Abstract:
:The evaluation of the clinical utility of the clinical diagnostic tests and procedures, what works in spinal disorders, and for whom and how treatment affects a patient's symptoms and function are key questions of outcomes research. This paper describes the advantages and limitations of the main study approaches used. Examples from the spine literature on spinal stenosis are used for illustration.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Liang MH,Andersson G,Bombardier C,Cherkin DC,Deyo RA,Keller RB,Lee CK,Lipscomb B,Shekelle P,Spratt KFdoi
10.1097/00007632-199409151-00004subject
Has Abstract,Author List Incompletepub_date
1994-09-15 00:00:00pages
2037S-2040Sissue
18 Suppleissn
0362-2436issn
1528-1159journal_volume
19pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:This study retrospectively compares the clinical and radiologic outcomes of unilateral transforaminal lumbar interbody fusion (TLIF) with those of transvertebral screw fixation of the lumbosacral spine in high-grade spondylolisthesis. OBJECTIVE:To examine the outcome and perioperative complications of uni...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31817ecc01
更新日期:2008-08-15 00:00:00
abstract:STUDY DESIGN:A randomized controlled trial. OBJECTIVE:To investigate the effect of muscle relaxant for muscle blood flow at the trunk muscle in patients with chronic low back pain (LBP). SUMMARY OF BACKGROUND DATA:Paraspinal muscle function is widely believed to play a role and considered to be of etiologic significa...
journal_title:Spine
pub_type: 杂志文章,随机对照试验
doi:10.1097/BRS.0b013e318166e051
更新日期:2008-03-15 00:00:00
abstract:STUDY DESIGN:A report of two cases using custom-manufactured pedicle screws for revision spinal arthrodesis for pseudarthrosis in the setting of widely dilated pedicle screw tracts. OBJECTIVE:To present surgical outcomes of a previously unreported treatment for pseudarthrosis with widely dilated pedicle screw tracts. ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31820285cf
更新日期:2011-10-15 00:00:00
abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To perform a systematic review, evaluating the best available evidence regarding the treatment of lumbar adjacent segment pathology (ASP) to facilitate clinical recommendations for treatment. SUMMARY OF BACKGROUND DATA:It is unclear how nonoperative treatment of lumbar clinic...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31826d613d
更新日期:2012-10-15 00:00:00
abstract:STUDY DESIGN:A case report of a patient who survived a traumatic disassociation of both atlanto-occipital and atlantoaxial joints. OBJECTIVE.: To describe a rare case of concurrent atlanto-occipital and atlantoaxial dislocation with a review of the related literature regarding occipitocervical dislocation. SUMMARY OF ...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e318182272a
更新日期:2008-08-15 00:00:00
abstract:STUDY DESIGN:A total of 215 consecutive patients treated either by bracing or operation received a questionnaire after 9.7 years. OBJECTIVE:The aim of the present study was to elucidate the long-term outcome in a group of brace (BT) or surgical treated (ST) patients suffering AIS. SUMMARY OF BACKGROUND DATA:In adoles...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000197649.29712.de
更新日期:2006-02-01 00:00:00
abstract:STUDY DESIGN:This is a retrospective analysis of 30 pediatric deformity surgeries. OBJECTIVE:The purpose of this study was to evaluate the accuracy of neuromonitoring in comparison to postoperative computed tomography scans for pedicle screw position. SUMMARY OF BACKGROUND DATA:Triggered electromyography potentials i...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181b3f467
更新日期:2010-01-15 00:00:00
abstract:STUDY DESIGN:Analysis of nationally representative survey data for spine-related health care expenditures, utilization and self-reported health status. OBJECTIVE:To study trends from 1997 to 2006 in per-user expenditures for spine-related inpatient, outpatient, pharmacy, and emergency services; and to compare these tr...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181b1fad1
更新日期:2009-09-01 00:00:00
abstract::A reproducible experimental model of cervical spondylosis in mice was established by means of detachment of the posterior paravertebral muscles from the vertebrae and resection of the spinous processes along with the supraspinous and interspinous ligaments. Mechanical instability in the cervical spine elicited by this...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199110001-00008
更新日期:1991-10-01 00:00:00
abstract:STUDY DESIGN:The loosening rates of two monocortical pedicle screw designs (hollow and solid) were compared in a cadaveric sacrum model subjected to cyclic loading. OBJECTIVE:To determine if a hollow screw would be more resistant to loosening than a solid pedicle screw when placed into the pedicles of S1 and tested un...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181808c75
更新日期:2008-08-01 00:00:00
abstract:STUDY DESIGN:A descriptive epidemiology study. OBJECTIVE:The aim of this study is to investigate changes in the utilization of ambulatory surgical procedures performed for intervertebral disc disorders and spinal stenosis between 1994 and 2006 in the United States. SUMMARY OF BACKGROUND DATA:Understanding trends in t...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001109
更新日期:2015-11-01 00:00:00
abstract:STUDY DESIGN:Translation, cross-cultural adaptation and psychometric testing of self-report outcome measurements. OBJECTIVES:The aims of this study were to adapt the Functional Rating Index (FRI) to Brazilian-Portuguese and to test the psychometric properties of this new questionnaire and the Brazilian-Roland Morris D...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31811eab33
更新日期:2007-08-01 00:00:00
abstract:STUDY DESIGN:The sensitivity of plain radiographs for diagnosing traumatic atlanto-occipital dislocation and its association with craniocervical junction subarachnoid hemorrhage was examined in a retrospective review of seven patients. OBJECTIVE:The purpose of this study was to demonstrate the frequency of nondiagnost...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199608010-00009
更新日期:1996-08-01 00:00:00
abstract:STUDY DESIGN:A case of cervical myelopathy with a severe nape and upper arm pain caused by anomalous bilateral vertebral arteries is reported. OBJECTIVE:To report over six and a half years results of a microsurgical decompression for high cervical myelopathy with a severe pain of nape and upper arm resulting from spin...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31817c6c17
更新日期:2008-08-01 00:00:00
abstract::Two-staged anterior and posterior spine fusion with instrumentation was evaluated in 17 cerebral palsy patients, ages 11 to 30 years. Functional benefits included improved sitting balance and, in ambulators, no loss of independence. Curve correction averaged 60%. The pseudarthrosis rate of 18% was lower than previousl...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198211000-00010
更新日期:1982-11-01 00:00:00
abstract:STUDY DESIGN:Retrospective case-control study. OBJECTIVE:The purpose of this study was to examine the factors of postoperative paralysis in patients who have undergone thoracic ossification of posterior longitudinal ligament (OPLL) surgery. SUMMARY OF BACKGROUND DATA:A higher percentage of thoracic OPLL patients expe...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001585
更新日期:2016-10-01 00:00:00
abstract:STUDY DESIGN:Literature review of basic scientific and clinical research in spinal cord injury (SCI). OBJECTIVE:To provide physicians with an overview of the neurobiologic challenges of SCI, the current status of investigation for novel therapies that have been translated to human clinical trials, and the preclinical,...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3181f3286d
更新日期:2010-10-01 00:00:00
abstract:STUDY DESIGN:A biomechanical study using human cadaveric cervical spines was conducted. OBJECTIVE:To determine whether the cervical stability achieved with lateral mass fixation using unicortical screw purchase is comparable with that obtained with lateral mass fixation using bicortical screw purchase. SUMMARY OF BAC...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:2003-04-15 00:00:00
abstract:STUDY DESIGN:Cross-sectional study. OBJECTIVE:To compare quality of life and caregiver burden in traditional growing rod (TGR) and magnetic controlled growing rods (MCGR) patients. SUMMARY OF BACKGROUND DATA:MCGR decrease surgical sessions associated with treatment of early onset scoliosis (EOS), hoping to minimize t...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002274
更新日期:2018-01-15 00:00:00
abstract::The relation between improvement of myelopathy achieved by surgery and postoperative spinal cord morphologic changes was investigated by magnetic resonance imaging in 51 patients with cervical myelopathy. In 22 patients, the cord indentation disappeared completely (Type I), in 23 it partially disappeared (Type II), an...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199211000-00003
更新日期:1992-11-01 00:00:00
abstract:STUDY DESIGN:A matched cohort analysis of long adult deformity fusions according to distal fusion level (L5 vs. S1). OBJECTIVE.: To compare the results of long adult deformity fusions to either L5 or the sacrum in the presence of a "healthy" 5-1 disc using a matched cohort analysis. SUMMARY OF BACKGROUND DATA:For adul...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/01.brs.0000138272.54896.33
更新日期:2004-09-15 00:00:00
abstract:STUDY DESIGN:Single institution, single surgeon retrospective review. OBJECTIVE:To investigate if the use of titanium mesh cage on the site of infection could be beneficial for successful outcome of the operative treatment for pyogenic spondylitis. SUMMARY OF BACKGROUND DATA:There is a controversy concerning the opti...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e318187875e
更新日期:2008-10-01 00:00:00
abstract:STUDY DESIGN:Prospective imaging study. OBJECTIVE:To clarify the frequency of positional vertebral artery (VA) occlusion using duplex ultrasonography in patients with rheumatoid arthritis (RA). SUMMARY OF BACKGROUND DATA:Some patients with upper cervical RA develop thromboembolic stroke related to positional and tran...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001136
更新日期:2016-01-01 00:00:00
abstract:STUDY DESIGN:Retrospective study developing diagnostic criteria. OBJECTIVE:To validate 2 computed tomography-based findings, extragraft bone bridging (ExGBB) and intragraft bone bridging (InGBB), as diagnostic criteria for anterior cervical fusion using subsequent surgical confirmation and to demonstrate the different...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000017
更新日期:2013-12-01 00:00:00
abstract:STUDY DESIGN:Feasibility analysis of percutaneous posterolateral thoracic microendoscopic discectomy in a human cadaver model. OBJECTIVE:To describe a new, minimally invasive, posterolateral approach to the thoracic spine for the treatment of disc herniations. SUMMARY OF BACKGROUND:Thoracoscopic discectomy offers sur...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000162275.95579.ee
更新日期:2005-05-15 00:00:00
abstract:STUDY DESIGN:Characterization of the analytic profile of proteoglycans in the intervertebral discs at L4-L5 of nondiabetic (n = 5) and diabetic (n = 5) age-matched subjects. The discs used were discarded material from operations. OBJECTIVES:To clarify the reason for the higher risk of disc prolapse in diabetic patient...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199804150-00001
更新日期:1998-04-15 00:00:00
abstract:STUDY DESIGN:A cross-sectional survey of occupational recovery after surgery with patients who had ossification of the posterior longitudinal ligament. OBJECTIVES:To evaluate occupational recovery after open-door type laminoplasty for patients with ossification of the posterior longitudinal ligament. SUMMARY OF BACKG...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000083206.24176.C8
更新日期:2003-08-15 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:A case report describing chronic recurrent multifocal osteomyelitis (CRMO) with initial presentation limited to spine, successfully treated by anti-TNF-alpha therapy after failure of conventional treatment methods. OBJECTIVE:To describe an unusual manifestation and treatment of a rare disease. SUMMARY OF...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181c09601
更新日期:2010-04-01 00:00:00
abstract:STUDY DESIGN:This case study is designed to report the previously unreported specific complication of acute cauda equina compression after decompression surgery for spinal stenosis. OBJECTIVES:To inform others of the possibility of such a complication; to suggest a possible mechanism for this situation, namely hourgla...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199511001-00017
更新日期:1995-11-15 00:00:00