Abstract:
:The management of sciatica due to lumbar nerve root compromise remains controversial, probably because few well-controlled studies of conservative management have been performed. This preliminary study assesses the efficacy of epidural injections of 80 mg triamcinolone acetonide plus 0.5% procaine hydrochloride in saline, administered via the caudal route, in a double-blind, placebo controlled trial with 1 year follow-up. Twenty-three patients were entered into the study: 12 received treatment and 11 placebo. The active group showed significant pain relief (P = 0.02) and a significant increase in mobility (P = 0.01) at 4 weeks, which resulted in improved quality of life (P = 0.02). At 1 year, subjective and objective measures improved in both groups. The improvement was greater in the actively treated group, but only the objective assessment (straight leg raise) was statistically significant.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Bush K,Hillier Sdoi
10.1097/00007632-199105000-00015subject
Has Abstractpub_date
1991-05-01 00:00:00pages
572-5issue
5eissn
0362-2436issn
1528-1159journal_volume
16pub_type
临床试验,杂志文章,随机对照试验相关文献
SPINE文献大全abstract:STUDY DESIGN:This case report illustrates the need to be aware of extraspinal causes of sciatica. A patient with a strangulated sciatic hernia showed the clinical features of sciatic leg pain, intestinal obstruction, and a left gluteal abscess. OBJECTIVE:To highlight the need to examine the course of the sciatic nerve...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199810010-00019
更新日期:1998-10-01 00:00:00
abstract:STUDY DESIGN:This is a report of two cases. OBJECTIVE:To document the occurrence and association of spondylolysis and Arnold-Chiari malformation Type I. SUMMARY OF BACKGROUND DATA:The association of spinal dysraphism has been reported with Arnold-Chiari Type II, but not with Arnold-Chiari Type I. METHODS:The senior ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199710150-00026
更新日期:1997-10-15 00:00:00
abstract:STUDY DESIGN:Prospective randomized comparison of anterior lumbar interbody fusion (ALIF) plus transpedicular instrumentation plus posterolateral fusion (PLF) (360 degrees fusion) to ALIF plus transpedicular instrumentation without PLF (270 degrees fusion). OBJECTIVES:To compare the clinical outcomes, costs, and utili...
journal_title:Spine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007632-200105150-00019
更新日期:2001-05-15 00:00:00
abstract:STUDY DESIGN:We report on a 54-year-old man with chronic lower back pain after recent streptococcus pneumoniae pulmonary infection, resulting in a mycotic aortic aneurysm and spondylodiscitis of the eighth vertebrae 6 months later. Successful surgical treatment and recurrence-free survival after 4 years are described. ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000137061.79898.8f
更新日期:2004-09-01 00:00:00
abstract::Two hundred five patients with neck pain were evaluated clinically and roentgenographically for a minimum of 10 years after onset of symptoms. Seventy-nine percent had a decrease in pain, and 43% were free of pain; however, 32% had moderate or severe residual pain. Patients who had been injured and initially had sever...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198701000-00001
更新日期:1987-01-01 00:00:00
abstract:STUDY DESIGN:This is a report of three cases of epidural abscess occurring after use of intraoperative epidural methylprednisolone in 31 patients who had undergone lumbar microdiscectomy. The possible role of epidural steroids in the cause of these abscesses is discussed, and a review the literature concerning its valu...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200002150-00020
更新日期:2000-02-15 00:00:00
abstract:STUDY DESIGN:A retrospective clinical study. OBJECTIVE:The purpose of this study was to identify risk factors for postoperative distal adding-on in Lenke 1A adolescent idiopathic scoliosis. SUMMARY OF BACKGROUND DATA:Distal adding-on is a postoperative complication associated with the Lenke type 1A curve. Although va...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002722
更新日期:2018-09-01 00:00:00
abstract::Camptocormia is a rare low-back disorder involving an abnormal posture of extreme forward flexion. Most reports of camptocormia were of male military recruits during World Wars I and II. The differential diagnosis of the postural deformity, the psychologic formulation of camptocormia as a conversion disorder, and the ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198505000-00006
更新日期:1985-05-01 00:00:00
abstract::Clinical features, contrast-enhanced lumbar tomographic findings, and biochemical plasma fibrinolytic parameters were critically assessed in 70 patients suffering severe, chronic postsurgical low-back and radicular pain to determine the cause of their persisting symptoms. Patients exhibited gross functional disability...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199109000-00005
更新日期:1991-09-01 00:00:00
abstract:STUDY DESIGN:A translation, cross-cultural adaptation, and validation study. OBJECTIVE:The aim of this study was to translate, adapt cross-culturally, and validate the Kannada version of the Oswestry Disability Index (ODI). SUMMARY OF BACKGROUND DATA:Low back pain is recognized as an important public health problem. ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001368
更新日期:2016-06-01 00:00:00
abstract:STUDY DESIGN:This retrospective study involves 26 patients with degenerative cervical myelopathy who were surgically treated by anterior corpectomy, titanium mesh cage (TMC) filled with autogenous bone, and anterior plate +/- posterolateral plate and fusion. OBJECTIVES:This study was conducted to determine the indicat...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000145412.93407.c3
更新日期:2004-11-15 00:00:00
abstract:STUDY DESIGN:Prospective validity study. OBJECTIVE:To determine how accurately intermittent fluoroscopy detects inadvertent intravascular injection during transforaminal epidurals. SUMMARY OF BACKGROUND DATA:Serious morbidity caused by transforaminal epidural injections is frequently related to inadvertent vascular i...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31816960fe
更新日期:2008-04-01 00:00:00
abstract::The purpose of this study was to determine the incidence and severity of degenerative changes seen on lateral roentgenograms in 200 asymptomatic men and women in five age groups with an age range of 20-65 years and to determine the normal values of cervical lordosis and spinal canal sagittal diameters and their relati...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198607000-00003
更新日期:1986-07-01 00:00:00
abstract:STUDY DESIGN:A retrospective cohort analysis. OBJECTIVE:The aim of this study was to assess whether duration of symptoms (DOS) has an effect on clinical outcomes in patients undergoing lumbar decompression. SUMMARY OF BACKGROUND DATA:The success of surgical interventions for lumbar spinal stenosis varies depending on...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002818
更新日期:2019-03-01 00:00:00
abstract:STUDY DESIGN:The authors retrospectively reviewed 28 patients with multilevel Pott disease who underwent anterior radical débridement, decompression, and fusion with anterior spinal instrumentation and fibular allograft replacement. OBJECTIVES:To assess the efficacy of allograft fibular fusion and anterior spinal stab...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000048666.17934.17
更新日期:2003-03-01 00:00:00
abstract:STUDY DESIGN:Retrospective analysis of computed tomographic images of 92 normal pediatric cervical vertebrae. OBJECTIVE:The aim of this study was to ascertain the feasibility of the pedicle, intralaminar, and lateral mass screws fixation in children. SUMMARY OF BACKGROUND DATA:Fixation techniques of C7 vertebrae are ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002742
更新日期:2018-12-15 00:00:00
abstract:STUDY DESIGN:Single-center prospective non-randomized matched cohort comparison. OBJECTIVE:To compare elective lumbar spine surgery outcomes for cases triaged through a multidisciplinary spine pathway versus conventional referral processes. SUMMARY OF BACKGROUND DATA:Many health care systems have facilitated low back...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003785
更新日期:2020-11-04 00:00:00
abstract:STUDY DESIGN:A retrospective comparison study. OBJECTIVE:To compare the postoperative proximal junctional change and revision prevalence as influenced by 3 different proximal levels after adult lumbar deformity instrumented fusion from the distal thoracic/upper lumbar spine (T9-L2) to L5 or S1. SUMMARY OF BACKGROUND ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31815a5a9d
更新日期:2007-11-15 00:00:00
abstract::One shortcoming of clinical practice guidelines is that generic, one-for-all guideline recommendations do not account for differences among patients' views about the desirability (or undesirability) of specific health outcomes, such as low back pain. Because differences in patients' preferences may lead to differences...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-199805010-00023
更新日期:1998-05-01 00:00:00
abstract::To study possible neurologic complications, five lambs were operated on by sublaminar wiring at the thoracolumbar spine. Monitoring of the central motor pathway was carried out by percutaneous electrostimulation. A comparative anatomic study was designed to compare the magnitude of the spinal canal and the area occupi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199204000-00011
更新日期:1992-04-01 00:00:00
abstract:STUDY DESIGN:This study reports the 7-year follow-up of an L5 vertebral hemangioendothelioma treated with tumor excision and allograft reconstruction stabilized with transpedicular fixation. OBJECTIVES:A review of vertebral hemangioendotheliomas is provided to outline the rationale for surgical excision in such cases....
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-199504000-00020
更新日期:1995-04-01 00:00:00
abstract:STUDY DESIGN:Case report and clinical discussion. OBJECTIVE:To describe a rare case of metastatic pulmonary intimal sarcoma presenting as cauda equine syndrome. SUMMARY OF BACKGROUND DATA:Pulmonary artery sarcoma is a rare tumor, frequently misdiagnosed as pulmonary embolism, and although it is highly aggressive, met...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31817cf7ef
更新日期:2008-07-01 00:00:00
abstract:STUDY DESIGN:T1rho relaxation was quantified and correlated with intervertebral disc degeneration and proteoglycan content in cadaveric human lumbar spine tissue. OBJECTIVE:To show the use of T1rho-weighted magnetic resonance imaging (MRI) for the assessment of degeneration and proteoglycan content in the human interv...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000217708.54880.51
更新日期:2006-05-15 00:00:00
abstract:STUDY DESIGN:A retrospective cohort analysis. OBJECTIVE:The aim of this study was to determine if there is a difference in the revision rate in patients who undergo a multilevel posterior cervical fusions ending at C7, T1, or T2-T4. SUMMARY OF BACKGROUND DATA:Multilevel posterior cervical decompression and fusion is ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001864
更新日期:2016-12-01 00:00:00
abstract:STUDY DESIGN:Controlled laboratory study in a cadaveric model. OBJECTIVE:To determine if removing shoulder pads using the elevated torso technique generated less spinal segment motion than using the flat torso method. SUMMARY OF BACKGROUND DATA:Guidelines for care of the injured football player with a suspected spina...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31819794e7
更新日期:2009-04-01 00:00:00
abstract:STUDY DESIGN:A case report and review of the literature are presented. OBJECTIVE:To describe an extremely rare case of combined extraforaminal and intradiscal cement leakage in different vertebral levels following percutaneous vertebroplasty. SUMMARY OF BACKGROUND DATA:Cement leaks in vertebroplasty are relatively co...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e31805c0b25
更新日期:2007-05-20 00:00:00
abstract:STUDY DESIGN:Cerebrospinal fluid (CSF) from dogs with intervertebral disc herniation (IVDH) were analyzed using a specific antibody against cartilage oligomeric matrix protein (COMP). Immunolocalization and genetic expression of COMP were also examined in the spinal cords of mouse, rat, and dog. OBJECTIVE:To investiga...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181b61f14
更新日期:2010-01-01 00:00:00
abstract:STUDY DESIGN:A prospective questionnaire translation and validation. OBJECTIVE:The aim of this study was to translate and cross-culturally adapt the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ) into Traditional Chinese (Hong Kong) and to assess its validity, reliability, and ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002287
更新日期:2018-02-15 00:00:00
abstract:STUDY DESIGN:Retrospective register-based study using Swedish registers and data prospectively collected in quality register Swespine. OBJECTIVE:Analyze the association of societal costs and spine surgery outcome in low back pain (LBP) patients based on patient reported outcome measures (PROMs). SUMMARY OF BACKGROUND...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003050
更新日期:2019-09-01 00:00:00
abstract:STUDY DESIGN:Pragmatic randomized clinical trial. OBJECTIVE:This study investigated differences in the clinical outcomes of public physiotherapy (public PT) versus private physiotherapy (private PT) for general practitioner-referred patients with acute and chronic low back pain (LBP). SUMMARY OF BACKGROUND DATA:Healt...
journal_title:Spine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/BRS.0b013e3182127457
更新日期:2012-01-15 00:00:00