Evidence-Based Orthopaedics. The Best Answers to Clinical by James G. Wright MD FRCSC

By James G. Wright MD FRCSC

Dr. James Wright, affiliate Editor for the magazine of Bone and Joint surgical procedure, provides this landmark booklet and novel method of orthopaedic difficulties and suggestions. This new, evidence-based reference examines scientific thoughts and discusses correct examine proof to supply you with specialist options for most sensible perform. The constant bankruptcy structure and featured precis tables offer "at-a-glance" Read more...

summary: Dr. James Wright, affiliate Editor for the magazine of Bone and Joint surgical procedure, offers this landmark book and novel method of orthopaedic difficulties and suggestions. This new, evidence-based reference examines scientific recommendations and discusses correct learn facts to supply you with professional strategies for most sensible perform. The constant bankruptcy structure and featured precis tables supply "at-a-glance" entry to the evidence-based literature and scientific thoughts. top professionals give a contribution their services so that you can follow the best medical ideas to the continual questions you come upon on your perform. it's also possible to entry the absolutely searchable and often up-to-date textual content on-line! the result's a good source in scientific orthopaedics, in addition to a important framework for translating proof into perform

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35. Gaitanis IN, et al: Restoring geometric and loading alignment of the thoracic spine with a vertebral compression fracture: Effects of balloon (bone tamp) inflation and spinal extension. Spine J 5:45–54, 2005. 36. Pradhan BB, et al: Kyphoplasty reduction of osteoporotic vertebral compression fractures: Correction of local kyphosis versus overall sagittal alignment. Spine 31:435–441, 2006. 37. Shindle MK, et al: Vertebral height restoration in osteoporotic compression fractures: Kyphoplasty balloon tamp is superior to postural correction alone.

19. Thomsen K, Christensen FB, Eiskjaer SP, et al: The effect of pedicle screw instrumentation on functional outcome and fusion rates in posterolateral lumbar spinal fusion: A prospective randomized clinical study. Spine 22:2813–2822. 20. Madan S, Boeree NR: Outcome of posterior lumbar interbody fusion versus posterolateral fusion for spondylolytic spondylolisthesis. Spine 27:1536–1542, 2002. 21. La Rosa G, Conti A, et al: Pedicle screw fixation for isthmic spondylolisthesis: Does posterior lumbar interbody fusion improve outcome over posterolateral fusion?

It is clear that additional research and study is warranted to fully endorse some of the available therapies. With a heterogeneous condition such as spinal stenosis, treatment effects are likely specific to patient subgroups. Degenerative lumbar spondylolisthesis with associated lumbar stenosis is discussed elsewhere in this textbook and will not formally form part of this chapter’s specific review. Nonsurgical Treatment (Grade I) A relative paucity of randomized clinical trials in the support of many of the commonly practiced and reported nonsurgical therapies in lumbar spinal stenosis exists.

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