34 results on '"Núñez-Pereira, Susana"'
Search Results
2. A 5-year follow-up of the effect of corrective surgery in young adults with idiopathic scoliosis
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Gomez-Rice, Alejandro, Capdevila-Bayo, María, Núñez-Pereira, Susana, Haddad, Sleiman, Vila-Casademunt, Alba, Pérez-Grueso, Franciso, Kleinstück, Frank, Obeid, Ibrahim, Alanay, Ahmet, Pellise, Ferran, and Pizones, Javier
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- 2023
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3. The Impact of Unplanned Reoperation Following Adult Spinal Deformity Surgery: A Prospective Longitudinal Cohort Study with 5-Year Follow-up
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Pellisé, Ferran, Bayo, Maria Capdevila, Ruiz de Villa, Aleix, Núñez-Pereira, Susana, Haddad, Sleiman, Barcheni, Maggie, Pizones, Javier, Valencia, Manuel Ramírez, Obeid, Ibrahim, Alanay, Ahmet, Kleinstueck, Frank S., Mannion, Anne F., Javier Sánchez Pérez-Grueso, Francisco, Mehta, Jwalant, Charles, Yann Philippe, Rice, Álex Gómez, Boissiere, Louis, Bourghli, Anouar, Vital, Jean Marc, Yilgor, Çaglar, Yucekul, Altug, Yavuz, Yasemin, Sánchez Márquez, José Miguel, Baíllo, Nicomedes Fernandez, Jeszensky, Deszo, Fekete, Tamas, Haschtmann, Daniel, Loibl, Markus, and Galbusera, Fabio
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- 2024
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4. Long term mechanical failure in well aligned adult spinal deformity patients
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Haddad, Sleiman, Yilgor, Caglar, Jacobs, Eva, Vila, Lluis, Nuñez-Pereira, Susana, Ramirez Valencia, Manuel, Pupak, Anika, Barcheni, Maggie, Pizones, Javier, Alanay, Ahmet, Kleinstuck, Frank, Obeid, Ibrahim, and Pellisé, Ferran
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- 2024
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5. Surgeons’ risk perception in ASD surgery: The value of objective risk assessment on decision making and patient counselling
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Pellisé, Ferran, Vila-Casademunt, Alba, Núñez-Pereira, Susana, Haddad, Sleiman, Smith, Justin S., Kelly, Michael P., Alanay, Ahmet, Shaffrey, Christopher, Pizones, Javier, Yilgor, Çaglar, Obeid, Ibrahim, Burton, Douglas, Kleinstück, Frank, Fekete, Tamas, Bess, Shay, Gupta, Munish, Loibl, Markus, Klineberg, Eric O., Sánchez Pérez-Grueso, Francisco J., Serra-Burriel, Miquel, and Ames, Christopher P.
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- 2022
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6. Delayed Neurological Deficit and Surgical Site Infection After Pedicle Subtraction Osteotomy in a Revision Case
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Núñez-Pereira, Susana, Pellisé, Ferran, Meyer, Bernhard, editor, and Rauschmann, Michael, editor
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- 2019
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7. Reliability of a New Digital Tool for Photographic Analysis in Quantifying Body Asymmetry in Scoliosis.
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Pizones, Javier, Moreno-Manzanaro, Lucía, Pupak, Anika, Núñez-Pereira, Susana, Larrieu, Daniel, Boissiere, Louis, Richner-Wunderlin, Sarah, Loibl, Markus, Zulemyan, Tais, Yücekul, Altug, Zgheib, Sara, Charles, Yann Philippe, Chang, Dong-Gune, Kleinstueck, Frank, Obeid, Ibrahim, Alanay, Ahmet, Sánchez Pérez-Grueso, Francisco Javier, and Pellisé, Ferran
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DIGITAL technology ,ADOLESCENT idiopathic scoliosis ,SCOLIOSIS ,MEASUREMENT errors ,SPINE abnormalities ,SPINAL surgery - Abstract
Background: Advancements in non-ionizing methods for quantifying spinal deformities are crucial for assessing and monitoring scoliosis. In this study, we analyzed the observer variability of a newly developed digital tool for quantifying body asymmetry from clinical photographs. Methods: Prospective observational multicenter study. Initially, a digital tool was developed using image analysis software, calculating quantitative measures of body asymmetry. This tool was integrated into an online platform that exports data to a database. The tool calculated 10 parameters, including angles (shoulder height, axilla height, waist height, right and left waistline angles, and their difference) and surfaces of the left and right hemitrunks (shoulders, waists, pelvises, and total). Subsequently, an online training course on the tool was conducted for twelve observers not involved in its development (six research coordinators and six spine surgeons). Finally, 15 standardized back photographs of adolescent idiopathic scoliosis patients were selected from a multicenter image bank, representing various clinical scenarios (different age, gender, curve type, BMI, and pre- and postoperative images). The 12 observers measured the photographs at two different times with a three-week interval. For the second round, the images were randomly mixed. Inter- and intra-observer variabilities of the measurements were analyzed using intraclass correlation coefficients (ICCs), and reliability was measured by the standard error of measurement (SEM). Group comparisons were made using Student's t-test. Results: The mean inter-observer ICC for the ten measurements was 0.981, the mean intra-observer ICC was 0.937, and SEM was 0.3–1.3°. The parameter with the strongest inter- and intra-observer validity was the difference in waistline angles 0.994 and 0.974, respectively, while the highest variability was found with the waist height angle 0.963 and 0.845, respectively. No test–retest differences (p > 0.05) were observed between researchers (0.948 ± 0.04) and surgeons (0.925 ± 0.05). Conclusion: We developed a new digital tool integrated into an online platform demonstrating excellent reliability and inter- and intra-observer variabilities for quantifying body asymmetry in scoliosis patients from a simple clinical photograph. The method could be used for assessing and monitoring scoliosis and body asymmetry without radiation. [ABSTRACT FROM AUTHOR]
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- 2024
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8. Impact of early unanticipated revision surgery on health-related quality of life after adult spinal deformity surgery
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Núñez-Pereira, Susana, Vila-Casademunt, Alba, Domingo-Sàbat, Montse, Bagó, Juan, Acaroglu, Emre R., Alanay, Ahmet, Obeid, Ibrahim, Sánchez Pérez-Grueso, Francisco Javier, Kleinstück, Frank, and Pellisé, Ferran
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- 2018
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9. The Adult Deformity Surgery Complexity Index (ADSCI): a valid tool to quantify the complexity of posterior adult spinal deformity surgery and predict postoperative complications
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Pellisé, Ferran, Vila-Casademunt, Alba, Núñez-Pereira, Susana, Domingo-Sàbat, Montse, Bagó, Juan, Vidal, Xavier, Alanay, Ahmet, Acaroglu, Emre, Kleinstück, Frank, Obeid, Ibrahim, Pérez-Grueso, Francisco J.S., Lafage, Virginie, Bess, Shay, Ames, Christopher, and Mannion, Anne F.
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- 2018
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10. Development and Validation of a Multidomain Surgical Complication Classification System for Adult Spinal Deformity
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Klineberg, Eric O., Wick, Joseph B., Lafage, Renaud, Lafage, Virginie, Pellise, Ferran, Haddad, Sleiman, Yilgor, Caglar, Núñez-Pereira, Susana, Gupta, Munish, Smith, Justin S., Shaffrey, Christopher, Schwab, Frank, Ames, Christopher, Bess, Shay, Lewis, Stephen, Lenke, Lawrence G., and Berven, Sigurd
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- 2021
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11. The impact of deep surgical site infection on surgical outcomes after posterior adult spinal deformity surgery: a matched control study
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Haddad, Sleiman, Núñez-Pereira, Susana, Pigrau, Carlos, Rodríguez-Pardo, Dolors, Vila-Casademunt, Alba, Alanay, Ahmet, Acaroglu, Emre R., Kleinstueck, Frank S., Obeid, Ibrahim, Perez-Grueso, Francisco Javier Sanchez, Pellisé, Ferran, and European Spine Study Group
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- 2018
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12. Cutibacterium spp. Infections after Instrumented Spine Surgery Have a Good Prognosis Regardless of Rifampin Use: A Cross-Sectional Study
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Instituto de Salud Carlos III, Ministerio de Ciencia e Innovación (España), Núñez-Pereira, Susana, Benavent Palomares, Eva, Ulldemolins, Marta, Sobrino-Díaz, Beatriz, Iribarren, José A., Escudero-Sánchez, Rosa, Toro, María Dolores del, Nodar, Andrés, Sorlí, Luisa, Bahamonde-Carrasco, Alberto, Vilchez, Helem H., Gasch, Oriol, Muñez, Elena, Rodriguez-Montserrat, David, García-País, María José, Haddad, Sleiman, Sellarès-Nadal, Julia, Murillo, Óscar, Rodríguez-Pardo, Dolors, Geio-Seimc Group, Instituto de Salud Carlos III, Ministerio de Ciencia e Innovación (España), Núñez-Pereira, Susana, Benavent Palomares, Eva, Ulldemolins, Marta, Sobrino-Díaz, Beatriz, Iribarren, José A., Escudero-Sánchez, Rosa, Toro, María Dolores del, Nodar, Andrés, Sorlí, Luisa, Bahamonde-Carrasco, Alberto, Vilchez, Helem H., Gasch, Oriol, Muñez, Elena, Rodriguez-Montserrat, David, García-País, María José, Haddad, Sleiman, Sellarès-Nadal, Julia, Murillo, Óscar, Rodríguez-Pardo, Dolors, and Geio-Seimc Group
- Abstract
Infection after spinal instrumentation (IASI) by Cutibacterium spp. is being more frequently reported. The aim of this study was to analyse the incidence, risk factors, clinical characteristics, and outcome of a Cutibacterium spp. IASI (CG) compared with non-Cutibacterium IASI (NCG) infections, with an additional focus on the role of rifampin in the treatment. All patients from a multicentre, retrospective, observational study with a confirmed IASI between January 2010 and December 2016 were divided into two groups: (CG and NCG) IASI. Baseline, medical, surgical, infection treatment, and follow-up data were compared for both groups. In total, 411 patients were included: 27 CG and 384 NCG. The CG patients were significantly younger. They had a longer median time to diagnosis (23 vs. 13 days) (p = 0.025), although 55.6% debuted within the first month after surgery. Cutibacterium patients were more likely to have the implant removed (29.6% vs. 12.8%; p = 0.014) and received shorter antibiotic regimens (p = 0.014). In 33% of Cutibacterium cases, rifampin was added to the baseline therapy. None of the 27 infections resulted in treatment failure during follow-up regardless of rifampin use. Cutibacterium spp. is associated with a younger age and may cause both early and late IASIs. In our experience, the use of rifampin to improve the outcome in the treatment of a Cutibacterium spp. IASI is not relevant since, in our series, none of the cases had therapeutic failure regardless of the use of rifampin.
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- 2023
13. Cutibacterium spp. Infections after Instrumented Spine Surgery Have a Good Prognosis Regardless of Rifampin Use: A Cross-Sectional Study
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Núñez Pereira, Susana, Benavent Palomares, Eva, Ulldemolins, Marta, Sobrino Díaz, Beatriz, Iribarren, José A., Escudero Sánchez, Rosa, Toro, María Dolores del, Nodar, Andrés, Sorlí, Luisa, Bahamonde, Alberto, Vilchez, Helem H., Gasch, Oriol, Muñez Rubio, Elena, Rodríguez Montserrat, David, García País, María José, Haddad, Sleiman, Sellarès Nadal, Julia, Murillo Rubio, Óscar, Rodríguez Pardo, Dolors, and GEIO-SEIMC (Grupo de Estudio de Infecciones Osteoarticulares–Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica)
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Microbiology (medical) ,Infeccions quirúrgiques ,Infectious Diseases ,Cirurgia ,Surgical wound infection ,Surgery ,Pharmacology (medical) ,General Pharmacology, Toxicology and Pharmaceutics ,Biochemistry ,Microbiology ,Spine ,surgical site infection ,spine surgery ,Cutibacterium spp ,rifampin ,Columna vertebral - Abstract
Infection after spinal instrumentation (IASI) by Cutibacterium spp. is being more frequently reported. The aim of this study was to analyse the incidence, risk factors, clinical characteristics, and outcome of a Cutibacterium spp. IASI (CG) compared with non-Cutibacterium IASI (NCG) infections, with an additional focus on the role of rifampin in the treatment. All patients from a multicentre, retrospective, observational study with a confirmed IASI between January 2010 and December 2016 were divided into two groups: (CG and NCG) IASI. Baseline, medical, surgical, infection treatment, and follow-up data were compared for both groups. In total, 411 patients were included: 27 CG and 384 NCG. The CG patients were significantly younger. They had a longer median time to diagnosis (23 vs. 13 days) (p = 0.025), although 55.6% debuted within the first month after surgery. Cutibacterium patients were more likely to have the implant removed (29.6% vs. 12.8%; p = 0.014) and received shorter antibiotic regimens (p = 0.014). In 33% of Cutibacterium cases, rifampin was added to the baseline therapy. None of the 27 infections resulted in treatment failure during follow-up regardless of rifampin use. Cutibacterium spp. is associated with a younger age and may cause both early and late IASIs. In our experience, the use of rifampin to improve the outcome in the treatment of a Cutibacterium spp. IASI is not relevant since, in our series, none of the cases had therapeutic failure regardless of the use of rifampin.
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- 2023
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14. Biplanar Vs Uniplanar Pedicle Subtraction Osteotomy for Rigid Adult Spinal Deformity: Trading Safety for Correction?
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Vila, Lluis, primary, Haddad, Sleiman, additional, Núñez-Pereira, Susana, additional, Ramírez-Valencia, Manuel, additional, Capdevila-Bayo, Maria, additional, Barcheni, Maghie, additional, Pizones, Javier, additional, Pérez-Grueso, Francisco, additional, Obeid, Ibrahim, additional, Alanay, Ahmet, additional, Kleinstück, Frank, additional, and Pellisé, Ferran, additional
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- 2023
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15. Comparative effectiveness of anterior interbody fusion versus posterior interbody fusion in patients undergoing surgery for ASD: A propensity score based analysis
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Núñez-Pereira, Susana, Vila-Casademunt, Alba, Capdevila-Bayo, Maria, Ruiz-De Villa, Aleix, Haddad, Sleiman, Pizones, Javier, Kleinstück, Frank, Ramírez-Valencia, Manuel, Obeid, Ibrahim, Alanay, Ahmet, Mannion, Anne, and Pellisé, Ferran
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- 2021
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16. Gain in HRQL after asd surgery is maintained between 2 and 5 years’ follow-up. results from a prospective multicentre observational cohort study
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Pellisé, Ferran, Vila-Casademunt, Alba, Capdevila-Bayo, Maria, Núñez-Pereira, Susana, Ruiz-De Villa, Aleix, Haddad, Sleiman, Pizones, Javier, Kleinstück, Frank, Ramírez-Valencia, Manuel, Obeid, Ibrahim, Alanay, Ahmet, Mannion, Anne, and Spine Study Group, ESSG European
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- 2021
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17. The impact of unplanned reinterventions following ASD surgery
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Pellisé, Ferran, Vila-Casademunt, Alba, Capdevila-Bayo, Maria, Núñez-Pereira, Susana, Ruiz-De Villa, Aleix, Haddad, Sleiman, Pizones, Javier, Kleinstück, Frank, Ramírez-Valencia, Manuel, Obeid, Ibrahim, Alanay, Ahmet, Mannion, Anne, and Spine Study Group, ESSG European
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- 2021
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18. Risk factors for surgical site infection: Patient’s characteristics
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Núñez-Pereira, Susana, Hernández-Fernández, Alberto, Iribarren-Loyarte, Jose Antonio, and Bustinduy-Odriozola, María Jesús
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- 2021
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19. Infections after spine instrumentation: effectiveness of short antibiotic treatment in a large multicentre cohort
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Instituto de Salud Carlos III, Ministerio de Ciencia e Innovación (España), Benavent Palomares, Eva, Rodríguez-Pardo, Dolors, Ulldemolins, Marta, Sobrino-Díaz, Beatriz, Bustinduy, María Jesús, Escudero-Sánchez, Rosa, Nodar, Andrés, Sorlí, Luisa, Toro, María Dolores del, Bahamonde-Carrasco, Alberto, Vilchez, Helem H., Durán, Joan, Muñez, Elena, Rodriguez-Montserrat, David, García-País, María José, Pellisé, Ferran, Núñez-Pereira, Susana, Caballero-Martínez, Luis F., Cobo Reinoso, Javier, Pérez-Rodríguez, María Teresa, Ariza, Javier, Pigrau, Carlos, Murillo, Óscar, Instituto de Salud Carlos III, Ministerio de Ciencia e Innovación (España), Benavent Palomares, Eva, Rodríguez-Pardo, Dolors, Ulldemolins, Marta, Sobrino-Díaz, Beatriz, Bustinduy, María Jesús, Escudero-Sánchez, Rosa, Nodar, Andrés, Sorlí, Luisa, Toro, María Dolores del, Bahamonde-Carrasco, Alberto, Vilchez, Helem H., Durán, Joan, Muñez, Elena, Rodriguez-Montserrat, David, García-País, María José, Pellisé, Ferran, Núñez-Pereira, Susana, Caballero-Martínez, Luis F., Cobo Reinoso, Javier, Pérez-Rodríguez, María Teresa, Ariza, Javier, Pigrau, Carlos, and Murillo, Óscar
- Abstract
[Background and objectives] Available information about infection after spine instrumentation (IASI) and its management are scarce. We aimed to analyse DAIR (debridement, antibiotics and implant retention) prognosis and evaluate effectiveness of short antibiotic courses on early forms., [Methods] Multicentre retrospective study of patients with IASI managed surgically (January 2010–December 2016). Risk factors for failure were analysed by multivariate Cox regression and differences between short and long antibiotic treatment were evaluated with a propensity score-matched analysis., [Results] Of the 411 IASI cases, 300 (73%) presented in the first month after surgery, 48 in the second month, 22 in the third and 41 thereafter. Infections within the first 2 months (early cases) occurred mainly to older patients, with local inflammatory signs and predominance of Enterobacteriaceae, unlike those in the later periods. When managed with DAIR, prognosis of early cases was better than later ones (failure rate 10.4% versus 26.1%, respectively; P = 0.02). Risk factors for DAIR failure in early cases were female sex, Charlson Score, large fusions (>6 levels) and polymicrobial infections (adjusted HRs of 2.4, 1.3, 2.6 and 2.26, respectively). Propensity score matching proved shorter courses of antibiotics (4–6 weeks) as effective as longer courses (failure rates 11.4% and 10.5%, respectively; P = 0.870)., [Conclusions] IASIs within the first 2 months could be managed effectively with DAIR and shorter antibiotic courses. Clinicians should be cautious when faced with patients with comorbidities, large fusions and/or polymicrobial infections.
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- 2021
20. Individualized antibiotic prophylaxis reduces surgical site infections by gram-negative bacteria in instrumented spinal surgery
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Núñez-Pereira, Susana, Pellisé, F., Rodríguez-Pardo, D., Pigrau, C., Sánchez, J. M., Bagó, J., Villanueva, C., and Cáceres, E.
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- 2011
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21. Type III fractures of the anterior tibial tuberosity in adolescents: two case reports
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Ares-Rodriguez, Oscar, Seijas, Roberto, Núñez-Pereira, Susana, and Aguirre-Canyadell, Marius
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- 2008
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22. Development and Validation of a Multidomain Surgical Complication Classification System for Adult Spinal Deformity
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Klineberg, Eric O., primary, Wick, Joseph B., additional, Lafage, Renaud, additional, Lafage, Virginie, additional, Pellise, Ferran, additional, Haddad, Sleiman, additional, Yilgor, Caglar, additional, Núñez-Pereira, Susana, additional, Gupta, Munish, additional, Smith, Justin S., additional, Shaffrey, Christopher, additional, Schwab, Frank, additional, Ames, Christopher, additional, Bess, Shay, additional, Lewis, Stephen, additional, Lenke, Lawrence G., additional, and Berven, Sigurd, additional
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- 2020
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23. Expert Case Reviewers
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Abdallah, Anas, Al-Habib, Amro F., Al-Mahfoudh, Rafid, Albert, Todd J., Allen, Richard, Almendral, Andrés, Baaj, Ali A., Bagley, Carlos, Barakat, Ahmed S., Barrenechea, Ignacio, Luis Bazán, Pedro, Bellabarba, Carlo, Benneker, Lorin M., Berven, Sigurd, Bhatia, Nitin N., Bilsky, Mark H., Bolger, Ciaran, Boriani, Stefano, Bransford, Richard J., Bydon, Mohamad, Campero, Alvaro, Casey, Adrian, Chen, Selby G., Cheung, Jason, Chi, John, Chou, Dean, Clarke, Michelle, Cofano, Fabio, Daffner, Scott, Dea, Nicolas, Gordon Deen Jr., H., Dewald, Christopher J., Rodrigo Diaz Iniguez, Luis, Ehresman, Jeffrey, El-Fiki, Mohamed, Elder, Benjamin, Elnady, Belal, Eltahawy, Hazem, Espinoza-Garcia, Esteban F., Farber, Harrison, Fehlings, Michael G., Freedman, Brett A., Frisoli, Fabio, Garg, Bhavuk, Gokaslan, Ziya, Golan, Jeff D., Gómez, Diego F, Eduardo Guzman Prenk, Jorge, Hakim, Fernando, Hara, Takeshi, Harrop, James S., Hassanzadeh, Hamid, Heller, John G., Hobson, Sandra, Hoh, Daniel J., Holly, Langston T., Hsieh, Patrick C., Huang, Meng, Huddleston, Paul M., Itshayek, Eyal, Jallo, George I., Kalani, Maziyar A., Laufer, Ilya, Lawton, Michael T., Lazary, Aron, Lenke, Lawrence G., Levi, Allan D., Li, Yingda, Liu, Ann, Lo, Sheng-Fu, Lu, Daniel C., Mayer, Rory, Meng, Tong, Moran, Catherine, Mummaneni, Praveen, Nasi, Davide, Navarro-Ramirez, Rodrigo, Navarro Bonnet, Jorge, Niu, Tianyi, Núñez-Pereira, Susana, Pairojboriboon, Sutipat, Pennicooke, Brenton, Phalak, Manoj, Phillips, Frank M., Rajesh, Alugolu, Fernando Ramon, Juan, Daniel Riew, K., Schmidt, Meic, Sciubba, Daniel M., Sikora, Jakub, Smith, Justin, Soliman, Mohamed A.R., Than, Khoi D., Theodore, Nicholas, Tokuhashi, Yasuaki, Vaccaro, Alexander R., Veeravagu, Anand, Roberto Vialle, Luiz, Wang, Michael Y., Weber, Clemens, Witham, Timothy, Wolinsky, Jean-Paul, Yampolsky, Claudio, Yoon, Jang, and Zarate Kalfopulos, Baron
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- 2023
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24. The dynamics of satisfaction in surgical and non-surgical adult spinal deformity patients.
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Núñez-Pereira, Susana, Serra-Burriel, Miquel, Vila-Casademunt, Alba, Hayashi, Kazunori, Haddad, Sleiman, Pizones, Javier, Kleinstück, Frank, Obeid, Ibrahim, Alanay, Ahmet, Pellisé, Ferran, and European Spine Study Group
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SPINE abnormalities , *ADULTS , *SPINAL surgery , *PATIENT satisfaction , *CONSERVATIVE treatment , *MEDICAL care , *RESEARCH , *RESEARCH methodology , *SATISFACTION , *RETROSPECTIVE studies , *MEDICAL cooperation , *EVALUATION research , *TREATMENT effectiveness , *COMPARATIVE studies , *SCOLIOSIS , *QUALITY of life , *QUESTIONNAIRES , *RESEARCH funding , *LONGITUDINAL method - Abstract
Purpose: For adult spinal deformity (ASD) patients receiving operative (op) and non-operative (non-op) treatment, the relationship between HRQoL measures, complications and self-reported satisfaction remains unclear. The objective of this analysis is to study nonlinear association dynamics between ASD patient satisfaction, HRQoL, and complications over a two-year follow-up period.Methods: From a prospective multicenter international adult spinal deformity database, all patients with 2-year follow-up data on satisfaction (21st question of SRS-22r) were identified and included. A total of 12 LOESS (local polynomial fit) regressions were performed between patient satisfaction (SRS22 item 21) and HRQoL measures (ODI, SF36PCS and SRS22 subtotal) interacting with surgery at baseline, 6 months and 1 and 2 years of follow-up.Results: A total of 856 patients (527 op and 329 non-op) were included. At baseline, satisfaction was lower for patients scheduled for surgery even when HRQL was similar to those elected for conservative treatment. The nonlinear correlations showed that for similar PROMs, op patients reached higher satisfaction levels during follow-up, especially at six months. In fact, at six months operated patients with a deterioration of their initial PROMs had some improvement in their satisfaction, which could not be further observed at the end of follow-up.Conclusions: Satisfaction does not correlate well with other PROMs, and it might be subject to other external factors not directly related to treatment. Even if patient satisfaction is important in evaluating well-being and patient's experience with medical care, it should not be considered as an isolated proxy to measure quality of treatment. [ABSTRACT FROM AUTHOR]- Published
- 2021
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25. Factors influencing patient satisfaction after adult scoliosis and spinal deformity surgery
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Hayashi, Kazunori, primary, Boissière, Louis, additional, Guevara-Villazón, Fernando, additional, Larrieu, Daniel, additional, Núñez-Pereira, Susana, additional, Bourghli, Anouar, additional, Gille, Olivier, additional, Vital, Jean-Marc, additional, Pellisé, Ferran, additional, Sánchez Pérez-Grueso, Francisco Javier, additional, Kleinstück, Frank, additional, Acaroğlu, Emre, additional, Alanay, Ahmet, additional, and Obeid, Ibrahim, additional
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- 2019
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26. Infections after spine instrumentation: effectiveness of short antibiotic treatment in a large multicentre cohort.
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Benavent, Eva, Rodríguez-Pardo, Dolors, Ulldemolins, Marta, Sobrino-Diaz, Beatriz, Bustinduy, María Jesús, Escudero-Sanchez, Rosa, Nodar, Andrés, Sorli, Luisa, López, María Dolores Del Toro, Bahamonde, Alberto, Vilchez, Helem H, Duran, Joan, Muñez, Elena, Rodriguez-Montserrat, David, García-País, María José, Pellisé, Ferran, Núñez-Pereira, Susana, Caballero-Martinez, Luis F, Cobo, Javier, and Pérez-Rodríguez, María Teresa
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ANTIBIOTICS ,MEDICAL personnel ,PROPENSITY score matching ,OLDER patients ,SPINE - Abstract
Background and Objectives: Available information about infection after spine instrumentation (IASI) and its management are scarce. We aimed to analyse DAIR (debridement, antibiotics and implant retention) prognosis and evaluate effectiveness of short antibiotic courses on early forms.Methods: Multicentre retrospective study of patients with IASI managed surgically (January 2010-December 2016). Risk factors for failure were analysed by multivariate Cox regression and differences between short and long antibiotic treatment were evaluated with a propensity score-matched analysis.Results: Of the 411 IASI cases, 300 (73%) presented in the first month after surgery, 48 in the second month, 22 in the third and 41 thereafter. Infections within the first 2 months (early cases) occurred mainly to older patients, with local inflammatory signs and predominance of Enterobacteriaceae, unlike those in the later periods. When managed with DAIR, prognosis of early cases was better than later ones (failure rate 10.4% versus 26.1%, respectively; P = 0.02). Risk factors for DAIR failure in early cases were female sex, Charlson Score, large fusions (>6 levels) and polymicrobial infections (adjusted HRs of 2.4, 1.3, 2.6 and 2.26, respectively). Propensity score matching proved shorter courses of antibiotics (4-6 weeks) as effective as longer courses (failure rates 11.4% and 10.5%, respectively; P = 0.870).Conclusions: IASIs within the first 2 months could be managed effectively with DAIR and shorter antibiotic courses. Clinicians should be cautious when faced with patients with comorbidities, large fusions and/or polymicrobial infections. [ABSTRACT FROM AUTHOR]- Published
- 2021
- Full Text
- View/download PDF
27. Impact of resolved early major complications on 2-year follow-up outcome following adult spinal deformity surgery.
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Núñez-Pereira, Susana, Pellisé, Ferran, Vila-Casademunt, Alba, Alanay, Ahmet, Acaraglou, Emre, Obeid, Ibrahim, Sánchez Pérez-Grueso, Francisco Javier, Kleinstück, Frank, and ESSG European Spine Study Group
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SPINAL surgery , *ANALYSIS of covariance , *ELECTRONIC materials , *OLDER patients - Abstract
Purpose: Major complications are a concern following ASD surgery. Even when properly managed and resolved, they may still have a relevant impact on HRQL. We aimed to investigate the impact of resolved early major complications on 2-year outcome after ASD surgery.Methods: Two groups of consecutive surgical patients were extracted from a prospective multicentre database. Major complication group (MCG) included patients with any major complication, resolved within 6 months after surgery. Patients with further major complications during follow-up were excluded. Control group (CG) included patients with no major complications over the entire follow-up. Analysis of covariance adjusting for preoperative baseline values was used to compare improvements in HRQL measures at 2 years.Results: One hundred and seventy-five patients met the inclusion criteria and had complete HRQL data at 2 years (24 MCG, 151 CG). MCG patients were older and had more severe deformity and poorer baseline HRQL. There were 27 resolved major complications at 6 months needing 19 additional surgeries (18 revisions, 1 cholecystectomy). At 2 years, and after adjusting for preoperative data, outcome in MCG patients was as follows: scores were 5.98 (SE 3.03) points higher for the ODI (p = 0.05), 0.36 (SE 0.13) lower SRS-22 function (p = 0.01), 4.07 (SE 1.93) lower SF-36 PCS (p = 0.04), and 0.16 (SE 0.13) lower SRS-22 subtotal (p = 0.22).Conclusion: The results indicate that patients experiencing major complications after ASD surgery have significantly less functional improvement (SRS-22 function, ODI, SF-36 PCS) than their complication-free counterparts, even when complications were considered resolved, and the outcome was measured after an 18-month complication-free period. These slides can be retrieved under Electronic Supplementary Material. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
28. Influencia de la colonización del tracto urinario por bacilos gram negativos en el desarrollo de infección aguda de la herida quirúrgica tras cirugía vertebral instrumentada
- Author
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Núñez Pereira, Susana, Cáceres Palou, Enrique, Pellisé Urquiza, Ferran, Rodríguez Pardo, María Dolores, and Universitat Autònoma de Barcelona. Departament de Cirurgia
- Subjects
Cirugia ,Infección ,Vertebral ,Ciències de la Salut - Abstract
Influencia de la colonización del tracto urinario por bacilos gram negativos en el desarrollo de infección aguda de la herida quirúrgica tras cirugía vertebral instrumentada. La infección de la herida quirúrgica es una complicación relativamente frecuente tras cirugía vertebral instrumentada. Las tasas de infección son variables dependiendo del tipo de cirugía, la longitud de la instrumentación y las comorbilidades del paciente, entre otros muchos factores. El microorganismo causal más frecuente es el S.aureus. En la última década, se ha descrito un aumento de las infecciones de la herida por bacilos gram negativos (BGN). Los BGNs, procedentes del tracto gastrointestinal, colonizan frecuentemente el tracto urinario de los pacientes, pero es raro que se hallen en la piel. Este estudio analiza la posible relación entre la colonización del tracto urinario y el posterior desarrollo de una infección de la herida quirúrgica. La primera parte del trabajo estudia el potencial beneficio de realizar cribado preoperatorio de la colonización del tracto urinario. Se establecieron los siguientes criterios de riesgo de colonización, basados en la literatura: sonda vesical permanente, incontinencia, vejiga neurógena, estancia preoperatoria mayor de siete días, antecedente de infecciones del tracto urinario de repetición e ingreso procedente de otra institución sociosanitaria. A todos los pacientes que cumplían alguno de estos criterios se les realizó un cultivo de orina preoperatorio. A los que tuvieron un urocultivo positivo se les administró tratamiento antibiótico antes de la cirugía, y profilaxis antibiótica de amplio espectro que cubriera los microorganismos aislados en el cultivo de orina. Esta medida demostró un descenso estadísticamente significativo en las tasas de infección de la herida por bacilos gram negativos. La segunda parte del trabajo analiza la potencial relación entre la infección del tracto urinario durante el postoperatorio (ITU) y la infección de la herida quirúrgica. La asociación encontrada entre ambas infecciones fue significativa (OR 3.54, IC 95% 1.9-6.5, p, Influence of urinary tract colonization on surgical site infection by gram negative bacteria following instrumented spinal surgery. Surgical site infection (SSI) is a relative frequent complication following instrumented spinal surgery. Infection rates do vary depending on the type of surgery, the length of the instrumentation and the patient’s comorbidities among many other factors. The most common microorganism is S.aureus. During the last decade, an increasing rate of SSI due to gram negative bacteria (GNB) has been reported. GNB are common enteral microorganisms, which may colonize the urinary tract but are not likely to be isolated at the patient’s skin. Hence, contamination of the surgical wound by GNB might be related with the presence of these microorganisms at the urinary tract. This study focuses on the possible association between urinary tract colonization and further development of SSI. The first part of the study analyses the potential benefits of preoperative screening of urine tract colonization. Based on the literature, we established the following selection criteria for patients at risk of urinary tract colonization: indwelling catheter, incontinency, neurogenic bladder, preoperative stay length longer than seven days, history of repetitive urinary tract infections and admission from other health care facilities. All patients fulfilling one of these criteria had a preoperative urinary study. Those who finally had positive urinary cultures received antibiotic treatment before surgery. Personalized broad-spectrum perioperative antibiotic prophylaxis was administered covering the microorganisms isolated at the urine cultures. This measure showed a statistically significant decrease on the incidence of SSI by GNB. The second part of the study covers the potential relation between postoperative urinary tract infection (UTI) and SSI. The association found between both infections was strong (OR 3.54, CI 95% 1.9-6.5, p
- Published
- 2013
29. Influencia de la colonización del tracto urinario por bacilos gram negativos en el desarrollo de infección aguda de la herida quirúrgica tras cirugía vertebral instrumentada
- Author
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Cáceres Palou, Enrique, Pellisé Urquiza, Ferran, Rodríguez Pardo, María Dolores, Núñez Pereira, Susana, Universitat Autònoma de Barcelona. Departament de Cirurgia, Cáceres Palou, Enrique, Pellisé Urquiza, Ferran, Rodríguez Pardo, María Dolores, Núñez Pereira, Susana, and Universitat Autònoma de Barcelona. Departament de Cirurgia
- Abstract
Influencia de la colonización del tracto urinario por bacilos gram negativos en el desarrollo de infección aguda de la herida quirúrgica tras cirugía vertebral instrumentada. La infección de la herida quirúrgica es una complicación relativamente frecuente tras cirugía vertebral instrumentada. Las tasas de infección son variables dependiendo del tipo de cirugía, la longitud de la instrumentación y las comorbilidades del paciente, entre otros muchos factores. El microorganismo causal más frecuente es el S.aureus. En la última década, se ha descrito un aumento de las infecciones de la herida por bacilos gram negativos (BGN). Los BGNs, procedentes del tracto gastrointestinal, colonizan frecuentemente el tracto urinario de los pacientes, pero es raro que se hallen en la piel. Este estudio analiza la posible relación entre la colonización del tracto urinario y el posterior desarrollo de una infección de la herida quirúrgica. La primera parte del trabajo estudia el potencial beneficio de realizar cribado preoperatorio de la colonización del tracto urinario. Se establecieron los siguientes criterios de riesgo de colonización, basados en la literatura: sonda vesical permanente, incontinencia, vejiga neurógena, estancia preoperatoria mayor de siete días, antecedente de infecciones del tracto urinario de repetición e ingreso procedente de otra institución sociosanitaria. A todos los pacientes que cumplían alguno de estos criterios se les realizó un cultivo de orina preoperatorio. A los que tuvieron un urocultivo positivo se les administró tratamiento antibiótico antes de la cirugía, y profilaxis antibiótica de amplio espectro que cubriera los microorganismos aislados en el cultivo de orina. Esta medida demostró un descenso estadísticamente significativo en las tasas de infección de la herida por bacilos gram negativos. La segunda parte del trabajo analiza la potencial relación entre la infección del tracto urinario durante el postoperatorio (ITU) y la infección de la herida qu, Influence of urinary tract colonization on surgical site infection by gram negative bacteria following instrumented spinal surgery. Surgical site infection (SSI) is a relative frequent complication following instrumented spinal surgery. Infection rates do vary depending on the type of surgery, the length of the instrumentation and the patient's comorbidities among many other factors. The most common microorganism is S.aureus. During the last decade, an increasing rate of SSI due to gram negative bacteria (GNB) has been reported. GNB are common enteral microorganisms, which may colonize the urinary tract but are not likely to be isolated at the patient's skin. Hence, contamination of the surgical wound by GNB might be related with the presence of these microorganisms at the urinary tract. This study focuses on the possible association between urinary tract colonization and further development of SSI. The first part of the study analyses the potential benefits of preoperative screening of urine tract colonization. Based on the literature, we established the following selection criteria for patients at risk of urinary tract colonization: indwelling catheter, incontinency, neurogenic bladder, preoperative stay length longer than seven days, history of repetitive urinary tract infections and admission from other health care facilities. All patients fulfilling one of these criteria had a preoperative urinary study. Those who finally had positive urinary cultures received antibiotic treatment before surgery. Personalized broad-spectrum perioperative antibiotic prophylaxis was administered covering the microorganisms isolated at the urine cultures. This measure showed a statistically significant decrease on the incidence of SSI by GNB. The second part of the study covers the potential relation between postoperative urinary tract infection (UTI) and SSI. The association found between both infections was strong (OR 3.54, CI 95% 1.9-6.5, p 0.001), but only in 40% of the patien
- Published
- 2014
30. 3 - Impact of surgical site infection on surgical outcomes in adult spinal deformity: a matched control study
- Author
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Sleiman, Haddad, Nuñez-Pereira, Susana, Vila-Casademunt, Alba, Domingo-Sabat, Montse, Acaroglu, Emre, Pérez-Grueso, Francisco Javier Sánchez, Obeid, Ibrahim, Kleinstück, Frank, Alanay, Ahmet, and Pellisé, Ferran
- Published
- 2017
- Full Text
- View/download PDF
31. Tendon Transfer Fixation in the Foot and Ankle: A Biomechanical Study
- Author
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Núñez-Pereira, Susana, primary, Pacha-Vicente, Daniel, additional, Llusá-Pérez, Manuel, additional, and Nardi-Vilardaga, Joan, additional
- Published
- 2009
- Full Text
- View/download PDF
32. Osteoporosis transitoria de rodilla
- Author
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Núñez Pereira, Susana, primary, Castellet Feliu, Enric, additional, Minguell Monyart, Joan, additional, and Joshi Jubert, Nayana, additional
- Published
- 2009
- Full Text
- View/download PDF
33. Long-Term Loss of Alignment Following ASD Surgery in the Absence of Mechanical Complications: Aging Spine?
- Author
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Haddad S, Jacobs E, Núñez Pereira S, Ruiz de Villa A, Pupak A, Barcheni M, Ramírez Valencia M, Pizones J, Kleinstück FS, Pérez Grueso FS, Alanay A, Obeid I, and Pellisé F
- Abstract
Study Design: Retrospective analysis of a prospective multicenter Adult Spinal Deformity (ASD) registry., Objective: Assess whether spinal alignment deteriorates post-surgery in absence of mechanical complications and evaluate the long-term outcomes of ASD surgery over a five-year period., Summary of Background Data: ASD is prevalent among older adults, leading to significant pain and disability. Surgical intervention, although increasingly popular, is associated with complications, high costs, and uncertain long-term outcomes beyond two years. Mechanical failure and alignment loss often necessitate revision surgeries, but the natural progression of spinal alignment post-surgery without complications remains unclear., Methods: Clinical and radiological data were analyzed from surgical patients in a multicenter ASD registry who maintained alignment within the instrumented region and completed a 5-year follow-up. The study evaluated patient demographics, surgical details, radiological parameters, and quality of life (QoL) outcomes. Sub-analyses were conducted to compare patients with different initial postoperative alignments and fixation levels., Results: The study included 79 patients (83.5% women, average age 61.9 years) with a mean of 10.7 fused levels. Of these, 29.1% underwent three-column osteotomies (3CO), and 88.6% had a posterior-only approach. While 65% showed favorable alignment at 6 weeks post-surgery, there was a progressive deterioration in global sagittal alignment (Global Tilt/RSA) and thoracic kyphosis over five years (P<0.05), along with increased pelvic compensation (PT SS/RPV). These changes did not correlate with worsening Health-Related Quality of Life outcomes (P>0.05). Older age was linked to greater progression in T2-T12 kyphosis, and osteoporosis was associated with increased SVA and RPV. Optimal immediate postoperative sagittal alignment did not prevent this "aging effect.", Conclusions: ASD surgery and achieving ideal postoperative alignment do not prevent the ongoing "aging" of the non-instrumented spine. Both thoracic and global sagittal alignments deteriorate over time. Although no functional decline has been observed, the implications of these changes for surgical planning remain uncertain., Competing Interests: Conflict of Interests: The European Spine Study Group receives funding support from DePuy Synthes and Medtronic., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
- Published
- 2024
- Full Text
- View/download PDF
34. [Transient osteoporosis of the knee].
- Author
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Núñez Pereira S, Castellet Feliu E, Minguell Monyart J, and Joshi Jubert N
- Subjects
- Humans, Male, Middle Aged, Joint Diseases diagnosis, Joint Diseases therapy, Knee Joint, Osteoporosis diagnosis, Osteoporosis therapy
- Published
- 2009
- Full Text
- View/download PDF
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