Articles: back-pain.
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Emerg. Med. Clin. North Am. · May 2015
ReviewEvaluation and Treatment of Acute Back Pain in the Emergency Department.
Back pain is a common presenting complaint to the emergency department. The key to proper evaluation is a history and physical examination focused on determining if any red flags for serious disease are present. ⋯ No diagnostic testing is required. For patients with red flags, a focused history and examination in conjunction with diagnostic laboratory tests and imaging determine whether the patient has an emergent condition such as herniated disc, epidural compression, or spinal infection.
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J Neurol Surg A Cent Eur Neurosurg · May 2015
Multicenter StudyEffect of anular closure on disk height maintenance and reoperated recurrent herniation following lumbar diskectomy: two-year data.
To assess the potential benefits of disk reherniation reduction and disk height maintenance in limited diskectomy combined with the implantation of the anular closure device. ⋯ Limited lumbar diskectomy combined with the use of an anular closure device provided very low rates of disk reherniation and exhibited excellent disk height maintenance and sustained disability, leg pain, and back pain improvement within a 24-month postoperative study period. As with prior diskectomy studies, disk height maintenance was correlated with lower nucleus removal, although recurrence was less than in prior reports of limited diskectomy. Anular closure may allow for achievement of both objectives.