The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · Feb 2019
Randomized Controlled Trial Multicenter Study Comparative Study Observational StudyOperative Versus Nonoperative Treatment for Adult Symptomatic Lumbar Scoliosis.
The effectiveness of operative compared with nonoperative treatment at initial presentation (no prior fusion) for adult lumbar scoliosis has not, to our knowledge, been evaluated in controlled trials. The goals of this study were to evaluate the effects of operative and nonoperative treatment and to assess the benefits of these treatments to help treating physicians determine whether patients are better managed operatively or nonoperatively. ⋯ Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.
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J Bone Joint Surg Am · Feb 2019
Randomized Controlled Trial Multicenter Study Comparative StudyPain Coping Skills Training for Patients Who Catastrophize About Pain Prior to Knee Arthroplasty: A Multisite Randomized Clinical Trial.
Pain catastrophizing has been identified as a prognostic indicator of poor outcome following knee arthroplasty. Interventions to address pain catastrophizing, to our knowledge, have not been tested in patients undergoing knee arthroplasty. The purpose of this study was to determine whether pain coping skills training in persons with moderate to high pain catastrophizing undergoing knee arthroplasty improves outcomes 12 months postoperatively compared with usual care or arthritis education. ⋯ Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.