Spine
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Comparative Study
Orthopaedists' and family practitioners' knowledge of simple low back pain management.
Comparative knowledge survey. ⋯ Both orthopaedic surgeons' and family physicians' knowledge of treating LBP is deficient. Orthopedic surgeons are less aware of current treatment than family practitioners. Although the importance of publishing guidelines and keeping them up-to-date and relevant for different disciplines in different countries cannot be overstressed, disseminating the knowledge to clinicians is also very important to ensure good practice.
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This is a retrospective chart review of 670 clinic notes from 202 patients who underwent posterior instrumented lumbar spinal fusions (LSF) over a 9-year period by a single surgeon. ⋯ Routine radiographs seem to have limited utility in the early postoperative period after instrumented LSF and may place patients with normal H/E at an increased risk of undergoing unnecessary diagnostic studies. Patients with abnormal H/E were more likely to undergo more extensive testing leading to additional treatment being prescribed regardless of the interpretation of the radiographs.
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A retrospective study on patients with chronic nonspecific low back pain (NSLBP). ⋯ Patients with NSLBP treated with the novel biomechanical device for 3 months increased walking speed through longer step length and eliminated asymmetrical differences.
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Retrospective functional and radiographic analysis of symptomatic patients with de novo degenerative lumbar and thoracolumbar scoliosis. ⋯ Reduced lumbar lordosis and increased lumbosacral scoliosis can affect the general health status of older patients with de novo degenerative scoliosis. Lateral olisthesis, mainly, and anteroposterior olisthesis are important elements of rotatory subluxation in the lumbar curves, which are important radiographic parameters, predicting symptomatology and health status of patients with de novo degenerative scoliosis.
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A case report. ⋯ Although stress fractures of the spinous process are very rare and can be overlooked in clinical settings, they should be considered in the differential diagnosis of severe dorsal neck pain in golfers, especially beginners.