Spine
-
A systematic review of prospective cohort studies in low back pain. ⋯ Psychological factors (notably distress, depressive mood, and somatization) are implicated in the transition to chronic low back pain. The development and testing of clinical interventions specifically targeting these factors is indicated. In view of the importance attributed to other psychological factors (particularly coping strategies and fear avoidance) there is a need to clarify their role in back-related disability through rigorous prospective studies.
-
Review Comparative Study
Standard scales for measurement of functional outcome for cervical pain or dysfunction: a systematic review.
A systematic review was conducted. ⋯ The five scales identified in this study have similar characteristics. The Neck Disability Index, however, has been revalidated more times for evaluation of patient groups. For individual patient follow-up evaluation, the Patient-Specific Functional Scale has high sensitivity to change, and thus represents a good choice for clinical use. The final choice should be tailored according to the target population and the purpose of the evaluation.
-
Randomized Controlled Trial Clinical Trial
The clinical efficacy of piroxicam fast-dissolving dosage form for postoperative pain control after simple lumbar spine surgery: a double-blinded randomized study.
A prospective, randomized, double-blinded clinical trial was conducted. ⋯ Sublingual administration of piroxicam fast-dissolving dosage form after simple spine surgery is effective and efficient in relief of postoperative pain. Because of its low side effects and high toleration, piroxicam fast-dissolving dosage form may be considered as an alternative for postoperative pain control during the early postoperative period.
-
Multicenter Study
The role of fluoroscopy in cervical epidural steroid injections: an analysis of contrast dispersal patterns.
A multicenter, retrospective analysis of cervical epidurograms. ⋯ The loss of resistance technique may not be an adequate method for ensuring accurate needle placement in blindly performed cervical epidural injections. The use of epidurography can improve the accuracy of needle placement and medication delivery to targeted areas of pathology.
-
Randomized Controlled Trial Clinical Trial
Reduction in postoperative pain after spinal fusion with instrumentation using intrathecal morphine.
The efficacy of intrathecal (spinal) morphine in the treatment of pain after posterior spinal fusions was assessed. ⋯ Relatively high-dose spinal morphine administration provides simple, reliable postoperative pain control after posterior spinal fusions. This may contribute to reduced postoperative respiratory morbidity and an improved outcome.