Spine
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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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Retrospective study with independent evaluation of patient outcomes approximately 1 year post-intradiscal electrothermal therapy (IDET). OBJECTIVE.: To assess functional status, symptoms, and subsequent treatments of patients treated with IDET. ⋯ At 1-year post-IDET, half of patients were dissatisfied with their outcome. The percentage of patients on disability remained constant. The estimated proportion of patients undergoing fusion was predicted to be 15% at 1 year and 30% at 2 years.
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Little is known about physiotherapists' pain beliefs and whether they influence behavior within therapeutic encounters with patients. This qualitative study explored physiotherapists' pain beliefs with the purpose of highlighting the nature of their beliefs and the role they played within their management of chronic low back pain. ⋯ The findings suggest that in order to maximize the rehabilitation potential of patients with chronic low back pain, physiotherapists need to be aware that their pain beliefs may influence their management of these patients.
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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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Randomized Controlled Trial Comparative Study Clinical Trial
Rigid, semirigid versus dynamic instrumentation for degenerative lumbar spinal stenosis: a correlative radiological and clinical analysis of short-term results.
Prospective comparative randomized clinical and radiologic study. ⋯ This comparative study showed that all three instrumentations applied over a short area for symptomatic degenerative spinal stenosis almost equally after surgery maintained the preoperative global and segmental sagittal profile of the lumbosacral spine and was followed by similarly significant improvement of both self-assessment and pain scores. Hardware failure occurred at a low rate following dynamic instrumentation solely without radiologically visible pseudarthrosis or loss of correction. Because of the similar clinical and radiologic data in all three groups and the relative small number of patients that were included in each group, it is difficult for the authors to make any recommendation in favor of any instrumentation.