Spine
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Review Case Reports Meta Analysis Comparative Study
Eosinophilic granuloma of the cervical spine.
A meta-analysis was performed based on 53 cases of cervical eosinophilic granuloma reported in the literature and 1 in an adult treated by the authors. ⋯ In most cases of cervical eosinophilic granuloma, immobilization is an adequate therapy. If the process continuous to progress, radiotherapy is recommended. Surgical treatment should be reserved for cases with instability or neurologic defects.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Combined magnetic fields accelerate and increase spine fusion: a double-blind, randomized, placebo controlled study.
The clinical study conducted was a prospective, randomized, double-blind, placebo-controlled trial. ⋯ In conclusion, the adjunctive use of the combined magnetic field device was statistically beneficial in the overall patient population, as has been shown in previous studies of adjunctive bone growth stimulation for spine fusion. For the first time, stratification of fusion success data by gender demonstrated that the female study population responded positively to the adjunctive combined magnetic field treatment, with no statistically significant effect observed in the male study population. Adjunctive use of the combined magnetic field device significantly increased the 9-month success of radiographic spinal fusion and showed an acceleration of the healing process.
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Multicenter Study Comparative Study Clinical Trial
A pilot study on the recovery from paresis after lumbar disc herniation.
Although the existence of a motor defect in discogenic sciatica is a sign of severity, the literature does not provide evidence for an immediate requirement for surgery. ⋯ This pilot study showed no difference between surgical or medical management for recovery or improvement in patients with discogenic paresis. These results need confirmation by a randomized study.
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Review Case Reports
Chiari I malformation associated with syringomyelia and scoliosis: a twenty-year review of surgical and nonsurgical treatment in a pediatric population.
Retrospective review of patients with Chiari I malformation with or without associated scoliosis. ⋯ Early decompression of Chiari I malformation with syringomyelia and scoliosis resulted in improvement or stabilization of the spinal deformity in 5 cases. Each of these patients underwent decompression before 8 years of age and before the curve was severe. However, this series represents a few patients demonstrating this trend, and further follow-up and investigation are warranted.