Spine
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Randomized Controlled Trial Multicenter Study Comparative Study
The effect of work-focused rehabilitation among patients with neck and back pain: a randomized controlled trial.
Multicenter randomized trial with patients listed as sick for 1 to 12 months due to neck or back pain and referred to secondary care. ⋯ The results suggest that a focus on the workplace in specialist care does not substantially alter the RTW rate compared with standard multidisciplinary treatments.
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This article comprises a review of the literature pertaining to the normal and pathological lumbar disc and the compilation of a standardized nomenclature. ⋯ We have revised and updated a document that, since 2001, has provided a widely accepted nomenclature that helps maintain consistency and accuracy in the description of the properties of the normal and abnormal lumbar discs and that serves as a system for classification and reporting built upon that nomenclature.
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Randomized Controlled Trial Comparative Study
Comparison of posterolateral lumbar fusion and posterior lumbar interbody fusion for patients younger than 60 years with isthmic spondylolisthesis.
Prospective randomized study. ⋯ Both PLF and PLIF are viable surgical options for patients with isthmic spondylolisthesis 60 years or younger.
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Retrospective study of 146 patients with the diagnosis of occipitalization, atlantoaxial dislocation (AAD) and basilar invagination, using a novel surgical treatment strategy. ⋯ Although technically demanding, the C1 lateral mass placement in occipitalization is very useful in the rescue situation where more conventional stabilization alternatives are not technically possible, or as routine occipitocervical stabilization. It provides firm stabilization offering an optimum situation for bony fusion, and meanwhile the effective reduction of fixed AAD and basilar invagination. An extremely high fusion rate can be expected with minimal complications and minimal postoperative immobilization with this technique.