Spine
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Randomized Controlled Trial Multicenter Study Observational Study
Relationship between lumbar spinal stenosis and lifestyle-related disorders: a cross-sectional multicenter observational study.
A cross-sectional multicenter observational study. ⋯ After adjusting for age and sex, this study revealed a close association between diabetes and hypertension in 50- to 69-year-old patients with LSS. Physicians should consider the possibility of concomitant hypertension or diabetes mellitus when examining 50- to 69-year-old patients with LSS.
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Randomized Controlled Trial Comparative Study
Five-year reoperation rates, cervical total disc replacement versus fusion, results of a prospective randomized clinical trial.
Prospective randomized clinical trial. ⋯ Five-year follow-up of a prospective randomized clinical trial revealed 5-fold difference in reoperation rates when comparing patients who underwent ACDF (14.5%) with patients who underwent TDR (2.9%). These findings suggest the durability of TDR and its potential to slow the rate of adjacent-level disease.
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Randomized Controlled Trial Comparative Study
Adding chiropractic manipulative therapy to standard medical care for patients with acute low back pain: results of a pragmatic randomized comparative effectiveness study.
Randomized controlled trial. ⋯ The results of this trial suggest that CMT in conjunction with SMC offers a significant advantage for decreasing pain and improving physical functioning when compared with only standard care, for men and women between 18 and 35 years of age with acute LBP.
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Randomized Controlled Trial Multicenter Study Comparative Study
Acupuncture for chronic low back pain: a multicenter, randomized, patient-assessor blind, sham-controlled clinical trial.
Multicenter, randomized, patient-assessor blind, sham-controlled clinical trial. ⋯ This randomized sham-controlled trial suggests that acupuncture treatment shows better effect on the reduction of the bothersomeness and pain intensity than sham control in participants with cLBP.
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Randomized Controlled Trial Comparative Study
Spinal high-velocity low amplitude manipulation in acute nonspecific low back pain: a double-blinded randomized controlled trial in comparison with diclofenac and placebo.
A randomized, double-blinded, placebo-controlled, parallel trial with 3 arms. ⋯ In a subgroup of patients with acute nonspecific LBP, spinal manipulation was significantly better than nonsteroidal anti-inflammatory drug diclofenac and clinically superior to placebo.