Spine
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Systematic review of randomized controlled trials. ⋯ In the long-term, multidisciplinary back training has a positive effect on work participation in patients with nonspecific chronic low back pain.
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A prospective nonrandomized, longitudinal cohort study. ⋯ The results indicate the potential of radiosurgery in the treatment of patients with spinal metastases, especially those with solitary sites of spine involvement, to improve long-term palliation.
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Retrospective cohort study with prospective clinical follow-up. ⋯ In our series, the symptom duration before operation and the speed of onset do not affect the outcome more than 2 years after surgery. Based on the SF-36, ODI, and Low Back Outcome Scores, patients who have had CES do not return to a normal status.
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Case Reports
Polyethylene wear debris and long-term clinical failure of the Charité disc prosthesis: a study of 4 patients.
A clinical case series of 4 patients undergoing anterior lumbar revision due to failure of total disc replacement surgery. ⋯ This study demonstrates the clinical significance of polyethylene wear debris and the potential for osteolysis with total disc replacements. The authors recommend that patients undergoing lumbar disc arthroplasty receive long-term follow-up to monitor the wear and functional status of their implants.
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A prospective study of patients undergoing lumbar disc herniation surgery. ⋯ Patients undergoing lumbar disc herniation surgery are mostly satisfied with provided care before and after surgery, however, less satisfied with information provided. Further, patients with preoperative positive expectations on work return and realistic expectations on pain and physical recovery have a greater chance to be satisfied with the surgical results.