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Pregnancy-related low back pain in women in Turkey: Prevalence and risk factors / Savas Sencan in Annals of physical and rehabilitation medicine, Vol. 61, n°1 (Janvier 2018)
[article]
Titre : Pregnancy-related low back pain in women in Turkey: Prevalence and risk factors Type de document : texte imprimé Auteurs : Savas Sencan ; Emel Ece Ozcan-Eksi ; Isa Cuce ; Selcuk Guzel ; Baki Erdem Année de publication : 2018 Article en page(s) : p. 33-37 Note générale : Doi : 10.1016/j.rehab.2017.09.005 Langues : Anglais (eng) Mots-clés : Pregnancy Low back pain Prevalance Risk factors Disability Résumé : Objectives
To investigate the prevalence of pregnancy-related low back pain (PRLBP) in women in Turkey, identify the factors associated with PRLBP and predict the risk of PRLBP.
Materials and methods
This cross-sectional study included a total of 1500 pregnant women admitted to a prenatal care clinic in a secondary care hospital in Turkey between August 2011 and September 2014. All participants were asked to complete a survey questionnaire. The pregnant women who reported recurrent or continuous pain in the lumbar spine or pelvis for more than 1 week were offered a clinical examination for PRLBP by the spine physiatrist. The main outcome measure was the presence of PRLBP. We collected data on sociodemographic factors, previous obstetric history, daily habits, history of LBP, and functional disability scores as assessed by the Oswestry Disability Index (ODI).
Results
The mean age of the 1500 women was 26.5±5.5 years. The prevalence of PRLBP was 53.9%, mostly in the third trimester. Women with PRLBP in the third trimester were more disabled than those in the first and second trimesters (mean ODI 40.0±16.7 vs. 34.9±19.2 and 37.4±15.3, respectively). Risk factors of PRLBP were history of LBP, PRLBP, and menstruation-related LBP as well as no housework assistance (OR=5.394, 95% CI: 3.128–9.300, P<0.001; 3.692, 2.745–4.964, P<0.001; 2.141, 1.563–2.932, P<0.001; 1.300, 1.029–1.64, P=0.028, respectively).
Conclusion
This cross-sectional study is the largest study of PRLBP in the literature and showed that about 1 in 2 women have PRLBP in any stage of pregnancy. History of LBP related and unrelated to previous pregnancy and menstruation are strong risk factors for PRLBP. Receiving no housework assistance is another risk factor.Permalink : ./index.php?lvl=notice_display&id=80437
in Annals of physical and rehabilitation medicine > Vol. 61, n°1 (Janvier 2018) . - p. 33-37[article] Pregnancy-related low back pain in women in Turkey: Prevalence and risk factors [texte imprimé] / Savas Sencan ; Emel Ece Ozcan-Eksi ; Isa Cuce ; Selcuk Guzel ; Baki Erdem . - 2018 . - p. 33-37.
Doi : 10.1016/j.rehab.2017.09.005
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°1 (Janvier 2018) . - p. 33-37
Mots-clés : Pregnancy Low back pain Prevalance Risk factors Disability Résumé : Objectives
To investigate the prevalence of pregnancy-related low back pain (PRLBP) in women in Turkey, identify the factors associated with PRLBP and predict the risk of PRLBP.
Materials and methods
This cross-sectional study included a total of 1500 pregnant women admitted to a prenatal care clinic in a secondary care hospital in Turkey between August 2011 and September 2014. All participants were asked to complete a survey questionnaire. The pregnant women who reported recurrent or continuous pain in the lumbar spine or pelvis for more than 1 week were offered a clinical examination for PRLBP by the spine physiatrist. The main outcome measure was the presence of PRLBP. We collected data on sociodemographic factors, previous obstetric history, daily habits, history of LBP, and functional disability scores as assessed by the Oswestry Disability Index (ODI).
Results
The mean age of the 1500 women was 26.5±5.5 years. The prevalence of PRLBP was 53.9%, mostly in the third trimester. Women with PRLBP in the third trimester were more disabled than those in the first and second trimesters (mean ODI 40.0±16.7 vs. 34.9±19.2 and 37.4±15.3, respectively). Risk factors of PRLBP were history of LBP, PRLBP, and menstruation-related LBP as well as no housework assistance (OR=5.394, 95% CI: 3.128–9.300, P<0.001; 3.692, 2.745–4.964, P<0.001; 2.141, 1.563–2.932, P<0.001; 1.300, 1.029–1.64, P=0.028, respectively).
Conclusion
This cross-sectional study is the largest study of PRLBP in the literature and showed that about 1 in 2 women have PRLBP in any stage of pregnancy. History of LBP related and unrelated to previous pregnancy and menstruation are strong risk factors for PRLBP. Receiving no housework assistance is another risk factor.Permalink : ./index.php?lvl=notice_display&id=80437 Exemplaires (1)
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Exclu du prêtComparison between the STarT Back Screening Tool and the Örebro Musculoskeletal Pain Screening Questionnaire: Which tool for what purpose? A semi-systematic review / Alexis Lheureux in Annals of physical and rehabilitation medicine, Vol. 62, n°3 (Mai 2019)
[article]
Titre : Comparison between the STarT Back Screening Tool and the Örebro Musculoskeletal Pain Screening Questionnaire: Which tool for what purpose? A semi-systematic review Type de document : texte imprimé Auteurs : Alexis Lheureux ; Anne Berquin Année de publication : 2019 Article en page(s) : p. 178-188 Note générale : https://doi.org/10.1016/j.rehab.2018.09.007 Langues : Anglais (eng) Mots-clés : STarT Back Screening Tool (SBST) Örebro Musculoskeletal Pain Screening Questionnaire (OMPSQ) Low back pain Predicting questionnaires Résumé : Background
Prevention of chronicization of low back pain requires accurate detection of at-risk patients. Questionnaires have been validated, including the STarT Back Screening Tool (SBST) and the Örebro Musculoskeletal Pain Screening Questionnaire (OMPSQ). This review aims to compare these questionnaires in terms of predictive value and in terms of aims, to guide the choice in clinical practice.
Methods
This study is a semi-systematic literature review. Studies evaluating at least one of the questionnaires and written between 1997 and October 10th 2017 were selected from Pubmed database. Inclusion criteria were pain duration < 3 months, outcomes including pain, function and/or global recovery. For work outcomes, inclusion criteria were extended to chronic patients. Studies had to provide information on sensitivity, specificity and area under the ROC Curve (AUC).
Results
Twenty-eight studies met our inclusion criteria (7 SBST, 21 original OMPSQ, 3 short OMPSQ). The OMPSQ best predicted a Pain NRS ≥ 3 at 3 months (AUC = 0.64 (0.50–0.78)) and at 6 months (AUC between 0.70 (no confidence interval provided) and 0.84 (0.71–0.97)). The SBST and the OMPSQ are comparable to predict an Oswestry Disability Index ≥ 30% at 6 months. A single study showed no difference between the SBST and the OMPSQ to predict absenteeism ≥ 30 days at 6 months. The two questionnaires cannot be compared for “global recovery” outcomes.
Conclusion
The OMPSQ seems better than the SBST for predicting “pain” and “work” outcomes, the SBST may be better for “function” outcomes. These results should be taken with caution because of the high heterogeneity between studies. It should be noted that the OMPSQ was elaborated with the aim of creating a prognostic tool while the SBST was devised as a treatment-allocating tool and is easier to use in clinical practice. This should guide the choice of using one questionnaire rather than the other.Permalink : ./index.php?lvl=notice_display&id=84117
in Annals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 178-188[article] Comparison between the STarT Back Screening Tool and the Örebro Musculoskeletal Pain Screening Questionnaire: Which tool for what purpose? A semi-systematic review [texte imprimé] / Alexis Lheureux ; Anne Berquin . - 2019 . - p. 178-188.
https://doi.org/10.1016/j.rehab.2018.09.007
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 178-188
Mots-clés : STarT Back Screening Tool (SBST) Örebro Musculoskeletal Pain Screening Questionnaire (OMPSQ) Low back pain Predicting questionnaires Résumé : Background
Prevention of chronicization of low back pain requires accurate detection of at-risk patients. Questionnaires have been validated, including the STarT Back Screening Tool (SBST) and the Örebro Musculoskeletal Pain Screening Questionnaire (OMPSQ). This review aims to compare these questionnaires in terms of predictive value and in terms of aims, to guide the choice in clinical practice.
Methods
This study is a semi-systematic literature review. Studies evaluating at least one of the questionnaires and written between 1997 and October 10th 2017 were selected from Pubmed database. Inclusion criteria were pain duration < 3 months, outcomes including pain, function and/or global recovery. For work outcomes, inclusion criteria were extended to chronic patients. Studies had to provide information on sensitivity, specificity and area under the ROC Curve (AUC).
Results
Twenty-eight studies met our inclusion criteria (7 SBST, 21 original OMPSQ, 3 short OMPSQ). The OMPSQ best predicted a Pain NRS ≥ 3 at 3 months (AUC = 0.64 (0.50–0.78)) and at 6 months (AUC between 0.70 (no confidence interval provided) and 0.84 (0.71–0.97)). The SBST and the OMPSQ are comparable to predict an Oswestry Disability Index ≥ 30% at 6 months. A single study showed no difference between the SBST and the OMPSQ to predict absenteeism ≥ 30 days at 6 months. The two questionnaires cannot be compared for “global recovery” outcomes.
Conclusion
The OMPSQ seems better than the SBST for predicting “pain” and “work” outcomes, the SBST may be better for “function” outcomes. These results should be taken with caution because of the high heterogeneity between studies. It should be noted that the OMPSQ was elaborated with the aim of creating a prognostic tool while the SBST was devised as a treatment-allocating tool and is easier to use in clinical practice. This should guide the choice of using one questionnaire rather than the other.Permalink : ./index.php?lvl=notice_display&id=84117 Exemplaires (1)
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Exclu du prêtSecondary prevention of chronic musculoskeletal pain: A systematic review of clinical trials / Caroline Meyer in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)
[article]
Titre : Secondary prevention of chronic musculoskeletal pain: A systematic review of clinical trials Type de document : texte imprimé Auteurs : Caroline Meyer ; Camille M. Denis ; Anne Berquin Année de publication : 2018 Article en page(s) : p. 323-338 Note générale : Doi : 10.1016/j.rehab.2018.03.002 Langues : Anglais (eng) Mots-clés : Musculoskeletal pain Low back pain Chronic pain Secondary prevention Stratified care Résumé : Background
Chronic musculoskeletal pain disorders are highly prevalent and have high personal and societal cost. Hence, early detection and care of patients at risk of developing chronic pain is important. Risk factors are well known and screening tools exist, but much less is known about the care of at-risk patients. The aim of this study was to investigate the effectiveness of secondary prevention strategies for musculoskeletal pain.
Methods
We performed a systematic review of clinical trials in which treatments were adjusted to the risk of chronicity in adults with acute or subacute musculoskeletal pain. Clinical trials, systematic reviews and meta-analyses published after January 1, 2000 were searched in PubMed and PEDro databases and in the reference list of relevant papers. The risk of bias was assessed by the PEDro score.
Results
We identified 4807 potentially eligible articles; 13, corresponding to 9 studies, met the inclusion criteria. Most studies investigated low back pain. The overall risk of bias was moderate, mainly because of the difficulty of blinding in physiotherapy studies. As compared with a “one-size-fits-all” treatment, stratified programmes showed significant improvements in several domains of the International Classification of Functioning, Disability and Health: body structures and functions (pain, mood), activities (functional capacity), participation (return to work, quality of life), as well as environmental factors (healthcare consumption). Effect sizes were moderate. Overall, simple educational messages seemed sufficient for low-risk patients. Medium- and high-risk patients benefited from a physical reactivation programme combined with education. In high-risk patients, an additional cognitive-behavioural intervention further improved the outcome.
Conclusions
A stratified approach seems effective in reducing long-term disability in patients with musculoskeletal pain. However, more research is necessary to confirm these results.Permalink : ./index.php?lvl=notice_display&id=80631
in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 323-338[article] Secondary prevention of chronic musculoskeletal pain: A systematic review of clinical trials [texte imprimé] / Caroline Meyer ; Camille M. Denis ; Anne Berquin . - 2018 . - p. 323-338.
Doi : 10.1016/j.rehab.2018.03.002
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 323-338
Mots-clés : Musculoskeletal pain Low back pain Chronic pain Secondary prevention Stratified care Résumé : Background
Chronic musculoskeletal pain disorders are highly prevalent and have high personal and societal cost. Hence, early detection and care of patients at risk of developing chronic pain is important. Risk factors are well known and screening tools exist, but much less is known about the care of at-risk patients. The aim of this study was to investigate the effectiveness of secondary prevention strategies for musculoskeletal pain.
Methods
We performed a systematic review of clinical trials in which treatments were adjusted to the risk of chronicity in adults with acute or subacute musculoskeletal pain. Clinical trials, systematic reviews and meta-analyses published after January 1, 2000 were searched in PubMed and PEDro databases and in the reference list of relevant papers. The risk of bias was assessed by the PEDro score.
Results
We identified 4807 potentially eligible articles; 13, corresponding to 9 studies, met the inclusion criteria. Most studies investigated low back pain. The overall risk of bias was moderate, mainly because of the difficulty of blinding in physiotherapy studies. As compared with a “one-size-fits-all” treatment, stratified programmes showed significant improvements in several domains of the International Classification of Functioning, Disability and Health: body structures and functions (pain, mood), activities (functional capacity), participation (return to work, quality of life), as well as environmental factors (healthcare consumption). Effect sizes were moderate. Overall, simple educational messages seemed sufficient for low-risk patients. Medium- and high-risk patients benefited from a physical reactivation programme combined with education. In high-risk patients, an additional cognitive-behavioural intervention further improved the outcome.
Conclusions
A stratified approach seems effective in reducing long-term disability in patients with musculoskeletal pain. However, more research is necessary to confirm these results.Permalink : ./index.php?lvl=notice_display&id=80631 Exemplaires (1)
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Exclu du prêtValidation of an Arabic version of the Oswestry index in Saudi Arabia / A.S ALGAMI in Annals of physical and rehabilitation medicine, Vol. 57, n°9-10 (Décembre 2014)
[article]
Titre : Validation of an Arabic version of the Oswestry index in Saudi Arabia Titre original : Étude des qualités métriques de l’indice d’Oswestry sur une population d’Arabie Saoudite Type de document : texte imprimé Auteurs : A.S ALGAMI, Auteur ; GHORBEL S., Auteur Année de publication : 2014 Article en page(s) : p.653-663 Langues : Français (fre) Mots-clés : Functional index Low back pain Oswestry Translation Disability Index fonctionnel Lombalgie Traduction Incapacité Résumé : Objective
The aim of this study was to adapt and validate the Tunisian version of the Oswestry Disability Index (ODI) within a Saudi Arabian population.
Method
The translation of items 8 and 10 taken out of the Tunisian version was conducted according to Beaton's method. Adaptations were made after a pilot study on 100 patients. The validation study included 100 patients suffering from chronic low back pain aged 18 to 65 years old. Intra-observer reliability was assessed using the intra-class coefficient (ICC). Spearman rank correlation coefficient, the Kruskall–Wallis test and factor analysis were used to evaluate construct validity (convergent and divergent validity). Internal consistency was assessed by Cronbach's alpha coefficient.
Results
One hundred Saudi patients were included in the study. Intra-observer reliability was excellent (ICC: 0.99). The correlations of the index with the VAS pain scale (r=0.708), the Roland–Morris Low Back Pain Disability (r=0.656), and the Quebec Back Pain Disability Scale (r=0.792) suggest good construct validity. Factor analysis unveiled two main factors explaining a cumulative percentage variance of 63.5%. The first factor represents static activities and the second factor represents dynamic activities.
Conclusion
The Arabic version of the ODI adapted to the Saudi population has high metrological qualities. Further studies assessing its responsiveness to change should be conducted.
Objectif
Adapter et valider la version tunisienne de l’indice fonctionnel d’Oswestry (ODI) pour lombalgie sur une population saoudienne.
Patients et méthodes
La traduction des items 8 et 10 retirés de la version tunisienne a été faite selon la méthode de Beaton. Des adaptations ont été faites après pré-test sur 100 sujets. La validation a inclus une série de 100 patients lombalgiques chroniques âgés entre 18 et 65 ans. La reproductibilité a été jugée par le coefficient de corrélation intra-classe (CCI). La validité de construit (validités de divergence et de convergence) a été évaluée à l’aide du coefficient de Spearman, du test de Kruskall–Wallis, et d’une analyse factorielle suivie d’une rotation orthogonale. La cohérence interne a été faite à l’aide du coefficient de Crohnbach.
Résultats
Cent patients saoudiens ont participé à l’étude. La reproductibilité était excellente (CCI : 0,99). Les corrélations de l’indice d’Oswestry avec l’EVA douleur (r=0,708), avec le Roland–Morris Low Back Pain Disability (r=0,656) et le Québec Back Pain Disability Scale (r=0,792) lui confère une bonne validité de construit. L’analyse factorielle a permis d’extraire deux facteurs expliquant 63,5 % de la variance totale. Le premier représente les activités statiques et le deuxième les activités dynamiques.
Conclusion
La version arabe adaptée à la population saoudienne a des qualités métrologiques satisfaisantes. Des études explorant la sensibilité au changement doivent être menées.Permalink : ./index.php?lvl=notice_display&id=34548
in Annals of physical and rehabilitation medicine > Vol. 57, n°9-10 (Décembre 2014) . - p.653-663[article] Validation of an Arabic version of the Oswestry index in Saudi Arabia = Étude des qualités métriques de l’indice d’Oswestry sur une population d’Arabie Saoudite [texte imprimé] / A.S ALGAMI, Auteur ; GHORBEL S., Auteur . - 2014 . - p.653-663.
Langues : Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 57, n°9-10 (Décembre 2014) . - p.653-663
Mots-clés : Functional index Low back pain Oswestry Translation Disability Index fonctionnel Lombalgie Traduction Incapacité Résumé : Objective
The aim of this study was to adapt and validate the Tunisian version of the Oswestry Disability Index (ODI) within a Saudi Arabian population.
Method
The translation of items 8 and 10 taken out of the Tunisian version was conducted according to Beaton's method. Adaptations were made after a pilot study on 100 patients. The validation study included 100 patients suffering from chronic low back pain aged 18 to 65 years old. Intra-observer reliability was assessed using the intra-class coefficient (ICC). Spearman rank correlation coefficient, the Kruskall–Wallis test and factor analysis were used to evaluate construct validity (convergent and divergent validity). Internal consistency was assessed by Cronbach's alpha coefficient.
Results
One hundred Saudi patients were included in the study. Intra-observer reliability was excellent (ICC: 0.99). The correlations of the index with the VAS pain scale (r=0.708), the Roland–Morris Low Back Pain Disability (r=0.656), and the Quebec Back Pain Disability Scale (r=0.792) suggest good construct validity. Factor analysis unveiled two main factors explaining a cumulative percentage variance of 63.5%. The first factor represents static activities and the second factor represents dynamic activities.
Conclusion
The Arabic version of the ODI adapted to the Saudi population has high metrological qualities. Further studies assessing its responsiveness to change should be conducted.
Objectif
Adapter et valider la version tunisienne de l’indice fonctionnel d’Oswestry (ODI) pour lombalgie sur une population saoudienne.
Patients et méthodes
La traduction des items 8 et 10 retirés de la version tunisienne a été faite selon la méthode de Beaton. Des adaptations ont été faites après pré-test sur 100 sujets. La validation a inclus une série de 100 patients lombalgiques chroniques âgés entre 18 et 65 ans. La reproductibilité a été jugée par le coefficient de corrélation intra-classe (CCI). La validité de construit (validités de divergence et de convergence) a été évaluée à l’aide du coefficient de Spearman, du test de Kruskall–Wallis, et d’une analyse factorielle suivie d’une rotation orthogonale. La cohérence interne a été faite à l’aide du coefficient de Crohnbach.
Résultats
Cent patients saoudiens ont participé à l’étude. La reproductibilité était excellente (CCI : 0,99). Les corrélations de l’indice d’Oswestry avec l’EVA douleur (r=0,708), avec le Roland–Morris Low Back Pain Disability (r=0,656) et le Québec Back Pain Disability Scale (r=0,792) lui confère une bonne validité de construit. L’analyse factorielle a permis d’extraire deux facteurs expliquant 63,5 % de la variance totale. Le premier représente les activités statiques et le deuxième les activités dynamiques.
Conclusion
La version arabe adaptée à la population saoudienne a des qualités métrologiques satisfaisantes. Des études explorant la sensibilité au changement doivent être menées.Permalink : ./index.php?lvl=notice_display&id=34548 Exemplaires (1)
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Exclu du prêtLong-term follow-up of the anterior lumbar interbody fusion procedure / Dimitri Verbruggen in Acta Orthopaedica Belgica, Vol. 81/3 (Septembre 2015)
[article]
Titre : Long-term follow-up of the anterior lumbar interbody fusion procedure Type de document : texte imprimé Auteurs : Dimitri Verbruggen, Auteur ; Thomas TAMPERE, Auteur ; Dirk UYTTENDAELE, Auteur Année de publication : 2015 Article en page(s) : p.546-552 Langues : Anglais (eng) Mots-clés : Spine lumbar spine interbody fusion outcome low back pain Résumé : Purpose: To evaluate the long-term clinical results and the effectiveness of the anterior lumbar interbody fusion procedure.
Methods: Between 1999 and 2005, 60 ALIFs were performed in 59 patients. Mean age was 41.1 years.
Clinically, patients were evaluated at a mean followup of 9.5 years using the Visual Analogue Scale grading scale, the Oswestry Disability score and the SF-36 questionnaire.
Results: Preoperative and postoperative clinical evaluation scores of 38 patients were available. Nineteen patients were lost to follow-up, and 2 patients died during the follow-up. The fusion rate was 84%. Mean preoperative VAS-score for back pain was 6.69 (± 2.15); in the long term, the mean VAS-score was 4.95 (± 2.95), which was a significant improvement. (p < 0.01). The postoperative ODI-score was 36.11 (± 22.32), while the preoperative ODI-score was 59.31 (± 17.16), which demonstrates a significant improvement. According to the SF-36, mild to good results were observed.
Conclusions: The ALIF procedure can offer significant pain relief and improved function if a strict indication policy is followed.Permalink : ./index.php?lvl=notice_display&id=40932
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.546-552[article] Long-term follow-up of the anterior lumbar interbody fusion procedure [texte imprimé] / Dimitri Verbruggen, Auteur ; Thomas TAMPERE, Auteur ; Dirk UYTTENDAELE, Auteur . - 2015 . - p.546-552.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.546-552
Mots-clés : Spine lumbar spine interbody fusion outcome low back pain Résumé : Purpose: To evaluate the long-term clinical results and the effectiveness of the anterior lumbar interbody fusion procedure.
Methods: Between 1999 and 2005, 60 ALIFs were performed in 59 patients. Mean age was 41.1 years.
Clinically, patients were evaluated at a mean followup of 9.5 years using the Visual Analogue Scale grading scale, the Oswestry Disability score and the SF-36 questionnaire.
Results: Preoperative and postoperative clinical evaluation scores of 38 patients were available. Nineteen patients were lost to follow-up, and 2 patients died during the follow-up. The fusion rate was 84%. Mean preoperative VAS-score for back pain was 6.69 (± 2.15); in the long term, the mean VAS-score was 4.95 (± 2.95), which was a significant improvement. (p < 0.01). The postoperative ODI-score was 36.11 (± 22.32), while the preoperative ODI-score was 59.31 (± 17.16), which demonstrates a significant improvement. According to the SF-36, mild to good results were observed.
Conclusions: The ALIF procedure can offer significant pain relief and improved function if a strict indication policy is followed.Permalink : ./index.php?lvl=notice_display&id=40932 Exemplaires (1)
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