Spine
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Review Meta Analysis
Potential of magnetic resonance imaging findings to refine case definition for mechanical low back pain in epidemiological studies: a systematic review.
systematic review and meta-analysis. ⋯ MRI findings of disc protrusion, nerve root displacement or compression, disc degeneration, and high intensity zone are all associated with LBP, but individually, none of these abnormalities provides a strong indication that LBP is attributable to underlying pathology. This limits their value in refining epidemiological case definitions for LBP.
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Meta Analysis Comparative Study
Minimal access versus open transforaminal lumbar interbody fusion: meta-analysis of fusion rates.
A quantitative meta-analysis was conducted on published studies reporting fusion rates after open or minimally invasive/mini-open transforaminal lumbar interbody fusion (TLIF) procedures for single or multilevel degenerative disease including stenosis with spondylolisthesis and degenerative disc disease. ⋯ Fusion rates for both open and mTLIF are relatively high and in similar ranges. Complication rates are also similar, with a trend toward mTLIF having a lower rate. This analysis provides clear benchmarks for fusion rates in open and mTLIF procedures for spine surgeons.
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Review Meta Analysis
Clearance of the cervical spine in clinically unevaluable trauma patients.
Meta-analytic costeffectiveness analysis. ⋯ As currently used, neuroimaging studies for cervical spinal clearance in clinically unevaluable patients are not cost-effective compared with empirical immobilization in a semirigid collar.
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Review Meta Analysis
A meta-analysis of the clinical effectiveness of school scoliosis screening.
A meta-analysis that systematically reviewed the evaluation studies of a scoliosis screening program reported in the literature. ⋯ The use of the FBT alone in school scoliosis screening is insufficient. We need large, retrospective cohort studies with sufficient follow-up to properly assess the clinical effectiveness of school scoliosis screening.
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Review Meta Analysis
Rehabilitation after lumbar disc surgery: an update Cochrane review.
Cochrane systematic review of randomized controlled trials. ⋯ Exercise programs starting 4 to 6 weeks postsurgery seem to lead to a faster decrease in pain and disability than no treatment. High intensity exercise programs seem to lead to a faster decrease in pain and disability than low intensity programs. There were no significant differences between supervised and home exercises for pain relief, disability, or global perceived effect. There is no evidence that active programs increase the reoperation rate after first-time lumbar surgery.