Spine
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Randomized Controlled Trial Clinical Trial
Effectiveness and cost-effectiveness analysis of neuroreflexotherapy for subacute and chronic low back pain in routine general practice: a cluster randomized, controlled trial.
A cluster randomized, controlled trial was performed. ⋯ Referral to neuroreflexotherapy intervention improves the effectiveness and cost-effectiveness of the management of nonspecific low back pain.
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Comparative Study
Simplifying outcome measurement: evaluation of instruments for measuring outcome after fusion surgery for chronic low back pain.
A comparative evaluation of outcome instruments and global assessment was performed. ⋯ Patient global assessment is a valid and responsive descriptor of overall effect in randomized controlled trials of treatment for chronic low back pain.
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A case was reported in which paradoxical air embolism arose from the patent foramen ovale in scoliosis surgery. ⋯ It is critical to detect a patent foramen ovale before surgery and cerebral embolization intraoperatively. This might permit ascertainment of the etiologic diagnosis in case of a complication in surgery for scoliosis.
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A retrospective chart analysis of pediatric trauma patients with suspected cervical spine injury was performed. ⋯ In obtunded and intubated pediatric trauma patients with suspected cervical spine injury, the clearance protocol using cervical spine MRI was effective and cost-efficient.