Spine
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Multicenter Study Comparative Study
Emotional health predicts pain and function after fusion: a prospective multicenter study.
Prospective. ⋯ Presurgical emotional status is one significant predictor of pain and function outcomes up to 2 years after fusion. Other significant predictors included workers' compensation status, smoking status, and presurgical pain/function. Studies to identify and intervenewith patients with poorer emotional status will clarify whether presurgical mental health intervention can improve pain and function outcomes after surgery or whether these patients are not candidates for surgery.
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Human lumbosacral cadaveric specimens were tested in an in vitro biomechanical flexibility experiment using physiologic loads in 5 sequential conditions. ⋯ The anterior screw-plate and pedicle screws-rods both substantially reduced ROM and increased stiffness compared to stand-alone interbody cages. There was no significant difference in the amount by which the supplementary fixation devices limited flexion, extension, axial rotation, or anteroposterior shear; pedicle screws-rods better restricted lateral bending.
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Randomized Controlled Trial Comparative Study
Education by general practitioners or education and exercises by physiotherapists for patients with whiplash-associated disorders? A randomized clinical trial.
Randomized clinical trial. ⋯ We found no significant differences for the primary outcome measures. Treatment by GPs and PTs were of similar effectiveness. The long-term effects of GP care seem to be better compared to physiotherapy for functional recovery, coping, and physical functioning. Physiotherapy seems to be more effective than GP care on cervical range of motion at short-term follow-up.
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Analysis of outcome data collected prospectively from 250 patients recruited to the UK Spine Stabilization Trial. ⋯ Although shown to be responsive, including the SWT alongside disease-specific and generic instruments is unlikely to add additional information. All instruments appear responsive to patient deterioration, however, further research for the SF-36 is required.
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Retrospective review. ⋯ A large proportion of injuries was seen among older adults, predominantly as a result of falls. Prevention programs should expand their focus to include home safety and avoidance of falls in the elderly.