Spine
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Comparative Study
Traumatic cervical discoligamentous injuries: correlation of magnetic resonance imaging and operative findings.
Retrospective review using prospectively collected data. ⋯ The ability of cervical MRI to detect surgically verified disruptions of the ALL, intervertebral disc, and PLL varied depending on the structure examined. MRI was sensitive but not specific for disc injury, and specific but not sensitive to ALL and PLL disruption. In this series, the comparison of cervical MRI and operative findings indicated that MRI was reliable only when positive for ALL and disc injury, and a reasonably reliable indicator of PLL status only when negative for PLL injury. Additionally, the high false-negative rates for ALL and PLL injury are concerning.
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Questionnaire survey. ⋯ North American orthopedic surgeons' attitudes toward chiropractic range from very positive to extremely negative. Improved interprofessional relations may be important to ensure optimal care of shared patients.
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This prospective cohort study investigated personal goal achievement and satisfaction with progress in patients with chronic disabling spinal disorders (CDSD). ⋯ For CDSD patients 1 year after completing rehabilitation, compared to more traditional outcomes, GAS provided the greatest unique contribution to patient satisfaction. Goal achievement may be a valuable patient-centered measure of treatment outcome.
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A historical cohort study. ⋯ Good reproducibility and agreement using the first and second vertebrae above the UIV to measure the angle of PJK was found in this study.
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Prospective, longitudinal cohort study ⋯ A threshold of 50% improvement on the ODI may be a valid measure for defining a successful outcome for patients with LBP.