Spine
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Case report. ⋯ The present case suggests that kyphosis and instability are major factors that affect the severity of thoracic myelopathy due to OPLL, and posterior fusion with spinal instrumentation is a safe and effective adjunct procedure for surgical treatment of thoracic OPLL.
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The connective tissue structures in the posterior atlanto-occipital region were investigated using E12 sheet plastinations and confocal microscopy. ⋯ The connective tissue structures that connect the spinal dura to the RCPm muscle in the PAO interspace are the RCPm fascia and tendinous fibers and perivascular sheathes.
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Cohort study of patients with low back pain (LBP) receiving physical therapy. ⋯ Clinicians can be confident that a 2-point change on the NPRS represents clinically meaningful change that exceeds the bounds of measurement error.
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Comparative Study
Centralization: its prognostic value in patients with referred symptoms and sciatica.
Prospective, comparative cohort study. ⋯ Patients with sciatica and suspected disc herniation who have a centralization response to a mechanical evaluation will have significantly better outcomes. Patients who do not have centralization will be 6 times more likely to undergo surgery.
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Randomized Controlled Trial
Individual active treatment combined with group exercise for acute and subacute low back pain.
Randomized controlled trial. ⋯ The results indicate that the costs of this active back program are more than reimbursed as a consequence of earlier return to work.