Articles: low-back-pain.
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Randomized Controlled Trial Clinical Trial
The reduction of chronic nonspecific low back pain through the control of early morning lumbar flexion. A randomized controlled trial.
Eighteen-month, randomized controlled trial with partial crossover. ⋯ Controlling lumbar flexion in the early morning is a form of self-care with potential for reducing pain and costs associated with chronic, nonspecific low back pain.
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Thirty-five consecutive patients were evaluated at an average follow-up time of 20 months after circumferential lumbar spinal fusion. All patients had degenerative conditions of the lumbar spine and same-day anterior spinal fusion by using titanium cages packed with autograft bone and posterior instrumentation combined with a posterolateral autogenous bone graft. The purpose of this study was to determine whether anterior titanium cage placement and posterior instrumentation with autologous bone graft was a safe and efficacious procedure in patients with degenerative disease of the lumbar spine. ⋯ Thirteen (37%) patients had one or more surgical complications. Circumferential spinal fusion in patients with degenerative etiologies yields excellent radiographic fusion rates and good pain relief. The procedure is technically demanding and is associated with a high rate of complications.
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This study reviews the results of circumferential fusion in patients with degenerative disc disease who are at high risk for achieving spinal fusion. The fusion rate was 100% and the satisfactory clinical outcome slightly more than 50% in a patient population known to have high risk factors for a poor outcome.
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Multicenter Study
Lumbar olisthesis and lower back symptoms in elderly white women. The Study of Osteoporotic Fractures.
A Cross-sectional study. ⋯ Anterolisthesis of 3 mm or more in the lower lumbar spine is relatively common among elderly women but is not correlated with back problems. Retrolisthesis at L3-L4 is associated with increased back pain and impaired back function.