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Surgical Site Infection Prophylaxis and Wound Management in Spine Surgery

White AJ, Fiani B, Jarrah R, Momin AA, Rasouli J

Surgical site infection (SSI) is a potentially devastating complication of spinal surgery that increases patient morbidity and healthcare costs. SSIs have complex and multifactorial etiologies; therefore, there are numerous opportunities...
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Goal-Directed Fluid Therapy Based on Pulse-Pressure Variation Compared with Standard Fluid Therapy in Patients Undergoing Complex Spine Surgery: A Randomized Controlled Trial

Wongtangman K, Wilartratsami S, Hemtanon N, Tiviraj S, Raksakietisak M

Study Design: Prospective, randomized, controlled study. Purpose: To determine whether the use of goal-directed fluid therapy (GDT) guided by pulse-pressure variation (PPV) and fluid management protocol can reduce intraoperative hypotension, blood...
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Sagittal Balance, Pulmonary Function, and Spinopelvic Parameters in Severe Post-Tubercular Thoracic Kyphosis

Shahi P, Chadha M, Sehgal A, Sudan A, Meena U, Bansal K, Batheja D

Study Design: Cross-sectional study. Purpose: To evaluate sagittal balance, pulmonary function, and spinopelvic parameters in patients with healed spinal tuberculosis with severe thoracic kyphosis. Overview of Literature: Deterioration of neurological function is...
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Postoperative Epidural Fibrosis Prevention: Which Is Better–Autologous Fat versus Gelfoam

Rajpal K, Singh J, Bahadur R, Bansal K, Shyam R, Khatri K

Study Design: Prospective, randomized study of 100 patients with prolapsed intervertebral disc with an average of 12- to 18-month follow-up postoperatively. Purpose: To compare the role of Gelfoam and autologous fat...
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Dynamic Fixation Techniques for the Prevention of Adjacent Segment Disease: A Retrospective Controlled Study

Fuster S, Martínez-Anda JJ, Castillo-Rivera SA, Vargas-Reverón C, Tornero E

Study Design: Retrospective, controlled study. Purpose: Dynamic fixation (topping-off technique) adjacent to a transforaminal lumbar interbody fusion (TLIF) level was developed to reduce the risk of adjacent segment disease (ASDi). This...
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Proximal Junctional Kyphosis in Adult Spinal Deformity: Definition, Classification, Risk Factors, and Prevention Strategies

Kim HJ, Yang JH, Chang DG, Suk SI, Suh SW, Kim SI, Song KS, Park JB, Cho W

Proximal junctional problems are among the potential complications of surgery for adult spinal deformity (ASD) and are associated with higher morbidity and increased rates of revision surgery. The diverse manifestations...
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Relationship between Sagittal Alignment and Anterior Bony Resorption of Cervical Vertebral Body in Patients with Ankylosing Spondylitis

Kim KT, Ha KY, Kim YC, Lee KH, Kim SI, Kim YH, Kim SM

Study Design: This is a retrospective comparative cohort study. Purpose: To investigate the prevalence of anterior resorption of the cervical spine in ankylosing spondylitis (AS) and its relationship with sagittal alignment. Overview...
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Selective Angiography to Detect Anterior Spinal Artery Stenosis in Thoracic Ossification of the Posterior Longitudinal Ligament

Yoshida G, Ushirozako H, Hasegawa T, Yamato Y, Yasuda T, Banno T, Arima H, Oe S, Mihara Y, Yamada T, Ide K, Watanabe Y, Ushio T, Matsuyama Y

Study Design: Single-center prospective study. Purpose: To investigate anterior spinal artery (ASA) status using preoperative selective angiography in patients undergoing surgery for thoracic ossification of the posterior longitudinal ligament (T-OPLL). Overview of...
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Impact of Interspace Distraction on Fusion and Clinical Outcomes in Anterior Cervical Discectomy and Fusion: A Longitudinal Cohort Study

Lawless MH, Yoon EJ, Jasinski JM, Gabrail J, Jordan N, Kado K, Tong D, Soo TM, Carr DA

Study Design: Longitudinal cohort study. Purpose: To determine the effect of change in interspace height on fusion and postoperative neck pain. Overview of Literature: The optimal height of a cervical interbody device...
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Physical Functions and Comorbidity Affecting Collapse at 4 or More Weeks after Admission in Patients with Osteoporotic Vertebral Fractures: A Prospective Cohort Study

Umehara T, Inukai A, Kuwahara D, Kaneyashiki R, Kaneguchi A, Tsunematsu M, Kakehashi M

Study Design: A prospective cohort study. Purpose: This study aimed to reveal physical functions and comorbidity affecting collapse at ≥4 weeks after hospital admission of patients with osteoporotic vertebral fracture. Overview of...
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Feasibility of Single-Stage Posterior Passive Correction and Fusion Surgery for Congenital Scoliosis in Adolescent Patients Who Have Attained Skeletal Maturity

Chiu CK, Tan RL, Gani SMA, Chong JSL, Chung WH, Chan CYW, Kwan MK

Study Design: Retrospective study. Purpose: To report the perioperative and radiological outcomes of single-stage posterior passive correction and fusion (SSPPCF) in adolescent patients who present with congenital scoliosis. Overview of Literature: The...
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Evaluating the Reproducibility of the Walking Test for Intermittent Claudication Associated with Lumbar Spinal Stenosis

Tanishima S, Weishi L, Jianzhong H, Jie Z, Huilin Y, Nagashima H

Study Design: This is a multicenter, prospective study. Purpose: This study aimed to evaluate the reproducibility of the walking test for patients with lumbar spinal stenosis (LSS). Overview of Literature: Walking test...
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Use of Parathyroid Hormone and Rehabilitation Reduces Subsequent Vertebral Body Fractures after Balloon Kyphoplasty

Ueno M, Toriumi E, Yoshii A, Tabata Y, Furudate T, Tajima Y

Study Design: Retrospective cohort study. Purpose: To evaluate the efficacy of our current prophylactic strategy by investigating the incidence of subsequent vertebral body fractures (SVBFs) following balloon kyphoplasty (BKP). Overview of Literature:...
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Diabetes Mellitus and the Development of Lumbar Canal Stenosis: Is There Any Relevance?

Kakadiya G, Saindane K, Soni Y, Gohil K, Shakya A, Attar MU

Study Design: Retrospective study. Purpose: To assess the relationship between the severity of lumbar canal stenosis (LCS) and type-II diabetes mellitus (DM). Overview of Literature: DM is a multiorgan disorder that has...
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Coronal Plane Gap Increases Postoperative Pseudoarthrosis after Lateral Interbody Fusion for Adult Spinal Deformity

Okada E, Yagi M, Yamamoto Y, Suzuki S, Nori S, Tsuji O, Nagoshi N, Fujita N, Nakamura M, Matsumoto M, Watanabe K

Study Design: This is a retrospective study. Purpose: This study aims to evaluate the risk factor associated with pseudoarthrosis after placement of lateral interbody fusion (LIF) cages for adult spinal deformity...
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Does Implant Density Impact Three-Dimensional Deformity Correction in Adolescent Idiopathic Scoliosis with Lenke 1 and 2 Curves Treated by Posterior Spinal Fusion without Ponte Osteotomies?

Lertudomphonwanit T, Berry CA, Jain VV, Sturm PF

Study Design: Retrospective cohort study. Purpose: To determine whether implant density impact three-dimensional deformity correction in posterior spinal fusion (PSF) without Ponte osteotomies (POs) for patients with Lenke 1 and 2...
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