Articles: back-pain.
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With improvements in neurological imaging, there are increasing reports of symptomatic spinal synovial cysts. Surgical excision has been recognized as the definitive treatment for symptomatic juxtafacet cysts. However, the role for concomitant fusion and the incidence of recurrent back pain and recurrent cyst formation after surgery remain unclear. ⋯ Surgical decompression results in symptomatic resolution in the vast majority of patients; however, recurrent back pain occurs in a significant number of patients. Cyst recurrence occurs in less than 2% of patients but has never been reported after cyst excision with concomitant fusion. The lack of cyst recurrence after concomitant fusion supports the need to investigate the value of fusion of the involved motion segment in the treatment of symptomatic synovial cysts of the spine.
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The objective of the current study was to adapt and validate the Roland Morris disability questionnaire (RMDQ) to the Portuguese patients because there are no European Portuguese psychometric instruments to evaluate patients suffering from low back pain. After translation and back translation the Portuguese version of the RMDQ was tested in 112 patients with low back pain (30 males and 82 females) to analyse psychometric characteristics. ⋯ The results revealed a large correlation between the RMDQ and END (r = 0.73) and a medium correlation with TS and GFA (in this order, r = -0,52 and r = 0,42). The psychometric analysis showed that the RMDQ gives reliable measures for the disability of patients with back pain and was successfully adapted and validated to the European Portuguese patients.
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Paediatric anaesthesia · Sep 2010
Clinical TrialIncidence of self-limiting back pain in children following caudal blockade: an exploratory study.
Currently, in pediatric anesthesia, there is no evidence-based information available to pediatric patients and their parents regarding the incidence of back pain after neuraxial injections performed for postoperative analgesia. Back pain postepidural blockade has been reported in numerous studies with adult patients; however, it has not been investigated in children. The main objective of this study is to examine the incidence of back pain symptoms after caudal blockade (early and late onset) in children. ⋯ The results of this study provide support that transient self-limiting back pain after caudal blockade does occur in pediatric patients. Clinically, this is useful information for physicians to provide to their patients. An exploration of factors that may be associated with back pain following caudal blockade in children is an interesting area of future research.
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Pediatric emergency care · Sep 2010
Case ReportsSudden-onset back pain and cauda equina syndrome in an adolescent: a case report.
Recent epidemiological studies have shown that childhood back pain is a common complaint often prompting medical attention and that it is infrequently the result of serious etiology. This challenges the traditional view that childhood back pain was an uncommon and ominous symptom, always indicative of significant pathology. ⋯ This case illustrates an extremely rare ED presentation of myxopapillary ependymoma, which rapidly evolved into cauda equina syndrome requiring urgent neurosurgical intervention. A review of pediatric back pain and cauda equina syndrome is presented.
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Case Reports
Painful medial branch neuroma treated with minimally invasive medial branch neurectomy.
Case report. ⋯ Deafferentation injury is a rare but recognized complication of chemical, surgical, and thermal neuroablation. This case report presents a rare instance of presumed neuroma formation following multiple radiofrequency ablations for the treatment of facet-generated mechanical back pain. Open and minimally invasive medial branch neurectomy resulted in complete resolution of pain and return to baseline function.