Fibrous dysplasia (FD) is a benign bone disorder with variable clinical presentation and controversial management strategies. This study aimed to evaluate the clinical characteristics, surgical outcomes, recurrence rates, and functional results of patients with FD using Musculoskeletal Tumor Society (MSTS) and Toronto Extremity Salvage Score (TESS) systems. A retrospective analysis was conducted on 62 patients who underwent surgical treatment for FD between 2000 and 2022 at a tertiary referral center. Demographic data, clinical characteristics, presenting complaints, surgical methods, graft use, and recurrence were evaluated. Functional outcomes were assessed using MSTS and TESS scores. Statistical analyses were performed to determine factors affecting recurrence and functional outcomes. The mean age was 28.77 ± 14.72 years. Pain was the most common presenting complaint (50.0
Chronic back pain is a leading cause of disability worldwide, contributing to reduced productivity and diminished quality of life for many patients. Spine surgery, particularly lumbar decompression and fusion, serves as an intensive intervention after conservative measures fail. Despite advances in surgical technique and instrumentation, outcomes remain highly variable, with up to half of patients experiencing little or no meaningful improvement. This variability has prompted growing interest in predictive models that forecast which patients are most likely to benefit from surgery. This review examines the current landscape of predictive modeling for patient-reported outcomes (PROs) in spine surgery. We evaluated the use of PRO instruments, which have become central to assessing surgical success. We further explored existing predictive models that incorporate demographic, clinical, and psychosocial variables, as well as emerging applications of artificial intelligence (AI) and machine-learning techniques aimed at improving diagnostic accuracy and prognostic performance. Current predictive models demonstrate variable performance across populations and remain constrained by incomplete datasets, inconsistencies in definitions, and limited integration of psychosocial factors. While most models report moderate discrimination for categorical outcomes (AUC 0.62–0.84), the subjective nature of PROs and the complexity of postoperative recovery pose challenges to accurate prediction. Machine-learning approaches, including neural networks, show promise in identifying complex relationships among diverse predictors of surgical outcomes. Future advancements will rely on leveraging multimodal data sources and integrating them through AI-driven frameworks. Transparency and external validation remain essential for clinical implementation. While PROs remain essential for understanding patient experiences and benchmarking surgical success, they often fall short as standalone predictive tools. The next generation of modeling should integrate multidimensional data and utilize AI’s capacity to detect clinically meaningful patterns. When implemented, these models have the potential to enhance preoperative counseling, guide surgical decision-making, and advance personalized spine care.
Retrospective comparative cohort study. To compare the radiographic outcomes, spinal growth, and complication profiles of the traditional active apex correction versus a Hybrid APC technique (convex apical control combined with a concave magnetically controlled growing rod) in early-onset scoliosis (EOS). A total of 36 patients (23 Traditional APC, 13 Hybrid APC) with > 2 years were included. Radiographic parameters (major Cobb angle, apical vertebral translation, T1–T12, and T1–L5 lengths) were evaluated preoperatively, early postoperatively, and at final follow-up. Complications and unplanned reoperations were meticulously recorded and compared. The primary outcome was the major Cobb angle at final follow-up. Inter-group comparisons used analysis of covariance and linear mixed-effects models; complications were compared using Fisher's exact test and, because follow-up differed between groups, as events per patient-year. Both groups showed significant correction. Both techniques facilitated significant initial correction and continuous physiological spinal elongation. From immediate post-operative to final follow-up, there was no statistical difference between the traditional and hybrid one. Hybrid group demonstrated better outcomes in curve correction during the postoperative to final follow-up, maintaining the major Cobb angle without progression, although no inter-group radiographic difference reached statistical significance after adjustment. When spinal growth was measured from the early postoperative radiograph, so that the deformity correction was not counted as growth, T1–L5 growth did not differ between the groups (p = 0.378). Complication rates (53.8
The optimal anesthetic approach for operative management of geriatric hip fractures remains debated, particularly among geriatric trauma patients with limited physiologic reserve and high comorbidity burden. This study evaluated perioperative outcomes associated with anesthesia type in geriatric patients undergoing surgery for isolated hip fractures. This retrospective cohort study was conducted to evaluate geriatric trauma patients (≥ 65 years) with isolated, blunt, moderate to severe (ISS ≥ 9) hip fractures utilizing the ACS-TQIP database from 2017 to 2023. Patients were grouped by anesthetic technique: regional or general anesthesia. The primary outcome was in-hospital mortality. Secondary outcomes included regional anesthesia failure rate, complication rates, hospital length of stay (LOS), and ventilator-free days (VFDs). Among geriatric trauma patients with moderate to severe hip fractures undergoing hip fixation, no statistically significant association was detected between regional and general anesthesia regarding in-hospital mortality (aOR: 0.316, 95
Studies comparing the efficacy of treatment modalities for patients with chronic coccygodynia are scarce. This prospective study compares outcomes of non-surgical treatment regimens, including interventional anaesthetic techniques or radiofrequency thermocoagulation, with a coccygectomy after one year. Patients with coccygodynia scheduled for an outpatient evaluation in a single institution completed a baseline questionnaire scoring pain (Numerical Rating Scale, NRS, range 0–10), functional impairment (Oswestry Disability Index, ODI, range 0–100) and health-related quality of life (Short-Form 12-Item Survey-version 2, SF-12v2, range 0–100). They were then offered continuation of a multimodal conservative management or a coccygectomy. One-year NRS, ODI, and SF-12v2 scores were compared between groups using analysis of covariance, adjusted for baseline scores and age. A total of 139 patients with coccygodynia were evaluated between May 2020 and December 2023, of whom 72 patients fulfilled inclusion criteria. One year follow-up data of 59 patients were analysed (surgical n = 35, conservative n = 24, 83
