Spine
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Comparative Study
The source of axial pain after cervical laminoplasty-C7 is more crucial than deep extensor muscles.
Prospective study to investigate the incidence of axial pain in the 3 different procedures of laminoplasty. ⋯ To prevent axial pain, C7 should not be included in cervical laminoplasty, while detachment of the deep extensor muscles does not result in significant axial pain.
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Randomized Controlled Trial Multicenter Study Comparative Study
The effects of lifestyle intervention for hypertension on low back pain: a randomized controlled trial.
Randomized controlled trial. ⋯ Multidisciplinary lifestyle intervention aimed to reduce hypertension is not effective at reducing prevalence of low back pain or disability. However, in the subgroup of persons doing moderate or heavy work, the intervention seemed to reduce prevalence of low back pain during the 1-year follow-up.
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Comparative Study
The influence of the grade of chronicity on the outcome of multidisciplinary therapy for chronic low back pain.
Prospective longitudinal clinical study. ⋯ According to the results of this study, patients with chronic low back pain also derive significant benefit from a multidisciplinary treatment strategy in higher stages of chronicity. Therefore, therapy should not be limited to the patients in lower stages of chronicity.
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Comparative Study
Risk factors for false positive transcranial motor evoked potential monitoring alerts during surgical treatment of cervical myelopathy.
Retrospective consecutive series review. ⋯ In this series of cervical myelopathy patients, sensitivity and specificity of TcMEP for detection of clinically significant intraoperative cord injury were 100% and 90%, respectively. Sensitivity and specificity of SSEP were 0% and 100%, respectively. The positive predictive value of a TcMEP alert was 17%. Possible risk factors for false positive TcMEP alerts include obesity and increased length of surgery. This study supports superior sensitivity of TcMEP compared with SSEP monitoring but identifies a relatively high false positive rate even in a selected high-risk cervical myelopathy population when this modality is applied in practice.
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Retrospective radiographic review. ⋯ Use of CBT facilitates 3-dimensional control of corrective forces and allows for maximum selective instrumentation-assisted thoracic and spontaneous lumbar curve correction in patients with Lenke 1C or 2C IS.