Spine
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Case Reports
Complex regional pain syndrome type 2 (causalgia) after automated laser discectomy. A case report.
This report identifies a case of complex regional pain syndrome Type 2 (causalgia) with sympathetically maintained pain associated with automated laser discectomy. The syndrome's clinical features and its management with sympathectomy are described. ⋯ Complex regional pain syndrome Type 2 with sympathetically maintained pain is a condition that can result in serious disability and can be associated with a number of spinal procedures, including automated laser percutaneous discectomy. Early intervention is recommended to provide long-term resolution of the condition.
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A systematic review of published observational studies. ⋯ There is no firm evidence for the presence or absence of a causal relationship between radiographic findings and nonspecific low back pain.
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A retrospective study about the occurrence of spinal column deformity or instability after multilevel lumbar or thoracolumbar total laminectomy for removal of benign intraspinal tumors in children and young adults. ⋯ Spinal deformity or instability after multilevel lumbar or thoracolumbar total laminectomy is not uncommon in children and adolescents. Limiting laminae removal and facet destruction may decrease this incidence. Fusion may be required to correct post-laminectomy deformity and to stabilize the spine.
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This investigation was aimed at characterizing anomalies and syndromes associated with Klippel-Feil syndrome in a large group of patients. The authors evaluated the clinical and radiographic features, documented the associated anomalies, and registered the type of treatment. ⋯ This study increases knowledge of a wide range of anomalies and syndromes identified in association with Klippel-Feil syndrome. A special finding of the study was a correlation between the degree of scoliosis and Klippel-Feil syndrome Types I, II, and III.
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Comparative Study
The association between clinical findings on physical examination and self-reported severity in back pain. Results of a population-based study.
A cross-sectional population-based study of back pain. ⋯ Assessment of severity in back pain can only partly be based on the clinical findings of a physical examination. There is a relatively weak agreement between the results of physical examination and the subjective reporting of pain and disability.