Spine
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A prospective study on a series of consecutive patients. ⋯ DTI can be a useful tool to determine the pathological spinal cord levels in multilevel CSM. This information from orientation entropy-based DTI analysis, in addition to conventional MRI and clinical neurological assessment, should help spine surgeons in deciding the optimal surgical strategy.
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Cross-sectional survey. ⋯ Age, sex, and race had a significant impact on SRS-22 scores in a large group of healthy adolescents. In general, scores lowered as age increased from 10 to 19 years, Caucasians scored higher in function, pain, and image than other racial groups, and Hispanics scored lower than non-Hispanics in all domains. These factors should be considered when evaluating SRS-22 scores.
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Level IV, prospective case series. ⋯ This study demonstrated that lower educational attainment was associated with increased pain intensity and disability in patients with LSS, which was mediated by the coping mechanism, catastrophizing.
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Review
Cauda equina syndrome: assessing the readability and quality of patient information on the Internet.
A readability and quality control Internet-based study using recognized quality scoring systems. ⋯ Internet information relating to cauda equina syndrome is of variable quality and largely set at an inappropriate readability level. Given this variability in quality, health care providers should direct patients to known sources of reliable, readable online information. Identification of reliable sources may be aided by known markers of quality such as HON-code certification.
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This was a prospective clinical validation study. ⋯ 3.