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Donceel et al2 reported results of a retrospective comparative study comparing fitness for work after surgery for discectomy symptoms enlarged spleen thorazine 100mg order without prescription, percutaneous discectomy and fusion. Of the 3956 patients included in the study, 3544 were treated with standard discectomy, 126 with percutaneous discectomy and 286 with fusion. Outcomes were assessed at one to three years based upon fitness to work (in the first six months to return to their own work and after six months to any job), as determined by the health care provider. Discectomy combined with fusion was significantly related to poor outcomes, whereas standard discectomy and percutaneous nucleotomy did not differ in their impact on fitness for work. Eie et al3 described a retrospective comparative study comparing results of discectomy with and without fusion in the treatment of lumbar disc herniation. Of the 259 patients included in the study, 191 were treated with discectomy alone and 68 received discectomy and fusion. Outcomes were assessed at six to seven years based on reports of whether results were satisfactory. At six month follow-up, there was statistically less recurrence of pain in the fusion group. The main source of pain in the discectomy group was recurrent herniations and pseudoarthrosis in the fusion group. At final follow-up the results were slightly better in the fusion group, but the differences were not statistically significant. The authors concluded that fusion is recommended for young patients and discectomy for older patients. Matsunaga et al4 presented results from a retrospective study comparing results of percutaneous discectomy, discectomy and fusion for patients with simple disc herniations who were manual laborers and athletes. The study included 82 manual laborers and 28 athletes, of which 30 patients were treated with discectomy, 51 with percutaneous discectomy and 29 with discectomy and fusion. Duration of follow-up varied from two years and nine months to seven years and three months, with the percutanous group having the shortest follow-up and simple discectomy and fusion had similar follow-up profiles. For manual laborers there was a higher return to work with a fusion as opposed to discectomy. Lumbar fatigue was the main reason why people did not return to work and that was more commonly found in the simple discectomy patients.
Nasib, 31 years: Conditioned pain modulation (the diffuse noxious inhibitory control-like effect): its relevance for acute and chronic pain states.
Georg, 38 years: Clinical outcomes of rehabilitation for patients following lateral patellar dislocation: a systematic review.
Kaelin, 52 years: There was moderate-quality evidence that the number of recurrences was significantly reduced in 2 studies (mean difference, 0.
Rathgar, 48 years: During ventricular diastole due to relaxation of myocardium, blood can flow through it.
Goran, 50 years: Pre-operative Post-operative recovery Progressive limb loading Unilateral load acceptance Sport speci c task training Unrestricted sport speci c training For each of these phases the group identi ed key criteria (and speci c tests) which were to be achieved prior to the athlete being released to move on to the next rehabilitative phase.
Tukash, 58 years: An agreed strategy will be created and implemented for improving the accurate prescription of compression garments whilst maintaining patient choice.
Umbrak, 33 years: Management of shock and acute renal failure in casualties suffering from the crush syndrome.
