Spine
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In vitro laboratory study. ⋯ High injection speed, high viscosity, small diameter, and a long needle increase the dynamic pressure. To minimize the differences among examiners, we recommend standardization of injection speed, the viscosity of the injected material, and the diameter and length of the needle.
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Comparative Study
A criterion measure of walking capacity in lumbar spinal stenosis and its comparison with a treadmill protocol.
Measurement (validity) study. ⋯ The SPWT is presented as a feasible and reproducible criterion measure of walking capacity for use with LSS patients. Although a strong relationship was demonstrated between the treadmill protocol and the SPWT, a systematic bias was observed with patients walking significantly further in the SPWT (36% in mean).
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Prospective study evaluating the oblique lumbar magnetic resonance imaging (MRI). ⋯ In light of this data, we suggest that oblique lumbar MRI can precisely demonstrate nerve roots in foraminal and extraforaminal areas. This technique is a simple and useful diagnostic tool for extraforaminal lumbar disc herniations.
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Experimental study. ⋯ The biomechanical stability of the same size screws inserted at the expanded and nonexpanded pedicles are the same after 3 months. Even dilation of the pedicle decreases the pullout strength of the screw at the beginning, and the pull out strength of both sides became equal after 3 months. The remodeling capacity of pedicles and overgrowth of bone on screws may have an effect on this result.
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Biomechanical study using human cadaver spines. ⋯ Cervical TDR at 2 levels can provide near-normal mobility at both levels without destabilizing the implanted segments or affecting adjacent segment motions. These observations lend support to the notion that single or multilevel cervical TDR may be advantageous when compared to fusion.