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spine lumbar pain

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https://www.readbyqxmd.com/read/30242508/paget-s-disease-of-the-lumbar-spine-decompressive-surgery-following-17-years-of-bisphosphonate-treatment
#1
Alexander Hofmann, Sabine Opitz, Christoph Eckhard Heyde, Nicolas Heinz von der Höh
BACKGROUND: We present a rare case of Paget's disease (PD) with involvement of the lumbar spine over a period of 19 years. We discuss the diagnostic process to rule out alternative diagnoses and medical and surgical treatment strategies. CASE DESCRIPTION: A 58-year-old man first diagnosed with PD in 1998 with solid involvement of the 4th lumbar vertebra has been undergoing periodic examinations over a period of 18 years. Since then, the patient has been treated conservatively with bisphosphonates...
September 21, 2018: European Spine Journal
https://www.readbyqxmd.com/read/30238138/bone-metastases-with-multiple-fluid-fluid-levels-from-gastric-cancer-a-case-report-and-review-of-literature
#2
Min Chen, Huishu Yuan
We report the case of a 54-year-old man with 6 months of progressive sacral pain. Computed tomography showed a large osteolytic mass in the sacrum with multiple osteolytic foci in the ilium and lumbar spine. Magnetic resonance imaging revealed multiple fluid-fluid levels in the sacral lesion as well as in the lumbar foci. The multiple bone lesions were initially diagnosed as a primary sacral malignancy with multiple bone metastases. A biopsy of the sacral lesion under the guidance of computed tomography was performed and a metastatic adenocarcinoma from the stomach or lung was found pathologically...
September 20, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/30235755/correlations-between-modic-change-and-degeneration-in-3-joint-complex-of-the-lower-lumbar-spine-a-retrospective-study
#3
Runsheng Guo, Xiaowei Yang, Yanchun Zhong, Qi Lai, Tian Gao, Fuchong Lai, Min Dai, Ping Zhan, Bin Zhang
BACKGROUND: Modic changes (MCs) associated with low back pain (LBP) have been assessed in a few studies. It has been documented that patients with LBP have MCs in a specific segment, but the relationship between facet joint or disc degeneration and MCs is still disputed. Thus, we aimed to evaluate the correlation between MC and facet joint or disc degeneration using imaging. METHODS: Imaging data of patients were retrospectively analyzed at the Orthopedic Department of the First Affiliated Hospital of Nanchang from January 2014 to August 2017...
September 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30235750/delayed-bilateral-facet-dislocation-at-l4-5-a-case-report
#4
Hyung-Youl Park, Kee-Yong Ha, Young-Hoon Kim, Sang-Il Kim, Hyung-Ki Min, In-Soo Oh, Jun-Yeong Seo, Dong-Gune Chang, Mohammed Ali Alhazmi, Joon-Hyung Cho
RATIONALE: Traumatic bilateral facet dislocation in the lumbar (L) spine has rarely been reported. All reported cases were presented with acute facet dislocation. However, we present the first case of delayed bilateral facet dislocation at L4-5. PATIENT CONCERNS: A 34-year-old woman presented with back pain after a head-on collision. The patient was treated conservatively for 3 months with rigid orthosis and activity restriction. Even after this conservative treatment, she continued to suffer from persistent back pain that radiated down her left leg and a progressively kyphotic posture...
September 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30234805/patients-cannot-reliably-distinguish-the-iliac-crest-bone-graft-donor-site-from-the-contralateral-side-after-lumbar-spine-fusion-a-patient-blinded-randomized-controlled-trial
#5
A Mechteld Lehr, F Cumhur Oner, Eric A Hoebink, Diederik H R Kempen, Job L C van Susante, René M Castelein, Moyo C Kruyt
STUDY DESIGN: A multicenter, randomized, intra-patient controlled trial. OBJECTIVE: This study investigated whether lumbar fusion patients blinded to the harvest site 1) can identify the iliac crest used for bone harvesting and 2) whether this iliac crest is more painful than the contralateral side. SUMMARY OF BACKGROUND DATA: Spinal fusion with iliac crest autograft is a frequently performed surgical procedure. A widely reported disadvantage of the harvesting procedure is potential donor site morbidity...
September 17, 2018: Spine
https://www.readbyqxmd.com/read/30234800/safety-and-efficacy-of-revision-minimally-invasive-lumbar-decompression-in-the-ambulatory-setting
#6
Brandon P Hirsch, Benjamin Khechen, Dil V Patel, Kaitlyn L Cardinal, Jordan A Guntin, Kern Singh
STUDY DESIGN: Retrospective Analysis. OBJECTIVE: To investigate differences in perioperative outcomes between patients undergoing revision minimally invasive lumbar spine decompression (MIS LD) in the ambulatory and hospital-based surgical settings. SUMMARY OF BACKGROUND DATA: Revision LD has been associated with an increased risk of complications compared to primary LD. Furthermore, ambulatory primary LD has been demonstrated to be a safe and viable option in appropriately selected patients...
September 17, 2018: Spine
https://www.readbyqxmd.com/read/30234567/the-effect-of-preoperative-medications-on-length-of-stay-inpatient-pain-and-narcotics-consumption-after-minimally-invasive-transforaminal-lumbar-interbody-fusion
#7
Brittany E Haws, Benjamin Khechen, Dil V Patel, Mundeep S Bawa, Jordan A Guntin, Kaitlyn L Cardinal, Adam B Wiggins, Kern Singh
STUDY DESIGN: This is a retrospective cohort study. OBJECTIVE: To determine the association between preoperative medications and length of stay, inpatient pain, and narcotics consumption after a minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). SUMMARY OF BACKGROUND DATA: Previous studies have identified risk factors for increased length of hospital stay, inpatient pain, and narcotics consumption. However, little is known regarding the effects of preoperative medications on outcomes after spine surgery...
September 18, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/30231051/can-patient-reported-profiles-avoid-unnecessary-referral-to-a-spine-surgeon-an-observational-study-to-further-develop-the-nijmegen-decision-tool-for-chronic-low-back-pain
#8
Miranda L van Hooff, Johanna M van Dongen, Veerle M Coupé, Maarten Spruit, Raymond W J G Ostelo, Marinus de Kleuver
INTRODUCTION: Chronic Low Back Pain (CLBP) is a heterogeneous condition with lack of diagnostic clarity. Therapeutic interventions show small effects. To improve outcomes by targeting interventions it is recommended to develop a triage system to surgical and non-surgical treatments based on treatment outcomes. The objective of the current study was to develop and internally validate prognostic models based on pre-treatment patient-reported profiles that identify patients who either respond or do not respond to two frequently performed treatments (lumbar spine surgery and multidisciplinary pain management program)...
2018: PloS One
https://www.readbyqxmd.com/read/30226000/quantifying-the-lumbar-spine-movements-of-surgeons-during-surgical-lists-in-a-teaching-hospital
#9
REVIEW
Michelle Wartski, Cylie M Williams, Nigel S Broughton, Kelly-Ann Bowles
BACKGROUND: Low back pain (LBP) is a common occupational musculoskeletal complaint among health professionals. No research has quantified lumbar movement patterns in the surgical workplace, identifying 'at risk' behaviours with objective measures. This project aimed to identify lumbar movement patterns and change in LBP of surgeons and surgical trainees during a surgical list. METHODS: Surgeons or surgical trainees were recruited in a tertiary metropolitan hospital...
September 17, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/30225536/validation-and-cross-cultural-adaptation-of-the-korean-version-of-the-core-outcome-measures-index-in-patients-with-degenerative-lumbar-disease
#10
Ho-Joong Kim, Jin S Yeom, Yunjin Nam, Na-Kyoung Lee, Young Woo Heo, Se Yeon Lee, Jiwon Park, Bong-Soon Chang, Choon-Ki Lee, Heoung-Jae Chun, Anne F Mannion
PURPOSE: To translate and cross-culturally adapt the Core Outcome Measures Index (COMI) into the Korean language and to test the psychometric properties of the Korean COMI in patients with degenerative lumbar spine diseases. METHODS: A cross-cultural adaptation of the COMI into Korean was carried out using established guidelines. A total of 117 patients with lumbar spinal diseases were recruited from the spinal center of a tertiary care teaching institution and completed a baseline questionnaire including the newly translated COMI, the visual analog scale for back pain and for leg pain, the Oswestry Disability Index (ODI), and the EuroQOL-5 dimensions (EQ-5D)...
September 17, 2018: European Spine Journal
https://www.readbyqxmd.com/read/30223290/concomitant-occlusive-vascular-lesions-of-legs-in-patients-with-degenerative-lumbar-diseases-do-these-lesions-influence-treatment
#11
Dong Chan Lee, Dong Hwa Heo, Kyoung Seok Cho
BACKGROUND AND STUDY AIMS:  Vascular narrowing or obstruction reduces blood flow to the lower limbs during exercise or at rest. Symptoms may range from intermittent claudication to pain at rest. Narrowing of these arteries may produce pain in the buttocks, thighs, or legs. These symptoms may resemble those of lumbar radicular pain. Spine surgeons may overlook obstructive vascular lesions of the lower limbs in patients with lumbar degenerative diseases such as spinal stenosis and spondylolisthesis...
September 17, 2018: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/30222623/effect-of-cervical-decompression-surgery-on-gait-in-adult-cervical-spondylotic-myelopathy-patients
#12
Ram Haddas, Isador Lieberman, Raj Arakal, Akwasi Boah, Theodore Belanger, Kevin Ju
STUDY DESIGN: This is a prospective cohort study. OBJECTIVE: To evaluate the effect of cervical decompression surgery on the biomechanics of the spine and lower extremities in cervical spondylotic myelopathy (CSM) patients and compare with asymptomatic controls. SUMMARY OF BACKGROUND DATA: Difficulties with balance and gait are one of the most common manifestations of CSM. Patients with CSM have a slower gait speed, prolonged double support duration, and reduced cadence compared with healthy controls...
September 15, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/30222620/impact-of-epidural-versus-general-anesthesia-on-major-lumbar-surgery-in-elderly-patients
#13
Zemin Li, Houqing Long, Fengyu Huang, Yaodong Zhang, Jinghui Xu, Xiaobo Wang
STUDY DESIGN: This was a retrospective comparative study. OBJECTIVE: The main objective of this study was to investigate the effects of epidural anesthesia (EA) versus general anesthesia (GA) in elderly patients undergoing lower lumbar spine fusion surgeries. SUMMARY OF BACKGROUND DATA: Lumbar spine surgery can be performed under GA or regional anesthesia. GA is more commonly used in lumbar spine surgery, which renders the patient motionless throughout the procedure and provides a secure airway...
September 15, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/30222618/microendoscopic-decompression-for-lumbar-spinal-stenosis-with-degenerative-spondylolisthesis-the-influence-of-spondylolisthesis-stage-disc-height-and-static-and-dynamic-translation-on-clinical-outcomes
#14
Akihito Minamide, Andrew K Simpson, Motohiro Okada, Yoshio Enyo, Yukihiro Nakagawa, Hiroshi Iwasaki, Shunji Tsutsui, Masanari Takami, Keiji Nagata, Hiroshi Hashizume, Yasutsugu Yukawa, Hiroshi Yamada, Munehito Yoshida
STUDY DESIGN: This study was a retrospective subgroup analysis of prospective cohort data. OBJECTIVE: The main objectives of this study were to develop a classification of degenerative spondylolisthesis (DS) and concurrent lumbar spinal stenosis (LSS) based on pathologic stage, and to determine how these subtypes of DS affect outcomes for minimally invasive (MIS) decompression SUMMARY OF BACKGROUND DATA:: DS with LSS is a common clinical scenario, yet there is no consensus on optimal treatment...
September 15, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/30217693/effectiveness-of-physical-therapy-interventions-for-low-back-pain-targeting-the-low-back-only-or-low-back-plus-hips-a-randomized-controlled-trial-protocol
#15
Scott A Burns, Joshua A Cleland, Darren A Rivett, Suzanne J Snodgrass
BACKGROUND: Recent evidence suggests that physical therapy interventions targeting the hips may improve outcomes, including pain and disability, for patients with low back pain (LBP). Currently, there is conflicting data in regard to whether an individual with LBP needs to have a concurrent hip impairment in order to respond to this approach. The purpose of this clinical trial will be to determine the short and long-term effectiveness of physical therapy interventions directed at the lumbar spine only, versus lumbar spine and hip(s), in individuals with a primary complaint of LBP with a concurrent hip impairment...
September 7, 2018: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/30216187/topping-phenomenon-with-recurrent-spinal-stenosis-and-epidural-fibrosis-prevented-with-oxidized-cellulose-a-case-report
#16
Radek Hart
Lumbar spinal stenosis is a condition where the neural structures are compressed in the narrowed spinal canal and often situated only within a single specific segment of the spine, most frequently in the lumbar spine. A case report demonstrates a surgical solution of lumbar spinal stenosis with using oxidized cellulose as a prevention of post-operative adhesions and failed back syndrome. A female patient (68) with a significant pain of the lumbar spine lasting for a number of months due to advanced spondylosis, failing to respond to conservative treatment underwent instrumented, posterolateral fusion of affected segments...
2018: Acta Medica (Hradec Králové)
https://www.readbyqxmd.com/read/30215025/electrodiagnosis-based-management-of-patients-with-radiculopathy-the-concept-and-application-involving-a-patient-with-a-large-lumbosacral-disc-herniation
#17
Mohamed A Sabbahi, Fikriye Ovak-Bittar
Objectives: The evaluation of patients with lower back pain (LBP) is based mainly on clinical examinations and imaging procedures that are subjective or anatomic in nature. The treatments, either physical therapy or osteopathy, lack evidence-based protocol and may be disruptive to the spine. Therefore, a neurophysiologic-based approach to managing such patients is necessary. Methods: A 40-year-old female complained of LBP and radiculopathy for more than 12 years, a condition that was accompanied by numbness, tingling and weakness in the left leg...
2018: Clinical Neurophysiology Practice
https://www.readbyqxmd.com/read/30214884/comparison-of-effects-of-melatonin-and-gabapentin-on-post-operative-anxiety-and-pain-in-lumbar-spine-surgery-a-randomized-clinical-trial
#18
Fatemeh Javaherforooshzadeh, Iren Amirpour, Farahzad Janatmakan, Mansour Soltanzadeh
Background: Surgery is one of the stressors that cause physiological and psychological stress. Anxiety and pain and their complications are very important in anesthesiology and many researches have been done to decrease or eliminate them. This training was done to compare the effect of melatonin and gabapentin on pain and anxiety during lumbar surgery. Methods: This study was a double-blinded clinical trial conducted on 90 patients undergoing lumbar surgery with general anesthesia in Golestan Academic Hospital in 2017...
June 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/30214275/validation-study-of-a-diagnostic-scoring-system-for-sacroiliac-joint-related-pain
#19
Juichi Tonosu, Hiroyuki Oka, Kenichi Watanabe, Hiroaki Abe, Akiro Higashikawa, Koji Yamada, Takashi Kuniya, Koji Nakajima, Sakae Tanaka, Ko Matsudaira
Background: There are no specific radiological findings for the diagnosis of sacroiliac joint-related pain. A diagnostic scoring system had been developed in 2017. The score comprised the sum of scores of six items. The score ranged from 0 to 9 points, and the cutoff was calculated as 4. Objective: To evaluate the validity of the diagnostic scoring system for sacroiliac joint-related pain. Patients and methods: The sacroiliac joint-related pain group (n=31) comprised patients diagnosed with sacroiliac joint-related pain based on patient history, physical findings, and responses to analgesic periarticular injection...
2018: Journal of Pain Research
https://www.readbyqxmd.com/read/30213363/psychometric-validation-of-the-adapted-traditional-chinese-version-of-the-japanese-orthopaedic-association-back-pain-evaluation-questionnaire-joabpeq
#20
Prudence Wing Hang Cheung, Carlos King Ho Wong, Jason Pui Yin Cheung
BACKGROUND: Low back pain is a common health problem encountered by various populations among different countries. This prospective study aimed to translate and cross-culturally adapt the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) into Traditional Chinese and to assess its validity, reliability and sensitivity in Chinese patients experiencing low back pain. METHODS: Double forward and single back translation of the JOABPEQ was performed with cross-cultural adaptation...
September 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
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