Spine
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Multicenter Study
Dual growing rod technique for the treatment of progressive early-onset scoliosis: a multicenter study.
A retrospective case review of children treated with dual growing rod technique at our institutions. Patients included had no previous surgery and a minimum of 2 years follow-up from initial surgery. ⋯ The dual growing rod technique is safe and effective. It maintains correction obtained at initial surgery while allowing spinal growth to continue. It provides adequate stability, increases the duration of treatment period, and has an acceptable rate of complication compared with previous reports using the single rod technique.
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Retrospective review of current literature regarding neuroprotection and axonal regeneration therapies for acute spinal cord injury. ⋯ The initiation of human clinical trials for spinal cord-injured patients heralds great hope that effective therapies will be forthcoming, although a great deal remains to be learned. Clinicians must provide leadership in the epidemiologic design and rigor of these initial forays into human evaluation.
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Randomized Controlled Trial
Prone versus knee-chest position for microdiscectomy: a prospective randomized study of intra-abdominal pressure and intraoperative bleeding.
Prospective randomized study. ⋯ Intra-abdominal pressure did not differ between prone position on a modified Relton-Hall frame and knee-chest position on an Andrew-type table. Both positions provide good conditions for lumbar microdiscectomy.
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The effect of sensory motor learning (SML) on chronic low back pain (CLBP) patients' movement capacity was evaluated with the optoelectronic Posturo-Locomotion-Manual (PLM) test. ⋯ The study shows that the CLBP patients had learned and retained a more efficient behavior. The results suggest that SML is an effective intervention for nonspecific CLBP patients.
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Clinical Trial
Prospective evaluation of 50 consecutive scoliosis patients surgically treated with thoracoscopic anterior instrumentation.
Prospective, consecutive, single-surgeon case series of patients treated for scoliosis with thoracoscopic anterior spinal instrumentation. ⋯ Thoracoscopic anterior instrumentation for adolescent idiopathic scoliosis is a viable surgical option. The outcomes of this consecutive series of patients is comparable to prior open and endoscopic series presented in the literature. The technical challenges of this operation are evident in the learning curve effect, which has been demonstrated.