Spine
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Comparative Study
Patient-preference disability assessment for disabling chronic low back pain: a cross-sectional survey.
A cross sectional survey. OBJECTIVE.: To assess patient priorities in disability and restriction in participation with disabling chronic low back pain (CLBP) by use of the McMaster-Toronto Arthritis Patient Preference Disability Questionnaire (MACTAR) and to compare this questionnaire with other outcome measures widely used in this situation. ⋯ For assessing priorities in disability and participation restriction among patients with CLBP, the MACTAR has acceptable construct validity. The weak correlation between QUEBEC and MACTAR scores suggests that the latter scale adds useful information for assessing the health priorities of disabled CLBP patients.
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Retrospective radiographic review. ⋯ The mandibular angle was shown to be the most consistently palpable landmark. Further, the distance from the mandible, measured on preoperative plain lateral cervical spine radiographs, is an accurate template to determine cervical spine levels during anterior cervical spine surgery.
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Analysis of patient and surgeon preference between selective and nonselective thoracic spinal fusions. ⋯ The DFQ quantifies the perceived trade off between residual deformity and spared motion segments. Two-year postoperative patient satisfaction, as measured by the Scoliosis Research Society-24 questionnaire, and surgeon preference, in terms of coronal radiographic outcome, correlated significantly with the DFQ.
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Case report. ⋯ Epidural steroid therapy is a commonly used conservative therapy; however, complications could develop in patients without any risk factors. Clinicians who plan an epidural steroid injection must perform a rigorous evaluation through a detailed physical examination, simple laboratory tests, and history taking to prevent various risks associated with spinal cord compression.
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A case report. ⋯ Myositis ossificans usually occurs in extremities and is very uncommon in the psoas muscle. We report psoas myositis ossificans that developed from hemorrhage and edema associated with a lumbar fracture and required only 2 months to regress completely. When one finds a soft tissue mass with surrounding edema in the psoas muscle combined with a vertebral compression fracture, myositis ossificans should be included in the differential diagnosis.