Spine
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Randomized Controlled Trial Multicenter Study
Cost-effectiveness of balloon kyphoplasty versus standard medical treatment in patients with osteoporotic vertebral compression fracture: a Swedish multicenter randomized controlled trial with 2-year follow-up.
A multicenter, randomized, controlled, cost-effectiveness analysis. ⋯ In this randomized controlled trial, it was not possible to demonstrate that BKP was cost-effective compared with standard medical treatment in patients treated for an acute/subacute vertebral fracture due to osteoporosis. However, sensitivity analysis indicated a certain degree of uncertainty, which needs to be considered.
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Randomized Controlled Trial Comparative Study
A randomized trial comparing acupuncture and simulated acupuncture for subacute and chronic whiplash.
A randomized controlled trial with 3 and 6 months follow-up. ⋯ Real electroacupuncture was associated with a significant reduction in pain intensity over at least 6 months. This reduction was probably not clinically significant. There was no improvement in disability or quality of life.
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Randomized Controlled Trial
Multidisciplinary intensive functional restoration versus outpatient active physiotherapy in chronic low back pain: a randomized controlled trial.
Randomized parallel group comparative trial with a 1-year follow-up period. ⋯ Both programs are efficient in reducing disability and sick-leave days. The FRP is significantly more effective in reducing sick-leave days. Further analysis is required to determine if this overweighs the difference in costs of both programs.
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Randomized Controlled Trial Multicenter Study
Lumbar disc herniation in the Spine Patient Outcomes Research Trial: does educational attainment impact outcome?
Randomized trial with concurrent observational cohort. A total of 1171 patients were divided into subgroups by educational attainment: high school or less, some college, and college degree or above. ⋯ Patients with higher educational attainment demonstrated significantly greater improvement with nonoperative treatment while educational attainment was not associated with surgical outcomes.
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Randomized Controlled Trial Multicenter Study
Lumbar disc arthroplasty with Maverick disc versus stand-alone interbody fusion: a prospective, randomized, controlled, multicenter investigational device exemption trial.
Randomized, controlled, multicenter, investigational device exemption trial. ⋯ The investigational group consistently demonstrated statistical superiority versus fusion on key clinical outcomes including improved physical function, reduced pain, and earlier return to work.