Articles: back-pain.
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Community-based, cohort study. ⋯ 2.
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J Orthop Sports Phys Ther · Dec 2018
Reliability of the Mechanical Diagnosis and Therapy System in Patients With Spinal Pain: A Systematic Review.
An updated summary of the evidence for the reliability of the Mechanical Diagnosis and Therapy (MDT) system in patients with spinal pain is needed. ⋯ The MDT system appears to have acceptable interrater reliability for classifying patients with back pain into main and subsyndromes when applied by therapists who have completed the credentialing examination, but unacceptable reliability in other therapists. We found conflicting evidence regarding the reliability of the MDT system in patients with neck pain or mixed pain locations. J Orthop Sports Phys Ther 2018;48(12):923-933. Epub 22 Jun 2018. doi:10.2519/jospt.2018.7876.
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To determine the effect of needle position and foraminal stenosis on contrast flow directionality during CT-guided transforaminal epidural steroid injections (TFESI). ⋯ Needle position is not significantly associated with contrast flow directionality during CT-guided TFESI, although there was a trend towards relatively decreased central flow with posterolateral positioning. Degree of foraminal stenosis and volume of injected contrast did not affect contrast flow directionality. There was no difference in immediate post-procedural pain scores with either direction of contrast flow.
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A case of fibrocartilaginous embolization in 24-year-old female as a rare cause of spinal cord infarction is presented. It manifests as infarction syndrome with rapid progression of clinical signs - acute onset of quadriparesis and respiratory insufficiency. ⋯ Other laboratory tests and imaging modalities are usually normal. The final diagnosis is made by exclusion.
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Abstract