Spine
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Review Case Reports
Bilateral vertebral artery lesion after dislocating cervical spine trauma. A case report.
This case report illustrates the problems associated with diagnosis and management of vertebral artery injuries resulting from dislocating cervical spine trauma. ⋯ The possibility of the complication of a vertebral artery lesion should be kept in mind when examining patients with cervical spine trauma, especially in patients with fracture-dislocation. Immediate identification by vertebral angiography, magnetic resonance imaging, or thin-slice computed tomography scan is necessary for optimal management of this injury.
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Clinical Trial
Prospective outcome evaluation of spinal cord stimulation in patients with intractable leg pain.
The results of spinal cord stimulation were prospectively evaluated using both subjective patient self-report measures and objective physical functional testing. ⋯ Spinal cord stimulation implantation can result in improved physical function and decreased pain in patients who are carefully screened and in whom the implantation is performed with the patient awake to help ensure optimal pain-relieving lead placement.
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Comparative Study
Lumbar range of motion: reliability and validity of the inclinometer technique in the clinical measurement of trunk flexibility.
This study examines the reliability and validity of measuring lumbar range of motion with an inclinometer. ⋯ The noninvasive inclinometer technique proved to be highly reliable and valid, but the measurement technique for extension needs further refinement.
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An analysis was made of the self-reported medical histories of patients with peripartum pelvic pain. ⋯ It is hypothesized that peripartum pelvic pain is caused by strain of ligaments in the pelvis and lower spine resulting from a combination of damage to ligaments (recently or in the past), hormonal effects, muscle weakness, and the weight of the fetus.