Spine
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Randomized Controlled Trial Multicenter Study Clinical Trial
Local and remote sustained trigger point therapy for exacerbations of chronic low back pain. A randomized, double-blind, controlled, multicenter trial.
A randomized, double-blind, controlled, multicenter trial was conducted. ⋯ Neuroreflexotherapy intervention seems to be a simple and effective treatment for rapid amelioration of pain episodes in patients with chronic low back pain. At this time, the duration of pain relief beyond 45 days has not been evaluated.
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Case Reports
Anterior decompression of foraminal stenosis below a lumbosacral transitional vertebra. A case report.
A case of unilateral far-out foraminal entrapment of the L5 spinal nerve below a transitional vertebra is presented with a review of the literature. ⋯ Selective radiculography was the method of examination with the optimal diagnostic value for far-out foraminal stenosis. An anterior approach to the decompression of far-out foraminal stenosis below a lumbosacral transitional vertebra is a relatively simple and effective method.
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Randomized Controlled Trial Comparative Study Clinical Trial
Long-lasting cervical radicular pain managed with surgery, physiotherapy, or a cervical collar. A prospective, randomized study.
This prospective, randomized study compares the efficacy of surgical and conservative treatments in patients with long-lasting cervical radicular pain. ⋯ In the treatment of patients with long-lasting cervical radicular pain, it appears that a cervical collar, physiotherapy, or surgery are equally effective in the long term.
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Seventy-one patients with low back pain were examined by two physiotherapists (50 patients) and two physicians (21 patients). The two physiotherapists had worked together for many years, but the two physicians had not. The interexaminer reliability of the clinical tests included in the physical examination was evaluated. ⋯ On the basis of the physiotherapists series, the reliability was acceptable for a number of clinical tests that are used in the evaluation of patients with low back pain. The results suggest that clinical tests should be standardized to a much higher degree than they are today.
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A biomechanical analysis of the buckling type of alignment on nonfused cervical segments was carried out in patients with occipitocervical fusion for atlantoaxial dislocation. ⋯ In patients with rheumatoid arthritis, segments that show abnormal buckling before surgery are likely to develop subluxation after occipitocervical fusion. Preoperative values of buckling over 10 x 10(-4) constitute a risk factor for subaxial subluxation after occipitocervical fusion.