Spine
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Case report. ⋯ Understanding ocular complications after spinal surgery is vital. Although rare, but the most troublesome complication is ischemic orbital compartment syndrome.
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A systematic review of randomized controlled trials. ⋯ The evidence from the 65 trials included in this review suggests that NSAIDs are effective for short-term symptomatic relief in patients with acute and chronic low back pain without sciatica. However, effect sizes are small. Furthermore, there does not seem to be a specific type of NSAID, which is clearly more effective than others. The selective COX-2 inhibitors showed fewer side effects compared with traditional NSAIDs in the randomized controlled trials included in this review. However, recent studies have shown that COX-2 inhibitors are associated with increased cardiovascular risks in specific patient populations.
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Literature review. ⋯ Based on these studies, it seems that for the severely impaired patient with loss of horizontal gaze, surgical correction is a reasonable option with a high likelihood of success.
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Comparative Study
Degenerative changes of discs and facet joints in lumbar total disc replacement using ProDisc II: minimum two-year follow-up.
A retrospective clinical and radiologic data analysis. ⋯ After TDR using ProDisc II, the degenerative changes in the discs and facets at the adjacent segments appeared to be minimal. However, in 29.3% of the TDR segments, the facet joints presented PFA, which was more common in female, malposition of prosthesis on frontal plane, and 2-level TDR in a minimum 2-year follow-up.
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Comparative Study
Use of carboxymethylcellulose/polyethylene oxide gel in microdiscectomy with interlaminectomy: a case series comparison with long-term follow-up.
A consecutive, case series comparison. ⋯ CMC/PEO gel after microdiscectomy with interlaminectomy appears safe to use and in a 3-year follow-up significantly reduces disability and leg pain scores compared with our conventional treatment.