Spine
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Randomized Controlled Trial Comparative Study Clinical Trial
Degenerative lumbar spondylolisthesis with spinal stenosis: a prospective long-term study comparing fusion and pseudarthrosis.
A prospective, randomized study on patients who underwent posterior lumbar decompression with bilateral posterolateral arthrodesis. ⋯ In patients undergoing single-level decompression and posterolateral arthrodesis for spinal stenosis and concurrent spondylolisthesis, a solid fusion improves long-term clinical results. Benefits of a successful arthrodesis over pseudarthrosis were demonstrated with respect to back and lower limb symptomatology compared with prior shorter-term studies, which indicated no significant difference in clinical outcome between the two groups.
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Randomized Controlled Trial Clinical Trial
Gabapentin is a first line drug for the treatment of neuropathic pain in spinal cord injury.
Prospective, randomized, double blind, placebo-controlled, crossover clinical trial. ⋯ Gabapentin can be added to the list of first-line medications for the treatment of chronic neuropathic pain in spinal cord injury patients. It is a promising new agent and offers advantages over currently available treatments.
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Radiographic analysis of the upper cervical spine was performed in patients with rheumatoid arthritis who had C1-C2 instability. ⋯ In patients with C1-C2 instability, not only cervical flexion but also cervical retraction constantly led to both maximal C1-C2 flexion and subluxation. In some patients with severe C1-C2 instability, protrusion also resulted in C1-C2 subluxation, even though the C1-C2 was maximally extended.
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Review Comparative Study
Surgical treatment of traumatic fractures of the thoracic and lumbar spine: a systematic review of the literature on techniques, complications, and outcome.
A systematic review of the literature, pertaining surgical treatment of traumatic thoracic and lumbar spine fractures, was performed. ⋯ In general, surgical treatment of traumatic spine fractures is safe and effective. Surgical techniques can only be compared using randomized controlled trials.
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Kinematics of the upper cervical spine during head rotation were investigated using three-dimensional magnetic resonance imaging (MRI) in healthy volunteers. ⋯ We developed an innovative in vivo three-dimensional motion analysis system using three-dimensional MRI. In vivo coupled motions of the upper cervical spine investigated using this system supported the results of the previous in vitro study.