Spine
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A retrospective study. ⋯ Use of cell saver in instrumented lumbar fusion cases was not able to decrease the need for blood transfusion. Cell-saver use was associated with a significantly higher blood loss.
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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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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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Randomized Controlled Trial
Effects of two guideline implementation strategies on patient outcomes in primary care: a cluster randomized controlled trial.
Cluster randomized controlled trial. ⋯ Active implementation of the German LBP guideline results in slightly better outcomes during 6 months follow-up than its postal dissemination. Results are more distinct when practice nurses are trained in motivational counseling.