Spine
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Randomized Controlled Trial
Early rehabilitation targeting cognition, behavior, and motor function after lumbar fusion: a randomized controlled trial.
Open label randomized controlled trial with 3-, 6-, 12-month, and 2- to 3-year follow-up. ⋯ The study shows that postoperative rehabilitation can be safely implemented during the first 3 months after lumbar fusion and should include measures to modify psychological as well as motor functions.
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Randomized Controlled Trial Comparative Study
Hemostatic and electrolyte effects of hydroxyethyl starches in patients undergoing posterior lumbar interbody fusion using pedicle screws and cages.
Prospective, randomized, double blind, clinical study. ⋯ If coagulopathy is a concern during PLIF, then, a HES with low MW/DS in a saline-based medium (Voluven) may be a better alternative than a HES with high MW/DS in a balanced salt medium (Hextend).
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Randomized Controlled Trial
The efficacy of a short education program and a short physiotherapy program for treating low back pain in primary care: a cluster randomized trial.
Cluster randomized clinical trial. ⋯ The addition of a short education program on active management to usual care in primary care leads to small but consistent improvements in disability, pain, and quality of life. The addition of a short physiotherapy program composed of education on postural hygiene and exercise intended to be continued at home, increases those improvements, although the magnitude of that increase is clinically irrelevant.
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Randomized Controlled Trial
Treatment of chronic low back pain: a randomized, clinical trial comparing group-based multidisciplinary biopsychosocial rehabilitation and intensive individual therapist-assisted back muscle strengthening exercises.
A stratified randomized single-blinded clinical trial. ⋯ Both groups showed long-term improvements in pain and disability scores, with only minor statistically significant differences between the 2 groups. The minor outcome difference in favor of the group-based multidisciplinary rehabilitation program is hardly of clinical interest for individual patients.
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Randomized Controlled Trial
Twelve-months follow-up in forty-nine patients with acute/semiacute osteoporotic vertebral fractures treated conservatively or with percutaneous vertebroplasty: a clinical randomized study.
Clinical randomized study. ⋯ PVP is a good treatment for some patients with acute/subacute painful osteoporotic vertebral fractures, but the majority of fractures will heal after 8 to 12 weeks of conservative treatment with subsequent decline in pain. The risk of new fractures needs further research.