Spine
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Randomized Controlled Trial Comparative Study
Comparison of posterolateral lumbar fusion and posterior lumbar interbody fusion for patients younger than 60 years with isthmic spondylolisthesis.
Prospective randomized study. ⋯ Both PLF and PLIF are viable surgical options for patients with isthmic spondylolisthesis 60 years or younger.
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Randomized Controlled Trial Pragmatic Clinical Trial
Costs and cost-effectiveness of epidural steroids for acute lumbosacral radicular syndrome in general practice: an economic evaluation alongside a pragmatic randomized control trial.
A pragmatic, randomized, controlled, single-blinded trial in Dutch general practice. ⋯ The effect on pain and disability of epidural steroids in lumbosacral radicular syndrome is small but significant, and at lower costs with no reported complications or adverse effects. Segmental epidural steroid injections could be considered by policy makers as an additional treatment option.
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Retrospective cohort analysis of prospectively collected data. ⋯ Obesity did not affect the amount of deformity correction and did not increase comorbidities and postoperative complication rates. Overweight patients had a greater lumbar lordosis before surgery than normal weight patients. Obese and overweight patients benefited from surgery just as much as normal weight patients at 2-year follow-up.
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A retrospective study of 1162 consecutive patients who underwent spinal deformity surgical procedures at our spine center from January 2010 to December 2013. ⋯ Our study indicates that the appropriate use of MEP monitoring based on our protocol is able to obtain satisfying sensitivity and specificity and thus provide important information for intraoperative decision making.
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A descriptive study of the association between diffuse idiopathic skeletal hyperostosis (DISH) and kyphosis. ⋯ DISH is associated with greater Cobb angle of kyphosis, especially when present in the thoracic spine alone. The association of DISH with Cobb angle is stronger within the African American population.