Abstract:
STUDY DESIGN:Meta-analysis methodology was extended to derive comparative effectiveness information on spinal manipulation for low back pain. OBJECTIVE:Determine relative effectiveness of spinal manipulation therapies (SMTs), medical management, physical therapies, and exercise for acute and chronic nonsurgical low back pain. SUMMARY OF BACKGROUND DATA:Results of spinal manipulation treatments of nonsurgical low back pain are equivocal. Nearly 40 years of SMT studies were not informative. METHODS:Studies were chosen on the basis of inclusion in prior evidence syntheses. Effect sizes were converted to standardized mean effect sizes and probabilities of recovery. Nested model comparisons isolated nonspecific from treatment effects. Aggregate data were tested for evidential support as compared with shams. RESULTS:Of 84% acute pain variance, 81% was from nonspecific factors and 3% from treatment. No treatment for acute pain exceeded sham's effectiveness. Most acute results were within 95% confidence bands of that predicted by natural history alone. For chronic pain, 66% of 98% was nonspecific, but treatments influenced 32% of outcomes. Chronic pain treatments also fit within 95% confidence bands as predicted by natural history. Though the evidential support for treating chronic back pain as compared with sham groups was weak, chronic pain seemed to respond to SMT, whereas whole systems of clinical management did not. CONCLUSION:Meta-analyses can extract comparative effectiveness information from existing literature. The relatively small portion of outcomes attributable to treatment explains why past research results fail to converge on stable estimates. The probability of treatment superiority matched a binomial random process. Treatments serve to motivate, reassure, and calibrate patient expectations--features that might reduce medicalization and augment self-care. Exercise with authoritative support is an effective strategy for acute and chronic low back pain.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Menke JMdoi
10.1097/BRS.0000000000000230subject
Has Abstractpub_date
2014-04-01 00:00:00pages
E463-72issue
7eissn
0362-2436issn
1528-1159journal_volume
39pub_type
杂志文章,meta分析相关文献
SPINE文献大全abstract:STUDY DESIGN:Multicenter retrospective cohort study. OBJECTIVE:To investigate the relationship between resident involvement in the operating room and 30-day complication rates in patients undergoing single-level anterior cervical diskectomy and fusion (ACDF). SUMMARY OF BACKGROUND DATA:Although an integral part of ac...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0000000000001230
更新日期:2016-03-01 00:00:00
abstract::Sixty-six consecutive patients with adolescent idiopathic scoliosis treated by posterior spinal fusion using Harrington distraction compression instrumentation were followed for a minimum of 3 years. Initial surgical correction was satisfactory, but during the follow-up period, mean 4.4 years (3-5 years), there was a ...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1990-08-01 00:00:00
abstract:STUDY DESIGN:Retrospective review. OBJECTIVES:To determine the risk of postlaminectomy thoracolumbar kyphosis in skeletally immature achondroplasts and evaluate the need for concurrent fusion at multilevel decompression. SUMMARY OF BACKGROUND DATA:Spinal stenosis is a relatively common complication of achondroplasia....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000194778.60486.a3
更新日期:2006-01-15 00:00:00
abstract:STUDY DESIGN:A retrospective study. OBJECTIVE:The purpose of this study was to determine the incidence and risk factors of adjacent segment disease (ASD) after transforaminal inter-body fusion (TLIF) for degenerative lumbar disease. SUMMARY OF BACKGROUND DATA:ASD is a major complication after spinal fusion. Many repo...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001728
更新日期:2017-01-15 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:Experimental animal study. OBJECTIVE.: Evaluate osteopromotive properties of a beta-tricalcium phosphate (TCP) implant with different osteogenic substances in an animal study. SUMMARY OF BACKGROUND DATA:Current research in spine surgery is focusing on resorbable bone implants because of the high morbidity...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000192762.40274.57
更新日期:2006-01-01 00:00:00
abstract:STUDY DESIGN:A prospective cohort design was used to evaluate the Functional Rating Index in a multicentered setting with 139 participants. The Functional Rating Index is a self-reporting instrument consisting of 10 items, each with 5 possible responses that express graduating degrees of disability. OBJECTIVES:The goa...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/00007632-200101010-00015
更新日期:2001-01-01 00:00:00
abstract::The authors carried out successful total sacrectomy in three cases, two with giant cell tumors and one with a chordoma. The anterior and posterior approach is feasible for resecting huge sacral tumors en bloc, but it is important to reconstruct the continuity between the pelvic ring and spinal column using spinal inst...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199011010-00024
更新日期:1990-11-01 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVE:To provide additional information on possible relations between uterine and spinal manifestations of leiomyosarcoma. SUMMARY OF BACKGROUND DATA:Spinal metastases and primary spinal manifestation of leiomyosarcoma and other malignant smooth muscle tumors are rarely observed. METHOD...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199905150-00011
更新日期:1999-05-15 00:00:00
abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:To identify factors associated with blood transfusion for primary posterior lumbar fusion surgery, and to identify associations between blood transfusion and other postoperative complications. SUMMARY OF BACKGROUND DATA:Blood transfusion is a relatively common occurr...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001047
更新日期:2015-11-01 00:00:00
abstract:STUDY DESIGN:Retrospective radiographic and clinical review. OBJECTIVE:To evaluate the safety and efficacy of iliac screws as a method of pelvic fixation in neuromuscular spinal deformity correction using the Galveston rod technique as a comparison group. SUMMARY OF BACKGROUND DATA:Sacropelvic fixation in patients wi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000238973.13294.16
更新日期:2006-09-15 00:00:00
abstract:STUDY DESIGN:A case of primary osteogenic sarcoma at the second cervical vertebra is reported. OBJECTIVES:To document an osteogenic sarcoma of the second cervical vertebra and its treatment, and to review the literature. SUMMARY OF BACKGROUND DATA:Primary osteosarcoma of the cervical spine is encountered infrequently...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200109010-00025
更新日期:2001-09-01 00:00:00
abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To investigate the effects of Kinesio Taping (KT) in patients with nonspecific low back pain. SUMMARY OF BACKGROUND DATA:KT is widely used in patients with low back pain. METHODS:We conducted searches on PubMed, EMBASE, PEDro, SciELO, and LILACS up to February 26, 2018. We i...
journal_title:Spine
pub_type: 杂志文章,meta分析
doi:10.1097/BRS.0000000000002756
更新日期:2019-01-01 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVE:To describe a patient with ischemic orbital compartment syndrome after undergoing spinal surgery in a prone position. SUMMARY OF BACKGROUND DATA:Ocular complications after nonocular surgery are devastating. The most common etiology is ischemic optic neuropathy. Orbital compartment ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31817c55c2
更新日期:2008-07-15 00:00:00
abstract:STUDY DESIGN:Basic science, biologic study. OBJECTIVE:To determine the potential benefits of using resveratrol (RSV) for intervertebral disc (IVD) matrix repair and regeneration. SUMMARY OF BACKGROUND DATA:The phytoestrogen RSV is a natural compound found in various plants including grapes and red wines. RSV has been...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181883883
更新日期:2008-11-15 00:00:00
abstract:STUDY DESIGN:For in vitro studies, there is no basis for choosing a "load control study" over a "displacement control" study. This study qualitatively compared results from in vitro and in vivo tests, allowing the authors to address the experimental assumptions that in vitro testing contributes to the understanding of ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199408000-00015
更新日期:1994-08-01 00:00:00
abstract:STUDY DESIGN:This anatomic study tested placement of C2 pedicle screws using cadaver specimens. OBJECTIVES:To further assess the safety of transpedicular screw placement in the axis by comparing two surgical techniques. SUMMARY OF BACKGROUND DATA:Transpedicular screw fixation of traumatic spondylolisthesis of the axi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199603150-00005
更新日期:1996-03-15 00:00:00
abstract:STUDY DESIGN:This is a case report of a posterior extrusion of the polyethylene core from a CHARITÉ arthroplasty. This is the first reported case of posterior dislocation of the polyethylene and the revision strategies used to correct this problem. OBJECTIVE:To report a novel failure mechanism and revision strategy fo...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3181e9bf30
更新日期:2010-11-15 00:00:00
abstract:STUDY DESIGN:Determination of clinical results at least 2 years after lumbar spine surgery during which spinal stiffness measurements were made. OBJECTIVES:To determine whether spine stiffness is predictive of clinical results after lumbar spine surgery for spinal stenosis, disc herniation, or degenerative spondylolis...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/00007632-200205010-00015
更新日期:2002-05-01 00:00:00
abstract:STUDY DESIGN:Prospective, single-cohort study. OBJECTIVE:To assess the minimal clinically important change (MCIC) on the Neck Disability Index (NDI) and the Numerical Rating Scale (NRS) for pain in patients with neck pain. SUMMARY OF BACKGROUND DATA:Both measurement instruments are frequently used in research and cli...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31815cf75b
更新日期:2007-12-15 00:00:00
abstract:STUDY DESIGN:Absolute and relative growth modulation of apical spinal segments were measured during creation and correction of an experimental scoliosis in a goat model. OBJECTIVE:To differentiate relative and absolute changes in growth on the concavity and convexity of an experimental scoliosis treated with anterior ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000227263.43060.50
更新日期:2006-07-15 00:00:00
abstract:STUDY DESIGN:Retrospective. OBJECTIVE:To study the incidence of intraoperative cerebrospinal fluid (CSF) leak in patients with ossified posterior longitudinal ligament (OPLL) undergoing central cervical corpectomy (CC) and to describe a reliable technique for treating the leak after CC. SUMMARY OF BACKGROUND DATA:The...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318195d245
更新日期:2009-03-01 00:00:00
abstract::In 30 patients undergoing Cotrel-Dubousset instrumentation, computerized tomography was performed before and after surgery. The RAsag-angle was measured for each vertebral level. Coronal and sagittal translation were evaluated in the same computerized tomographic scans by means of a new method. Based on the hooks used...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199208001-00009
更新日期:1992-08-01 00:00:00
abstract::Twenty-one with symptomatic cervical spondylosis or nonspecific neck pain were given an amnesic dose of diazepam before manipulation of the cervical spine. Eighteen patients served as controls and also received diazepam but no manipulation. Results were obtained in a randomized, double-blind fashion. Statements of out...
journal_title:Spine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007632-198211000-00003
更新日期:1982-11-01 00:00:00
abstract:STUDY DESIGN:Biomechanical laboratory research. OBJECTIVE:To compare 4 techniques for vertebral body insufficiency fracture repair by analyzing restoration of height, strength, and stiffness, and quantifying cement leakage. SUMMARY OF BACKGROUND DATA:Current techniques for insufficiency fracture repair, restore prefr...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000224546.29268.d1
更新日期:2006-07-01 00:00:00
abstract:STUDY DESIGN:Systematic review with meta-analysis. OBJECTIVE:To examine the association between proprioception and pain and disability in people with non-specific low back pain (NSLBP) and the impact of potential moderators on the strength of the association. SUMMARY OF BACKGROUND DATA:NSLBP is a common musculoskelet...
journal_title:Spine
pub_type: 杂志文章,meta分析
doi:10.1097/BRS.0000000000002917
更新日期:2019-05-15 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVE:We present a case of isolated primary epidural lumbar Ewing sarcoma and review the current literature on the standard management. We also propose laminoplasty as safe procedure in this patient population that can provide good stabilization in young people. SUMMARY OF BACKGROUND DAT...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001246
更新日期:2016-03-01 00:00:00
abstract::Iliac crest wedges are commonly used in spinal fusion procedures and must be capable of withstanding considerable mechanical stress during the healing process. Physical parameters, mechanical properties, correlations among physical parameters, and correlations of mechanical properties versus physical parameters have b...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199402000-00007
更新日期:1994-02-01 00:00:00
abstract:STUDY DESIGN:A prospective study of anterior transarticular screw (ATS) fixation patients. OBJECTIVE:To develop a method to determine screw tip position through plain radiography after percutaneous ATS fixation to prevent occipitocervical joint (OCJ) violation. SUMMARY OF BACKGROUND DATA:No studies using plain radiog...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001508
更新日期:2016-09-01 00:00:00
abstract:STUDY DESIGN:Prospective, multicenter, cohort study. OBJECTIVE:To examine which clinical and sociodemographic baseline variables can predict a favorable outcome in subjects with neck pain treated by chiropractors. SUMMARY OF BACKGROUND DATA:Relatively little is known on predictors of neck pain, particularly for those...
journal_title:Spine
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1097/BRS.0b013e3181753cc9
更新日期:2008-06-01 00:00:00