Abstract:
:In many countries, back problems have been defined as occupational injuries. The belief underlying this injury model is that back symptoms are caused primarily by work-related mechanical factors that damage the structures of the spine, either through a single incident or repeated loading. Although the etiopathogenesis of degenerative findings in the disc and their relation to pain are poorly understood, changes in the disc are suspected of underlying many back symptoms. The focus of this article is on examining the relation between occupational factors and disc degeneration. Occupational factors suspected of accelerating spinal degeneration include accident-related trauma; heavy physical loading and materials handling, including lifting, bending, and twisting; prolonged sitting; and sustained nonneutral work postures and vehicular driving. There is evidence to suggest that occupational exposures have an effect on disc degeneration. However, these factors explain little of the variability in degeneration found in the adult population. Furthermore, the lack of a clear dose-response relation between time spent in various occupational loading conditions and degenerative findings adds to doubts about a strong causal link. The contribution of suspected occupational risk factors appears to be particularly modest when compared with familial influences, which reflect the combined effects of genes and early childhood environment. These findings challenge the dominant role assumed for occupational loading in disc degeneration and associated back problems, and suggest a more complex etiology.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Videman T,Battié MCdoi
10.1097/00007632-199906010-00020keywords:
subject
Has Abstractpub_date
1999-06-01 00:00:00pages
1164-8issue
11eissn
0362-2436issn
1528-1159journal_volume
24pub_type
杂志文章,评审相关文献
SPINE文献大全abstract:STUDY DESIGN:Retrospective case series. OBJECTIVE:To evaluate the accuracy of screw fixation using intraoperative three-dimensional fluoroscopy-based navigation (ITFN) and to assess the clinical outcomes of this treatment regimen. SUMMARY OF BACKGROUND DATA:The surgical management of symptomatic os odontoideum poses ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182578fd8
更新日期:2012-10-01 00:00:00
abstract::The clinical features of many cases of low back pain is inadequately explained by anatomic abnormalities alone. A pathophysiologic mechanism that includes a combination of mechanical and biochemical factors is an alternative explanation that is accompanied by less paradox than a purely structural paradigm. A potential...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-199508150-00013
更新日期:1995-08-15 00:00:00
abstract::Segmental spinal instability was evaluated with magnetic resonance (MR) imaging, computed tomography (CT), and conventional radiography in 33 patients who had undergone surgical spinal fusion. In 16 of the 19 patients who had a diagnosis of solid fusion, the immobilized vertebral bodies demonstrated areas of high sign...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199006000-00028
更新日期:1990-06-01 00:00:00
abstract:STUDY DESIGN:A prospective, randomized, controlled clinical trial comparing a cylindrical threaded titanium cage to a femoral ring allograft control for anterior lumbar interbody fusion. OBJECTIVE:To compare these two implants with regard to arthrodesis. Secondary outcome measures included pain relief, neurological st...
journal_title:Spine
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1097/01.BRS.0000107007.31714.77
更新日期:2004-01-15 00:00:00
abstract::The Perdriolle torsionmeter assesses vertebral rotation on a spinal radiograph. It is frequently used to measure improvement in spinal derotation following Cotrel-Dubousset instrumentation for scoliosis. In this study, intraobserver and interobserver measurement error was examined during use of the torsionmeter. Intra...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199205000-00008
更新日期:1992-05-01 00:00:00
abstract:STUDY DESIGN:A test-retest design was used. OBJECTIVE:To assess interexaminer reliability of the McKenzie method for performing clinical tests and classifying patients with low back pain. SUMMARY OF BACKGROUND DATA:Clinical methods and tests classifying patients with nonspecific low back pain have been based mainly o...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/00007632-200204150-00016
更新日期:2002-04-15 00:00:00
abstract:STUDY DESIGN:A case of cervical myelopathy with a severe nape and upper arm pain caused by anomalous bilateral vertebral arteries is reported. OBJECTIVE:To report over six and a half years results of a microsurgical decompression for high cervical myelopathy with a severe pain of nape and upper arm resulting from spin...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31817c6c17
更新日期:2008-08-01 00:00:00
abstract:STUDY DESIGN:Three-dimensional (3D) analysis of the spinopelvic alignment in adolescent idiopathic scoliosis (AIS). OBJECTIVE:To study the 3D pelvic alignment with respect to the spinal deformities in AIS subgroups. SUMMARY OF BACKGROUND DATA:Spinopelvic alignment is subject to change in scoliosis. Many sacropelvic p...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000193
更新日期:2014-04-01 00:00:00
abstract::Changes in the macromolecular matrix of the intervertebral disc may predispose to biomechanical failure of the disc. Such changes would involve extracellular enzymes capable of altering the collagen and proteoglycan of the disc matrix. In this study, extracts from homogenates of both annuli fibrosi and nuclei pulposi ...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1982-05-01 00:00:00
abstract:STUDY DESIGN:Using a rabbit model of postnatal pulmonary hypoplasia, we investigated how expansion thoracoplasty affected growth of the spine and lungs. OBJECTIVE:By constricting the hemithorax in a growing rabbit to create postnatal pulmonary hypoplasia, we quantified how expansion thoracoplasty affects lung volume, ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181c4b8c7
更新日期:2010-01-15 00:00:00
abstract:STUDY DESIGN:To report a new index, the K-line, for deciding the surgical approach for cervical ossification of the posterior longitudinal ligament (OPLL). OBJECTIVE:To analyze the correlation between the K-line-based classification of cervical OPLL patients and their surgical outcome. SUMMARY OF BACKGROUND DATA:Prev...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318188b300
更新日期:2008-12-15 00:00:00
abstract:STUDY DESIGN:A retrospective comparative study. OBJECTIVE:To investigate the risk factors associated with upper instrumented vertebral (UIV) fractures in adult lumbar deformity. SUMMARY OF BACKGROUND DATA:Long segment lumbar fusions may lead to junctional failures. The purpose of this study was to determine factors a...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31824fffb9
更新日期:2012-07-15 00:00:00
abstract::Computerised tomography is described in recent literature as a sophisticated but noninvasive technique with a particularly appropriate application in the discovery of space-occupying lesions in the lumbar vertebral canal and nerve root tunnels. Although the spinal stenosis syndrome must remain a clinical diagnosis in ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198303000-00010
更新日期:1983-03-01 00:00:00
abstract:STUDY DESIGN:Retrospective 2:1 propensity score-matched analysis on a national longitudinal database between 2006 and 2010. OBJECTIVE:To compare rates of adverse events, revisions procedure rates, and payment differences in anterior cervical fusion procedures compared with posterior laminectomy and fusion procedures w...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000872
更新日期:2015-07-01 00:00:00
abstract:STUDY DESIGN:Retrospective database study. OBJECTIVE:We sought to identify trends in demographics, comorbidities, and postoperative complications among patients undergoing ACDF and PLF. SUMMARY OF BACKGROUND DATA:As demand for anterior cervical discectomy and fusion (ACDF) and posterior lumbar fusion (PLF) surgery co...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003280
更新日期:2020-09-15 00:00:00
abstract:STUDY DESIGN:This case report illustrates a patient with arachnoiditis ossificans of the cauda equina of sufficient severity to be demonstrable on a computed tomography scout view. OBJECTIVES:The diagnosis of extensive arachnoiditis ossificans by computed tomography does not necessitate surgical intervention. The auth...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199611010-00020
更新日期:1996-11-01 00:00:00
abstract:STUDY DESIGN:Randomized controlled trial with 1-year follow-up. OBJECTIVE:To analyze the effects of an exercise program or routine follow-up on patients with chronic low back pain who have completed functional multidisciplinary rehabilitation. The short- and long-term outcome in terms of symptoms and physical and soci...
journal_title:Spine
pub_type: 杂志文章,随机对照试验
doi:10.1097/BRS.0b013e3181bf1de9
更新日期:2010-05-20 00:00:00
abstract:STUDY DESIGN:A case report and review of the literature are presented. OBJECTIVE:To describe an unusual location for a cervical synovial cyst and to review characteristic presentations and findings of synovial cysts in the cervical spine. SUMMARY OF BACKGROUND DATA:Synovial cysts in the cervical spine are rare. To da...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000090501.42188.2A
更新日期:2003-09-01 00:00:00
abstract:STUDY DESIGN:A matched cohort analysis of long adult deformity fusions according to distal fusion level (L5 vs. S1). OBJECTIVE.: To compare the results of long adult deformity fusions to either L5 or the sacrum in the presence of a "healthy" 5-1 disc using a matched cohort analysis. SUMMARY OF BACKGROUND DATA:For adul...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/01.brs.0000138272.54896.33
更新日期:2004-09-15 00:00:00
abstract:STUDY DESIGN:Prospective cross-sectional study. OBJECTIVE:To analyze the association of tomographically identified axial gouty lesions with clinical and laboratory characteristics. SUMMARY OF BACKGROUND DATA:Axial gout might be more common than previously thought. The true relationship of these lesions to symptoms or...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000633
更新日期:2014-12-01 00:00:00
abstract:STUDY DESIGN:Retrospective review of 750 consecutive multilevel cervical spine decompression surgeries performed by a single spine surgeon. OBJECTIVE:To determine the incidence of C5 palsy in a large consecutive series of multilevel cervical spine decompression procedures. SUMMARY OF BACKGROUND DATA:Palsy of the C5 n...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e318219cfe9
更新日期:2012-02-01 00:00:00
abstract::Six cases of spontaneous fracture of the odontoid process in rheumatoid arthritis are presented. Fifty-one patients with atlantoaxial subluxation in rheumatoid arthritis underwent surgery between 1981 and 1990. This included six patients (in 10%) who had subluxation accompanied by fracture of the odontoid without appa...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199210001-00016
更新日期:1992-10-01 00:00:00
abstract:STUDY DESIGN:This case report shows primary natural killer (NK)/T-cell lymphoma originating in the spine as the first case of successful treatment with autologous stem cell transplantation, along with case presentation and literature review. OBJECTIVE:For the proper treatment of this spinal tumor, the pathologic confi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182407b0b
更新日期:2012-05-01 00:00:00
abstract:STUDY DESIGN:Laboratory investigation, ex vivo. OBJECTIVE:Postoperative complications are common after spinal implantation procedures, and magnetic resonance imaging (MRI) would be the ideal modality to image these patients. Unfortunately, the implants cause artifacts that can render MRI nondiagnostic. The WARP-turbo ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182a58b14
更新日期:2013-11-15 00:00:00
abstract:STUDY DESIGN:Observational and comparative study of the vertebral artery injury detected by 2-dimensional (2-D) time-of-flight magnetic resonance angiography (MRA) for admitting patients. Construct a strike-induced flexion injury model of cervical spine with blunt vertebral artery injury in dogs. OBJECTIVES:To evaluat...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000231722.86887.93
更新日期:2006-08-15 00:00:00
abstract:STUDY DESIGN:Retrospective review of magnetic resonance imaging and discography in patients investigated for low back pain before spinal fusion. OBJECTIVE:To determine the sensitivity of magnetic resonance imaging in the detection of painful anular tears manifested by the high-intensity zone. SUMMARY OF BACKGROUND DA...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199802150-00009
更新日期:1998-02-15 00:00:00
abstract:STUDY DESIGN:A retrospective study of 30 consecutive cases of pyogenic cervical spine infection, excluding postoperative infections. OBJECTIVE:To establish a real incidence of the disease and the risk factors associated with its occurrence. Furthermore, to evaluate the different surgical approaches dealing with this c...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31821bfdb2
更新日期:2012-01-01 00:00:00
abstract::Emerging techniques for management of degenerative disc disease include modern fusion interbody cage devices, intradiscal electrothermal therapy, and disc prostheses among others. The management of discogenic low back pain is controversial: its accurate diagnosis is difficult, and treatment is inconsistent. Before wid...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000076894.33269.19
更新日期:2003-08-01 00:00:00
abstract:STUDY DESIGN:Systematic literature review. OBJECTIVE:To determine the options, indications, and outcomes for conventional radiotherapy and radiosurgery for metastatic spine disease. METHODS:Three research questions were determined through a consensus among a multidisciplinary panel of spine oncology experts. A system...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3181b8b6f5
更新日期:2009-10-15 00:00:00
abstract:STUDY DESIGN:A retrospective clinical study. OBJECTIVE:To evaluate the use of recombinant human bone morphogenetic protein-2 (rhBMP-2) as the primary graft material for the surgical treatment of vertebral osteomyelitis. SUMMARY OF BACKGROUND DATA:The clinical and radiographic results using allograft, autograft, and v...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0b013e3181657ee3
更新日期:2008-03-01 00:00:00