Spine
-
Review
Complications of interlaminar cervical epidural steroid injections: a review of the literature.
A comprehensive literature review. ⋯ There are significant limitations in the available literature discussing the complications associated with ICESI, but they strongly suggest that ICESI is a relatively safe procedure. Numerous potential adverse reactions have been associated with ICESI, with the vast majority being minor and transient in nature. However, serious complications may also result and may be technique related. Injectionists should be aware of the clinical presentations, rates, potential consequences, and appropriate techniques to avoid these complications. More studies are needed with specific focus on cervical complication rates, standardization of injection techniques, and differentiation between complications and poor efficacy. In addition, the use of a prospective randomized blinded controlled design would be beneficial.
-
Randomized Controlled Trial
Physiotherapy-based rehabilitation following disc herniation operation: results of a randomized clinical trial.
Three-group, randomized, single blinded, controlled trial. ⋯ As compared with no therapy, physiotherapy following first-time disc herniation operation is effective in the short-term. Because of the limited benefits of physiotherapy relative to "sham" therapy, it is open to question whether this treatment acts primarily physiologically in patients following first-time lumbar disc surgery, but psychological factors may contribute substantially to the benefits observed.
-
Case report. ⋯ Hyperparathyroidism may cause tumoral calcinosis-like lesions in the spine. An early spinal decompression followed with parathyroidectomy leads to remission of symptoms.
-
Comparative Study
Prevalence of lumbar facet arthrosis and its relationship to age, sex, and race: an anatomic study of cadaveric specimens.
An anatomic, epidemiologic study of facet arthrosis in cadaveric lumbar spines. ⋯ Facet arthrosis is a universal finding in the human lumbar spine. Evidence of arthrosis begins early, with more than one half of adults younger than 30 years demonstrating arthritic changes in the facets. The most common arthritic level appears to be L4-L5. Men have a higher prevalence and degree of facet arthrosis than women.
-
Public and professional health education campaign. ⋯ There was a major shift in public beliefs and professional advice but no change in work-related outcomes.