Spine
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Comparative Study
Postlaminectomy stabilization of the spine in a rat model of neuropathic pain reduces pain-related behavior.
Spine deformity and pain-related behavior after laminectomy with and without spine stabilization were investigated. ⋯ Surgical stabilization of the spine after laminectomy prevented development of spinal deformity and pain-related behavior. Our results suggest that spine stabilization procedure should be used in all experimental pain models in which laminectomy is performed.
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Systematic review. ⋯ 1. The risk of developing CASP after lumbar fusion occurs at a mean annual incidence of 0.6% to 3.9%. Strength of Statement: Strong. 2. Patients older than 60 years or who have pre-existing facet/disc degeneration may have an increased risk of developing CASP. Strength of Statement: Strong. 3. The risk of developing CASP may be greater after multilevel fusions and fusions adjacent to but not including the L5–S1 level, and may increase when performing a laminectomy adjacent to a fusion. Strength of Statement: Strong.
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Systematic review. ⋯ Moderate. Strength of Statement: Weak.
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Systematic review. ⋯ We recommend that the surgeon make every effort to keep the plate as far away from the adjacent disc as possible. Strength of Statement: Strong.