Spine
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Randomized Controlled Trial Comparative Study Clinical Trial
Early intervention in whiplash-associated disorders: a comparison of two treatment protocols.
A prospective randomized trial in 97 patients with a whiplash injury caused by a motor vehicle collision. ⋯ In patients with whiplash-associated disorders caused by a motor vehicle collision treatment with frequently repeated active submaximal movements combined with mechanical diagnosis and therapy is more effective in reducing pain than a standard program of initial rest, recommended use of a soft collar, and gradual self-mobilization. This therapy could be performed as home exercises initiated and supported by a physiotherapist.
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Case Reports
Results of a longer than 10-year follow-Up of patients with rheumatoid arthritis treated by occipitocervical fusion.
Evaluation of results a longer than 10-year follow-up of patients with upper cervical lesions due to rheumatoid arthritis who underwent occipitocervical fusion. ⋯ Occipitocervical fusion for patients with rheumatoid arthritis is useful for decreasing nuchal pain, reducing myelopathy, and improving prognosis.
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Independent evaluation of 18 patients with multilevel cervical spondylotic myelopathy who underwent threadwire T-saw laminoplasty. ⋯ T-saw laminoplasty appears to be a safe and effective method of arresting the progression of myelopathy and allowing marked functional improvement in most patients with multilevel cervical spondylotic myelopathy. [Key Words: cervical spine, decompression, laminoplasty, myelopathy, spondylosis]
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Mechanical testing of cadaveric lumbar motion segments. ⋯ Minor damage to a vertebral body endplate leads to progressive structural changes in the adjacent intervertebral discs.
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Anatomic dissection and measurements of the cervical sympathetic trunk relative to the medial border of the longus colli muscle and lateral angulation of the sympathetic trunk relative to the midline on both sides were performed. ⋯ The sympathetic trunk may be more vulnerable to damage during anterior lower cervical spine procedures because it is situated closer to the medial border of the the longus colli muscle at C6 than at C3. The longus colli muscles diverge laterally, whereas the sympathetic trunks converge medially at C6. As the transverse foramen or uncovertebral joint is exposed with dissection or transverse severance of the longus colli muscle at the lower cervical levels, the sympathetic trunk should be identified and protected.