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https://www.readbyqxmd.com/read/29230905/muscle-control-and-non-specific-chronic-low-back-pain
#1
REVIEW
Marc Russo, Kristiaan Deckers, Sam Eldabe, Kyle Kiesel, Chris Gilligan, John Vieceli, Peter Crosby
OBJECTIVES: Chronic low back pain (CLBP) is the most prevalent of the painful musculoskeletal conditions. CLBP is a heterogeneous condition with many causes and diagnoses, but there are few established therapies with strong evidence of effectiveness (or cost effectiveness). CLBP for which it is not possible to identify any specific cause is often referred to as non-specific chronic LBP (NSCLBP). One type of NSCLBP is continuing and recurrent primarily nociceptive CLBP due to vertebral joint overload subsequent to functional instability of the lumbar spine...
December 12, 2017: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/29230287/kyphoplasty-for-the-treatment-of-an-atypical-osteoporotic-vertebral-compression-fracture-of-the-lumbar-spine-a-case-report
#2
Sanjeev Kumar, Leon Anijar, Rishi Agarwal
Vertebral augmentation is a minimally invasive but sometimes technically challenging intervention typically reserved for the treatment of older patients with painful vertebral compression fractures due to osteoporosis or neoplasms. We report the successful treatment of osteoporotic vertebral compression fractures of the first lumbar vertebral body (L1) using kyphoplasty in a paraplegic young patient with multiple comorbidities. Despite the unusual and complicated clinical scenario, kyphoplasty was nonetheless performed with immediate and lasting pain relief...
2017: SAGE Open Medical Case Reports
https://www.readbyqxmd.com/read/29229340/an-unusual-case-of-ureteral-perforation-in-minimally-invasive-pedicle-screw-instrumentation-and-review-of-the-literature
#3
Edward Fomekong, Julien Pierrard, Etienne Danse, Bertrand Tombal, Christian Raftopoulos
BACKGROUND: and Importance: Injury of the ureter is a potentially devastating complication most often reported in gynecologic, colorectal, vascular pelvic surgery or endoscopic procedures for ureteric pathologies. We report a rare case of ureteral rupture occurring as a complication of percutaneous pedicle screw placement. CLINICAL PRESENTATION: A 60-year old man complained of unbearable abdominal pain on the day after right L4-L5 transforaminal intervertebral fusion and percutaneous pedicle screw placement...
December 8, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29227152/analysis-of-intra-and-extra-myocellular-lipids-in-the-multifidus-muscle-in-patients-with-chronic-low-back-pain-using-mr-spectroscopy
#4
Hiroyuki Takashima, Tsuneo Takebayashi, Izaya Ogon, Mitsunori Yoshimoto, Tomonori Morita, Rui Imamura, Mitsuhiro Nakanishi, Hiroshi Nagahama, Yoshinori Terashima, Toshihiko Yamashita
OBJECTIVE: To analyze the intra (IMCL) and extra-myocellular lipids (EMCL) concentration in the multifidus muscle (Mm) using MR spectroscopy (MRS) in patients with low back pain (LBP), and to evaluate the correlation between those lipid concentrations and age, obesity, atrophy of the Mm and LBP intensity. METHODS: Sixty LBP patients underwent routine diagnostic MRI of the lumbar spine before undergoing imaging for the study. Body mass index (BMI), as an indicator of obesity and visual analogue score (VAS), as an indicator of LBP were also measured...
December 11, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/29218392/unusual-circumstances-to-diagnose-cervical-pott-s-disease
#5
Mohamed Ali Kedous, Ahmed Msakni, Wael Chebbi, Mourad Zaraa, Mohsen Trabelsi
Tuberculous spondylodiscitis usually affects the dorso-lumbar spine, and its cervical location is a rare condition that can mimic other diseases and consequently cause treatment delays. We report a case of tuberculous spondylodiscitis of the lower cervical spine discovered under unusual circumstances in a patient with severe polytrauma involving a cranio-cerebral trauma, a non-displaced fracture of the two laminæ and the spinous process of the C6 vertebrae as well as fibular and tibial shaft fractures. The patient underwent static tibial nailing, and a collar with occipital and chin supports was applied...
December 7, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/29213141/-evaluation-of-the-impact-of-sagittal-spinal-curvatures-on-musculoskeletal-disorders-in-young-people
#6
Anna Zwierzchowska, Jacek Tuz
BACKGROUND: In Poland, about 85% of the population report low back pain (LBP) symptoms overall. Moreover, 70-80% of people aged below 20 have already experienced back pain. The primary cause of LBP is the loss of spinal lordosis, which initiates changes in geometry of the spine and has impact on limb arrangement. The aim of the study was to attempt to verify the relationship between the 2 main curvatures of the spine and its relation to symptoms in different parts of the musculoskeletal system, in a group of adults...
December 5, 2017: Medycyna Pracy
https://www.readbyqxmd.com/read/29208475/cortical-bone-trajectory-screws-fixation-in-lumbar-adjacent-segment-disease-a-technique-note-with-case-series
#7
Chao-Hsuan Chen, Hsieng-Ming Huang, Der-Cherng Chen, Chih-Ying Wu, Han-Chun Lee, Der-Yang Cho
Lumbar adjacent segment disease after lumbar fusion surgery often requires surgical intervention. However, subsequent surgical treatment often needs to expose and remove all of the previous instruments. This additional surgery leads to significant post-operative pain, muscular fibrosis, poor wound healing and infection, etc. From October 2015 to March 2016, we collected six cases underwent cortical bone trajectory screws fixation with minimal invasive inter-body cage fusion for lumbar adjacent segment disease...
December 2, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29201301/effects-of-different-angles-of-the-traction-table-on-lumbar-spine-ligaments-a-finite-element-study
#8
Hekmat Farajpour, Nima Jamshidi
Background: The traction bed is a noninvasive device for treating lower back pain caused by herniated intervertebral discs. In this study, we investigated the impact of the traction bed on the lower back as a means of increasing the disc height and creating a gap between facet joints. Methods: Computed tomography (CT) images were obtained from a female volunteer and a three-dimensional (3D) model was created using software package MIMICs 17.0. Afterwards, the 3D model was analyzed in an analytical software (Abaqus 6...
December 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/29200654/scoliosis-deformity-reduction-in-adults-a-cbp%C3%A2-mirror-image%C3%A2-case-series-incorporating-the-non-commutative-property-of-finite-rotation-angles-under-addition-in-five-patients-with-lumbar-and-thoraco-lumbar-scoliosis
#9
Deed E Harrison, Paul A Oakley
[Purpose] This case series presents the unique application of the non-commutative property of finite rotation angles under addition to the CBP® mirror image® treatment protocol for adult lumbar and thoraco-lumbar scoliosis. [Subjects and Methods] Five adult patients having lumbar/thoraco-lumbar scoliosis and back pain, and having at least two prominent thoracic postural abnormalities according to Harrison's rotations and translations of thoracic postures were included. After initial assessment, mirror-image stress x-rays were taken...
November 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29192877/impact-of-body-mass-index-on-surgical-outcomes-narcotics-consumption-and-hospital-costs-following-anterior-cervical-discectomy-and-fusion
#10
Ankur S Narain, Fady Y Hijji, Brittany E Haws, Krishna T Kudaravalli, Kelly H Yom, Jonathan Markowitz, Kern Singh
OBJECTIVE Given the increasing prevalence of obesity, more patients with a high body mass index (BMI) will require surgical treatment for degenerative spinal disease. In previous investigations of lumbar spine pathology, obesity has been associated with worsened postoperative outcomes and increased costs. However, few studies have examined the association between BMI and postoperative outcomes following anterior cervical discectomy and fusion (ACDF) procedures. Thus, the purpose of this study was to compare surgical outcomes, postoperative narcotics consumption, complications, and hospital costs among BMI stratifications for patients who have undergone primary 1- to 2-level ACDF procedures...
December 1, 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29191530/acute-bilateral-isolated-foot-drop-changing-the-paradigm-in-management-of-degenerative-spine-surgery-with-percutaneous-endoscopy
#11
Nitin Adsul, Hyeun Sung Kim, Sung Ho Choi, Jee-Soo Jang, Il-Tae Jang, Seong-Hoon Oh
BACKGROUND: Acute bilateral isolated foot drop due to Lumbar disc prolapse with canal stenosis is very rare with only three cases reported in literature. Our patient was managed using the percutaneous full endoscopic technique. This is mainly to highlight the ease of access and patient outcome with pre and postoperative images to support our minimally invasive treatment for this rare condition. CASE DESCRIPTION: A 46-year-old male presented with sudden onset severe back pain with bilateral foot drop...
November 27, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29191468/malunion-of-post-traumatic-thoracolumbar-fractures
#12
REVIEW
C Mazel, L Ajavon
Thoracolumbar malunion is the result of loss of correction, insufficient correction, or even no correction (both in the frontal and sagittal planes) of a thoracolumbar fracture. The main causes are incorrect assessment of the fracture's complexity (burst fracture), its potential progression to kyphosis, and associated disc or ligament damage. It can also be the result of a poorly conducted initial treatment. The types of malunion have changed over the years because of the introduction of vertebroplasty and kyphoplasty...
November 27, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29191098/complication-rates-associated-with-open-versus-percutaneous-pedicle-screw-instrumentation-among-patients-undergoing-minimally-invasive-interbody-fusion-for-adult-spinal-deformity
#13
Khoi D Than, Praveen V Mummaneni, Kelly J Bridges, Stacie Tran, Paul Park, Dean Chou, Frank La Marca, Juan S Uribe, Todd D Vogel, Pierce D Nunley, Robert K Eastlack, Neel Anand, David O Okonkwo, Adam S Kanter, Gregory M Mundis
OBJECTIVE High-quality studies that compare outcomes of open and minimally invasively placed pedicle screws for adult spinal deformity are needed. Therefore, the authors compared differences in complications from a circumferential minimally invasive spine (MIS) surgery and those from a hybrid surgery. METHODS A retrospective review of a multicenter database of patients with spinal deformity who were treated with an MIS surgery was performed. Database inclusion criteria included an age of ≥ 18 years and at least 1 of the following: a coronal Cobb angle of > 20°, a sagittal vertical axis of > 5 cm, a pelvic incidence-lumbar lordosis angle of > 10°, and/or a pelvic tilt of > 20°...
December 2017: Neurosurgical Focus
https://www.readbyqxmd.com/read/29189304/interventional-pain-procedures-in-physical-medicine-and-rehabilitation-residencies
#14
Sanjeev Agarwal, Caitlin Cicone, Philip Chang
Exposure to interventional pain procedures is now a required component of training in physical medicine and rehabilitation (PM&R) residencies as mandated by the Accreditation Council for Graduate Medical Education (ACGME). Data regarding resident exposure and competency in these procedures remains limited. Objectives were to determine the volume and type of exposure PM&R residents have to interventional pain procedures and to obtain faculty-perceived opinions regarding competency of incoming fellows as it pertains to interventional pain management...
November 20, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29186157/finite-element-simulation-and-clinical-follow-up-of-lumbar-spine-biomechanics-with-dynamic-fixations
#15
Yolanda Más, Luis Gracia, Elena Ibarz, Sergio Gabarre, Diego Peña, Antonio Herrera
Arthrodesis is a recommended treatment in advanced stages of degenerative disc disease. Despite dynamic fixations were designed to prevent abnormal motions with better physiological load transmission, improving lumbar pain and reducing stress on adjacent segments, contradictory results have been obtained. This study was designed to compare differences in the biomechanical behaviour between the healthy lumbar spine and the spine with DYNESYS and DIAM fixation, respectively, at L4-L5 level. Behaviour under flexion, extension, lateral bending and axial rotation are compared using healthy lumbar spine as reference...
2017: PloS One
https://www.readbyqxmd.com/read/29183373/back-pain-in-physically-inactive-students-compared-to-physical-education-students-with-a-high-and-average-level-of-physical-activity-studying-in-poland
#16
Agnieszka Kędra, Aleksandra Kolwicz-Gańko, Przemysław Kędra, Anna Bochenek, Dariusz Czaprowski
BACKGROUND: The aim of the study was (1) to characterise back pain in physically inactive students as well as in trained (with a high level of physical activity) and untrained (with an average level of physical activity) physical education (PE) students and (2) to find out whether there exist differences regarding the declared incidence of back pain (within the last 12 months) between physically inactive students and PE students as well as between trained (with a high level of physical activity) and untrained (with an average level of physical activity) PE students...
November 28, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29181575/is-l5-s1-motion-segment-different-from-the-rest-a-radiographic-kinematic-assessment-of-72-patients-with-chronic-low-back-pain
#17
Ashutosh B Sabnis, Uphar Chamoli, Ashish D Diwan
PURPOSE: The relationship between biomechanical instability and degenerative changes in the lumbar spine in chronic low back pain (CLBP) patients remains controversial. The main objective of this retrospective radiographical study was to evaluate changes in kinematics at different lumbar levels (in particular the L5-S1 level) with progressive grades of disc degeneration and facet joint osteoarthritis in CLBP patients. METHODS: Using standing neutral and dynamic flexion/extension (Fx/Ex) radiographs of the lumbar spine, in vivo segmental kinematics at L1-L2 through L5-S1 were evaluated in 72 consecutive CLBP patients...
November 27, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29179499/association-between-il4-il6-gene-polymorphism-and-lumbar-disc-degeneration-in-chinese-population
#18
Yong Zhu, Shunan Li, FangLin Niu, Mengdan Yan, Jing Li, Haiyu Jia, Xuejun Yang
Lumbar disc disease (LDD) is a common musculoskeletal disorder, caused by degeneration of intervertebral discs of the lumbar spine and is one of the most common musculoskeletal disorders affliction in adult. There is growing evidence that LDD has strong genetic determinants. We analyze whether the IL4 and IL6 gene polymorphism is related to LDD in Chinese Han population. The participants were 498 with LDD and 463 without LDD. IL4 and IL6 gene polymorphism were determined by Sequenom MassARRAY. We found that SNPs rs1800796(OR = 1...
October 24, 2017: Oncotarget
https://www.readbyqxmd.com/read/29177554/description-of-the-sagittal-alignment-of-the-degenerative-human-spine
#19
Amer Sebaaly, Pierre Grobost, Lisa Mallam, Pierre Roussouly
PURPOSE: To present the description of sagittal alignment of the degenerative human spine and its possible evolution. MATERIALS AND METHODS: This is a retrospective observational study of degenerative evolution in spinal alignment in low back pain patients. Full spine EOS® sagittal X-rays were analyzed, and pelvic and spinal parameters were measured. Spinal shapes were classified on the hypothesis that the possible sagittal shapes of degenerative spine would be divided into four categories: "classical" Roussouly types 1-4, anteverted types (PT ≤ 5), retroverted types (PT ≥ 25) and kyphotic types...
November 24, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29177031/a-protocol-for-clinical-trial-study-of-the-effect-of-core-stabilization-exercises-on-spine-kinematics-during-gait-with-and-without-load-in-patients-with-non-specific-chronic-low-back-pain
#20
Rasool Bagheri, Ismail Ebrahimi Takamjani, Mahdi Dadgoo, Javad Sarrafzadeh, Amir Ahmadi, Mohammad Reza Pourahmadi, Amir-Salar Jafarpisheh
Background: Non-specific chronic low back pain (NCLBP) is a major public health and global socioeconomic burden with a variety of symptoms such as gait abnormality. Trunk stiffness and deep trunk muscles dysfunction known as guarding mechanism in gait are factors leading to abnormal movement pattern of the spine. Anterior load carriage task during gait is also challenged the trunk stability and its movement pattern. It will be therefore of interest to examine the effect of a Core Stabilization Training Program (CSTP) on the trunk and pelvis kinematics including variability and peak displacement during gait with and without load in NCLBP patients...
2017: Chiropractic & Manual Therapies
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