Journal of back and musculoskeletal rehabilitation
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J Back Musculoskelet Rehabil · Jan 2009
Comparative StudyShoulder pain and functional consequences: does it differ when it is at dominant side or not?
The shoulder complex plays an integral role in the activities of daily living and the limitation of its function can greatly affect the patient. The aim of this study was to research the functional consequences of painful conditions in the shoulder region. ⋯ The most important parameter disturbing the daily living of a patient with shoulder disease is the pain at the shoulder of dominant extremity occurring in active movement.
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J Back Musculoskelet Rehabil · Jan 2009
Case ReportsAdult case of acrodysostosis with severe neurologic involvement.
Acrodysostosis is a rare syndrome characterized by peripheral dysostosis, nasal hypoplasia and frequently mental retardation. Only one adult case of acrodysostosis has been reported to have neurologic symptoms. We report one further adult case of acrodysostosis with severe neurologic findings including myelopathy and spastic paraparesis due to diffuse spinal stenosis and recurrent deep vein thrombosis possibly caused by neurologic deficits. ⋯ We would like to remind physicians to be aware of peripheral malformations as signs of skeletal dysplasias and to consider acrodysostosis in the differential diagnosis. Although it is a rare condition, if diagnosed early, possible complications can be treated and outcomes may be improved.
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J Back Musculoskelet Rehabil · Jan 2009
Randomized Controlled TrialLong segment instrumentation of thoracolumbar burst fracture: fusion versus nonfusion.
The treatment of thoracolumbar burst fracture is a controversial issue. Although spinal fusion has been a touchstone of spinal fixation, nonfusion technique have become raising its popularity recently. Some studies suggested that nonfusion had several advantages over fusion. The aim of this prospective study was to compare long segment posterior instrumentation with fusion versus long-segment posterior instrumentation without fusion. ⋯ Radiological and clinical parameters demonstrated that spinal fusion is not necessary in long segment posterior instrumentation for the management of thoracolumbar burst fractures.
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J Back Musculoskelet Rehabil · Jan 2009
Clinical TrialGabapentin monotherapy in patients with chronic radiculopathy: the efficacy and impact on life quality.
The purpose of this, open-label, non-comparative study, was to evaluate the efficacy on quality of life and the efficacy of gabapentin monotherapy in patients with chronic radiculopathy. ⋯ Gabapentin may provide benefits in terms of alleviation of pain and overall quality of life in patients with chronic radiculopathy.
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J Back Musculoskelet Rehabil · Jan 2009
Case ReportsA complication during caudal steroid injection.
Epidural injections in the lumbar spine are provided by caudal, lumbar interlaminar or transforaminal routes. Caudal epidural steroid injections are often used for low back pain. Fluoroscopic guidance has been frequently cited as a requirement for this procedure. In this case report, we demonstrate the importance of fluoroscopic guidance during caudal epidural injection. ⋯ A careful real time fluoroscopic monitoring should be applied with the injection of opaque material to minimize the risk of vascular injection.