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Tag: Spinal Problems

There is significant geographic variation in the costs of posterolateral fusion

Geographic Variation in Costs of Posterolateral Fusion

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Variation seen in costs of PLF, total knee arthroplasty, TKA with major complications
Perioperative complication rates are lower with increased hospital and surgeon volume for revision adult spinal deformity surgery

Lower RASDS Complications for Higher Hospital, Surgeon Volume

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Lower rates of preoperative complications seen in revision adult spinal deformity surgery
Vertebral osteomyelitis should be considered in cases of back or neck pain unresponsive to conservative measures and elevated inflammatory markers with or without fever

Recalcitrant Back Pain Could Be Vertebral Osteomyelitis

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New guidelines from ISDA alert doctors to this possibility
For polytraumatized patients

Early Surgery Tied to Increased Mortality in Polytraumatized

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High mortality rates in patients with concomitant severe thoracic trauma and low initial Hb
For patients with neural foraminal or lateral recess stenosis with unilateral leg neurogenic symptoms

No Lasting Value for Minimally Invasive Lumbar Laminotomy

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No differences or improvement in back or leg pain, ODI, neurogenic symptoms, SF-36 scores
Paraspinal fat infiltration correlates with high-intensity pain/disability and with structural abnormalities in the lumbar spine

Paraspinal Fat Infiltration Tied to Low Back Pain, Disability

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No correlation for muscle cross-sectional area with low back pain/disability or structure
Atraumatic needles appear to be effective for preventing postdural puncture headache

Atraumatic Needles Prevent Postdural Puncture Headache

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Significantly lower incidence of PDPH with atraumatic S-type versus traumatic Q-type needles
An aggressive malpractice environment is associated with increased hospitalization charges and length of stay for patients undergoing spine surgery

Aggressive Malpractice Environment Ups Hospital LOS

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Increased hospitalization charges and length of stay, but no correlation with mortality
While the overall rate of traumatic spinal cord injuries was stable from 1993 to 2012

Spinal Cord Injuries Up Among the Elderly in U.S.

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Falls are the major cause among Americans 65 and older, researchers say
Magnetic resonance imaging can be used to visualize the effects of continuous traction on herniated lumbar intervertebral discs and their surrounding structures

MRI Can Visualize Effects of Traction on Herniated Discs

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Changes include change in disc shape, reduction of herniated disc volume, widening of the facet joint