Spine
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Multicenter Study
Predicting outcome and complications in the surgical treatment of adult scoliosis.
prospective, multicenter. ⋯ By applying the classification of adult deformity and considering baseline health status, models for predicting outcome can be established. Further work will refine these models and permit clinical validation. This effort will help establish reliable clinical models such that treatment algorithms can be established for the challenging patients suffering from adult spinal deformity.
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Multicenter Study Comparative Study Clinical Trial
Return of shoulder girdle function after anterior versus posterior adolescent idiopathic scoliosis surgery.
Multicenter, prospective, cohort study. ⋯ Approach-related differences in shoulder morbidity do exist in the treatment of primary thoracic curves in AIS. Specifically, OASF imparts a significantly greater magnitude and duration of postoperative shoulder dysfunction than do the TASF or PSF approaches. Nonetheless, these negative effects are transient as shoulder function in those patients treated via an open thoracotomy normalized by the 1-year postoperative time-point at the latest. Accordingly, viewed in isolation, shoulder morbidity should not deter surgeons from using an open anterior approach in the surgical treatment of AIS.
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Multicenter Study Comparative Study
Cross-cultural adaptation and validation of the Norwegian version of the Tampa scale for kinesiophobia.
Translation, cross-cultural adaptation, and validation of a self-report questionnaire. ⋯ The Norwegian version of the TSK was easily comprehended and demonstrated satisfactory validity and reliability for the assessment of fear of movement and/or (re)injury in patients with sciatica due to disc herniation. However, responsiveness was low to moderate.
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Multicenter Study Clinical Trial
Vertebral coplanar alignment: a standardized technique for three dimensional correction in scoliosis surgery: technical description and preliminary results in Lenke type 1 curves.
Prospective multicentric study. ⋯ VCA provided excellent correction of coronal and transverse planes with normalization of thoracic kyphosis in Lenke type 1 adolescent idiopathic scoliosis surgery.
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Multicenter Study Clinical Trial
Predictors of a favorable outcome in patients treated by chiropractors for neck pain.
Prospective, multicenter, cohort study. ⋯ On the basis of the patient's history, the clinician can identify a number of determinants, which are predictive of a favorable outcome. Shorter duration of neck pain at the first visit was the only variable consistently found to be predictive of a favorable outcome for all 3 outcome measures examined.