Do low-density screws influence pelvic incidence in adolescent idiopathic scoliosis correction?

Background: Low-density screw constructs yield significant radiographic and clinical improvements with reduced risk of neurological complications. This study aimed to investigate the relationship between coronal Cobb angle and pelvic incidence (PI) in the correction of adolescent idiopathic scoliosis (AIS) using a low-density construct, as well as the association between PI and functional outcomes.

Patients And Methods: This prospective cohort study involved 60 posteriorly instrumented AIS patients, aged 10-16 years, with Cobb angles ranging from 45° to 90° of various Lenke types.

Evaluation of Tamsulosin 0.4 mg versus 0.8 mg in management of lower urinary tract symptoms due to benign prostatic enlargement.

Purpose: To compare the efficacy and the safety of Tamsulosin 0.4 mg/day and 0.8 mg/day in patients suffering from lower urinary tract symptoms due to benign prostatic obstruction.

Artificial intelligence in the detection and classification of dental caries.

Statement Of Problem: Automated detection of dental caries could enhance early detection, save clinician time, and enrich treatment decisions. However, a reliable system is lacking.

Purpose: The purpose of this study was to train a deep learning model and to assess its ability to detect and classify dental caries.

Repair of spondylolysis using a pedicle screw U-shaped rod construct: A preliminary study of 25 young patients with a mean follow-up of 24 months.

Study Design: Prospective case series, therapeutic Level IV.

Objectives: Functional and radiographic outcome evaluation of patients with spondylolysis treated with pars interarticularis defect repair with iliac bone grafting and application of a construct consisting of a pair of polyaxial pedicle screws connected by a U-shaped rod passing beneath the spinous process.

Methods: Twenty-five patients (27 operated lumbar levels) with an average of 20 months of follow-up (range 12-24 m) with spondylolysis who met our inclusion criteria were treated with the above-mentioned technique.

Treatment of non-united femoral neck fracture by a novel subtrochanteric angulation lateral translation valgus osteotomy (SALVA osteotomy).

Purpose: The ideal treatment of non-united and neglected fracture neck femur in the young adult still remains unclear and is characterized by many biological and biomechanical challenges.

Methods: Twenty-one patients with non-united or neglected fracture neck femur aged between 19 and 50 years were treated by a novel subtrochanteric valgus osteotomy and were followed up for a mean of 26.7 months.

A comparative study between the Universal Spinal System (USS) and the CD Horizon Legacy™ (CDH) in the management of thoracolumbar fractures.

Introduction: For the treatment of unstable non-osteoporotic thoracolumbar fractures, the clinical and radiological outcome of short-segment fixation with the USS™ - Universal Spine System (DePuy Orthopedics, Inc., Warsaw, IN, USA) and the CD HORIZON LEGACY™ 5.5 Spinal System, (Medtronic Sofamor Danek USA, Inc.

Improving access to emergent spinal care through knowledge translation: an ethnographic study.

Background: For patients and family members, access to timely specialty medical care for emergent spinal conditions is a significant stressor to an already serious condition. Timing to surgical care for emergent spinal conditions such as spinal trauma is an important predictor of outcome. However, few studies have explored ethnographically the views of surgeons and other key stakeholders on issues related to patient access and care for emergent spine conditions.

Single-stage anterior high sacrectomy for locally recurrent rectal cancer.

Study Design: A review of prospectively collected data on a consecutive series of patients undergoing single-stage anterior high sacrectomy for locally recurrent rectal carcinoma (LRRC).

Objective: To determine the clinical outcome of patients who underwent anterior high sacrectomy for LRRC.

Summary Of Background Data: High sacrectomy for oncological resection remains technically challenging.

Ureterocalicostomy for treatment of complex cases of ureteropelvic junction obstruction in adults.

Objectives: To evaluate ureterocalicostomy (UC) in the management of selected cases of ureteropelvic junction (UPJ) obstruction.

Methods: The data from 22 patients who underwent UC from April 2002 to April 2009 were reviewed. The indications for UC were primary UPJ obstruction with completely intrarenal pelves (2 cases), complicated (secondary or recurrent) UPJ obstruction with an intrarenal pelvis and/or reversed caliceopelvic ratio (16 cases) and after iatrogenic injury at the UPJ (4 cases).

Insertion of double J stent as a therapeutic test in management of adults presenting with loin pain and equivocal ureteropelvic junction obstruction.

Purpose: To evaluate temporary double J ureteric stenting (TDJS) as a test to diagnose ureteropelvic junction obstruction (UPJO) in equivocal cases.

Materials And Methods: One hundred and nine consecutive adult patients with loin pain and ipsilateral equivocal UPJO (EqUPJO) on radioisotope diuretic renogram (RDR) were enrolled in the present study. All patients underwent TDJS for 3 weeks.