Spine
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Prospective clinical study. ⋯ The prevalence of depression was notable among 1-year postoperative spinal stenosis patients. Depressive symptoms in the preoperative and early recovery phase were strong predictors of a poorer self-reported surgery outcome on 1-year follow-up. The results call for intervention strategies to detect and treat depression during both the preoperative and postoperative phase.
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Prospective diagnostic imaging study. ⋯ The sensitivity and specificity of MRI for diagnosing injury of the PLC are lower than previously reported in the literature. The integrity of the PLC as determined by MRI should not be used in isolation to determine treatment.
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Cross-cultural adaptation of an outcome questionnaire. ⋯ Overall, the rank correlation level in general was good, whereas the agreement between questionnaires outcome was variable, most of which seems to be attributable to absolute scale differences. The NBQ-NL is a useable patient-orientated tool for assessing disability in clinical studies and clinical diagnosis in Dutch speaking patients with WAD.
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A three-dimensional analysis of spino-pelvic alignment in 60 asymptomatic young adult males and females. ⋯ These results indicate that the female spine is definitely different from the male spine. The spine as whole and individual vertebrae in certain regions of the normal spine is more backwardly inclined in females than in males. Based on our previous research this signifies that these spinal regions are subjected to different biomechanical loading conditions. These vertebral segments are possibly less rotationally stable in females than in males.
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Case Reports
A hard fall: an isolated fracture of lumbarized S1 spinous process: a case report and review of the literature.
A case of an isolated lumbarized S1 spinous process fracture due to direct trauma from a fall on the lower back is reported here. The patient was treated nonoperatively. Pain subsided and he returned to every day. ⋯ Few cases of isolated spinous process fractures have been described, and, to our knowledge, this is the first reported case of an isolated fracture of a lumbarized S1 spinous process to due to direct trauma. Radiograph imaging was adequate to determine the extent of the injury. Nonoperative treatment can allow the patient to return to every day life without the need of surgery.