Spine
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Randomized Controlled Trial
Supervised exercise with and without spinal manipulation performs similarly and better than home exercise for chronic neck pain: a randomized controlled trial.
Randomized controlled trial using mixed methods. ⋯ Supervised strengthening exercise with and without spinal manipulation performed similarly, yielding better outcomes than home exercise particularly in the short term. Various stakeholders' perspectives should be considered carefully when making recommendations regarding these therapies, taking into account side effects, preferences, and costs.
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A large-scale retrospective study of analysis of postoperative residual symptom in patients with cervical spondylotic myelopathy (CSM). ⋯ Motor function impairments of the lower extremities and sensory function impairments of the upper extremities persist more than other symptoms after surgery. Such findings should be incorporated within treatment-planning discussions.
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Histological, immunohistochemical, and real-time reverse transcription-polymerase chain reaction analyses of the expression of cell signaling and transcriptional factors in human ossification of ligamentum flavum (OLF). ⋯ Our results indicated that cyclic tensile strain applied to OLF cells activated their ossification through a process mediated by the β-catenin signaling pathway.
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Multicenter Study
Use and outcomes of wound drain in spinal fusion for adolescent idiopathic scoliosis.
A multicenter retrospective analysis. ⋯ More patients tended to receive wound drains than not receive wound drains. Drains did not impact complication rate and drained patients received more blood product. There are no universal criteria for draining and practice patterns vary widely.
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Prospective clinical validation study of questionnaire to assess dysphagia. ⋯ We consider the DSQ to be a validated tool for the assessment of dysphagia in ACSS patients. Dysphagia after ACSS for cervical spondylosis is common but the symptoms on a group level are not very severe and are also temporary.