Timothy A. Garvey

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BACKGROUND To our knowledge, a prospective, randomized study comparing operative and nonoperative treatment of a thoracolumbar burst fracture in patients without a neurological deficit has never been performed. Our hypothesis was that operative treatment would lead to superior long-term clinical outcomes. METHODS From 1994 to 1998, forty-seven consecutive(More)
Eighteen neurologically intact patients with burst fractures at the thoracolumbar junction were treated with early ambulation in a total contact orthosis. No attempt was made to reduce the associated deformity. Selection criteria excluded patients with posterior column disruption. Hospital stay averaged 10 days. Follow-up averaged 19 months. Mean kyphosis(More)
STUDY DESIGN This study prospectively evaluated the health related quality of life (HRQOL) of 73 adults presenting with scoliosis at a single institution, as related to their spinal (C7 plumbline) and global (gravity line) balance. OBJECTIVE To assess the influence of sagittal and coronal balance on HRQOL in adult scoliosis. SUMMARY OF BACKGROUND DATA(More)
The efficacy of trigger-point injection therapy in treatment of low-back strain was evaluated in a prospective, randomized, double-blind study. The patient population consisted of 63 individuals with low-back strain. Patients with this diagnosis had nonradiating low-back pain, normal neurologic examination, absence of tension signs, and lumbosacral(More)
BACKGROUND Fungal infections of the spine are noncaseating, acid-fast-negative infections that occur primarily as opportunistic infections in immunocompromised patients. We analyzed eleven patients with spinal osteomyelitis caused by a fungus, and we developed suggestions for treatment. METHODS All patients with a fungal infection of the spine treated by(More)
BACKGROUND CONTEXT Several conservative therapies have been shown to be beneficial in the treatment of chronic low back pain (CLBP), including different forms of exercise and spinal manipulative therapy (SMT). The efficacy of less time-consuming and less costly self-care interventions, for example, home exercise, remains inconclusive in CLBP populations. (More)
OBJECTIVES To assess the feasibility of patient recruitment, the ability of patients and clinicians to comply with study protocols, and the use of data collection instruments to collect cost-effectiveness data, and to obtain variability estimates for sample-size calculations for a full-scale trial. STUDY DESIGN Prospective, observer-blinded, pilot(More)
STUDY DESIGN An extensive outcome questionnaire using a visual analog scale, the North American Spine Society Satisfaction Questionnaire, a Modified Roland and Morris disability index, and a modified Oswestry Disability Index was used to assess the outcome of anterior cervical discectomy and fusion for those with neck pain. OBJECTIVE To document the(More)
The lack of a widely available scoring system for cervical degenerative spondylosis encouraged the authors to establish and validate a systematic quantitative radiographic index. This study included intraobserver and interobserver reliability testing among three reviewers with different years of experience. Each observer independently scored four cervical(More)
STUDY DESIGN Prospective clinical series with comparison to retrospectively collected data. OBJECTIVE To compare direct measures of postoperative hematoma volume against a new measure of hematoma effect on the thecal sac: the critical ratio. SUMMARY OF BACKGROUND DATA Asymptomatic epidural hematoma is common after lumbar surgery. Symptomatic patients(More)