Spine
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Randomized Controlled Trial Comparative Study
The effects of therapeutic climbing in patients with chronic low back pain: a randomized controlled study.
A randomized controlled study investigated the effects of therapeutic climbing in patients with chronic low back pain. Before and after 4 weeks of training, physical and mental well-being were measured by two questionnaires (36-Item Short Form Health Survey [SF-36]; Hannover Functional Ability Questionnaire for measuring back pain-related disability [FFbH-R]). ⋯ The benefits of therapeutic climbing were comparable with those of a standard exercise regime. In two subscales of the SF-36, the benefits of therapeutic climbing exceeded those of standard exercise therapy, primarily in perceived health and physical functioning of the patients. This finding demonstrates that therapeutic climbing is equivalent and partly superior to standard exercise therapy for patients with chronic low back pain.
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Radiographic analysis using normal patients. ⋯ Our results show the impact of the O-C2 angle on the oropharyngeal space. This knowledge will be useful for the diagnosis and treatment of the upper cervical lesion combined with the upper airway stenosis, and for the determination of the optimal fixation angle in occipitocervical fusion.
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Review Comparative Study
Early versus late stabilization of spine injuries: a systematic review.
Systematic review. ⋯ There is evidence in the current literature to show that early surgical stabilization leads to shorter hospital stays, shorter intensive care unit stays, less days on mechanical ventilation and lower pulmonary complications. This effect is more evident in patients who have more severe associated injuries as measured by ISS. This benefit is seen in patients who have cord injury as well as those who do not. There is some evidence that early stabilization does not increase the complication rates compared with late surgery.
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Review Case Reports
Nontraumatic subluxation of the atlanto-axial joint as rare form of acquired torticollis: diagnosis and clinical features of the Grisel's syndrome.
Case report and review of the literature. ⋯ At least in this case, our treatment led to shorter recovery and avoidance of halo fixation. Our new therapeutic approach to patients with Grisel's syndrome might lead to a shorter recovery.
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Randomized Controlled Trial Comparative Study
Diagnostic accuracy of the clinical examination in identifying the level of herniation in patients with sciatica.
Cross sectional ⋯ The current study did not find evidence to support the accuracy of individual tests from the neurological examination in identifying the level of disc herniation demonstrated on MRI. A neurologist's overall impression was moderately accurate in identifying the level of disc herniation.