Spine
-
Clinical Trial
The outcome of posterolateral fusion in highly selected patients with discogenic low back pain.
A prospective analysis of the clinical outcome of a consecutive series of patients treated with posterior lumbar arthrodesis. Preoperative data were collected retrospectively by chart review. ⋯ Posterolateral intertransverse fusion can be used to successfully manage chronic discogenic back pain. However, patient selection remains a challenge, and successful outcome appears to be limited in the subset of patients receiving worker's compensation and those chronically disabled. Prospective and randomized study with objective pain criteria, independent review, and patient-oriented outcome is recommended.
-
Clinical Trial
Results of sacroiliac joint double block and value of sacroiliac pain provocation tests in 54 patients with low back pain.
This prospective study consisted of the evaluation of a double sacroiliac block in patients with low back pain. ⋯ The present study suggests the sacroiliac joint is an uncommon but real source of low back pain. The accuracy of some of the presumed "sacroiliac pain provocations tests" is questioned.
-
Clinical Trial
Duration of antituberculosis chemotherapy in conjunction with radical surgery in the management of spinal tuberculosis.
The effectiveness of duration of antituberculous chemotherapy in conjunction with radical surgery for tuberculosis of the spine is reported. One hundred fourteen patients were followed prospectively for a mean period of 14.6 years after radical resection of the tuberculous lesion and reconstruction of the resultant gap with bone graft. ⋯ The authors' findings show that a 6-month chemotherapeutic regimen combined with surgical excision and bone grafting is adequate for management of tuberculosis of the spine, as it produced clinical and radiologic results comparable with the 18-month chemotherapeutic regimen.
-
Randomized Controlled Trial Clinical Trial
Chronic cervical zygapophysial joint pain after whiplash. A placebo-controlled prevalence study.
The authors developed a diagnostic double-blindfolded survey using placebo-controlled local anesthetic blocks. ⋯ Cervical zygapophysial joint pain is common among patients with chronic neck pain after whiplash. This nosologic entity has survived challenge with placebo-controlled, diagnostic investigations and has proven to be of major clinical importance.