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spine lumbar pain

Yuwei Li, Haijiao Wang, Wei Cui, Peng Zhou, Cheng Li, Wei Xiao, Bingtao Hu, Fan Li
Objective: To compare the long-term effectiveness of wheather posterior ligamentous complex (PLC) preserved between posterior fenestration decompression interbody fusion and posterior total laminectomy interbody fusion. Methods: The clinical data of 89 patients who suffered from single segmental degenerative diseases of lower lumbar spine and followed up more than 10 years after receiving lumbar spinal fusion between January 2000 and January 2005 were retrospectively analysed...
January 1, 2019: Chinese Journal of Reparative and Reconstructive Surgery
T Sean Lynch, Benjamin L Oshlag, Thomas S Bottiglieri, Natasha N Desai
The diagnosis of hip pain can be difficult to isolate because the discomfort can originate from several locations and compensatory pain patterns. Pain generators can include the intra- and extra-articular hip structures, the lumbar spine, the pelvic floor, or a combination of these. It can also be referred as pain from the bowel, bladder, or reproductive organs. Injections into and around the hip have become an important part of both diagnostic and nonsurgical treatment algorithm for hip pain. The proximity of the hip to important neurovascular structures, lack of palpable anatomic landmarks, and deep location of targets can make use of ultrasonography-guided injections ideal...
January 11, 2019: Journal of the American Academy of Orthopaedic Surgeons
Kentaro Mataki, Masao Koda, Yosuke Shibao, Hiroshi Kumagai, Katsuya Nagashima, Kousei Miura, Hiroshi Noguchi, Toru Funayama, Tetsuya Abe, Masashi Yamazaki
The symptoms of lumbar foraminal stenosis are often exacerbated when the patient is upright. Lumbar pathological conditions related to clinical symptoms such as disc herniation, foraminal stenosis, and instability of the lumbar spine are often exacerbated when the patient is upright and hidden when the patient is supine. Lumbar radiculopathy is usually diagnosed by MRI. However, it is difficult to detect the compression of nerve roots while the patient is upright using conventional MRI when the patient is supine...
January 8, 2019: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Małgorzata Eliks, Małgorzata Zgorzalewicz-Stachowiak, Krystyna Zeńczak-Praga
According to the current recommendations on the management of chronic non-specific low back pain (CNLBP), the intervention in this group of patients should include a programme of exercises. Pilates is a system of exercises widely used in patients with low back pain. The practices based on this method have promoted the restoration of the function of muscles involved in lumbopelvic stabilisation, that is, transversus abdominis, multifidus, diaphragm and pelvic floor muscles. During each exercise, specific principles of this method should be followed to restore or sustain the motor control of the lumbar spine and proper body posture...
January 12, 2019: Postgraduate Medical Journal
Kai Yao, Fan Tang, Li Min, Yong Zhou, Chongqi Tu
RATIONALE: Multifocal intraosseous hemangioma, which affects multiple body parts, is rare. The selection of appropriate lesion sites for biopsy and effective treatment in multifocal intraosseous hemangioma is challenging. Here, we report a case of multifocal intraosseous hemangioma. PATIENT CONCERNS: A 49-year-old woman was admitted to our department with a chief complaint of aggravated lumber pain for 10 days. DIAGNOSES: Radiographic imaging revealed lesions involving the bilateral ribs, lumbar vertebrae, ilium, pubis, and proximal femur...
January 2019: Medicine (Baltimore)
Micheal Raad, Brian J Neuman, Khaled M Kebaish, Lee H Riley, Richard L Skolasky
STUDY DESIGN: Prospective cohort study OBJECTIVES.: To evaluate whether Patient-Reported Outcomes Measurement Information System (PROMIS) health domains can effectively estimate health utility index values for patients presenting for spine surgery. SUMMARY OF BACKGROUND DATA: Stable estimates of health utility are required to determine cost-effectiveness of spine surgery. There are no established methods to estimate health utility using PROMIS. METHODS: We enrolled 439 patients with spine disease (mean age, 54 ± 18 years) presenting for surgery and assessed their health using the Medical Outcomes Study Short Form-12, version 2 (SF-12v2) and PROMIS domains...
January 7, 2019: Spine
Akash Dipak Parekh, Robert J Amdur, William M Mendenhall, Christopher G Morris, Robert A Zlotecki
STUDY DESIGN: Retrospective outcomes review. OBJECTIVE: To analyze and report long-term outcomes in a cohort of patients treated with radiotherapy (RT) for symptomatic hemangioma of a vertebral body. SUMMARY OF BACKGROUND DATA: Data are scarce on the rate of tumor control with long-term (>5 year) follow-up after RT for symptomatic hemangioma of a vertebral body. METHODS: We retrospectively reviewed the medical records of patients treated at our institution between 1971 and 2008 for symptomatic hemangioma of a vertebral body, updated their follow-up, analyzed complications, and calculated the tumor control rate...
January 7, 2019: Spine
Tiantong Xu, Rong Tian, Pan Qiao, Zhihua Han, Qingfeng Shen, Yutao Jia
OBJECTIVE: This study aimed to compare intraoperative lower back pain and leg pain, surgical time, and intraoperative X-ray dose in patients offered local infiltration anesthesia or continuous epidural anesthesia for transforaminal endoscopic spine system (TESSYS) surgery. METHODS: A total of 98 patients who received TESSYS treatment for single-segmental lumbar disc herniation were included, and were randomly divided into two groups: group A (49 cases; local infiltration anesthesia) and group B (49 cases; continuous epidural anesthesia)...
January 11, 2019: Journal of International Medical Research
Tahir Mehmood Shakir, Wenfei Li, Huiping Wang, Chen Niu, Ming Zhang
Chondroblastoma is an uncommon and benign bone tumour. No more than 10 cases of lumbar chondroblastoma have been reported in the past 20 years. To describe the clinical presentations and radiological features of a rare case of chondroblastoma of the lumbar spine, this study reports one case involving the third lumbar vertebrae. A 22-year-old female presented with left lower back pain and numbness. CT revealed tumour infiltration of the third lumbar vertebrae and left psoas major displacement, which was found to be a chondroblastoma by surgery...
October 2018: Journal of Ayub Medical College, Abbottabad: JAMC
Nikhil Jain, John L Brock, Frank M Phillips, Tristan Weaver, Safdar N Khan
Our objective was to describe the incidence, causes, risk factors, and costs associated with 30-day emergency department (ED) visits after primary lumbar fusion. A national insurance database was retrospectively analyzed to study patients with primary lumbar fusions performed for degenerative pathology of the spine between 2007 and Q3-2015. Risk factors for ED visits, and ED to hospital transfer were studied using multiple-variable logistic regression analysis. Our cohort included 37,559 patients with a mean age of 66...
January 8, 2019: Clinical Spine Surgery
Gustavo Aires de Arruda, Diogo Henrique Constantino Coledam, Arli Ramos de Oliveira, Fernanda Dos Santos Neri, João Paulo de Aguiar Greca, Jefferson Rosa Cardoso
OBJECTIVE: To propose and analyze the test-retest reliability of an instrument to verify the presence and intensity of pain in the cervical, thoracic and lumbar spine in Brazilian young people. METHODS: This reliability study enrolled a sample of 458 participants (13 to 20 years). Two groups were formed for each sex according to the range of days for the test-retest (10±3 and 28±2 days). For analysis of spinal pain, a drawing of the human body with cervical, thoracic and lumbar spine areas delimited was presented...
January 7, 2019: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
Katelyn Burkhart, Brett Allaire, Mary Bouxsein
STUDY DESIGN: Prospective case series OBJECTIVE.: Determine the extent of paraspinal muscle cross-sectional area (CSA) and attenuation change after long-duration spaceflight and recovery on-Earth. Determine association between in-flight exercise and muscle atrophy. SUMMARY OF BACKGROUND DATA: Long-duration spaceflight leads to marked muscle atrophy. However, another negative consequence of disuse is intramuscular fatty infiltration. Notably, few studies have investigated the effects of spaceflight on intramuscular fatty infiltration, or how muscle atrophy is associated with in-flight exercise...
December 8, 2018: Spine
Chih-Wei Sung, Kevin Li-Chun Hsieh, Yi-Jie Kuo
CONTEXT: Approximately 25% of all primary spinal cord tumors are meningiomas, and 80% of these tumors occur in the thoracic region. Few meningiomas of the lumbar spine have been presented. Extracranial metastasis of meningioma occurs extremely rare, only in about 0.1% of meningiomas. Even metastasis, the sites are seldom seen in deep soft tissue. We reported a woman original meningioma in the lumbar spine with distal deep neck metastasis. FINDINGS: A 59-year-old patient suffered from severe right drop foot, numbness, and radicular pain for the previous 6 months...
January 9, 2019: Journal of Spinal Cord Medicine
Guilherme Santos Piedade, Jan Vesper, Apostolos Chatzikalfas, Philipp J Slotty
INTRODUCTION: Dorsal root ganglion stimulation is a meanwhile established but rather new technique of neuromodulation to treat chronic pain states of different origin. While being primarily used in the lumbar region, dorsal root ganglion (DRG) stimulation also can be used in the upper thoracic and cervical region with slight alterations of the surgical approach. This offers new therapeutic options especially in the treatment of neuropathic pain states of the upper extremities. Data on surgical technique, outcome and complications rates of DRG in this region are limited...
January 8, 2019: Neuromodulation: Journal of the International Neuromodulation Society
Han Zhang, Weiping Zhu
A spine is proven to be subjected to a follower load which is a compressive load of physiologic magnitude acting on the whole spine. The path of the follower load approximates the tangent to the curve of the spine in in vivo neutral standing posture. However, the specific path location of the follower load is still unclear. The aim of this study is to find out the most realistic location of the follower load path (FLP) for a lumbar spine in standing. A 3D non-linear finite element model (FEM) of lumbosacral vertebrae (L1-S1) with consideration of the calibrated material properties was established and validated by comparing with the experimental data...
January 7, 2019: Journal of Biomechanical Engineering
Anna Babińska, Wojciech Wawrzynek, Elżbieta Czech, Jarosław Skupiński, Jarosław Szczygieł, Beata Łabuz-Roszak
INTRODUCTION: The association between changes in magnetic resonance imaging (MRI) and clinical symptoms in patients with low back pain (LBP) is unclear. AIM: To evaluate the correlations between combined MRI findings of the lumbar spine (LS) and pain intensity, depressive and anxiety symptoms and quality of life in patients with LBP. MATERIAL AND METHODS: 200 subjects (93 men, 107 women; mean age 51.42±13.21) with LBP referred for MRI were enrolled in the study...
January 7, 2019: Neurologia i Neurochirurgia Polska
Alaa Eldin Elsharkawy, Anne Hagemann, Peter Douglas Klassen
Herniated disc fragments' migration to posterior epidural locations is a very rare pathological condition, and the mechanism is not well understood. Posterior epidural migration may lead to serious neurologic problems; however, its diagnosis and treatment are challenging. We searched PubMed and Google Scholar, using various keyword combinations, and found 111 cases of posterior epidural disc migration in the lumbar region reported between 1973 and 2018. There were 89 (80.2%) men and 22 (19.8%) women. The mean age at surgery was 54...
January 6, 2019: Neurosurgical Review
James Ebot, Eric Nottmeier
BACKGROUND: Tumoral calcinosis has been defined as a pathological condition which presents as calcified masses around juxta-articular structures. The etiology of this pathology is still not well understood but degenerative spine diseases seem to play a role. The diagnosis of tumoral calcinosis preoperatively can prevent intraoperative confusion from unexpected findings, especially in cases where removal of the calcified mass is essential to treating the patient's symptoms, i.e. nerve compression causing radiculopathy...
January 3, 2019: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Pedro David Delgado-López, Antonio Rodríguez-Salazar, José Manuel Castilla-Díez
Surgery for lumbar degenerative pathology, although effective, results in suboptimal outcome and degrees of disability in a relevant proportion of patients. Postoperative rehabilitation has failed to demonstrate efficacy in the mid and long term. So-called "prehabilitation" (physiotherapy and/or cognitive-behavioral therapy) focuses in augmenting patients' functional capacities before surgery by improving their physical condition and their perception of pain, surgical experience or its consequences...
January 3, 2019: Neurocirugía
Sivashankar Chandrasekaran, Nader Darwish, Ashraf H Darwish, Carlos Suarez-Ahedo, Parth Lodhia, Benjamin G Domb
PURPOSE: The purpose of this study was to conduct a matched pair analysis to determine the effect of prior lumbar spine surgery (LSS) on clinical outcomes of hip arthroscopy. METHODS: Data were prospectively collected on all patients undergoing hip arthroscopy during the study period from April 2008 to December 2012. Patients were excluded if they had previous hip conditions or had undergone prior hip surgery. Patients in the LSS group (history of LSS) were matched in a 1:1 ratio to a control group (no history of LSS) according to age ±5 years, gender, body mass index categories, Tönnis grade, and labral treatment...
January 3, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
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