Spine
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Randomized Controlled Trial Multicenter Study Comparative Study
Physical function outcome in cervical radiculopathy patients after physiotherapy alone compared with anterior surgery followed by physiotherapy: a prospective randomized study with a 2-year follow-up.
Prospective randomized study. ⋯ 2.
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Randomized Controlled Trial Multicenter Study
Epidural steroid injections are associated with less improvement in patients with lumbar spinal stenosis: a subgroup analysis of the Spine Patient Outcomes Research Trial.
Subgroup analysis of prospective, randomized database from the Spine Patient Outcomes Research Trial (SPORT). ⋯ Despite equivalent baseline status, ESIs were associated with significantly less improvement at 4 years among all patients with spinal stenosis in SPORT. Furthermore, ESIs were associated with longer duration of surgery and longer hospital stay. There was no improvement in outcome with ESI whether patients were treated surgically or nonsurgically.
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Multicenter Study Comparative Study
Surgical treatment of Lenke 1 main thoracic idiopathic scoliosis: results of a prospective, multicenter study.
Prospective, consecutive, nonrandomized, multicenter study. ⋯ 2.
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Randomized Controlled Trial Comparative Study
Balloon kyphoplasty versus KIVA vertebral augmentation--comparison of 2 techniques for osteoporotic vertebral body fractures: a prospective randomized study.
Prospective, parallel-group, controlled comparative randomized study. ⋯ Both KIVA and BK restored in short-term similarly vertebral body height, but only KIVA restored vertebral body wedge deformity. KIVA was followed by significantly lower and harmless always extracanal leakage rate than BK. Longer observation is needed to show whether these radiological changes have any functional impact.
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Review Case Reports
Rapidly progressive Scheuermann's disease in an adolescent after pectus bar placement treated with posterior vertebral-column resection: case report and review of the literature.
Case report and review of the literature. ⋯ The costosternal complex plays a critically important role in the intrinsic stability of the thoracic spine. Iatrogenic disruption of the costosternal complex can result in rapid progression of thoracic/thoracolumbar kyphosis in the setting of Scheuermann's disease.