Spine
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Case report, literature review, discussion. ⋯ The spine as primary source of infection for secondary psoas abscess should always be included in differential diagnosis. Because the prognosis of psoas abscess can be improved by early diagnosis and prompt onset of therapy, it needs to be considered in patients with infection and back or hip pain or history of spinal surgery.
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Manual therapy and exercise therapy in patients with chronic low back pain: a randomized, controlled trial with 1-year follow-up.
A multicenter, randomized, controlled trial with 1-year follow-up. ⋯ Improvements were found in both intervention groups, but manual therapy showed significantly greater improvement than exercise therapy in patients with chronic low back pain. The effects were reflected on all outcome measures, both on short and long-term follow-up.
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Analysis of longitudinal data collected prospectively from patients seen in 27 National Spine Network member centers across the United States. ⋯ For studies of patients with low back problems, the general SF-36 may be a sufficient measure of health status and patient function, without the need for additional condition-specific instruments. Pain scales appear to be the most responsive measures in patients with low back pain.
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Case Reports
Nontraumatic acute complete paraplegia resulting from cervical disc herniation: a case report.
A case report of nontraumatic acute complete paraplegia resulting from cervical disc herniation. ⋯ We emphasize that there is a possibility of acute, irreversible progression of paralysis secondary to nontraumatic enlargement of cervical disc herniation with canal stenosis. In these cases, immediate early decompressive surgery is crucial to the prevention of severe myelopathy.
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Randomized Controlled Trial Clinical Trial
Mini-intervention for subacute low back pain: a randomized controlled trial.
Randomized controlled trial. ⋯ Mini-intervention reduced daily back pain symptoms and sickness absence, improved adaptation to pain and patient satisfaction among patients with subacute low back pain, without increasing health care costs. A work site visit did not increase effectiveness.