Spine
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Randomized Controlled Trial Clinical Trial
Radiofrequency lesioning using two different time modalities for the treatment of lumbar discogenic pain: a randomized trial.
A prospective randomized trial. ⋯ Percutaneous intradiscal radiofrequency thermocoagulation has been suggested and performed to relieve discogenic pain. In the previous controlled study, no effective pain relief has been obtained. In this study, the authors increased the duration of radiofrequency thermocoagulation to improve the effectiveness of this method. Yet, the authors have not found any significant differences between the application of lesioning at two different times in percutaneous intradiscal radiofrequency thermocoagulation.
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Comparative Study
Electromagnetic field-based image-guided spine surgery part one: results of a cadaveric study evaluating lumbar pedicle screw placement.
Human cadaveric. ⋯ Our study has shown that when EMF tracking was used for image-guided lumbar pedicle screw placement, accuracy was improved and the incidence and degree of cortical perforations that may place neurovascular structures at risk was also reduced. Current system requirements for set-up and image acquisition, however, do add time to the procedure, and when factored in, do not yet result in a decrease in the use of fluoroscopy or screw insertion time.
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A cross-sectional survey of 481 children aged 8-10 years and 325 adolescents aged 14-16 years obtained through a proportional two-stage cluster sample of children living in Odense, Denmark. ⋯ There is no obvious association between the objectively measured level of physical activity and back pain in children and adolescents. Simple self-reported levels of physical activity and inactivity cannot be used meaningfully on young people in back pain research.
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A prospective, multicenter, cross-sectional analysis of data from the National Spine Network database. ⋯ Combined neck and arm pain were much more disabling than either symptom alone. Younger patients (younger than 40 or 40-60) were more affected by these symptoms than patients older than 60 years. In addition, as symptom duration increased, a negative impact on mental health was observed, although chronic symptoms did not affect physical health. This study suggests that patients with a significant component of axial pain in conjunction with cervical radiculopathy should be considered the most affected of all patients with cervical spondylosis. Given the evidence that the treatment methods at the disposal of physicians are effective, this study suggests that prompt treatment of these patients may help avoid the harmful effects of chronic symptoms on mental functioning, especially among younger patients who were found to be more impacted by the symptoms.
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Comparative Study
Prospective comparison of gait and trunk range of motion in adolescents with idiopathic thoracic scoliosis undergoing anterior or posterior spinal fusion.
Prospective evaluation of gait and spinal range of motion (ROM) in adolescent idiopathic scoliosis (AIS) patients undergoing either an anterior or a posterior spinal fusion. ⋯ The surgical and ROM results seem to favor the anterior approach over the posterior approach for the classification of patients in this investigation. However, it should be noted that both groups had decreased postoperative ROM.