Spine
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Randomized Controlled Trial
20-year Clinical Outcomes of Cervical Disc Arthroplasty: A Prospective, Randomized, Controlled Trial.
Prospective, randomized, controlled trial. ⋯ Both CDA and ACDF are effective in treating cervical radiculopathy with sustained improvement in NDI, VAS neck and VAS arm pain at 20 years. CDA demonstrates lower reoperation rates than ACDF. There were no failures of the arthroplasty device requiring reoperation at the index level. The symptomatic nonunion rate of ACDF was 4.2% at 20 years. Despite a higher reoperation rate in the CDA group versus ACDF group, there was no difference in the 20-year NDI, VAS Neck, and VAS arm pain scores.
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Randomized Controlled Trial
Deep learning algorithm for identifying cervical cord compression due to degenerative canal stenosis on radiography.
Cross-sectional study. ⋯ Level IV.
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Randomized Controlled Trial
Percutaneous Curved Vertebroplasty Versus Unipedicular Approach Vertebroplasty for Acute Osteoporotic Vertebral Compression Fractures: A Randomized Controlled Trial.
Prospective randomized controlled trial. ⋯ Although PCVP achieved more symmetrical cement distribution, which seemed to be associated with a greater analgesic effect, PCVP did not result in significantly greater pain relief than a UVP in the 12 months after treatment.
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Randomized Controlled Trial
Treatment with Opioids Is Not Associated with Poor Outcomes Among Older Adults with Lumbar Spinal Stenosis Receiving Epidural Injections.
Secondary analysis of a randomized controlled trial. ⋯ Among older adults with lumbar spinal stenosis who are receiving epidural injections, those treated with opioids at baseline had similar outcomes to those who were not.