Joint, bone, spine : revue du rhumatisme
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Forceful sacrococcygeal injections in the treatment of postdiscectomy sciatica. A controlled study versus glucocorticoid injections.
The role of epidural fibrosis in postoperative sciatica is unclear. Few therapeutic trials have been published. We evaluated the mechanical effects of forceful saline injections through the sacrococcygeal hiatus comparatively with glucocorticoid injections. ⋯ Forceful epidural injections produced a non-significant improvement in postdiscectomy sciatica four months after surgery. Epidural glucocorticoids used alone induced short-lived pain relief.
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Only two cases of adult-onset Still's disease associated with shock have been previously described. We report a case of shock in a man with adult-onset Still's disease and discuss the relationship between the two processes by assessing tumor necrosis factor-alpha, procalcitonin and interleukin-6 concentrations.
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Multicenter Study
Acute low back pain: predictive index of chronicity from a cohort of 2487 subjects. Spine Group of the Société Française de Rhumatologie.
Low back pain (LBP)-related disability involves patients with chronic outcome. ⋯ The early recognition of patients with LBP with high risk of chronic outcome can be achieved with an easily applied clinical index.