Spine
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Retrospective evaluation of 19 consecutive patients with sacral fracture dislocations and cauda equina syndrome. ⋯ Rigid segmental lumbopelvic stabilization allowed for reliable fracture reduction of the lumbosacral spine and posterior pelvic ring, permitting early mobilization without external immobilizaton and neurologic improvement in a large number of patients. Complications were primarily related to infection, wound healing, and asymptomatic rod breakage, and were without long-term sequelae.
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A radiographic study of 153 normal volunteers. ⋯ We speculate that this information will be very helpful in evaluating symptomatic spinal disease in the context of the overall alignment of the spine and pelvis.
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Randomized Controlled Trial
The effectiveness of high-intensity versus low-intensity back schools in an occupational setting: a pragmatic randomized controlled trial.
Randomized controlled trial. ⋯ The low-intensity back school was most effective in reducing work absence, functional disability, and kinesiophobia, and more workers in this group scored a higher perceived recovery during the 6-month follow-up.
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Randomized Controlled Trial Comparative Study
A randomized controlled trial investigating the efficiency of musculoskeletal physiotherapy on chronic low back disorder.
Randomized, single blind, controlled trial. ⋯ As a component of musculoskeletal physiotherapy, the spinal stabilization program is more effective than manually applied therapy or an education booklet in treating chronic low back disorder over time. Both manual therapy and the spinal stabilization program are significantly effective in pain reduction in comparison to an active control. To our knowledge and up until now, this result has not been shown in patients with chronic low back disorder.
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Randomized Controlled Trial
A prospective randomized study of posterolateral lumbar fusion using osteogenic protein-1 (OP-1) versus local autograft with ceramic bone substitute: emphasis of surgical exploration and histologic assessment.
A prospective, randomized and controlled study. ⋯ In a human posterolateral lumbar spine trial, OP-1 reliably induced viable amounts of new bone formation, but the fusion success rate evaluated by surgical exploration was only 4 of 7.