Spine
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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.
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: Literature review. ⋯ : Weak evidence (Level IV) exists in the literature that spinal deformity correction for AIS does not significantly impact QOL in short-term or mid-term. The interpretation of this must be that there were no serious adverse events after surgery.
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Comparative Study
Relationship between early opioid prescribing for acute occupational low back pain and disability duration, medical costs, subsequent surgery and late opioid use.
Retrospective cohort study of workers' compensation (WC) claims with acute disabling low back pain (LBP). ⋯ Given the negative association between receipt of early opioids for acute LBP and outcomes, it is suggested that the use of opioids for the management of acute LBP may be counterproductive to recovery.
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Comparative Study
Are lumbar spine reoperation rates falling with greater use of fusion surgery and new surgical technology?
A retrospective analysis of population-based hospital discharge registry from all nonfederal acute care hospitals in Washington State. ⋯ A higher proportion of fusion procedures and the introduction of new spinal implants between 1993 and 1997 did not reduce reoperation rates. Patients who had lumbar surgery for degenerative disease in the late 1990s were more likely to undergo a repeat operation within 4 years than patients who had surgery in the early 1990s.
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Case Reports Comparative Study
How does the ossification area of the posterior longitudinal ligament thicken following cervical laminoplasty?
Retrospective case series. ⋯ Young patients with continuous or mixed-type OPLL and C3 involvement of ossification had a risk for progression in OPLL thickness following surgery. As the increased thickness of ossified lesions directly causes the narrowing of the spinal canal, it is important to pay attention to these risk factors and the increase in ossification before and after cervical laminoplasty in the surgical treatment of patients with OPLL.