Spine
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A systematic review of randomized controlled trials (RCTs). ⋯ Acupuncture versus no treatment, and as an adjunct to conventional care, should be advocated in the European Guidelines for the treatment of chronic LBP.
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Cross-sectional study. ⋯ There is a high prevalence of FJ OA in the community. Prevalence of FJ OA increases with age with the highest prevalence at the L4-L5 spinal level. At low spinal levels women have a higher prevalence of lumbar FJ OA than men. In the present study, we failed to find an association between FJ OA, identified by multidetector CT, at any spinal level and LBP in a community-based study population.
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Retrospective review of adolescent idiopathic scoliosis (AIS) patients. ⋯ Two Lenke 1A curve patterns can be described based on the direction of the L4 tilt. This distinction has ramifications regarding selection of fusion levels and assessing surgical outcomes. The A and B lumbar modifiers do not describe 2 distinct curve types within the Lenke 1 group; however, the tilt direction of L4 does allow subdivision of the Lenke 1A curves into 2 distinguishable patterns (1A-R and 1A-L). The 1A-L curves are similar to 1B curves and different in form and treatment from the 1A-R pattern.
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A retrospective study to review patients with acute thoracolumbar burst fractures who were conservatively treated. ⋯ Conservative treatment is safe and effective for selected patients with thoracolumbar burst fractures, even in some cases with neurologic deficit. The Load Sharing Classification could be used for guiding the treatment of thoracolumbar burst fractures not only in surgical approach choice but also in surgical decision-making.
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Case series. ⋯ Apical convex rib head dislocation into the canal in NF-1 scoliotic patients can be suspected by conventional radiograms and be proven by CT and MRI. The rib dislocation is not a contraindication to deformity correction with modern spinal instrumentation techniques when preventive measures are applied.