BACKGROUND Transforaminal epidural steroid injection (TFESI) of corticosteroid is frequently employed to mitigate the painful and disabling symptoms of lumbar disc herniation. However, the treatment outcome of TFESI in patients with radicular pain and inflamed neural structures as assessed by contrast-enhanced magnetic resonance imaging (MRI) has not been forthcoming. OBJECTIVES To investigat...

BACKGROUND Elastomeric disc replacements have been developed to restore normal shock absorption and physiologic centers of rotation to the degenerated disc. The Physio-L Artificial Lumbar Disc is an elastomeric disc which uses a compliant polycarbonate-polyurethane core with enhanced endurance properties. The objective of this study was to evaluate the safety and efficacy of the Physio-L throug...

Objectives Switzerland has optimal conditions for research of language-based cultural influences on low back pain (LBP). The aim of this study was to compare LBP treatment outcomes after chiropractic care between patients from the German- and French-speaking regions of Switzerland. Methods Baseline Numeric Rating Scale for pain (NRS), demographic, and Oswestry Disability Index (ODI) data were...

We assess the effect of lumbar fusion (LF) in reducing disability among patients with chronic low back pain (CLBP) compared with conservative treatment and to weigh the clinical significance of this effect. We conducted a random-effect meta-analysis on the basis of a systematic review with research quality grading according to Grading of Recommendations Assessment, Development and Evaluation (G...

Adult degenerative scoliosis associated with lumbar stenosis has become a common issue in the elderly population. But its surgical management is on debating. The main issue condenses on the management priority of scoliosis or stenosis. This study is to investigate surgical management strategy and outcome of adult degenerative scoliosis associated with lumbar stenosis. Between January 2003 and D...

Strengthening the lumbar extensor musculature is a common recommendation for chronic low back pain (CLBP). Although reported as effective, variability in response in CLBP populations is not well investigated. This study investigated variability in responsiveness to isolated lumbar extension (ILEX) resistance training in CLBP participants by retrospective analysis of three previous randomized co...

Cortical screws offer a less invasive alternative compared to traditional pedicle screws. These are inserted in an inferomedial superolateral trajectory achieving greater cortical bone purchase. Similar fusion rates, pain relief, and decreased surgical morbidity at 12-month follow-up have been documented when Using intra-operative imaging, neuronavigation, individual neurophysiological monitori...

In8tatisticalpatteTnTeCOgnition,tbeI)ayesmskservesas areLbrence-allmitofexcellencetha.tca.nnotbesurpassed. h thispaper,We8howthat by relaxingthe assumption thattheinputbe8a.mpledonlyonce,a.ClassiRcation8yStemc礼nbebtlilt thatbea,t8the Ba,ye$errOrbo11nd.We presenta.detai1eda.nalysisofthee鮎⊂t80frepeatedsa.mpling,incl11dingproof岳thtitalway8yieldsa.netimprovementinrecognition&CCuraCyforcommondistrib...