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Giorgio Perino Department of Orthopedics and Orthopedic Surgery, University Medicine Greifswald, Greifswald, Germany

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Ivan De Martino Division of Orthopaedics and Traumatology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy

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Lingxin Zhang Department of Pathology and Laboratory Medicine, Sinai Health System, Toronto, Canada

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Zhidao Xia Centre for Nanohealth, Swansea University Medical School, Singleton Park, Swansea, UK

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Jiri Gallo Department of Orthopaedics, Faculty of Medicine and Dentistry, University Hospital, Palacky University Olomouc, Czech Republic

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Shonali Natu Department of Pathology, University Hospital of North Tees and Hartlepool NHS Foundation Trust, Stockton-on-Tees, UK

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David Langton Orthopaedic Department, Freeman Hospital, Newcastle upon Tyne, UK

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Monika Huber Pathologisch-bakteriologisches Institut, Otto Wagner Spital, Wien, Austria

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Anastasia Rakow Department of Orthopedics and Orthopedic Surgery, University Medicine Greifswald, Greifswald, Germany

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Janosch Schoon Department of Orthopedics and Orthopedic Surgery, University Medicine Greifswald, Greifswald, Germany

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Enrique Gomez-Barrena Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario La Paz-IdiPAZ, Universidad Autónoma de Madrid, Madrid, Spain

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Veit Krenn MVZ-Zentrum für Histologie, Zytologie und Molekulare Diagnostik-GmbH, Trier, Germany

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/ALTR/ARMD has been found to be high in MoM HRA and MoM LHTHA implants even in asymptomatic patients and well-functioning implants in several reports 40 – 43 and also in MoM SHTHA 44 , 45 without detectable change in size or progression to soft tissue

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Olga Savvidou First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, Attikon University Hospital, Athens, Greece
These authors contributed equally to this manuscript

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Olympia Papakonstantinou Second Department of Radiology, National and Kapodistrian University of Athens, Medical School, Attikon University General Hospital, Athens, Greece
These authors contributed equally to this manuscript

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Eleftheria Lakiotaki First Department of Pathology, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece
These authors contributed equally to this manuscript

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Ioannis Zafeiris First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, Attikon University Hospital, Athens, Greece

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Dimitra Melissaridou First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, Attikon University Hospital, Athens, Greece

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Pinelopi Korkolopoulou First Department of Pathology, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece
Co-senior authors

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Panayiotis J. Papagelopoulos First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, Attikon University Hospital, Athens, Greece
Co-senior authors

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reported that most cases of progression occurred in patients with multiple tumors. 67 Most cases of SPECS are low to intermediate grade, although tumours of higher grade are also possible. The tumour is far more common after maturity, usually 25 to 45

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Timothy Bage The Peripheral Nerve Injury Service, Queen Elizabeth Hospital Birmingham, Birmingham, UK

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Dominic M. Power The Peripheral Nerve Injury Service, Queen Elizabeth Hospital Birmingham, Birmingham, UK

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the severity of the injury. A Sunderland grade 4 and 5 injury will demonstrate no progression of the Tinel’s sign. A grade 3 injury will progress at no more than 1 mm per day. However, a Sunderland grade 2 or a low-grade Seddon axonotmesis may

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Alessandro Bensa Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Alessandro Sangiorgio Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Angelo Boffa Applied and Translational Research (ATR) Center, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Manuela Salerno Applied and Translational Research (ATR) Center, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Giacomo Moraca Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Giuseppe Filardo Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Applied and Translational Research (ATR) Center, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
Università della Svizzera Italiana, Faculty of Biomedical Sciences, Lugano, Switzerland

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, biochemical, and biomechanical factors, all favoring the disease progression ( 7 , 8 ). Among these, inflammation plays a pivotal role in the pathophysiology of OA, with synovial membrane alterations and the release of pro-inflammatory cytokines in the whole

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Charles Court Department of Orthopedic Surgery and Traumatology, Spine and tumor Unit, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Paris Saclay University, Le Kremlin-Bicêtre, France

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Leonard Chatelain Department of Orthopedic Surgery and Traumatology, Spine and tumor Unit, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Paris Saclay University, Le Kremlin-Bicêtre, France

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Barthelemy Valteau Department of Orthopedic Surgery and Traumatology, Spine and tumor Unit, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Paris Saclay University, Le Kremlin-Bicêtre, France

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Charlie Bouthors Department of Orthopedic Surgery and Traumatology, Spine and tumor Unit, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Paris Saclay University, Le Kremlin-Bicêtre, France

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nature but do not involve the spinal (zone II of Denis). In fact, the progression of the subtype number in AO classification corresponds to the progression of instability and not to the frequency of neurological compromise. One should consider in type B

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Andreas Fontalis Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, UK
Academic Unit of Bone Metabolism, University of Sheffield Medical School, Sheffield, UK

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Eustathios Kenanidis Academic Orthopaedic Unit, Aristotle University Medical School, Papageorgiou General Hospital, Thessaloniki, Greece
Centre of Orthopaedic and Regenerative Medicine (CORE), Center for Interdisciplinary Research and Innovation (CIRI), Aristotle University of Thessaloniki, Thessaloniki, Greece

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Katharine Bennett-Brown Chelsea and Westminster Hospital NHS Foundation Trust, Chelsea, London, UK

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Eleftherios Tsiridis Academic Orthopaedic Unit, Aristotle University Medical School, Papageorgiou General Hospital, Thessaloniki, Greece
Centre of Orthopaedic and Regenerative Medicine (CORE), Center for Interdisciplinary Research and Innovation (CIRI), Aristotle University of Thessaloniki, Thessaloniki, Greece

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. Our findings suggest that PD patients did not experience increased mortality in the immediate postoperative period compared to controls; however, long-term follow-up data showed a higher mortality risk, likely attributed to the disease progression

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Amer Sebaaly School of Medicine, Saint Joseph University, Beirut, Lebanon
Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Sarah Farjallah Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Khalil Kharrat Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Gaby Kreichati School of Medicine, Saint Joseph University, Beirut, Lebanon
Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Mohammad Daher School of Medicine, Saint Joseph University, Beirut, Lebanon

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correlation between the extent of progression of the kyphosis and function ( 26 ). In other studies, untreated SK resulted in ‘severe thoracic spine pain’ in nearly 50% of the cases ( 27 , 28 ). Such discrepancies may be explained by the fact that these

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E Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain

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Carlos Kalbakdij-Sánchez Department of Orthopaedic Surgery, Emirates Specialty Hospital, Dubai Healthcare City, Dubai, UAE

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from 34 (range: 28–52) to 59 (range: 25–76) on the KSS and KSFS, respectively. Functional outcome was related to disease progression and therefore variable ( 11 ). Table 1 Hoehn and Yahr scale for Parkinson’s disease ( 13 ). Stage

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Pengqiang Lou Liaoning University of Traditional Chinese Medicine, Shenyang, China

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Guangzhi Zhou Liaoning University of Traditional Chinese Medicine, Shenyang, China

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Bo Wei Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang, China

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Xiaolei Deng Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang, China

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Decai Hou Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang, China

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concentration at the junction of the thinner bone trabeculae in the necrotic area and the thicker bone trabeculae in the repaired area, eventually leading to the formation of a sclerotic zone ( 18 ). With the progression of the disease, the trabecular bone

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Miklós Szendrői Department of Orthopaedics, Semmelweis University, H-1082 Budapest, Üllői 78/b, Hungary

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Imre Antal Department of Orthopaedics, Semmelweis University, H-1082 Budapest, Üllői 78/b, Hungary

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Attila Szendrői Department of Urology, Semmelweis University, H-1082 Budapest, Üllői 78/b, Hungary

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Áron Lazáry National Center for Spinal Disorders, H-1126 Budapest, Királyhágó u.1., Hungary

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Péter Pál Varga National Center for Spinal Disorders, H-1126 Budapest, Királyhágó u.1., Hungary

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explained by our finding that when comparing the Fuhrman grade of the initial tumour, progression in the grade of metastases was found in 40%, downgrading in 30% and the same grade in 30%. This explains that the final outcome for the patient depends more on

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