Does Screw Configuration or Fibular Osteotomy Decrease Healing Time in Exchange Tibial Nailing?

Objectives: This multicenter study was designed to evaluate whether tibia fracture nonunions treated with exchange nailing proceed to union faster with dynamically- versus statically-locked nails, or with fibular osteotomy versus no fibular osteotomy.

Design: Retrospective, chart-review, multicenter study.

Setting: Multicenter review of 6 level 1 trauma centers.

Clinical outcomes of extreme lateral interbody fusion in the treatment of adult degenerative scoliosis.

Introduction: The use of extreme lateral interbody fusion (XLIF) and other lateral access surgery is rapidly increasing in popularity. However, limited data is available regarding its use in scoliosis surgery. The objective of this study was to evaluate the clinical outcomes of adults with degenerative lumbar scoliosis treated with XLIF.

Factor structure and concurrent/convergent validity of the modified somatic perception questionnaire and pain beliefs instrument.

Objective: Our goal was to create a parsimonious combination of the Modified Somatic Perception Questionnaire (MSPQ) and the Pain Beliefs Screening Instrument (PBSI) through factorial structural analysis and to investigate the associations of the new scale (if unique) to disability, health condition, and quality of life report in patients with neck and low back pain scheduled for spine fusion surgery.

Methods: Factor analysis was used to refine all items within the 2 scales to 4 distinct factors: (1) somatic complaints of the head/neck, (2) somatic complaints of the gastrointestinal symptom, (3) pain beliefs and fear, and (4) self perception of serious problems. Each factor was assessed for concurrent validity with other well-established tools including the Deyo comorbidity index, the Short Form (SF)-36 mental and physical component subscales, and the Oswestry and Neck Disability Indices (ODI/NDI).

The clinical value of a cluster of patient history and observational findings as a diagnostic support tool for lumbar spine stenosis.

Objective: The study aims to create a diagnostic support tool to indicate the likelihood of the presence of lumbar spinal stenosis (LSS) using a cluster of elements from the patient history and observational findings.

Design: The study is case based and case controlled.

Setting: The study was performed in the tertiary care of a medical center.

The development of a clinical decision making algorithm for detection of osteoporotic vertebral compression fracture or wedge deformity.

The clinical diagnosis of an osteoporotic vertebral compression fracture (OVCF) is challenging and requires detailed assessment using comprehensive imaging methods. Further complicating matter is that the clinical sequelae associated with OVCF typically involves asymptomatic findings and variable pain patterns. The purpose of this study was to identify clinical characteristics and assessment findings that were associated with a diagnosis of OVCF.