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61 In another MRI study by Markku Vornanen et al., it was shown that in well selected population (n = 14) of non-pediatric patients (from n = 122) with thoracolumbar burst fractures or flexion distraction injuries, in 11 patients degeneration with signal loss on MRI, one or both discs adjacent to a fractured vertebra occurred, and, in all concerned discs, a decreased height was evident after long segment instrumentation and later implant removal

Using image-guided extra-articular injections increases likely hood of hitting the target tissue, thereby facilitating potential benefits

doi: 10.1158/0008-5472.CAN-17-2176

The challenge here is that B12 is primarily found in animal products

According to Laske et al

Nonspecific or unrelated diagnoses may lead to claim denial or downcoding