Spine
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Randomized Controlled Trial Clinical Trial
Coordination of primary health care for back pain. A randomized controlled trial.
A randomized controlled trial comparing usual care with a program for the coordination of primary health care (CORE) for the treatment of subacute low-back pain patients. ⋯ The therapeutic results for workers with low-back pain could be improved by implementing the clinical practice guidelines with primary care physicians in a large community, without delaying the return to work. The CORE intervention for back pain patients is highly relevant to primary care practice. It is simple in its application, flexible to accommodate physicians' and- patients' preferences in health care, and it is effective on patients' clinical outcome.
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Randomized Controlled Trial Clinical Trial
Stopping nicotine exposure before surgery. The effect on spinal fusion in a rabbit model.
A double-blind, prospective, randomized study using a validated rabbit model of intertransverse process fusion. ⋯ Chronic nicotine exposure was shown to decrease spinal fusion rates. Discontinuing nicotine before surgery improved fusion rates.