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https://www.readbyqxmd.com/read/30531225/spondylolysis-2019-update
#1
Rachel G Berger, Shevaun M Doyle
PURPOSE OF REVIEW: Provide a comprehensive overview of lumbar spondylolysis, a frequent cause of lower back pain in children and adolescents, from evaluation to management. RECENT FINDINGS: With the surge of structured sports participation in the pediatric population, spondylolysis is a common ailment that afflicts many young athletes due to rigorous competition that taxes the growing spine with repetitive extension and rotation. SUMMARY: Spondylolysis is a fracture through the pars interarticularis...
December 3, 2018: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/30508945/effects-of-rehabilitation-on-spontaneous-intramedullary-spinal-cord-hemorrhage-hematomyelia-patient-without-surgery-a-case-report
#2
Hyun-Min Oh, Tae-Woo Nam, Ju-Hyun Kim, Tae-Du Jung
RATIONALE: Spontaneous intramedullary spinal cord hemorrhage (hematomyelia) is a rare disease and most cases have specific etiologies such as cavernous malformations and tumor. Most reported cases are about surgical treatment of intramedullary spinal cord hemorrhage, but there are no reports of rehabilitation effectiveness reported. This case reports the first case with positive effect of rehabilitation on a patient with intramedullary spinal cord hemorrhage, who did not undergo surgery...
November 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30498911/post-operative-nerve-injuries-after-cervical-spine-surgery
#3
REVIEW
Andrei F Joaquim, Melvin C Makhni, K Daniel Riew
Although relatively rare, post-operative nerve injuries may occur after cervical spine procedures. The most common post-operative neural disorder is C5 nerve palsy. The risk factors for C5 nerve palsy are male gender, OPLL, and posterior cervical approaches. It generally presents with deltoid and/or biceps weakness, and may present immediately or several days after surgery. Treatment is generally conservative due to transient duration of symptoms, but evaluation of residual compression at C4-5 is essential...
November 29, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/30489444/noncontact-sports-participation-in-adolescent-idiopathic-scoliosis-effects-on-parent-reported-and-patient-reported-outcomes
#4
Frank A Segreto, James C Messina, James P Doran, Sarah E Walker, Alexandr Aylyarov, Neil V Shah, Patrick J Mixa, Natasha Ahmed, Karen Paltoo, Kwaku Opare-Sem, Harleen Kaur, Louis M Day, Qais Naziri, Carl B Paulino, Claude B Scott, Khalid Hesham, William P Urban, Bassel G Diebo
Comparing risks against benefits of adolescent idiopathic scoliosis (AIS) patients participating in sports represents a controversial topic in the literature. Previous studies have reported sports participation as a possible risk factor for AIS development, while others describe its functional benefits for AIS athletes. The objective of this study was to determine if sports participation had an impact on pain, function, mental status, and self-perception of deformity in patients and their parents. Patients had full spine radiographs and completed baseline surveys of demographics, socioeconomics, and patient-reported outcomes (PRO): Scoliosis Research Society (SRS)-30, Body Image Disturbance Questionnaire, and Spinal Appearance Questionnaire (SAQ: Children and Parent)...
November 26, 2018: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/30407981/scheuermann-s-kyphosis-diagnosis-management-and-selecting-fusion-levels
#5
Zeeshan M Sardar, Robert J Ames, Lawrence Lenke
Scheuermann's kyphosis (SK) is a rigid structural deformity of the thoracic spine defined radiographically as three or more contiguous vertebrae with at least 5° of wedging anteriorly. Prevalence of the disease is thought to be between 0.4% and 10%. The true cause of SK remains unclear; however, various theories include growth irregularities, mechanical factors, genetic factors, and/or poor bone quality as the causes. Patients with mild disease (less than 70°) generally have a favorable prognosis with good clinical outcomes...
November 7, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30383152/osteopathic-manipulative-treatment-as-a-novel-way-to-manage-postvasectomy-pain-syndrome
#6
Richard E Gray, Korey Kasper
Postvasectomy pain syndrome (PVPS) can be debilitating and is notoriously difficult to treat, often requiring a multidisciplinary approach. In this case report, osteopathic manipulative treatment (OMT) was used to treat a patient with PVPS. After vasectomy, an otherwise-healthy man experienced chronic right testicular pain, aggravated by exercise, touch, and sexual intercourse, resulting in marital strain and an inability to perform routine fitness activities. Symptoms persisted for 8 years, despite lifestyle modifications, orally administered pain regimens, pelvic floor physical therapy, nerve blocks, steroid injections, epididymectomy, spermatic cord denervation, and counseling...
October 29, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30371649/takotsubo-syndrome-triggered-by-emotional-and-physical-stress-due-to-coincidental-immobilization-resembling-the-experimental-model-of-the-disease-a-case-report
#7
Waldemar Elikowski, Małgorzata Małek-Elikowska, Natalia Fertała, Magdalena Zawodna, Alina Baszko, Zofia Trypuć
The term takotsubo syndrome (TTS) is derived from a comparison of left ventricular (LV) appearance in its apical form to the shape of the pot which is a trap used for octopus catching. In the classical animal model on rats, its occurrence can be triggered by experimental immobilization (IMO). Former observations of capture myopathy, seen in animals after extreme exertion, showed coexistence of rhabdomyolysis related to skeletal muscle injury and myocardial damage. The authors describe a case of a 66-year-old obese female in whom TTS was triggered by an uncommonly stressful event when she had been trapped in the bathtub for several hours...
October 29, 2018: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/30369003/the-mist-guidelines-the-lumbar-spinal-stenosis-consensus-group-guidelines-for-minimally-invasive-spine-treatment
#8
Timothy R Deer, Jay S Grider, Jason E Pope, Steven Falowski, Tim J Lamer, Aaron Calodney, David A Provenzano, Dawood Sayed, Eric Lee, Sayed E Wahezi, Chong Kim, Corey Hunter, Mayank Gupta, Rasmin Benyamin, Bohdan Chopko, Didier Demesmin, Sudhir Diwan, Christopher Gharibo, Leo Kapural, David Kloth, Brian D Klagges, Michael Harned, Tom Simopoulos, Tory McJunkin, Jonathan D Carlson, Richard W Rosenquist, Timothy R Lubenow, Nagy Mekhail
BACKGROUND: Lumbar spinal stenosis (LSS) can lead to compression of neural elements and manifest as low back and leg pain. LSS has traditionally been treated with a variety of conservative (pain medications, physical therapy, epidural spinal injections) and invasive (surgical decompression) options. Recently, several minimally invasive procedures have expanded the treatment options. METHODS: The Lumbar Spinal Stenosis Consensus Group convened to evaluate the peer-reviewed literature as the basis for making Minimally Invasive Spine Treatment (MIST) recommendations...
October 27, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30368340/the-use-of-dry-needling-as-a-diagnostic-tool-and-clinical-treatment-for-cervicogenic-dizziness-a-narrative-review-case-series
#9
James Escaloni, Raymond Butts, James Dunning
STUDY DESIGN: Narrative Review & Case Series. BACKGROUND: No "gold standard" test presently exists to confirm a diagnosis of cervicogenic dizziness, a condition whereby the neuromusculoskeletal tissues of the cervical spine are thought to contribute to imbalance and dizziness. Clusters of tests are presently recommended to provoke signs and symptoms of the condition. In this regard, dry needling may provide a valuable diagnostic tool. Targeting the musculoskeletal structures of the upper neck with dry needling may also provide a valuable treatment tool for patients that suffer from cervicogenic dizziness...
October 2018: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/30314506/conservative-therapy-for-the-treatment-of-patients-with-somatic-tinnitus-attributed-to-temporomandibular-dysfunction-study-protocol-of-a-randomised-controlled-trial
#10
Sarah Michiels, Annemarie Christien van der Wal, Evelien Nieste, Paul Van de Heyning, Marc Braem, Corine Visscher, Vedat Topsakal, Annick Gilles, Laure Jacquemin, Marianne Hesters, Willem De Hertogh
BACKGROUND: Tinnitus is a highly prevalent symptom affecting 10-15% of the adult population. It often affects patient quality of life and frequently causes distress. When subjective tinnitus can be elicited by the somatosensory system of the cervical spine or temporomandibular area it is termed somatic tinnitus. The first aim of the current study is to investigate the effect of the best evidence conservative temporomandibular disorder (TMD) treatment on tinnitus in patients with co-existence of tinnitus and TMD or oral parafunctions compared to no treatment...
October 12, 2018: Trials
https://www.readbyqxmd.com/read/30310640/thoracic-spinal-cord-injury-without-radiologic-abnormality-in-a-pediatric-patient-case-report
#11
Juan Iaconis Campbell, Federico Coppola, Emilio Volpe, Eduardo Salas Lopez
Spinal Cord Injury Without Radiologic Abnormality (SCIWORA) accounts for up to 19% of spinal cord related lesions in pediatric population, mostly comprising the cervical spine. A 2-year-old patient is presented, who suffered a motor-vehicle accident. After being admitted, neither X-Ray nor spinal TC scan showed any structural abnormalities. Neurological examination showed complete sensory and motor loss under T7 as well as bladder and bowel dysfunction. Magnetic resonance imaging (MRI) showed spinal cord lesion extending from T7 to T10...
October 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/30276082/trends-in-nonoperative-treatment-modalities-prior-to-cervical-surgery-and-impact-on-patient-derived-outcomes-two-year-analysis-of-1522-patients-from-the-prospective-spine-treatment-outcome-study
#12
Michael C Gerling, Kris Radcliff, Robert Isaacs, Kristina Bianco, Cyrus M Jalai, Nancy J Worley, Gregory W Poorman, Samantha R Horn, Olivia J Bono, John Moon, Paul M Arnold, Alexander R Vaccaro, Peter Passias
Background: Effects of nonoperative treatments on surgical outcomes for patients who failed conservative management for cervical spine pathologies remain unknown. The objective is to describe conservative modality use in patients indicated for surgery for degenerative cervical spine conditions and its impact on perioperative outcomes. Methods: The current study comprises a retrospective review of a prospective multicenter database. A total of 1522 patients with 1- to 2-level degenerative cervical pathology who were undergoing surgical intervention were included...
April 2018: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/30258783/informed-appropriate-imaging-for-low-back-pain-management-a-narrative-review
#13
REVIEW
Yì Xiáng J Wáng, Ai-Min Wu, Fernando Ruiz Santiago, Marcello H Nogueira-Barbosa
Most patients with acute low back pain (LBP), with or without radiculopathy, have substantial improvements in pain and function in the first 4 weeks, and they do not require routine imaging. Imaging is considered in those patients who have had up to 6 weeks of medical management and physical therapy that resulted in little or no improvement in their LBP. It is also considered for those patients presenting with suspicion for serious underlying conditions, such as cauda equina syndrome, malignancy, fracture and infection...
October 2018: Journal of Orthopaedic Translation
https://www.readbyqxmd.com/read/30252425/mechanical-low-back-pain
#14
Joshua Scott Will, David C Bury, John A Miller
Low back pain is usually nonspecific or mechanical. Mechanical low back pain arises intrinsically from the spine, intervertebral disks, or surrounding soft tissues. Clinical clues, or red flags, may help identify cases of nonmechanical low back pain and prompt further evaluation or imaging. Red flags include progressive motor or sensory loss, new urinary retention or overflow incontinence, history of cancer, recent invasive spinal procedure, and significant trauma relative to age. Imaging on initial presentation should be reserved for when there is suspicion for cauda equina syndrome, malignancy, fracture, or infection...
October 1, 2018: American Family Physician
https://www.readbyqxmd.com/read/30234813/practice-variation-among-surgeons-treating-lumbar-spinal-stenosis-in-a-single-institution
#15
Paul T Ogink, Olivier van Wulfften Palthe, Teun Teunis, Christopher M Bono, Mitchell B Harris, Joseph H Schwab, Thomas D Cha
STUDY DESIGN: Retrospective study OBJECTIVE.: To examine practice variation in the treatment of lumbar spinal stenosis and identify targets for reducing variation. SUMMARY OF BACKGROUND DATA: Lumbar spinal stenosis is a degenerative condition susceptible to practice variation. Reducing variation aims to improve quality, increase safety, and lower costs. Establishing differences in surgeons' practices from a single institution can help identify personalized variation...
September 17, 2018: Spine
https://www.readbyqxmd.com/read/30233960/treatment-of-hip-flexion-contractures-with-psoas-recession-through-the-middle-window-of-the-ilioinguinal-approach
#16
Daniel J Gittings, Jonathan R Dattilo, George Fryhofer, Derek J Donegan, Keith Baldwin
Introduction: The ilioinguinal approach for psoas recession over the pelvic brim allows for direct visualization and protection of the femoral nerve while preserving hip flexion strength. Indications & Contraindications: <AbstractText Label="Step 1 Patient Positioning Preoperative Assessment and Draping" NlmCategory="UNASSIGNED">With the patient supine and anesthetized, perform the Thomas test, administer antibiotics, and drape to provide access to the inferior aspect of the abdomen, ilioinguinal region, and lower limb...
September 28, 2017: JBJS Essential Surgical Techniques
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
#17
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 2018: Brazilian Journal of Physical Therapy
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
#18
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/30213168/impact-of-multidisciplinary-spine-conferences-on-surgical-planning-and-perioperative-care-in-elective-lumbar-spine-surgeries
#19
Khodadad Namiranian, Edward John Norris, James Gregory Jolissaint, Jigar Bharat Patel, Celeste Marie Lombardi
STUDY DESIGN: Pre- and post-implementation analysis. PURPOSE: We examined the impact of implementing multidisciplinary spine conferences-"spine board" reviews-on the general utilization of elective lumbar spine surgeries in a tertiary medical institute. OVERVIEW OF LITERATURE: A multidisciplinary approach to spine care reportedly improves the appropriate utilization of surgical spine procedures. METHODS: A multidisciplinary spine board was established to review candidates selected for elective lumbar spine surgery...
October 2018: Asian Spine Journal
https://www.readbyqxmd.com/read/30199512/long-term-safety-and-efficacy-of-minimally-invasive-lumbar-decompression-procedure-for-the-treatment-of-lumbar-spinal-stenosis-with-neurogenic-claudication-2-year-results-of-midas-encore
#20
Peter S Staats, Timothy B Chafin, Stanley Golovac, Christopher K Kim, Sean Li, William B Richardson, Ricardo Vallejo, Sayed E Wahezi, Edward P Washabaugh, Ramsin M Benyamin
BACKGROUND AND OBJECTIVES: This study evaluated the long-term durability of the minimally invasive lumbar decompression (MILD) procedure in terms of functional improvement and pain reduction for patients with lumbar spinal stenosis and neurogenic claudication due to hypertrophic ligamentum flavum. This is a report of 2-year follow-up for MILD study patients. METHODS: This prospective, multicenter, randomized controlled clinical study compared outcomes for 143 patients treated with MILD versus 131 treated with epidural steroid injections...
October 2018: Regional Anesthesia and Pain Medicine
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