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Back AND Pain

Kaleigh Lindholm, Cesar A Moran
Mediastinal neurogenic tumors are unusual and more so is the presence of melanotic neurogenic tumors. We present five cases of mediastinal melanotic neurogenic tumors. The patients are five men between the ages of 34 and 43 years (average: 38.5 years). All patients presented with non-specific symptoms that included back pain and cough. Diagnostic imaging revealed the presence of a posterior mediastinal mass without connection to the spinal canal, and surgical resection was accomplished in all of the patients...
October 3, 2018: Annals of Diagnostic Pathology
Neda Orakifar, Mohammad Jafar Shaterzadeh-Yazdi, Reza Salehi, Mohammad Mehravar, Neda Namnik
OBJECTIVE: To investigate impairment in the activity pattern of some muscles involved in sit to stand (STD) and stand to sit (STS) among two low back pain (LBP) subgroups of the Movement System Impairment (MSI) model. DESIGN: Case-control study SETTING: A university medical center PARTICIPANTS: Fifteen healthy women and twenty-two women with chronic LBP in two subgroups (fifteen into the lumbar extension rotation (LER) and seven into lumbar flexion rotation (LFR)) voluntarily participated in this study...
October 10, 2018: Archives of Physical Medicine and Rehabilitation
Lazar Tosic, Dominik Baschera, Bastian Jentsch, Thomas Feuerstein, Alex Alfieri
Solitary fibrous tumors (SFTs) are rare mesenchymal neoplasms commonly involving visceral or parietal pleura. We present the first report of tumor-to-tumor metastasis involving a pulmonary adenocarcinoma donor and an intradural SFT recipient. The patient presented with a 1 year history of diffuse back pain. A spinal intradural contrast-enhancing mass at the T9/10 level and a tumor of the lung were diagnosed radiologically. Bronchoscopic biopsy confirmed pulmonary adenocarcinoma in the right upper lung lobe...
October 13, 2018: Acta Neurochirurgica
Wei Hu, Shun-Li Kan, Hui-Bin Xu, Ze-Gang Cao, Xue-Li Zhang, Ru-Sen Zhu
The aim of this study is to evaluate the safety and effectiveness in the treatment of thoracic aggressive vertebral hemangiomas (AVHs) with neurologic deficit by multiple surgical treatments.The clinical and radiographic data of 5 patients suffering from thoracic AVHs with neurologic deficit and treated by multiple surgical treatments, including percutaneous curved vertebroplasty (PCVP) combined with pedicle screw fixation and decompressive laminectomy, were reviewed and analyzed retrospectively.Five patients (3 women and 2 man, with a mean age of 57...
October 2018: Medicine (Baltimore)
Yabin Zhou, Cheng Zhang, Shimeng Zhao, Qingxian Wang
RATIONALE: Traumatic hip dislocation is a common joint dislocation. Delayed reduction has been shown to increase the risk of avascular necrosis of the femoral head. Most of the traditional methods must be performed under general anesthesia or spinal anesthesia to relax hip muscles. Anesthesia will prolong the interval between the injury and the reduction. PATIENT CONCERNS: 16 patients presented with hip pain and a leg shortened, flexed, internally rotated and adducted...
October 2018: Medicine (Baltimore)
Juneyoung L Yi, Christina A Porucznik, Lisa H Gren, Jian Guan, Evan Joyce, Darrel S Brodke, Andrew T Dailey, Mark A Mahan, Robert S Hood, Brandon D Lawrence, William R Spiker, Nicholas T Spina, Erica F Bisson
BACKGROUND: Prescription opioid medications negatively affect postoperative outcomes after lumbar spine surgery. Furthermore, opioid-related overdose death rates in the U.S. increased by 200% between 2000 and 2014. Thus, alternatives are imperative. Mindfulness-based stress reduction (MBSR), a mind-body therapy, has been associated with improved activity and mood in opioid-using chronic pain patients. This study assessed whether preoperative MBSR is an effective adjunct to standard postoperative care in adult patients undergoing lumbar spine surgery for degenerative disease...
October 9, 2018: World Neurosurgery
Tamir Ailon, Jin Tee, Neil Manson, Hamilton Hall, Ken Thomas, Y Raja Rampersaud, Albert Yee, Nicolas Dea, Andrew Glennie, Chris Bailey, Sean Christie, Michael H Weber, Andrew Nataraj, Jerome Paquet, Mike Johnson, Jonathan Norton, Henry Ahn, Greg McIntosh, Charles G Fisher
STUDY DESIGN: Retrospective review of results from a prospectively collected Canadian cohort in comparison to published literature. OBJECTIVES: (1) To investigate whether patients in a universal health care system (HCS) have different outcomes than those in a multi-tier HCS in surgical management of degenerative spondylolisthesis (DS). (2) To identify independent factors predictive of outcome in surgical DS patients. SUMMARY OF BACKGROUND DATA: Canada has a national health insurance program with unique properties...
October 9, 2018: Spine Journal: Official Journal of the North American Spine Society
Vega Jovani, Mar Blasco-Blasco, Eliseo Pascual, M Teresa Ruiz-Cantero
BACKGROUND: Diagnostic delay is well-known in spondyloarthritis and studies have demonstrated a longer deferral in women. The aim of this study was to explore whether diagnostic delay of spondyloarthritis depends on clinical manifestations expressed by patients according to sex or whether it is related to a doctor's misdiagnosis bias. METHODS: A cross-sectional study of 96 men and 54 women with spondyloarthritis was performed at Alicante University General Hospital in Spain using a semistructured interview and clinical records...
2018: PloS One
Andrée-Anne Marchand, Charles Tétreau, Julie OʼShaughnessy, Martin Descarreaux
STUDY DESIGN: Observational prospective study. OBJECTIVE: The study objective was to assess the reliability and validity of the French-Canadian version (FCSSSQ) of the Swiss Spinal Stenosis questionnaire (SSSQ). SUMMARY OF BACKGROUND DATA: The SSSQ is a validated disease-specific tool developed to assess pain, function and satisfaction with care in patients with lumbar spinal stenosis (LSS). METHODS: The French-Canadian translation and adaptation of the SSSQ was completed following a 4-stage approach: (1) forward translation; (2) synthesis; (3) expert committee review; and (4) testing of the questionnaire prefinal version...
October 11, 2018: Spine
Ron D Hays, Karen L Spritzer, Cathy D Sherbourne, Gery W Ryan, Ian D Coulter
STUDY DESIGN: Prospective observational study. OBJECTIVE: To evaluate group-level and individual-level change in health-related quality of life among persons with chronic low back pain or neck pain receiving chiropractic care in the United States. SUMMARY OF BACKGROUND DATA: Chiropractors treat chronic low back and neck pain, but there is limited evidence of the effectiveness of their treatment METHODS.: A 3-month longitudinal study of 2,024 patients with chronic low back pain or neck pain receiving care from 125 chiropractic clinics at 6 locations throughout the United States was conducted...
October 11, 2018: Spine
Ahilan Sivaganesan, Anthony L Asher, Mohamad Bydon, Inamullah Khan, Panagoitis Kerezoudis, Kevin T Foley, Hui Nian, Frank E Harrell, Kristin R Archer, Clinton J Devin
STUDY DESIGN: This study retrospectively analyzes prospectively collected data. OBJECTIVE: The primary aim of this study is to present a scheme for PRO-based, risk-adjusted rankings of spine surgeons and sites that perform elective lumbar surgery, using the Quality and Outcomes Database (QOD). SUMMARY OF BACKGROUND: There is currently no means of determining which spine surgeons or centers are positive or negative outliers with respect to patient-reported outcomes (PRO) for elective lumbar surgery...
October 11, 2018: Spine
Krishnan V Chakravarthy, Fang Xing, Kelly Bruno, Alexander R Kent, Adil Raza, Rene Hurlemann, Thomas M Kinfe
BACKGROUND: There is increasing literature evidence both clinically and experimentally on the existence of potent, adaptive interactions between the central and peripheral aspects of the neuroimmune system in the genesis and maintenance of chronic neuropathic extremity pain and nociceptive back pain. The neuroinflammatory pathways are modulated by the interaction of pro- and anti-inflammatory cytokines and chemokines, which are released by peripheral immune system-derived cell species (macrophages and leukocytes)...
October 12, 2018: Neuromodulation: Journal of the International Neuromodulation Society
Robert Ohle, Omar Anjum, Helena Bleeker, Sarah McIsaac
INTRODUCTION: Acute aortic syndrome (AAS) is a time sensitive and difficult to diagnose aortic emergency. The American Heart Association (AHA) proposed the acute aortic dissection detection risk score (ADD-RS) as a means to reduce miss rate and improve time to diagnosis. Previous validation studies were performed in a high prevalence population of patients. We do not know how the rule will perform in a lower prevalence population. This is important because application of a rule with low specificity would increase imaging rates and complications...
October 12, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Zihui Zhou, Xinmeng Jin, Congcong Wang, Lei Wang
The aim of this study was to assess the efficacy of the Wallis interspinous device for treating lumbar disc herniation (LDH) as well as to investigate whether the device could reduce the incidence of recurrent herniation in comparison with disc excision alone. A total of 72 patients with LDH were treated with primary discectomy and the Wallis interspinous device was implanted in 36. Clinical outcomes were evaluated with a visual analog scale (VAS) for low back and leg pain and the Oswestry Disability Index (ODI) before and after surgery...
October 11, 2018: Der Orthopäde
Maurizio Marchesini, Edoardo Flaviano, Valentina Bellini, Marco Baciarello, Elena Giovanna Bignami
Epiduroscopy is defined as a percutaneous, minimally invasive endoscopic investigation of the epidural space. Periduroscopy is currently used mainly as a diagnostic tool to directly visualize epidural adhesions in patients with failed back surgery syndrome (FBSS), and as a therapeutic action in patients with low back pain by accurately administering drugs, releasing inflammation, washing the epidural space, and mechanically releasing the scars displayed. Considering epiduroscopy a minimally invasive technique should not lead to underestimating its potential complications...
October 2018: Korean Journal of Pain
Laxmaiah Manchikanti, Yogesh Malla, Kimberly A Cash, Vidyasagar Pampati, Joshua A Hirsch
Background: Neck and back pain are leading sources of disability placing substantial burden on health care systems. Surgical interventions in managing chronic neck pain secondary to various disorders continue to increase. Even though surgical interventions are effective, a significant proportion of patients continue to have symptomatology and develop cervical post-surgery syndrome. This study was performed to know the effectiveness of cervical interlaminar epidural injections with or without steroids...
October 2018: Korean Journal of Pain
John H Y Moi, Uyen Phan, Adam de Gruchy, Danny Liew, Tanya I Yuen, John E Cunningham, Ian P Wicks
OBJECTIVES: To report on the design, implementation and evaluation of the safety and effectiveness of the Back pain Assessment Clinic (BAC) model. DESIGN: BAC is a new, community-based specialist service for assessing and managing neck and low back pain (LBP). The BAC pilot was supported by a Victorian Department of Health and Human Services grant and was evaluated using the Victorian Innovation Reform Impact Assessment Framework (VIRIAF). Data were obtained by auditing BAC activity (22 July 2014 to 30 June 2015) and conducting surveys and interviews of patients, stakeholders and referrers...
October 10, 2018: BMJ Open
Thomas Gan, Andre Rickenbach, Matthew Scott-Young
Chronic persistent lower back pain due to degenerative disc disease (DDD) of the lumbar spine is a common condition in the athletic population, which does not always improve with nonoperative treatment. We present a case report of a professional Australian rugby league player with DDD of the lumbar spine presenting with persistent lower back pain, which was not responding to conventional nonsurgical treatment. He then underwent a surgical total disc replacement of the lumbar spine and was subsequently able to return to playing professional rugby league at his previous level of competition...
October 9, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Irene L Katzan, Nicolas R Thompson, Steven Z George, Sandi Passek, Frederick Frost, Mary Stilphen
BACKGROUND CONTEXT: The STarT Back Screening Tool (SBST) categorizes risk of future disability in patients with low back pain (LBP). Previous studies evaluating the use of SBST in physical therapy populations do not reflect the ethnic and socioeconomic diversity occurring in clinical practice and lack statistical power to evaluate factors associated with outcomes within each SBST risk category. PURPOSE: The purpose of this study is to further refine SBST risk categorization for predicting improvements in functional disability with attention towards patient level factors that might guide SBST use in routine outpatient physical therapy practice...
October 8, 2018: Spine Journal: Official Journal of the North American Spine Society
Michael D Perloff, Jonathan Dashkoff, Guannan Ge
No abstract text is available yet for this article.
October 10, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
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