Spine
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Randomized Controlled Trial Clinical Trial
Neurologic outcome of early versus late surgery for cervical spinal cord injury.
A prospective analysis evaluating neurologic outcome after early versus late surgery for cervical spinal cord trauma. ⋯ The results of this study reveal no significant neurologic benefit when cervical spinal cord decompression after trauma is performed less than 72 hours after injury (mean, 1.8 days) as opposed to waiting longer than 5 days (mean, 16.8 days).
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Randomized Controlled Trial Comparative Study Clinical Trial
The use of intrathecal morphine for analgesia after posterolateral lumbar fusion: a prospective, double-blind, randomized study.
A prospective, randomized, double-blind, placebo-controlled study was undertaken to evaluate the efficacy and safety of intrathecal morphine for postoperative analgesia after posterolateral lumbar fusion. ⋯ Intrathecal morphine can be safe and efficacious as an early postoperative analgesic after lumbar fusion when respiratory monitoring is used.
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Randomized Controlled Trial Comparative Study Clinical Trial
Postoperative pain control after lumbar spine fusion. Patient-controlled analgesia versus continuous epidural analgesia.
A prospective, randomized, double-blind clinical trial. ⋯ These data suggest that there is no clinical advantage of epidural opiate/local anesthetic analgesia over systemic opiate by patient-controlled analgesia for spinal fusion patients. However, possible technical limitations (namely, the low dosage of bupivacaine and placement of the catheter tip) may have prevented adequate delivery of anesthetic to the involved segments. Although the incidence of side effects is similar, cost factors and a high incidence of epidural catheter dislodgment favor use of patient-controlled analgesia.
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Randomized Controlled Trial Comparative Study Clinical Trial
Long-lasting cervical radicular pain managed with surgery, physiotherapy, or a cervical collar. A prospective, randomized study.
This prospective, randomized study compares the efficacy of surgical and conservative treatments in patients with long-lasting cervical radicular pain. ⋯ In the treatment of patients with long-lasting cervical radicular pain, it appears that a cervical collar, physiotherapy, or surgery are equally effective in the long term.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Local and remote sustained trigger point therapy for exacerbations of chronic low back pain. A randomized, double-blind, controlled, multicenter trial.
A randomized, double-blind, controlled, multicenter trial was conducted. ⋯ Neuroreflexotherapy intervention seems to be a simple and effective treatment for rapid amelioration of pain episodes in patients with chronic low back pain. At this time, the duration of pain relief beyond 45 days has not been evaluated.