Spine
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Randomized Controlled Trial Multicenter Study
Short-term efficacy of intravenous pulse glucocorticoids in acute discogenic sciatica. A randomized controlled trial.
Double-blinded randomized controlled trial. ⋯ Although an IV bolus of glucocorticoids provides a short-term improvement in leg pain in patients with acute discogenic sciatica, its effects are transient and have small magnitude.
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Multicenter Study Clinical Trial
Dynamic stabilization in addition to decompression for lumbar spinal stenosis with degenerative spondylolisthesis.
Prospective clinical study. ⋯ In elderly patients with spinal stenosis with degenerative spondylolisthesis, dynamic stabilization with the Dynesys system in addition to decompression leads to similar clinical results as seen in established protocols using decompression and fusion with pedicle screws. It maintains enough stability to prevent further progression of spondylolisthesis or instability. With the Dynesys system, no bone grafting is necessary, therefore, donor site morbidity can be avoided.
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Case Reports Multicenter Study
Neurologic deterioration secondary to unrecognized spinal instability following trauma--a multicenter study.
A retrospective study was undertaken that evaluated the medical records and imaging studies of a subset of patients with spinal injury from large level I trauma centers. ⋯ This multicenter study establishes that missed spinal injuries resulting in a neurologic deficit continue to occur in major trauma centers despite the presence of experienced personnel and sophisticated imaging techniques. Older age, high impact accidents, and patients with insufficient imaging are at highest risk.
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Cohort study of subjects with whiplash-associated disorders (WAD). ⋯ The results suggest that neck pain intensity in WAD seems to be influenced by several factors other than characteristics related to the injury event itself.
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Retrospective review. ⋯ Intraoperative SSEP monitoring can alert the surgeon to adverse iatrogenic intraoperative events with potential for neurologic injury. Most SSEP signal changes are reversible and do not result in a clinical deficit. Isolated nerve root injury appears to be the most common iatrogenic intraoperative injury during cervical spine corpectomy surgery.