Spine
-
Randomized Controlled Trial Multicenter Study Comparative Study
A prospective, randomized, controlled clinical investigation comparing PCM cervical disc arthroplasty with anterior cervical discectomy and fusion. 2-year results from the US FDA IDE clinical trial.
Prospective, multicenter, randomized Food and Drug Administration approved investigational device exemption clinical trial. ⋯ The treatment of symptomatic single-level cervical spondylosis with PCM achieves clinical outcomes that are at least equivalent to ACDF while maintaining motion. At 2 years, patients with PCM had lower NDI scores, statistically lower rate of prolonged dysphagia, greater patient satisfaction, and superior overall success.
-
Randomized Controlled Trial
Pilates exercise or stationary cycling for chronic nonspecific low back pain: does it matter? a randomized controlled trial with 6-month follow-up.
Randomized controlled trial. ⋯ 2.
-
Randomized Controlled Trial
Effects of continuous epidural anesthesia and postoperative epidural analgesia on pain management and stress response in patients undergoing major spinal surgery.
A prospective, randomized study was used to compare 2 anesthesia/analgesia methods for reconstructive spine surgery. ⋯ Combined epidural/general anesthesia and postoperative epidural analgesia produced better pain control, less bleeding, and a lower surgical stress response than general anesthesia with postoperative systemically administered narcotic analgesia. This technique deserves further study in the setting of major spinal surgery.
-
Randomized Controlled Trial
A randomized controlled trial of limited range of motion lumbar extension exercise in chronic low back pain.
Randomized controlled trial. ⋯ The results suggest that both FullROM and LimROM are equally effective in increasing full ROM lumbar extension strength and producing clinically meaningful improvement in perceived pain and disability.
-
Retrospective analysis of the prospectively collected American College of Surgeons National Surgical Quality Improvement database. ⋯ The large National Surgical Quality Improvement population was carefully matched for a wide range of baseline comorbidities, including 29 variables previously suggested to influence perioperative outcomes. Although previous studies conducted in subgroups of spine surgery patients have suggested a deleterious effect for smoking on long-term outcomes in patients undergoing spine surgery, our analysis did not find smoking to be associated with early (30 d) perioperative morbidity or mortality.