798 results match your criteria foraminal intervertebral

Can T2-weighted Dixon fat-only images replace T1-weighted images in degenerative disc disease with Modic changes on lumbar spine MRI?

Eur Radiol 2021 May 15. Epub 2021 May 15.

Department of Radiology B, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris (AP-HP), 27 rue du Faubourg Saint-Jacques, 75014, Paris, France.

Objectives: To evaluate the diagnostic performance and interobserver agreement of a magnetic resonance imaging (MRI) protocol that only includes sagittal T2-weighted Dixon fat and water images as an alternative to a standard protocol that includes both sagittal T1-weighted sequence and T2-weighted Dixon water images as reference standard in lumbar degenerative disc disease with Modic changes.

Methods: From February 2017 to March 2019, 114 patients who underwent lumbar spine MRI for low back pain were included in this retrospective study. All MRI showed Modic changes at least at one vertebral level. Read More

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Risk Factors and Prevention of C5 Palsy After Anterior Cervical Decompression and Fusion: Similarity of the Pathomechanism With That After a Posterior Approach.

Clin Spine Surg 2021 May 12. Epub 2021 May 12.

Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences University of Fukui, Fukui, Japan.

Study Design: This was a retrospective study.

Objective: The objective of this study was to review clinical and imaging findings after anterior cervical decompression and fusion, as a basis for prevention of C5 palsy.

Summary Of Background Data: C5 palsy is a common postoperative complication in spine surgery, but the mechanistic basis for this condition is unknown. Read More

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Multiple nerve root metastasis of breast carcinoma: a report of two cases.

Gland Surg 2021 Apr;10(4):1542-1546

Department of Neurosurgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Nerve root metastases are extremely rare with only a handful of cases ever reported. Metastasis to sites other than the primary site is common in malignant tumors whereas spinal ganglion metastasis is extremely rare and has been only reported in individual cases. The lumbar spine tends to be more common areas of presentation whereas breast cancer metastasis has been rarely reported. Read More

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Ultrasound-guided paravertebral perineural glucocorticoid injection for signs of refractory cervical pain associated with foraminal intervertebral disk protrusion in four dogs.

J Am Vet Med Assoc 2021 May;258(9):999-1006

Case Description: 4 dogs, 7.5 to 10 years of age, were presented for evaluation of signs of chronic cervical pain and forelimb lameness secondary to cervical foraminal intervertebral disk protrusion (IVDP). All dogs were refractory to ≥ 2 weeks of conservative management including strict rest and pain management with anti-inflammatory drugs, methocarbamol, and gabapentin. Read More

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C3 segmental vertebral artery and its surgical implication in craniovertebral junction anomalies: Insights from two cases.

J Craniovertebr Junction Spine 2021 Jan-Mar;12(1):81-85. Epub 2021 Mar 4.

Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

A spectrum of vertebral artery (VA) anomalies have been described with or without an associated congenital craniovertebral junction (CVJ) anomalies. C3 segmental VA, where the VA enters the dura at the level of C2/3 intervertebral foramen is an extremely rare anomaly. We report two cases of congenital CVJ anomaly (irreducible in one with C2/3 fusion and reducible in the other; without any subaxial fusion but with articular agenesis at C2/3 joint on the anomalous artery side). Read More

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Magnetic resonance imaging and neurological findings in dogs with disc-associated cervical spondylomyelopathy: a case series.

BMC Vet Res 2021 Apr 7;17(1):145. Epub 2021 Apr 7.

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, 601 Vernon Tharp St, OH, 43210, Columbus, USA.

Background: Canine cervical spondylomyelopathy can be separated into osseous and disc-associated (DA-CSM) forms. Our aim was to describe the magnetic resonance imaging (using a high-field scanner) and neurological findings in dogs with DA-CSM and investigate a relationship between these findings.

Results: Sixty-three dogs were included: 60/63 (95 %) were large breeds, with Doberman Pinschers and males over-represented (70 %). Read More

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Stand-Alone Posterior Expandable Cage Technique for Adjacent Segment Degeneration with Lumbar Spinal Canal Stenosis: A Retrospective Case Series.

Medicina (Kaunas) 2021 Mar 4;57(3). Epub 2021 Mar 4.

Joint and Arthritis Research, Orthopaedic Surgery, Himchan Hospital, 20, Sinmok-ro, Yangcheon-gu, Seoul 07999, Korea.

: Symptomatic adjacent segment degeneration (ASD) with lumbar spinal canal stenosis (LSCS) is a common complication after spinal intervention, particularly interbody fusion. Stand-alone posterior expandable cages enable interbody fusion with preservation of the previous operation site, and screw-related complications are avoided. Thus, the aim of this study was to investigate the clinicoradiologic outcomes of stand-alone posterior expandable cages for ASD with LSCS. Read More

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Computed Tomography- (CT-) Based Virtual Surgery Planning for Spinal Intervertebral Foraminal Assisted Clinical Treatment.

J Healthc Eng 2021 6;2021:5521916. Epub 2021 Mar 6.

Department of Orthopaedics, Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221000, China.

With the development of minimally invasive spine concepts and the introduction of new minimally invasive instruments, minimally invasive spine technology, represented by foraminoscopy, has flourished, and percutaneous foraminoscopy has become one of the most reliable minimally invasive procedures for the treatment of lumbar disc herniation. Percutaneous foraminoscopy is a safe and effective minimally invasive spinal endoscopic surgical technique. It fully protects the paravertebral muscles and soft tissues as well as the posterior column structure of the spine, provides precise treatment of the target nucleus pulposus tissue, with the advantages of less surgical trauma, fewer postoperative complications, and rapid postoperative recovery, and is widely promoted and used in clinical practice. Read More

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Transforaminal lumbar interbody fusion with reduction of slippage of vertebrae for isthmic lumbar spondylolisthesis: Unilateral versus bilateral interbody fusion.

Clin Neurol Neurosurg 2021 Apr 9;203:106588. Epub 2021 Mar 9.

The Department of Orthopaedics, Shanghai Pudong New District Peoples' Hospital, Shanghai, China. Electronic address:

Objective: To investigate the radiological and clinical efficacy of transforaminal lumbar bilateral interbody fusion (TLBIF) versus transforaminal lumbar unilateral interbody fusion (TLUIF) with reduction of slippage of the vertebra in isthmic lumbar spondylolisthesis (ILS).

Methods: A comparative retrospective study was conducted between patients undergoing TLBIF (n = 46) and TLUIF (n = 40). Demographic data, intraoperative data, complications, and radiographic parameters, including total lumbar lordosis (LL), intervertebral disc height (IDH), and foraminal height (FH), and the final fusion rate were evaluated and compared between the two groups. Read More

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Plain lumbosacral X-rays for low back pain: Findings correlate with clinical presentation in primary care settings.

J Family Med Prim Care 2020 Dec 31;9(12):6115-6120. Epub 2020 Dec 31.

King Abdullah International Medical Research Center, Riyadh, Saudi Arabia, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

Background: Low back pain (LBP) is a common disabling condition frequently seen and managed in primary care. LBP is considered to be the most common health problem for which general practitioners order an imaging test.

Objective: To correlate radiological findings of plain lumbosacral X-rays with the initial clinical presentation of patients with back pain. Read More

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December 2020

Three-dimensional computed tomographic evaluation of lateral lumbar interbody fusion: morphometric change of intervertebral structure.

Eur Spine J 2021 May 2;30(5):1355-1364. Epub 2021 Mar 2.

Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, 514-8507, Japan.

Purpose: Two-dimensional (2D) analyses of intervertebral disc (IVD) height and foramen measurements following lateral lumbar interbody fusion (LLIF) have been reported. However, three-dimensional (3D) morphometric analysis of intervertebral structure using 3D computed tomography (3D CT) provides increased precision for measuring morphological changes. The purpose of this study was to evaluate 3D changes of lumbar IVD height and foramen diameter in degenerative lumbar disease patients following LLIF. Read More

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Degenerative spine disease: Italian position paper on acquisition, interpretation and reporting of Magnetic Resonance Imaging.

Insights Imaging 2021 Feb 11;12(1):14. Epub 2021 Feb 11.

Neuroradiology Department, IRCCS Mondino Foundation, Pavia, Italy.

Objective: To promote a better radiological interpretation of spine degeneration, a consistent standardization of the acquisition, interpretation and description of Magnetic Resonance Imaging (MRI) l findings.

Materials And Methods: In order to achieve this objective, a consensus among experts in imaging of degenerative spine disease (DSD) from Italian radiological societies (SIRM-Italian Society of Radiology, AINR-Italian Association of Neuroradiology) was achieved. The representatives of the Italian inter-societal working group examined the literature produced by European/American task forces on optimizing the study sequences, classification of degenerative disc changes, spondylo-arthrosis, osteochondrosis, synovial and ligament pathologies of the spinal column, and on canal and foraminal stenosis. Read More

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February 2021

Lateral-anterior lumbar interbody fusion (LaLIF) for lumbar degenerative disease: Technical notes, surgical system, and mid-term outcomes.

J Orthop Translat 2021 May 1;28:12-20. Epub 2021 Feb 1.

Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-sen University, No.58 Zhongshan 2nd Road, 510080, Guangzhou, Guangdong, China.

Background: Many modified lateral lumbar interbody fusion techniques for lumbar degenerative diseases have been described by different authors. However, relatively high rates of vascular injury, peritoneal laceration, and even ureteral injury have been reported.

Purpose: The objectives of this study were firstly to present the detailed, standardized technical notes and describe the required standard characteristics of the designed surgical system of LaLIF and secondly to evaluate clinical outcomes and highlight the approach-related complications. Read More

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Using the Compressed Sensing Technique for Lumbar Vertebrae Imaging: Comparison with Conventional Parallel Imaging.

Curr Med Imaging 2021 Jan 26. Epub 2021 Jan 26.

Department of Radiology, Shengjing Hospital of China Medical University. China.

Objective: To compare conventional sensitivity encoding turbo spin-echo (SENSE-TSE) with compressed sensing plus SENSE turbo spin-echo (CS-TSE) in lumbar vertebrae magnetic resonance imaging (MRI).

Methods: This retrospective study of lumbar vertebrae MRI included 600 patients; 300 patients received SENSE-TSE and 300 patients received CS-TSE. The SENSE acceleration factor was 1. Read More

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January 2021

Comparative evaluation of posterior percutaneous endoscopy cervical discectomy using a 3.7 mm endoscope and a 6.9 mm endoscope for cervical disc herniation: a retrospective comparative cohort study.

BMC Musculoskelet Disord 2021 Feb 2;22(1):131. Epub 2021 Feb 2.

Department of orthopaedics, The Second Hospital of Jilin University, Changchun, Jilin Province, China.

Background: Posterior percutaneous endoscopy cervical discectomy (p-PECD) is an effective strategy for the treatment of cervical diseases, with a working cannula ranging from 3.7 mm to 6.9 mm in diameter. Read More

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February 2021

Structure of Lumbar Intervertebral Foraminal Ligaments Based on 3-Dimensional Reconstruction Through Ultrathin Cryomilling of a Human Cadaver.

World Neurosurg 2021 Apr 19;148:e609-e616. Epub 2021 Jan 19.

Department of Spine Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China. Electronic address:

Background: This study aimed to assess the feasibility of using the 3-dimensional (3-D) reconstruction technique based on ultrathin cryomilling to show the lumbar intervertebral foraminal ligaments in situ.

Methods: Cryomilling was performed on an embalmed human cadaver to acquire successive cross-sectional images. In each of the images, the boundaries of lumbar intervertebral foraminal ligaments and their adjacent structures were outlined, labeled, and reconstructed for 3-D modeling. Read More

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The Long-term Impact of Whiplash Injuries on Patient Symptoms and the Associated Degenerative Changes Detected Using MRI: A Prospective 20-year Follow-up Study Comparing Patients with Whiplash-associated Disorders with Asymptomatic Subjects.

Spine (Phila Pa 1976) 2021 Jun;46(11):710-716

Department of Orthopedic Surgery, Keio University School of Medicine, Shinjuku, Tokyo, Japan.

Study Design: A longitudinal, 20-year comparative study of patients with whiplash-associated disorders (WAD).

Objective: The aim of this study was to clarify the long-term impact of WAD on patient symptoms and on magnetic resonance imaging (MRI) findings of the cervical spine, in comparison with asymptomatic volunteers.

Summary Of Background Data: The long-term impact of WAD has not been fully elucidated. Read More

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Occurrence, Risk Factors, and Time Trends for Late Reoperations due to Degenerative Cervical Spine Disease: A Finnish National Register Study of 19 377 Patients Operated on Between 1999 and 2015.

Neurosurgery 2021 02;88(3):558-573

National Institute for Health and Welfare, Centre for Health and Social economics, Helsinki, Finland.

Background: Surgery for degenerative cervical spine disease has escalated since the 1990s. Fusion has become the mainstay of surgery despite concerns regarding adjacent segment degeneration. The patient-specific trends in reoperations have not been studied previously. Read More

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February 2021

Three-Dimensional Volumetric Changes and Clinical Outcomes after Decompression with DIAM™ Implantation in Patients with Degenerative Lumbar Spine Diseases.

Medicina (Kaunas) 2020 Dec 21;56(12). Epub 2020 Dec 21.

Department of Neurosurgery, Keelung Chang Gung Memorial Hospital, Keelung 20401, Taiwan.

: The prevalence of degenerative lumbar spine diseases has increased. In addition to standard lumbar decompression and/or fusion techniques, implantation of interspinous process devices (IPDs) can provide clinical benefits in highly selected patients. However, changes in spinal structures after IPD implantation using magnetic resonance imaging (MRI) have rarely been discussed. Read More

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December 2020

Spine system changes in soldiers after load carriage training in a plateau environment: a prediction model research.

Mil Med Res 2020 12 21;7(1):63. Epub 2020 Dec 21.

Department of Orthopaedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China.

Background: Low back pain is the most common spinal disorder among soldiers, and load carriage training (LCT) is considered the main cause. We aimed to investigate changes in the spine system of soldiers after LCT at high altitudes and the change trend of the lumbar spine and surrounding soft tissues under different load conditions.

Methods: Magnetic resonance imaging scans of the lumbar spines of nine soldiers from plateau troops were collected and processed. Read More

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December 2020

Diagnostic usefulness of denervation edema in the multifidus muscles using 3-Tesla magnetic resonance imaging in cervical radiculopathy.

Muscle Nerve 2021 03 26;63(3):365-370. Epub 2020 Dec 26.

Department of Neurology, Kanazawa Medical University, Uchinada, Japan.

Background: Diagnosing cervical radiculopathy (CR) can be difficult because of symptomatic overlap with peripheral neuropathies. In this retrospective observational study, we aimed to determine whether short-tau inversion recovery (STIR) magnetic resonance imaging (MRI) sequences are useful for detecting signs of denervation in the multifidus muscles in patients with CR.

Methods: We analyzed the data of 18 patients with CR who developed arm weakness within 1 year. Read More

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MRI predictors of revision surgery after primary lumbar discectomy.

J Clin Neurosci 2020 Nov 27;81:442-446. Epub 2020 Oct 27.

Department of Neurosurgery, St. George Hospital, Kogarah, New South Wales, Australia.

The prognostic significance of preoperative MRI findings in patients undergoing discectomy is incompletely understood. Identifying the radiological predictors of revision surgery on pre-operative MRI can guide management decisions and potentially prevent multiple surgeries. We included 181 patients who underwent primary lumbar discectomy between 2010 and 2014. Read More

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November 2020

Reprint of: Safe Route for Cervical Approach: Partial Pediculotomy, Partial Vertebrotomy Approach for Posterior Endoscopic Cervical Foraminotomy and Discectomy.

World Neurosurg 2021 01 17;145:621-630. Epub 2020 Nov 17.

Spine Surgery Center, Nanoori Gangnam Hospital, Seoul, Republic of Korea.

Background: Cervical radiculopathy is a common cervical spine condition. However, a paucity of data is available on the effect of partial pediculotomy and partial vertebrotomy (PPPV) for posterior endoscopic cervical foraminotomy (PECF) to treat cervical radiculopathy. We investigated the radiological and clinical outcomes of this approach. Read More

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January 2021

Endoscopic Surgical Resection of the Retropulsed S1 Vertebral Endplate in L5-S1 Spondylolisthesis: Case Series.

Pain Physician 2020 11;23(6):E629-E636

Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI.

Background: A severe grade I and grade II spondylolisthesis at L5-S1 creates an anatomic distortion that can compress the traversing S1 nerve with a retropulsed S1 vertebral body endplate and (sometimes) herniated disc.

Objectives: To evaluate the feasibility for awake, endoscopic treatment of symptomatic radiculopathy secondary to the deformity that results from the retropulsed superior endplate of S1 in grade I/II L5-S1 spondylolisthesis in patients with and without previous fusion surgery.

Study Design: Retrospective chart review. Read More

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November 2020

Automated measurement of anteroposterior diameter and foraminal widths in MRI images for lumbar spinal stenosis diagnosis.

PLoS One 2020 2;15(11):e0241309. Epub 2020 Nov 2.

School of Computer Science and Mathematics, Liverpool John Moores University, Liverpool, United Kingdom.

Lumbar Spinal Stenosis causes low back pain through pressures exerted on the spinal nerves. This can be verified by measuring the anteroposterior diameter and foraminal widths of the patient's lumbar spine. Our goal is to develop a novel strategy for assessing the extent of Lumbar Spinal Stenosis by automatically calculating these distances from the patient's lumbar spine MRI. Read More

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December 2020

In vivo 3D tomography of the lumbar spine using a twin robotic X-ray system: quantitative and qualitative evaluation of the lumbar neural foramina in supine and upright position.

Eur Radiol 2021 May 29;31(5):3478-3490. Epub 2020 Oct 29.

Department of Radiology, Clinic of Radiology and Nuclear Medicine, University Hospital Basel, University of Basel, Petersgraben 4, 4031, Basel, Switzerland.

Objectives: Supine lumbar spine examinations underestimate body weight effects on neuroforaminal size. Therefore, our purpose was to evaluate size changes of the lumbar neuroforamina using supine and upright 3D tomography and to initially assess image quality compared with computed tomography (CT).

Methods: The lumbar spines were prospectively scanned in 48 patients in upright (3D tomographic twin robotic X-ray) and supine (30 with 3D tomography, 18 with CT) position. Read More

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Intervertebral foramen narrowing during vertical dynamic loading.

Traffic Inj Prev 2020 Oct 29;21(sup1):S163-S165. Epub 2020 Oct 29.

Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin.

Objective: The goal of the present study was to examine the effect of vertebral body fracture on the InterVertebral Foraminal IVF parameters with an input acceleration to the seat bottom in the inferior-to-superior direction.

Methods: A series of 43 isolated lumbar spines underwent vertical dynamic loading using the vertical accelerative device to determine the influence of inferior to superior loading through the lumbar spine on the intervertebral foramen (IVF) geometries. Existence of foraminal stenosis was quantified using pre- and post-test computed tomography (CT) images. Read More

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October 2020

[Design of three-dimensional foraminal guide device and application in percutaneous endoscopic lumbar discectomy].

Zhongguo Gu Shang 2020 Oct;33(10):943-7

Department of Orthopaedics, the Affiliated Hospital of Xuzhou Medical University, Xuzhou 221006, Jiangsu, China.

Objective: To explore clinical application of the new three-dimensional foramen guide in percutaneous endoscopic lumbar discectomy.

Methods: Based on the principle of reverse positioning, a new three-dimensional foramen guide was designed. From May 2016 to May 2018, totally 40 patients with segmental lumbar disc herniation were underwent percutaneous endoscopic lumbar discectomy. Read More

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October 2020

Two-Year Clinical and Radiographic Outcomes of Expandable Interbody Spacers Following Minimally Invasive Transforaminal Lumbar Interbody Fusion: A Prospective Study.

Int J Spine Surg 2020 Aug 31;14(4):518-526. Epub 2020 Jul 31.

Globus Medical Inc, Audubon, Pennsylvania.

Background: The advantages of minimally invasive surgery for transforaminal lumbar interbody fusion (MIS TLIF) are well documented and include decreased blood loss, shorter length of hospital stay, and reduced perioperative costs. Clinical evidence for the use of expandable interbody spacers in conjunction with MIS TLIF, however, is scarce. This study sought to examine the clinical and radiographic outcomes of patients undergoing MIS TLIF with an expandable spacer. Read More

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The correlation of intraoperative distraction of intervertebral disc with the postoperative canal and foramen expansion following oblique lumbar interbody fusion.

Eur Spine J 2021 01 22;30(1):151-163. Epub 2020 Sep 22.

Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea, 222 Banpo-daero Seocho-gu, Seoul, 06591, Republic of Korea.

Purpose: To examine the correlation of intraoperative distraction of intervertebral disc with the postoperative central canal and foramen expansion by oblique lumbar interbody fusion (OLIF) with indirect decompression.

Methods: Patients who underwent OLIF between October 2013 and April 2017 were included. Clinical outcomes included back and leg pain evaluated by visual analog scale (VAS) and Oswestry Disability Index (ODI). Read More

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January 2021