Spine
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Randomized Controlled Trial
Does maintained spinal manipulation therapy for chronic nonspecific low back pain result in better long-term outcome?
A prospective single blinded placebo controlled study was conducted. ⋯ SMT is effective for the treatment of chronic nonspecific LBP. To obtain long-term benefit, this study suggests maintenance SM after the initial intensive manipulative therapy.
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Randomized Controlled Trial Multicenter Study
Effects of viewing an evidence-based video decision aid on patients' treatment preferences for spine surgery.
Secondary analysis within a large clinical trial. ⋯ After watching the evidence-based patient decision aid (video) used in SPORT, patients with specific lumbar spine disorders formed and/or strengthened their treatment preferences in a balanced way that did not appear biased toward or away from surgery.
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Randomized Controlled Trial Comparative Study
Postoperative surgical site infections in patients undergoing spinal tumor surgery: incidence and risk factors.
We conducted a retrospective, case control study on patients undergoing surgery for spinal tumors. OBJECTIVE.: Our aim was to determine the incidence and to identify risk factors for surgical site infections (SSIs) in patients undergoing surgery for spinal tumors. ⋯ Surgery for spine tumors appears to be associated with a higher incidence of SSI than nontumor spine surgery. Identification of perioperative risk factors will help delineate this subset of patients with high risk for developing SSIs thus potentially allowing perioperative modification for such factors, which may lead to an overall better clinical outcome and patient satisfaction.
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Randomized Controlled Trial Comparative Study
Low back pain in adolescents: is quality of life poorer in those seeking medical attention?
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Randomized Controlled Trial Multicenter Study Comparative Study
Adjacent segment motion after anterior cervical discectomy and fusion versus Prodisc-c cervical total disk arthroplasty: analysis from a randomized, controlled trial.
Post hoc analysis of data acquired in a prospective, randomized, controlled trial. ⋯ Adjacent segment kinematics may be altered after ACDF and TDA. Multivariate analysis showed time to be a significant predictor of changes in adjacent segment ROM. No association between the treatment chosen (ACDF vs. TDA) and ROM was observed. Furthermore clinical follow-up is needed to determine whether possible differences in adjacent segment motion affect the prevalence of adjacent segment disease in the two groups.