Spine
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Case Reports
Traumatic atlantoaxial rotatory dislocation with odontoid fracture: case report and review.
A case of traumatic rotatory dislocation associated with odontoid fracture is reported. ⋯ As the pivot of rotatory subluxation changed after odontoid process osteosynthesis, posterior C1-C2 arthrodesis was performed. The patient probably could have been treated in a single-stage procedure using posterior C1-C2 transarticular fixation with bicortical interspinous graft.
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Randomized Controlled Trial Clinical Trial
The impact of physical function and pain on work status at 1-year follow-up in patients with back pain.
A randomized, controlled trial. ⋯ Return to work was related to physical function and pain. More importance seemed to be attributed to physical performance in the intervention group than in the controls as a basis for returning patients to work.
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Review Meta Analysis
A critical review of reviews on the treatment of chronic low back pain.
Systematic literature review. ⋯ Although the overall quality of systematic reviews was satisfactory, the quality of the individual papers included in the reviews varied considerably. The reviews often provided contradictory evidence on the effectiveness of a wide range of commonly used conservative interventions for chronic nonspecific low back pain. These findings illustrate the pitfalls of systematic reviews where there are a number of low-quality trials and underscore the need for high-quality primary trials that will allow for more conclusive reviews.
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Randomized Controlled Trial Clinical Trial
A randomized clinical trial of exercise and spinal manipulation for patients with chronic neck pain.
A randomized, parallel-group, single-blinded clinical trial was performed. After a 1-week baseline period, patients were randomized to 11 weeks of therapy, with posttreatment follow-up assessment 3, 6, and 12 months later. ⋯ For chronic neck pain, the use of strengthening exercise, whether in combination with spinal manipulation or in the form of a high-technology MedX program, appears to be more beneficial to patients with chronic neck pain than the use of spinal manipulation alone. The effect of low-technology exercise or spinal manipulative therapy alone, as compared with no treatment or placebo, and the optimal dose and relative cost effectiveness of these therapies, need to be evaluated in future studies.