Spine
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Randomized Controlled Trial Multicenter Study
Analysis of segmental cervical spine vertebral motion after prodisc-C cervical disc replacement.
Retrospective study of patients enrolled in a prospective randomized Food and Drug Administration trial with single level cervical disc replacement (CDR) with the ProDisc-C (Synthes, Paoli, PA). ⋯ CDR approximates the different segmental sagittal and lateral ROM. Although C4/C5 had negative delta ROM in the sagittal and lateral planes, it provided a satisfactory final ROM. Long-term clinical outcome studies are needed to properly evaluate if these differences could ultimately affect the patients everyday life.
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Review Case Reports
Combined occipital-cervical and atlantoaxial disassociation without neurologic injury: case report and review of the literature.
Case report and literature review. ⋯ Combined injuries to the occipital-cervical and atlantoaxial can result in upper cervical instability. Despite previous reports, neurologic preservation remains a possibility in this injury pattern. Limitations in physical examination and radiographic imaging persist, but early diagnosis and surgical stabilization may improve neurologic outcomes.
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Randomized Controlled Trial
The effectiveness of a posted information package on the beliefs and behavior of musculoskeletal practitioners: the UK Chiropractors, Osteopaths, and Musculoskeletal Physiotherapists Low Back Pain ManagemENT (COMPLeMENT) randomized trial.
Randomized controlled trial. ⋯ Printed educational material can shift LBP-related beliefs and reported behaviors of musculoskeletal practitioners, toward practice that is more in line with guideline recommendations.
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Randomized Controlled Trial
Early rehabilitation targeting cognition, behavior, and motor function after lumbar fusion: a randomized controlled trial.
Open label randomized controlled trial with 3-, 6-, 12-month, and 2- to 3-year follow-up. ⋯ The study shows that postoperative rehabilitation can be safely implemented during the first 3 months after lumbar fusion and should include measures to modify psychological as well as motor functions.
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Motion analysis on video files that captured grip and release cycles with fingers. ⋯ Both uncoordinated finger motion and trick motion of the wrist were more frequent in myelopathy patients than in healthy controls, and uncoordinated finger motion was associated with severity of myelopathy, whereas trick motion was not associated with either severity of myelopathy or level of cord compression. These findings contradict the conventional idea that trick motion is associated with the severity of myelopathy.