Spine
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Comparative Study
Differences in sitting postures are associated with nonspecific chronic low back pain disorders when patients are subclassified.
A comparative study. ⋯ Differences in usual sitting posture were only revealed when NS-CLBP patients were subclassified. This highlights the importance of subclassifying NS-CLBP patients.
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Comparative Study Controlled Clinical Trial
A prospective controlled study of limited versus subtotal posterior discectomy: short-term outcomes in patients with herniated lumbar intervertebral discs and large posterior anular defect.
Prospective observational study with historical control. The prospective study population consisted of 30 patients undergoing a posterior lumbar subtotal discectomy for lumbar disc herniation. This group was compared to a historical cohort of 46 patients treated with limited discectomy alone. ⋯ The more aggressive removal of remaining intervertebral disc material may decrease the risk of reherniation, but the overall outcome was less satisfactory, especially during the first year after surgery.
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Comparative Study
Fear of movement/(re)injury predicting chronic disabling low back pain: a prospective inception cohort study.
Prospective inception cohort study. ⋯ The results suggest that interventions aimed at reducing pain-related fear in the acute stage of LBP might prevent restrictions of activity and participation because of pain, and might be a way of preventing the transition from acute to chronic LBP.
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Randomized Controlled Trial Multicenter Study Comparative Study
A randomized trial of chiropractic and medical care for patients with low back pain: eighteen-month follow-up outcomes from the UCLA low back pain study.
Randomized clinical trial. ⋯ Differences in outcomes between medical and chiropractic care without physical therapy or modalities are not clinically meaningful, although chiropractic may result in a greater likelihood of perceived improvement, perhaps reflecting satisfaction or lack of blinding. Physical therapy may be more effective than medical care alone for some patients, while physical modalities appear to have no benefit in chiropractic care.
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Review Case Reports
Spinal chronic subdural hematoma in association with anticoagulant therapy: a case report and literature review.
A case of spinal chronic subdural hematoma (SCSDH) in association with anticoagulant therapy was treated surgically. ⋯ SCSDH should be included in the differential diagnosis of progressive spinal cord and nerve root compression in patients receiving anticoagulant therapy. Prompt diagnosis and early surgical decompression lead to a good outcome.