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By Darien B Interventional pain and spine specialist
Debra K Weiner, Meika Fang, Angela Gentili, Gary Kochersberger, Zachary A Marcum, Michelle I Rossi, Todd P Semla, Joseph Shega
OBJECTIVE: To present the first in a series of articles designed to deconstruct chronic low back pain (CLBP) in older adults. The series presents CLBP as a syndrome, a final common pathway for the expression of multiple contributors rather than a disease localized exclusively to the lumbosacral spine. Each article addresses one of twelve important contributors to pain and disability in older adults with CLBP. This article focuses on hip osteoarthritis (OA). METHODS: The evaluation and treatment algorithm, a table articulating the rationale for the individual algorithm components, and stepped-care drug recommendations were developed using a modified Delphi approach...
May 2015: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Mark A Palumbo, Kalpit N Shah, Craig P Eberson, Robert A Hart, Alan H Daniels
BACKGROUND CONTEXT: Instrumentation failure is a recognized complication after complex spinal reconstruction and deformity correction. Rod fracture (RF) is the most frequent mode of hardware failure in long-segment spinal fusion surgery. This complication can negatively impact the clinical outcome by producing spinal pain, functional compromise, instability, and loss of deformity correction. PURPOSE: To describe the outrigger rod surgical technique. STUDY DESIGN: Review of literature, case review, and surgical technique description...
June 1, 2015: Spine Journal: Official Journal of the North American Spine Society
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