Spine
-
Comparative Study
Centralization: its prognostic value in patients with referred symptoms and sciatica.
Prospective, comparative cohort study. ⋯ Patients with sciatica and suspected disc herniation who have a centralization response to a mechanical evaluation will have significantly better outcomes. Patients who do not have centralization will be 6 times more likely to undergo surgery.
-
Randomized Controlled Trial
Individual active treatment combined with group exercise for acute and subacute low back pain.
Randomized controlled trial. ⋯ The results indicate that the costs of this active back program are more than reimbursed as a consequence of earlier return to work.
-
Retrospective case-controlled study of cervical laminoplasty. ⋯ Subaxial laminoplasty maintained the alignment. But if laminoplasty included the C2 lamina, the alignment worsened.
-
Twenty-year retrospective review of 14,102 spine surgeries. ⋯ POION is a rare but potentially devastating and untreatable complication of spine surgery, particularly that performed with the patient in the prone position. Anemia, hypotension, long duration of surgery, and significant intraoperative hydration may all be risk factors for this condition. All patients undergoing spine surgery should be informed about the low but definite risk of this condition, and every attempt should be made during surgery to maintain stable hemoglobin and mean arterial pressure and to avoid overhydration.