Spine
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Case Reports Multicenter Study
Neurologic deterioration secondary to unrecognized spinal instability following trauma--a multicenter study.
A retrospective study was undertaken that evaluated the medical records and imaging studies of a subset of patients with spinal injury from large level I trauma centers. ⋯ This multicenter study establishes that missed spinal injuries resulting in a neurologic deficit continue to occur in major trauma centers despite the presence of experienced personnel and sophisticated imaging techniques. Older age, high impact accidents, and patients with insufficient imaging are at highest risk.
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Multicenter Study Clinical Trial
Dynamic stabilization in addition to decompression for lumbar spinal stenosis with degenerative spondylolisthesis.
Prospective clinical study. ⋯ In elderly patients with spinal stenosis with degenerative spondylolisthesis, dynamic stabilization with the Dynesys system in addition to decompression leads to similar clinical results as seen in established protocols using decompression and fusion with pedicle screws. It maintains enough stability to prevent further progression of spondylolisthesis or instability. With the Dynesys system, no bone grafting is necessary, therefore, donor site morbidity can be avoided.
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Randomized Controlled Trial Multicenter Study
Short-term efficacy of intravenous pulse glucocorticoids in acute discogenic sciatica. A randomized controlled trial.
Double-blinded randomized controlled trial. ⋯ Although an IV bolus of glucocorticoids provides a short-term improvement in leg pain in patients with acute discogenic sciatica, its effects are transient and have small magnitude.
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Randomized Controlled Trial Comparative Study
Comparing a supine radiologic versus standing clinical measurement of kyphosis in older women: the Fracture Intervention Trial.
A study of agreement between different measures of kyphosis, a clinical standing measure (Debrunner kyphometer; Protek AG, Bern, Switzerland) versus a supine radiologic measure (Cobb angle). ⋯ There is reasonable agreement between a supine radiologic and standing clinical measurement of kyphosis in older women.
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Randomized Controlled Trial Comparative Study
Multidisciplinary group rehabilitation versus individual physiotherapy for chronic nonspecific low back pain: a randomized trial.
A randomized trial. ⋯ The results of this study indicate that semilight outpatient multidisciplinary rehabilitation program for female chronic low back pain patients does not offer incremental benefits when compared with rehabilitation carried out by a physiotherapist having a cognitive-behavioral way of administering the treatment.