Spine
-
Randomized Controlled Trial Comparative Study Clinical Trial
Effectiveness of four conservative treatments for subacute low back pain: a randomized clinical trial.
A randomized, assessor-blinded clinical trial was conducted. ⋯ For subacute low back pain, combined joint manipulation and myofascial therapy was as effective as joint manipulation or myofascial therapy alone. Additionally, back school was as effective as three manual treatments.
-
Randomized Controlled Trial Clinical Trial
Effectiveness and cost-effectiveness analysis of neuroreflexotherapy for subacute and chronic low back pain in routine general practice: a cluster randomized, controlled trial.
A cluster randomized, controlled trial was performed. ⋯ Referral to neuroreflexotherapy intervention improves the effectiveness and cost-effectiveness of the management of nonspecific low back pain.
-
Comparative Study
Corpectomy versus laminoplasty for multilevel cervical myelopathy: an independent matched-cohort analysis.
Matched patient cohorts using retrospective chart and radiographic review with independent clinical and radiographic follow-up were reviewed. ⋯ Both multilevel corpectomy and laminoplasty reliably arrest myelopathic progression in multilevel cervical myelopathy and can lead to significant neurologic recovery and pain reduction in a majority of patients. Surprisingly, the laminoplasty cohort tended to require less pain medication at final follow-up than did the multilevel corpectomy cohort. Given this and the higher prevalence of complications among multilevel corpectomy patients, it is believed that laminoplasty may be the preferred method of treatment for multilevel cervical myelopathy in the absence of preoperative kyphosis.
-
A depression screener was used to determine positive responses amongst patients with two disorders commonly treated with surgery. ⋯ A positive depression screener response is strongly associated with poorer functional status and health-related quality of life, as measured by the Short-Form 36-Item Health Survey, among patients with lumbar disc herniation or spinal stenosis, and higher symptom intensity.