Spine
-
Randomized Controlled Trial
Effects of two guideline implementation strategies on patient outcomes in primary care: a cluster randomized controlled trial.
Cluster randomized controlled trial. ⋯ Active implementation of the German LBP guideline results in slightly better outcomes during 6 months follow-up than its postal dissemination. Results are more distinct when practice nurses are trained in motivational counseling.
-
Randomized Controlled Trial Comparative Study
Anterior cervical discectomy with or without fusion with ray titanium cage: a prospective randomized clinical study.
A prospective randomized clinical study. ⋯ This study showed no statistically significant difference between simple discectomy and discectomy followed by interbody fusion with a titanium cage in the surgical treatment of cervical radiculopathy caused by disc herniation.
-
Randomized Controlled Trial
Anterior cervical fusion with tantalum implant: a prospective randomized controlled study.
A prospective randomized controlled study was carried out. ⋯ The efficacy to achieve fusion after 1-level anterior cervical discectomy, with a good radiologic and clinical outcome, using tantalum implant is equivalent to that of autologous graft and anterior plate, being safer as avoids donor-site graft harvesting and plating complications.
-
Randomized Controlled Trial
Effect of intervertebral disc height on postoperative motion and outcomes after ProDisc-L lumbar disc replacement.
Retrospective study of patients enrolled in prospective randomized Food and Drug Administration trial. ⋯ Patients with greater disc collapse benefit more in ROM from a total disc replacement. The optimal range to maximize ROM for postoperative anterior disc height is 16 mm to 18 mm. This optimal range did not translate into better clinical outcome at 2 years follow-up.
-
Randomized Controlled Trial Comparative Study
Economic evaluation of an intensive group training protocol compared with usual care physiotherapy in patients with chronic low back pain.
Economic evaluation from a societal perspective conducted alongside a randomized controlled trial with a follow-up of 52 weeks. ⋯ The results of this economic evaluation showed no difference in total costs between the protocol group and the guideline group. The differences in effects were small and not statistically significant. At present, national implementation of the protocol is not recommended.