related risks in spinal surgery. ⋯ Allogeneic blood transfusion after elective lumbar surgery was associated with increased risks of SSI and urinary tract infection.
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Rapidly progressing extrinsic spinal cord compression syndromes are rare, especially when the compression is associated with the supine position. ⋯ To our knowledge, no other case of spinal protection shield in compressions caused by the supine position have been studied. The surgical and technical management therefore remains innovative.
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The anterior-only surgical procedure is used as a recommended approach in the treatment of cervical facet dislocations, but an anterior cervical spine implant that offers higher three-column instabilities for stronger fixation is lacking. ⋯ Anterior pedicle screw and plate fixation represents a safe and efficacious but technically challenging option for the treatment of cervical facet dislocations.