Spine
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A case report. ⋯ We emphasize the advantages of our method in comparison with nonoperative treatment or multisession surgery. The single stage surgical solution led to a shortening of hospitalization time with no need for halo bracing, to excellent results with respect to C-spine stability and to better compliance from the patients.
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Clinical Trial Controlled Clinical Trial
Proximal neuromuscular impairment in lumbar disc herniation: a prospective controlled study.
A prospective and controlled study investigated the relation of muscle dysfunction to residual pain and disability in patients with lumbar disc herniation. ⋯ Neuromuscular dysfunction frequently is present in patients with lumbar disc herniation. Sciatica resolves quickly after surgery, whereas disability improves gradually up to 4 months and muscular performance improves throughout the first year. Proximal muscular dysfunction in lumbar disc herniation has a prognostic value concerning residual pain and disability.
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A prospective cohort study was conducted. ⋯ Because work-related physical load was a risk factor for sickness absence less than 2 weeks and severe low back pain was a risk factor for sickness absence both shorter than and longer than 2 weeks, a focus on secondary prevention for scaffolders with severe low back pain is advised.
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Comparative Study
Comparison of one-stage versus two-stage anteroposterior spinal fusion in pediatric patients with cerebral palsy and neuromuscular scoliosis.
A retrospective study was performed including 45 pediatric patients with spastic quadriplegic cerebral palsy and neuromuscular scoliosis who underwent anteroposterior spinal fusion. ⋯ Two-stage anteroposterior spinal fusion provides safer and more consistent results with several advantages over the single-stage procedure in the management of patients with cerebral palsy and neuromuscular scoliosis.
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Pavlov's ratio from plain radiographs in patients with neck pain but no radicular symptoms was compared with the areas of the cervical spinal cord and cerebrospinal fluid column on magnetic resonance scans. ⋯ This study shows a poor correlation between Pavlov's ratio and the space available for the cord. Therefore, this ratio cannot be solely relied upon to predict the area changes in that plane of the cervical spinal canal.