Spine
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Randomized Controlled Trial Comparative Study
Multidisciplinary group rehabilitation versus individual physiotherapy for chronic nonspecific low back pain: a randomized trial.
A randomized trial. ⋯ The results of this study indicate that semilight outpatient multidisciplinary rehabilitation program for female chronic low back pain patients does not offer incremental benefits when compared with rehabilitation carried out by a physiotherapist having a cognitive-behavioral way of administering the treatment.
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Case report. ⋯ A 70-year-old patient with progressive Pott paraplegia and severe kyphotic deformity, for whom medical treatment failed is presented. A posterior vertebral column resection, multiple level posterior decompression, and instrumented fusion, followed by an anterior interbody fusion with cage was used to decompress the spinal cord, restore sagittal alignment, and debride the infection. At 6-month follow-up, the patient obtained excellent pain relief, correction of deformity, elimination of the tuberculous foci, and significant recovery of neurologic function.
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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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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.
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A retrospective consecutive case series, radiographic analysis, outcomes analysis, and report on complications. ⋯ Transpedicular wedge resection osteotomy procedure is a very effective technique to correct fixed sagittal imbalance and provide biomechanical stability. The high complication rate mandates a careful assessment of the risk/benefit ratio before undertaking what is a major reconstructive procedure. Most patients are satisfied, particularly when sagittal balance is achieved.