Spine
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Randomized Controlled Trial Comparative Study Clinical Trial
Trunk muscle strength, cross-sectional area, and density in patients with chronic low back pain randomized to lumbar fusion or cognitive intervention and exercises.
A randomized study. ⋯ Patients with chronic low back pain who followed cognitive intervention and exercise programs improved significantly in muscle strength compared with patients who underwent lumbar fusion. In the lumbar fusion group, density decreased significantly at L3-L4 compared with the exercise group.
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This is a case report of a cervical epidural abscess presenting with neurologic deficits after cervical epidural steroid injection. ⋯ Cervical epidural abscess is a rare but potentially devastating complication after epidural steroid injection. Neurologic compromise may occur. Timely diagnosis and appropriate treatment may result in good clinical outcomes.
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Case Reports
Congenital formation of an intraspinal osseous vertebral ring causing spinal cord compression.
A unique case of the congenital formation of an intraspinal osseous vertebral ring causing spinal cord compression is reported. ⋯ An intraspinal osseous vertebral ring is a unique anomaly that, to our knowledge, has not been reported to date. The authors discuss the pathology, imaging, and treatment of this unique condition.
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In a prospective interventional study, problems with performance were evaluated in 101 consecutive patients with chronic low-back pain for more than 12 months, before and after participation in an outpatient-based multidisciplinary pain management program in Mansfield, United Kingdom. ⋯ Patients with chronic low-back pain report problems with diverse activities. The COPM provides a patient-centered outcome measure that displays good external validity and responsiveness to change when addressing the individual's goals.
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Case Reports
Rapid improvement of paraplegia caused by epidural involvements of Burkitt's lymphoma with chemotherapy.
Case report. ⋯ Considering the severe late effects of laminectomy and radiotherapy, chemotherapy should be considered as a first choice of treatment for spinal cord compression caused by malignant lymphoma.