Articles: low-back-pain.
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A correlative design using stepwise regression analysis. ⋯ The results of this study strongly support the hypothesis that spinal physical capacity in chronicity is not explained solely by the sensory perception of pain. The anticipation of pain and the fear-avoidance belief about physical activities were the strongest predictors of the variation in physical performance.
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Clinical Trial
Percutaeous radiofrequency facet rhizotomy--experience with 118 procdedures and reappraisal of its value.
There have been many reports of percutaneous radiofrequency facet rhizotomy, perhaps better referred to as facet denervation, usually performed under general anaesthesia, with inconsistent success rates. ⋯ Percutaneous radiofrequency facet denervation is simple and safe, still worth considering in patients with disabling spinal pain that fails to respond to conservative treatment. The use of general anaesthesia shortens the operating time and the patient's discomfort without impairing success rate.
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Int Arch Occup Environ Health · May 2000
Spinal troubles in sewage workers: epidemiological data and work disability due to low back pain.
To determine the prevalence of spinal troubles (i.e., neck, upper back and low back pain) in a population of sewage workers, and to establish the effect of sociodemographic, work-related, physical, and psychosocial factors on the reported work disability due to low back pain (LBP) during the previous 12 months. ⋯ This study revealed a high incidence of spinal troubles among sewage workers. In a multidisciplinary approach, we demonstrated that not one factor alone but a combination of sociodemographic, work-related and psychosocial factors have shown associations with work disabilities due to LBP. Additional studies evaluating the relative importance of individual risk factors are warranted.
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Klinische Pädiatrie · May 2000
Case Reports[Sacral osteoid osteoma--a rare cause of back pain in childhood and adolescence].
Osteoid-osteoma should be included in the differential diagnosis of any young patient with pain in the back. The tumor is the most common cause of painful scoliosis in adolescents. In spite of typical symptoms the diagnosis is often delayed. ⋯ Scintigraphy and computed tomography can establish the diagnosis. Therapeutic procedures are medical treatment, operative excision or percutaneous radiofrequency coagulation. We report the case of a thirteen year old boy who suffered from an osteoid-osteoma in the sacrum.