Spine
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Randomized Controlled Trial Comparative Study
One-year follow-up comparison of the effectiveness of McKenzie treatment and strengthening training for patients with chronic low back pain: outcome and prognostic factors.
A randomized controlled trial with multivariable analyses of prognostic factors. ⋯ Poor long-term outcome of exercise therapy for chronic low back pain can be explained by a number of patient-related factors. Different prognostic factors were associated with different outcomes. These factors were more important in determining outcome than the exercise-programs studied.
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Retrospective study of consecutive patient series. ⋯ Most common causes of revision spine surgery due to sagittal imbalance were failure to enhance lumbar lordosis and adjacent disc degeneration after lumbar fusion surgery. These patients were effectively treated with a combined anterior and posterior arthrodesis. Following these surgical treatment, sagittal balance was generally improved with fair-to-good clinical outcomes, high patient satisfaction, and low perioperative complication rates.
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Comparative Study
The source of axial pain after cervical laminoplasty-C7 is more crucial than deep extensor muscles.
Prospective study to investigate the incidence of axial pain in the 3 different procedures of laminoplasty. ⋯ To prevent axial pain, C7 should not be included in cervical laminoplasty, while detachment of the deep extensor muscles does not result in significant axial pain.
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Comparative Study
The influence of the grade of chronicity on the outcome of multidisciplinary therapy for chronic low back pain.
Prospective longitudinal clinical study. ⋯ According to the results of this study, patients with chronic low back pain also derive significant benefit from a multidisciplinary treatment strategy in higher stages of chronicity. Therefore, therapy should not be limited to the patients in lower stages of chronicity.
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A retrospective clinical study. ⋯ In patients undergoing thoracolumbar surgery who are at high risk of spinal wound dehiscence, closure using a pedicled omental flap is a viable procedure that may limit the risk of dehiscence and improve outcome.