Spine
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A retrospective study of 134 consecutive cases in 92 patients who underwent soft tissue reconstruction of the spinal region following tumor removal. ⋯ In the presence of instrumentation, providing preemptive soft tissue reconstruction at the time of the initial spinal surgery can help minimize potentially serious wound complications. For management of wound complications that have developed, an aggressive debridement and coverage with well-vascularized tissue can allow for expedient wound healing while maintaining stabilized instrumentation.
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Clinical Trial
Dorsal root entry zone lesions for treatment of pain-related to radiation-induced plexopathy.
Case series. ⋯ The present results suggest that the trigeminal nucleotractotomy and dorsal root entry zone lesions in cervical spinal cord are an effective procedure for the treatment of pain associated with actinic peripheral neuropathy.
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Randomized Controlled Trial Comparative Study
A comparison of two short education programs for improving low back pain-related disability in the elderly: a cluster randomized controlled trial.
Cluster randomized clinical trial. ⋯ In institutionalized elderly, the handing out of the Back Book supported by a 20-minute group talk improves disability 6 months later, and is even more effective in those subjects with LBP.
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Controlled Clinical Trial
The impact of esophagus retraction on early dysphagia after anterior cervical surgery: does a correlation exist?
Prospective study of 92 patients who underwent anterior cervical surgery. Intraoperative esophagus retraction and postoperative dysphagia were recorded and evaluated. ⋯ A correlation between intraoperative pharynx/esophagus retraction and postoperative swallowing disturbances could not be confirmed. The cause of the prevalence of the female gender is unknown. However, the absence of impaired deglutition in the control group suggests that a local phenomenon must be causative of swallowing disturbances following anterior cervical discectomy and fusion.
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Clinical Trial
Provocative discography and lumbar fusion: is preoperative assessment of adjacent discs useful?
A cohort study of clinical outcomes of lumbar fusion patients with preoperative assessment of adjacent levels by provocative discography. ⋯ In this cohort study of chronic LBP patients with an uncertain indication for lumbar fusion, the preoperative status of adjacent levels as assessed by provocative discography did not appear to be related to the clinical outcome after fusion.