Spine
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Randomized Controlled Trial
Electronic monitoring improves brace-wearing compliance in patients with adolescent idiopathic scoliosis: a randomized clinical trial.
Randomized controlled trial. ⋯ Electronic monitoring can improve compliance with orthoses in patients with spinal deformity during a short observation period.
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Randomized Controlled Trial Comparative Study
Accuracy of robot-assisted placement of lumbar and sacral pedicle screws: a prospective randomized comparison to conventional freehand screw implantation.
Single-center prospective randomized controlled study. ⋯ In this study, the accuracy of the conventional FH technique was superior to the RO technique. Most malpositioned screws of the RO group showed a lateral deviation. Attachment of the robot to the spine seems a vulnerable aspect potentially leading to screw malposition as well as slipping of the implantation cannula at the screw entrance point.
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Randomized Controlled Trial
Oxiplex reduces leg pain, back pain, and associated symptoms after lumbar discectomy.
Prospective, randomized, blinded clinical trial. ⋯ These data demonstrate improvements in clinical outcomes resulting from the use of Oxiplex gel in discectomy procedures for treatment of lumbar disc herniation.
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Randomized Controlled Trial
Implementation of a guideline for low back pain management in primary care: a cost-effectiveness analysis.
Cost-effectiveness analysis alongside a cluster randomized controlled trial. ⋯ Trends in cost-effectiveness are visible but need to be confirmed in future studies. Researchers performing cost-evaluation studies should test for baseline imbalances of health care utilization data instead of judging on the randomization success by reviewing non-cost parameters like clinical data alone.
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Randomized Controlled Trial Multicenter Study
An evaluation of a postoperative rehabilitation program after spinal surgery and its impact on outcome.
This study invited patients to evaluate the content and style of a rehabilitation program used as an intervention in a multicenter, factorial, randomized controlled trial of the postoperative management of spinal surgery patients. ⋯ Compliance with a postoperative rehabilitation program was disappointing, but the program was assessed positively and of benefit by those who attended. Issues were raised in relation to timing and location of classes.