Spine
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Clinical Trial
Four-year follow-up results of lumbar spine arthrodesis using the Bagby and Kuslich lumbar fusion cage.
This was a prospective multicenter clinical trial of a lumbar interbody fusion cage with a minimum of 4 years' follow-up. ⋯ This study indicates that the early positive benefits of interbody fusion cage procedures are maintained through 4 years with acceptably low morbidity.
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Randomized Controlled Trial Clinical Trial
A prospective randomized multicenter clinical evaluation of an anterior cervical fusion cage.
A prospective, concurrently controlled, randomized, multicenter trial of an anterior Bagby and Kuslich cervical fusion cage (BAK/C; Sulzer Spine-Tech, Minneapolis, MN) for treatment of degenerative disc disease of the cervical spine. ⋯ These results demonstrate that outcomes after a cervical fusion procedure with a threaded cage are the same as those of a conventional uninstrumented bone-only anterior discectomy and fusion with a low risk of complications and rare need for autogenous bone graft harvest.
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A systematic review of randomized controlled trials. ⋯ Behavioral treatment seems to be an effective treatment for patients with chronic low back pain,but it is still unknown what type of patients benefit most from what type of behavioral treatment.
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Retrospective review of a large series of patients who underwent spinal surgery at a single institution during a 10-year period. ⋯ Incidental durotomy, if recognized and treated appropriately, does not lead to long-term sequelae.
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Comparative Study
A prospective comparison of surgical approach for anterior L4-L5 fusion: laparoscopic versus mini anterior lumbar interbody fusion.
A prospective comparison of 50 consecutive patients who underwent L4-L5 anterior lumbar interbody fusion (ALIF). ⋯ There does not appear to be a significant advantage at the L4-L5 level of the transperitoneal laparoscopic surgical approach when compared with an open mini-ALIF retroperitoneal technique.