Articles: low-back-pain.
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Comparative Study
Reliability of retrospective clinical data to evaluate the effectiveness of lumbar fusion in chronic low back pain.
Patients in whom a posterior spinal fusion instrumentation had been performed to treat low back pain were asked to recall their preoperative clinical status by retrospectively filling out the same 3 self-evaluation scales they had completed before surgery in a prospective fashion. ⋯ Relying on a patient's recall of preoperative clinical status is not an accurate method to evaluate surgical outcome after posterior spinal fusion instrumentation. Cross-sectional studies may overestimate the effectiveness of surgery.
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J Spinal Disord Tech · Feb 2005
Comparative StudyRadiofrequency heating of painful annular disruptions: one-year outcomes.
Although several studies have reported on outcomes following heating of annular tears with a thermoresistive catheter (SpineCATH), no data are available on the efficacy of thermal treatment with a flexible radiofrequency electrode (discTRODE). A prospective case-control study was conducted to determine the efficacy of radiofrequency heating of painful annular tears in the lumbar spine. ⋯ Radiofrequency heating of annular tears can lead to an improvement in the pain of internal disc disruption. The improvement gained by this treatment method is significantly better than that obtained from conservative management.
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J Spinal Disord Tech · Feb 2005
Clinical TrialComputer-guided percutaneous interbody fixation and fusion of the L5-S1 disc: a 2-year prospective study.
The clinical outcomes of lumbar fusion are diminished by the complications associated with the surgical approach. Posterior approaches cause segmental muscular necrosis and anterior approaches risk visceral and vascular injury. This report details a two-year prospective study of a percutaneous method which avoids the major problems associated with existing approaches. ⋯ Percutaneous fusion of the lumbosacral spine appears safe and provides excellent clinical results with a minimal amount of associated tissue trauma.
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Ann Readapt Med Phys · Feb 2005
[The Oswestry index for low back pain translated into Arabic and validated in a Arab population].
To translate into Arabic and validate the Oswestry index for low back pain in an Arab population. ⋯ We translated into and adapted the Oswestry index for the Arabic language in a population of Tunisian women? with low back pain. The 8-item version is reliable and valid. Although the scale was validated in a Tunisian population, we expect that it is suitable for other Arab populations, especially North Africans. Further study is needed to confirm such a hypothesis.