Spine
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Patients completing a multidisciplinary pain treatment were contacted to obtain 13-year follow-up information on pain, mood, employment, and general health. ⋯ The data lend support to the long-term effectiveness of multidisciplinary treatment programs for chronic low back pain.
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Observational prospective study. ⋯ The psychometric properties (test-retest reliability, construct validity, and responsiveness) of the French version of the Fear Avoidance Belief Questionnaire are acceptable, and fear, avoidance, and belief can now be assessed in French-speaking patients with low back pain.
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A retrospective study of 2 patients with traumatic lumbosacral dislocation. ⋯ Meticulous clinical examination and careful imaging assessment, including CT and MRI, assist an early diagnosis in cases of lumbosacral dislocation. Open reduction and circumferential bony fusion restore segmental stability and painless function.
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Comparative Study
Responsiveness of pain, disability, and physical impairment outcomes in patients with low back pain.
Cohort study. ⋯ Physical impairments are routinely measured in clinical practice and clinical research, but the lower responsiveness indicates that this approach is not optimal. Our findings suggest that more emphasis should be placed on change in pain and disability scores than on change in physical impairments.
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Clinical and radiologic findings of patients with lumbar spinal stenosis and lumbar disc herniation presenting with neuropathic bladder were prospectively analyzed. ⋯ The prevalence of neuropathic bladder is more significantly associated with dural sac anteroposterior diameter than with the cross-sectional area of dural sac. Therefore, dural sac anteroposterior diameter might be an important factor predicting the existence of neuropathic bladder.