Publications by authors named "R Padovano"

Background: Traumatic cervical spinal cord injury (tCSCI) is often a debilitating injury, making early prognosis important for medical and surgical planning. Currently, the best early predictors of prognosis are physical examination, imaging studies, and patient demographics. Despite these factors, patient outcomes continue to vary significantly.

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  • The study aimed to determine the most important radiographic images for classifying degenerative spondylolisthesis and detecting instability.
  • Multiple imaging views were assessed, including neutral upright, standing flexion, seated lateral x-rays, and MRIs, due to the complexity of DS.
  • Among the imaging modalities, seated lateral and standing flexion radiographs produced the highest slip percentages and kyphosis, while MRI had the lowest measurements, yet both seated lateral and standing flexion effectively detected instability.
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Objective: To determine if dexamethasone administration reduced narcotic consumption during hospitalization and to evaluate if patients who received dexamethasone refilled fewer opioid prescriptions postoperatively.

Methods: All adult patients who underwent primary elective 1- to 4-level anterior cervical discectomy and fusion at a single center were retrospectively identified. Prescription opioid use was collected from governmental online prescription drug monitoring programs, and in-hospital opioid use was collected from each patient's medication administration record and recorded as morphine milligram equivalents (MMEs).

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  • Only 72% of hospitals fully reported spinal fusions on their price estimator, and just 39% complied with all mandatory pricing disclosures, highlighting significant gaps in price transparency.
  • The average cash price for noncervical spinal fusions was $96,979, significantly higher than for cervical fusions at $62,595, indicating variability in costs among hospitals.
  • Factors like geographic practice costs, median income, and poverty rates showed weak correlations with pricing, suggesting that broader economic factors may influence hospital-negotiated rates.
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Aspirin may reduce the risk of colorectal neoplasia at doses similar to those recommended for the prevention of cardiovascular disease. Thus, we aimed to address whether enhanced platelet activation, as assessed by the measurement of the urinary excretion of 11-dehydro-TXB(2) (a major enzymatic metabolite of TXB(2)), occurs in patients with colorectal cancer. In 10 patients with colorectal cancer, the urinary excretion of 11-dehydro-TXB(2) was significantly higher than in 10 controls, matched for sex, age and cardiovascular risk factors [1001(205-5571) versus 409(113-984) pg/mg creatinine, respectively, median (range), P<0.

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