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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Case report and clinical discussion. ⋯ This report documents a rare case of air passage into multiple body compartments after thoracoscopic-assisted treatment of a spinal fracture, which has not yet been described previously. After exclusion of a tracheo-bronchial and hollow organ injury the process was self-limiting. To avoid this complication, special care should be taken to evacuate all intrathoracal air at the end of the endoscopic procedure.
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Systematic review. ⋯ Few nonsurgical interventional therapies for low back pain have been shown to be effective in randomized, placebo-controlled trials.
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Multicenter Study
Functional and radiological outcomes of 360 degrees fusion of three or more motion levels in the lumbar spine for degenerative disc disease.
This is a single-center, multisurgeon, retrospective study of radiologic and functional outcome measures at a minimum 2-year follow-up. ⋯ The surgical treatment of lumbar degenerative disc disease by 360 degrees fusion should be considered for properly selected patients. The goal of surgery is reduction, not elimination of disability.