European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
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Randomized Controlled Trial Comparative Study
Knowledge transfer of spinal manipulation skills by student-teachers: a randomised controlled trial.
To assess the use of peer-assisted learning (PAL) of complex manipulative motor skills with respect to gender in medical students. ⋯ The peer-assisted learning system does not seem to be generally qualified to transfer such complex spatiotemporal demands as spinal manipulative procedures.
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Comparative Study
Continuing conservative care versus crossover to radiofrequency kyphoplasty: a comparative effectiveness study on the treatment of vertebral body fractures.
There is controversy about how to treat vertebral fractures. Conservative care is the default approach. Radiofrequency kyphoplasty uses ultrahigh viscosity cement to restore spinal posture and stabilize the fracture. The aims of this study were to compare radiofrequency kyphoplasty to conservative care and assess the usual algorithm of starting all patients on conservative care for 6 weeks before offering surgery. ⋯ For the vast majority of patients with a VAS ≥5, conservative care did not provide meaningful clinical improvement. In contrast, nearly all patients who underwent radiofrequency kyphoplasty had rapid substantial improvement. Surgery was clearly much more effective than conservative care and should be offered to patients much sooner.
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To describe the clinical outcomes and complications in a consecutive series of extreme lateral interbody fusion cases. ⋯ Extreme lateral interbody fusion is a safe and effective technique for anterior interbody fusion.
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Comparative Study
Transdiscal L5-S1 screws for the treatment of adult spondylolisthesis.
The aim of the study was to evaluate clinical and radiographic outcome of patients treated with a modified Grob technique analysing the advantages related to increased mechanical stability. ⋯ The advantages of this technique are lower incidence of neurologic complications, speed of execution and faster return to normal life.