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At least 217 records · Page 12Linked to original sources

Surgical treatment of low backache and sciatica.

A comparison between 86 patients with low back pain who underwent surgery and 32 who did not showed that laminectomy is an effective treatment for many patients in whom conservative treatment has failed. Surgery should be undertaken sooner rather than later (preferably within a year), both because a good outcome is less likely with longer duration of symptoms and because long periods of disability and time off work can in this way be avoided.

Adult↗

[Evaluation of the North American Spine Society Instrument for assessment of health status in patients with chronic backache].

PURPOSE OF THE STUDY: The translation/back and translation and validation of the North American Spine Society (NASS) Instrument in German was published recently. This contribution aims at describing the scoring of this questionnaire. METHOD: The scoring is oriented on the recommendations of the developing scientists of the US-American original, with whom we cooperated during the German validation. RESULTS: The scoring algorithm is described, a program for computerized scoring in SPSS was written. Program syntax and the questionnaire are reproduced. CONCLUSION: The contribution enables interested researchers to apply and score the NASS questionnaire in German-speaking countries.

Back Pain↗

[Backache and palmar eczema (SAPHO syndrome)].

HISTORY AND ADMISSION FINDINGS: A 63-year-old female painter was referred for evaluation of the cause of persistent back pain, night sweat and an elevated blood sedimentation rate. Besides, she reported recurrent, probably "atopic eczema" of both hands. Clinical examination revealed midthoracic back pain but no actual skin lesions. INVESTIGATIONS: Contrast medium-enhanced magnetic resonance tomography of the spine showed an increased signal intensity of the thoracic vertebral bodies 6 - 10 and the prevertebral soft tissue in T1-weighted images with fat suppression. The finding was considered to be suspicious for malignant neoplasia. Despite performing various diagnostic tests, neither a malignant nor an infectious process of the spine could be diagnosed. DIAGNOSIS, TREATMENT AND COURSE: In-depth evaluation of history and clinical findings gave the diagnosis of SAPHO syndrome (synovitis, acne, pustulosis, hyperostosis and osteitis). CONCLUSION: The intention of this case report is to demonstrate, once more, the importance of carefully taking a patient's history and fully evaluating the clinical findings.

Acquired Hyperostosis Syndrome↗