Spine
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Comparative Study
Spinal cord monitoring in scoliosis surgery using an epidural electrode. Results of a prospective, consecutive series of 191 cases.
Retrospective analysis of a prospectively accrued series of 191 consecutive patients who underwent intraoperative neurophysiologic monitoring during scoliosis corrective surgery. ⋯ The use of a single epidural electrode allowing somatosensory evoked potentials recording and spinal cord stimulation alternately is a safe and valid method of intraoperative monitoring.
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Comparative Study
Computed tomography evaluation of superior-segment facet-joint violation after pedicle instrumentation of the lumbar spine with a midline surgical approach.
Retrospective study. ⋯ The left side, single-level fusion, and most cephalad pedicle screws at L5 are targets for interventions to reduce pedicle violations in this procedure.
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Randomized Controlled Trial Multicenter Study Comparative Study
A comparison between two physical therapy treatment programs for patients with lumbar spinal stenosis: a randomized clinical trial.
Multicenter randomized, controlled trial. ⋯ Patients with lumbar spinal stenosis can benefit from physical therapy. Additional gains may be realized with the inclusion of manual physical therapy interventions, exercise, and a progressive body-weight supported treadmill walking program.
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Comparative Study
In vivo erector spinae muscle blood volume and oxygenation measures during repetitive incremental lifting and lowering in chronic low back pain participants.
A case control study. ⋯ The results indicated that the chronic LBP participants demonstrated a reduced cardiorespiratory and erector spinae muscle response during repetitive incremental lifting and lowering to volitional fatigue as compared to the healthy controls.
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Randomized Controlled Trial Comparative Study
A prospective randomized double-blind trial of the use of intrathecal fentanyl in patients undergoing lumbar spinal surgery.
A randomized, double-blind controlled study. ⋯ Intrathecal fentanyl is effective at reducing pain and morphine PCA use after lumbar spinal surgery with minimal respiratory depression.