Spine
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Randomized Controlled Trial Multicenter Study
Implementation of the Dutch low back pain guideline for general practitioners: a cluster randomized controlled trial.
Cluster randomized controlled trial for a multifaceted implementation strategy. ⋯ The multifaceted intervention strategy modestly improved implementation (for parts of the recommendations in) the Dutch low back pain guideline by general practitioners and produced small concomitant changes in patient management. The implementation strategy produced fewer referrals to therapists during follow-up consultations.
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A review article. ⋯ Spino-pelvic balance in the sagittal plane can be considered as an open linear chain linking the head to the pelvis where the shape and orientation of each successive anatomic segment are closely related and influence the adjacent segment. Pelvic morphology and spino-pelvic balance are abnormal in developmental spondylolisthesis. These abnormalities should be quantified on lateral standing radiographs of the spine and pelvis and have important implications for the evaluation and treatment of this pathologic condition.
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Systematic review. ⋯ NRT appears to be a safe and effective intervention for nonspecific LBP. This conclusion is limited to three trials conducted by a small number of experienced clinicians. Further trials in other settings are needed to determine whether these favorable results can be generalized.
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This study retrospectively examines outcomes of unilateral transforaminal lumbar interbody fusion (TLIF) with posterior fixation using anterior carbon fiber cages and 360 degrees fusion in spondylolisthesis. ⋯ Interbody cages in spondylolisthesis are useful to increase neuroforaminal height, to facilitate reduction, and to improve the chances of achieving a successful 360 degrees fusion.
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Clinical Trial
Nitrous oxide with propofol reduces somatosensory-evoked potential amplitude in children and adolescents.
A repeat measures design. ⋯ In our study, nitrous oxide use during low-dose isoflurane anesthesia supplemented with titrated propofol infusion caused a significant reduction in cortically recorded somatosensory-evoked potentials that was comparable with the 50% decrease observed in adults.