Spine
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Randomized Controlled Trial Comparative Study
Laminoplasty and skip laminectomy for cervical compressive myelopathy: range of motion, postoperative neck pain, and surgical outcomes in a randomized prospective study.
A prospective randomized clinical trial in surgical treatment for cervical compressive myelopathy. ⋯ No significant differences were seen between Lamino and Skip groups, in terms of operative invasiveness, axial neck pain, cervical alignment, and ROM, and clinical results in the patients of CSM without developmental stenosis.
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Randomized Controlled Trial Comparative Study
Cost-effectiveness of physical therapy and general practitioner care for sciatica.
An economic evaluation alongside a randomized clinical trial in primary care. A total of 135 patients were randomly allocated to physical therapy added to general practitioners' care (n = 67) or to general practitioners' care alone (n = 68). ⋯ The treatment of patients with LRS with physical therapy and general practitioners'care is not more cost-effective than general practitioners'care alone.
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Comparative Study
What is different about workers' compensation patients? Socioeconomic predictors of baseline disability status among patients with lumbar radiculopathy.
Combined analysis of 2 prospective clinical studies. ⋯ Clinical trials involving conditions commonly seen in patients with workers' compensation may need special efforts to ensure adequate representation. Socioeconomic characteristics markedly differed between patients receiving and not receiving workers' compensation. Identifying the independent effects of workers' compensation on outcomes will require controlling for these baseline characteristics and other clinical features associated with disability status.