Spine
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Systematic review. ⋯ Surgery for radiculopathy with herniated lumbar disc and symptomatic spinal stenosis is associated with short-term benefits compared to nonsurgical therapy, though benefits diminish with long-term follow-up in some trials. For nonradicular back pain with common degenerative changes, fusion is no more effective than intensive rehabilitation, but associated with small to moderate benefits compared to standard nonsurgical therapy.
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Randomized Controlled Trial
Effect of modified techniques in Bryan cervical disc arthroplasty.
A prospective, randomized study of the clinical and radiographic outcomes in patients undergoing single- and 2-level cervical arthroplasty with Bryan cervical disc (Medtronic Sofamor Danek, Memphis, TN). ⋯ The modified techniques can improve the outcomes of the cervical arthroplasty with Bryan disc and prevent the unexpected imbalance and motion of cervical spine.
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Practice Guideline
Interventional therapies, surgery, and interdisciplinary rehabilitation for low back pain: an evidence-based clinical practice guideline from the American Pain Society.
Clinical practice guideline. ⋯ Recommendations on use of interventional diagnostic tests and therapies, surgery, and interdisciplinary rehabilitation are presented. Due to important trade-offs between potential benefits, harms, costs, and burdens of alternative therapies, shared decision-making is an important component of a number of the recommendations.
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Comparative Study
Insertion of the artificial disc replacement: a cadaver study comparing the conventional surgical technique and the use of a navigation system.
Comparison of total disc replacement (TDR) with and without computer-assisted surgical navigation. ⋯ Surgical computer-assisted navigation may be a useful tool in the hands of a spine surgeon to achieve more accurate placement of the disc prosthesis. Because of the parallax effect, computer-assisted navigation offers more placement accuracy than stan- dard fluoroscopy. Because the accurate placement of total disc prosthesis has been correlated with better clinical outcome, further study regarding the navigation of the TDR is essential.
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Polish adaptation of the original version of Scoliosis Research Society (SRS) instrument. ⋯ The Polish version of SRS-22 is characterized by high internal consistency for all domains and for the overall score, which makes it an evaluation tool after surgical treatment compatible with the original SRS-22.