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Tiago P Barbosa Hospital de Braga E.P.E., Braga, Portugal

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Ana Rita Raposo Hospital de Braga E.P.E., Braga, Portugal

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Paulo Diogo Cunha Hospital de Braga E.P.E., Braga, Portugal

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Nuno Cruz Oliveira Hospital de Braga E.P.E., Braga, Portugal

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Armanda Lobarinhas Hospital de Braga E.P.E., Braga, Portugal

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Pedro Varanda Hospital de Braga E.P.E., Braga, Portugal

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Bruno Direito-Santos Hospital de Braga E.P.E., Braga, Portugal

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). However, regardless of the pathology and surgical technique used, there is a variable percentage of patients who remain symptomatic and with functional disability ( 2 , 4 , 5 ). Following spine surgery, postoperative rehabilitation is considered

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Scott D. Middleton Scott D. Middleton, Department of Orthopaedic Surgery, The Royal Infirmary and University of Edinburgh, United Kingdom

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Ralf Wagner Ralf Wagner, Ligamenta Spine Centre, Frankfurt am Main, Germany

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J. N. Alastair Gibson J. N. Alastair Gibson, Department of Orthopaedic Surgery, The Royal Infirmary and University of Edinburgh, United Kingdom

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advantages in speed of rehabilitation and lesser soft-tissue injury. One major disadvantage quoted was that of a limitation of access to the root foramen by bone overgrowth. This problem is now well addressed as reported in several of the cohort trials, 15

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Xun Wang Department of Orthopedics, Center for Plastic & Reconstructive Surgery, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, Zhejiang, China
Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China

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Aiqi Zhang Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China

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Wenchao Yao Department of Orthopaedics, the First People's Hospital of Chun'an County, Hangzhou, Zhejiang, China

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Haiyan Qiu Department of Endocrinology, Afliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China

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Fabo Feng Department of Orthopedics, Center for Plastic & Reconstructive Surgery, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, Zhejiang, China

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thus favoring patients’ postoperative rehabilitation. In recent years, the number of TLIF procedures has significantly increased globally, which may be attributed to the development of TLIF driven by advances in surgical techniques and medical devices

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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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) FLD, first lordotic vertebra; LIV, lower instrumented vertebra; SSV, sagittal stable vertebra; UIV, upper instrumented vertebra. Non-surgical management In 2010, the International Society on Scoliosis Orthopaedic and Rehabilitation

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Johannes D Bastian Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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Silviya Ivanova Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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Ahmed Mabrouk Department of Trauma and Orthopaedics, Leeds Teaching Hospitals NHS Trust, United Kingdom

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Peter Biberthaler Department of Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany

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Pedro Caba-Doussoux Servicio de Cirugía Ortopédica y Traumatología, Hospital 12 de Octubre, Madrid, España

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Nikolaos K Kanakaris Department of Trauma and Orthopaedics, Leeds Teaching Hospitals NHS Trust, United Kingdom
Major Trauma Centre, Leeds Teaching Hospitals NHS Trust, University of Leeds, United Kingdom

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managed operatively. The patient was discharged to a rehabilitation institute 2 weeks later. Full weight-bearing was started 3 months postoperatively, and he completed his follow-up a year later with uneventful healing of his femoral fractures ( Fig. 1

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Juan Manuel Henríquez-Jurado Department of Health Sciences. University of Jaén. Campus Las Lagunillas s/n, Jaén, Spain

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María Catalina Osuna-Pérez Department of Health Sciences. University of Jaén. Campus Las Lagunillas s/n, Jaén, Spain

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Héctor García-López Department of Nursing, Physiotherapy and Medicine. University of Almería. Ctra Sacrament s/n, Almería, Spain

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Rafael Lomas-Vega Department of Health Sciences. University of Jaén. Campus Las Lagunillas s/n, Jaén, Spain

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María del Carmen López-Ruiz Department of Health Sciences. University of Jaén. Campus Las Lagunillas s/n, Jaén, Spain

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Esteban Obrero-Gaitán Department of Health Sciences. University of Jaén. Campus Las Lagunillas s/n, Jaén, Spain

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Irene Cortés-Pérez Department of Health Sciences. University of Jaén. Campus Las Lagunillas s/n, Jaén, Spain

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therapeutic option to add to physiotherapy programs. There has been an increase in the creation and use of virtual reality hardware and software in physical rehabilitation, which has shown to be effective in pathologies such as total knee arthroplasty ( 25

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Qiushi Bai Department of Orthopaedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China

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Yuanyi Wang Department of Spinal Surgery, The First Hospital of Jilin University, Changchun, China

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Jiliang Zhai Department of Orthopaedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China

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Jigong Wu Chinese People’s Liberation Army Strategic Support Force Characteristic Medical Center, Beijing, China

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Yan Zhang Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China

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Yu Zhao Department of Orthopaedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China

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order. Does asymptomatic lesions require surgery? Although some studies have demonstrated that coexisting asymptomatic stenosis does not interfere with postoperative improvement ( 26 , 28 , 73 ), clinicians have observed that latent LSS does

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Kashif Ansari Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Manjot Singh Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Jake R McDermott Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
SUNY Downstate Medical School, New York City, New York, USA

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Jerzy A Gregorczyk Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Mariah Balmaceno-Criss Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Mohammad Daher Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Christopher L McDonald Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Bassel G Diebo Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Alan H Daniels Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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hypolordosis and thoracic hypokyphosis, as it allows for a greater degree of sagittal curve correction and improved postoperative mobility of the spine ( 78 ). Combined anterior and posterior spinal fusion may, ultimately, be necessary in cases of large

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Hua Luo Department of Orthopedics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Chaojun Shen Department of Orthopedics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Tongyou Qu Department of Pharmacy, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, Zhejiang China

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Lin Chen Department of Orthopedics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Yue Sun Department of Orthopedics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Yu Ren Department of Pharmacy, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, Zhejiang China

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, the patient only presented radiating pain and numbness in the left lower limb without any convulsion symptoms before surgery. The patient's nerve compression symptoms were relieved through surgery, and the postoperative review showed that the screw did

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Wen-xi Sun State Key Laboratory of Traditional Chinese Medicine Syndrome, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China

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Wei-qiang Huang State Key Laboratory of Traditional Chinese Medicine Syndrome, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China

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Hua-yang Li State Key Laboratory of Traditional Chinese Medicine Syndrome, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China

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Hong-shen Wang State Key Laboratory of Traditional Chinese Medicine Syndrome, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China

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Sheng-li Guo State Key Laboratory of Traditional Chinese Medicine Syndrome, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China

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Jie Dong Huizhou Hospital of Guangzhou University of Chinese Medicine, Huizhou, China

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Bo-lai Chen State Key Laboratory of Traditional Chinese Medicine Syndrome, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China

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Yong-peng Lin State Key Laboratory of Traditional Chinese Medicine Syndrome, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China

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1911, this operative procedure has gradually become the most widely used for treating spinal pathologies ( 4 ). Pedicle screw placement played an important role in the reconstruction of spinal stability, promoting fusion and early rehabilitation, and

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