Spine
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A case report and literature review of Kümmell's disease. ⋯ Only after an extensive workup, including 3 biopsies of the affected area was the diagnosis of Kümmell's disease considered and surgical treatment performed. CONCLUSION.: Delayed vertebral body collapse, i.e., Kümmell's disease, needs to be considered in any patient with recurrent or worsening spinal symptoms. Under-recognition of this condition leads to delayed diagnosis and treatment.
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Comparative Study Clinical Trial
Long-term outcomes of two different decompressive techniques for lumbar spinal stenosis.
A prospective study to evaluate the outcomes of 2 different decompressive techniques for lumbar spinal stenosis. ⋯ Degenerative spinal stenosis can be decompressed adequately with preserving the posterior elements. The "Windows technique" laminoforaminotomy, which obtained satisfactory long-term outcomes with few complications and low cost, can be a standard procedure for the surgical treatment of the degenerative spinal stenosis even with slight congenital spinal stenosis.
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Randomized Controlled Trial
Anterior cervical fusion with tantalum implant: a prospective randomized controlled study.
A prospective randomized controlled study was carried out. ⋯ The efficacy to achieve fusion after 1-level anterior cervical discectomy, with a good radiologic and clinical outcome, using tantalum implant is equivalent to that of autologous graft and anterior plate, being safer as avoids donor-site graft harvesting and plating complications.
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A prospective cohort study. ⋯ The significant association between medium level back extension endurance and increased LBP intensity supports the finding of other studies that particularly back extension endurance is an important physical fitness component in preventing LBP and that the subcomponents of physical fitness are related in different ways to LBP.
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A prospective cohort study in adolescents. ⋯ Regular smoking in adolescence was associated with LBP in young adults. Pack-years of smoking showed an exposure-response relationship among girls.