We found that no single factor influenced patients' responses to the surgical treatment of intermittent XT. To address controversies and improve the evidence base regarding surgical intervention of this condition, randomized controlled trials are needed and justified because the results indicate that it would be relatively safe to randomly allocate patients to groups who could receive differing treatments so as to determine optimum management strategies.
We believe that the HBP may be a reasonably common condition, although very under diagnosed. This condition may be similar to Central Fusion Disruption. Patients with HBP appear to have lost the potential for fusion.
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