Spine
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A quality-control Internet-based study using recognized quality-scoring systems. ⋯ The overall quality of information regarding discectomy remains poor and variable despite an exponential increase in the number of users and Web sites, with a slight trend toward improvement, only 20% to 30% are of good quality, compared with that 10 years ago (<10%). Presence of Health on the Net code is a very reliable marker for health information quality.
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Review Meta Analysis
Measuring lumbar reposition accuracy in patients with unspecific low back pain: systematic review and meta-analysis.
Systematic review and meta-analysis. ⋯ Although patients with NSCLBP seemed to produce a larger lumbar RE compared with healthy controls, study limitations render firm conclusions unsafe. Future studies should pay closer attention to power, precision, and reliability of the measurement approach, definition of outcome measures, and patient selection. We recommend a large, well-powered, prospective randomized control study that uses a standardized measurement approach and definitions for absolute error, CE, and variable error to address the hypothesis that proprioception may be impaired with CLBP.
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Randomized Controlled Trial Multicenter Study Comparative Study
Minimally invasive decompression versus x-stop in lumbar spinal stenosis: a randomized controlled multicenter study.
Prospective randomized controlled multicenter study. ⋯ Both MID and X-Stop led to significant symptom improvements. There were no significant clinical differences in effect between the methods at any of the follow-up time points. X-Stop had significant higher risk of secondary surgery. Complication was more severe for MID.