Age distribution of three radiologic factors for lumbar instability: probable aging process of the instability with disc degeneration.

Abstract:

STUDY DESIGN:Cross-sectional study of 880 outpatients with low back and/or leg pain regarding age distribution of three radiologic factors. OBJECTIVES:To investigate the proportion and relationship of three individual radiologic factors with age on segmental instability in sagittal plane in consecutive age groups. SUMMARY OF BACKGROUND DATA:Previous studies revealed relationships between radiologic factors for instability and symptoms; however, little is known about the relationship between factors and age except in degenerative spondylolisthesis. METHODS:Excessive segmental motion, defined as more than 10 degrees angulation, more than 3 mm translation, and more than 3 mm slip in neutral position, at the L4-L5 segment in 880 outpatients (389 men, 491 women) with low back and/or leg pain aged from 14 to 84 years was investigated by 3 observers. The number and rate of the patients with each excessive motion were evaluated in continuous age groups of 5 years. RESULTS:The mean ages of patients with excessive angulation, translation, and slip in neutral position were 41.7, 50.0, and 62.8 years, respectively. Both rates of excessive angulation and translation showed two peak patterns demonstrating peaks in the teens and 20s groups and in the over 46 age groups; however, angulation was predominant in younger age groups and translation was predominant in older age groups. Slip in neutral position was frequently observed in age groups over 46 and increased with age. CONCLUSIONS:The presence of patients with excessive angulation and translation in younger age groups suggests they have a hypermobile segment with least degenerated discs. Different predominant patterns of these radiologic factors may reveal the probable aging process of the instability.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Iguchi T,Kanemura A,Kasahara K,Kurihara A,Doita M,Yoshiya S

doi

10.1097/01.BRS.0000097162.80495.66

keywords:

subject

Has Abstract

pub_date

2003-12-01 00:00:00

pages

2628-33

issue

23

eissn

0362-2436

issn

1528-1159

journal_volume

28

pub_type

杂志文章

相关文献

SPINE文献大全
  • Importance of pelvic compensation in posture and motion after posterior spinal fusion using CD instrumentation for idiopathic scoliosis.

    abstract:STUDY DESIGN:Posture and motion analysis after a Cotrel-Dubousset instrumentation. OBJECTIVES:To investigate the compensation role of pelvis. SUMMARY OF BACKGROUND DATA:Few existing studies found no compensation at the lower unfused level but did not investigate the pelvis. METHODS:Thirty patients were analyzed befo...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000219402.01636.87

    authors: Skalli W,Zeller RD,Miladi L,Bourcereau G,Savidan M,Lavaste F,Dubousset J

    更新日期:2006-05-20 00:00:00

  • Measurement error in assessment of vertebral rotation using the Perdriolle torsionmeter.

    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

    authors: Richards BS

    更新日期:1992-05-01 00:00:00

  • Loss of Pelvic Incidence Correction After Long Fusion Using Iliac Screws for Adult Spinal Deformity: Cause and Effect on Clinical Outcome.

    abstract:STUDY DESIGN:Retrospective observational cohort study. OBJECTIVE:To determine change in pelvic incidence (PI) and loss of correction after long fusion with iliac screws, the effect of iliac screw loosening, and global alignment according to postoperative PI. SUMMARY OF BACKGROUND DATA:Posterior long fixation and fusi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002775

    authors: Oba H,Ebata S,Takahashi J,Ikegami S,Koyama K,Haro H,Kato H,Ohba T

    更新日期:2019-02-01 00:00:00

  • Management of symptomatic lumbar pseudarthrosis with anteroposterior fusion. A functional and radiographic outcome study.

    abstract:STUDY DESIGN:An independent retrospective review of 37 patients undergoing 39 anteroposterior lumbar fusions for lumbar pseudarthrosis repair between 1984 and 1990. OBJECTIVES:To evaluate radiographically and functionally the results of the combined anteroposterior fusion for the management of symptomatic lumbar pseud...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200001010-00021

    authors: Albert TJ,Pinto M,Denis F

    更新日期:2000-01-01 00:00:00

  • Pineal transplantation after pinealectomy in young chickens has no effect on the development of scoliosis.

    abstract:STUDY DESIGN:Three experimental groups and one control group of chickens underwent different surgical procedures to determine the effects of pineal gland transplantation on the development of scoliosis. OBJECTIVE:To determine whether transplantation of the pineal gland to the body wall musculature maintains serum mela...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200105010-00007

    authors: Bagnall KM,Beuerlein M,Johnson P,Wilson J,Raso VJ,Moreau M

    更新日期:2001-05-01 00:00:00

  • Comparison of thoracic pedicle screw to hook instrumentation for the treatment of adult spinal deformity.

    abstract:STUDY DESIGN:Retrospective, case-control, matched cohort. OBJECTIVE:Compare the radiographic and clinical outcomes of adult spinal deformity patients treated with thoracic pedicle screw (TPS) or thoracic hook constructs. SUMMARY OF BACKGROUND DATA:The efficacy of TPS instrumentation for pediatric spinal deformity cor...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000256445.31653.0e

    authors: Bess RS,Lenke LG,Bridwell KH,Cheh G,Mandel S,Sides B

    更新日期:2007-03-01 00:00:00

  • Surgery for lumbar spinal stenosis. Attempted meta-analysis of the literature.

    abstract::A meta-analysis was undertaken to determine the effects of surgery for lumbar spinal stenosis on pain and disability. Seventy-four journal articles met inclusion criteria and were independently reviewed by two readers. On average, 64% of patients treated surgically for lumbar spinal stenosis were reported to have good...

    journal_title:Spine

    pub_type: 杂志文章,meta分析

    doi:10.1097/00007632-199201000-00001

    authors: Turner JA,Ersek M,Herron L,Deyo R

    更新日期:1992-01-01 00:00:00

  • Factors predicting the result of surgery for lumbar intervertebral disc herniation.

    abstract::The prospective study was undertaken to find out preoperative or perioperative factors predicting the results of the first surgery for lumbar disc herniation. The results were evaluated 1 and 6 months postoperatively using, in addition to the patient evaluation, indices for pain, activities of daily living (ADL), and ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198711000-00016

    authors: Hurme M,Alaranta H

    更新日期:1987-11-01 00:00:00

  • The role of bone graft force in stabilizing the multilevel anterior cervical spine plate system.

    abstract:STUDY DESIGN:The role of bone graft force in stabilizing an instrumented cervical spine was evaluated for one-level and three-level corpectomy models using in vitro experiments. OBJECTIVES:To investigate the role of bone graft force in enhancing stability of anterior cervical plate, and to study effects of fatigue loa...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200007010-00008

    authors: Wang JL,Panjabi MM,Isomi T

    更新日期:2000-07-01 00:00:00

  • The validity of compliance monitors to assess wearing time of thoracic-lumbar-sacral orthoses in children with spinal cord injury.

    abstract:STUDY DESIGN:Prospective multicenter observation. OBJECTIVE:To determine the validity of 3 commercially available at recording thoracic-lumbar-sacral orthosis (TLSO) wearing time of children with spinal cord injury (SCI) and to assess each monitor's function during daily activities. SUMMARY OF BACKGROUND DATA:A major...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0b013e318178864e

    authors: Hunter LN,Sison-Williamson M,Mendoza MM,McDonald CM,Molitor F,Mulcahey MJ,Betz RR,Vogel LC,Bagley A

    更新日期:2008-06-15 00:00:00

  • Upper instrumented vertebral fractures in long lumbar fusions: what are the associated risk factors?

    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

    authors: Lewis SJ,Abbas H,Chua S,Bacon S,Bronstein Y,Goldstein S,Magana S,Sullivan K,Dold AP,Bodrogi A

    更新日期:2012-07-15 00:00:00

  • The evidence for intraoperative neurophysiological monitoring in spine surgery: does it make a difference?

    abstract:OBJECTIVE:The objective of this article was to undertake a systematic review of the literature to determine whether IOM is able to sensitively and specifically detect intraoperative neurologic injury during spine surgery and to assess whether IOM results in improved outcomes for patients during these procedures. SUMMA...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0b013e3181d8338e

    authors: Fehlings MG,Brodke DS,Norvell DC,Dettori JR

    更新日期:2010-04-20 00:00:00

  • Canal geometry changes associated with axial compressive cervical spine fracture.

    abstract:STUDY DESIGN:A laboratory study using isolated ligamentous human cadaveric cervical spines to investigate canal occlusion during (transient) and after (steady-state) axial compressive fracture. OBJECTIVES:To determine whether differences exist between transient and postinjury canal occlusion under axial compressive lo...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200001010-00010

    authors: Carter JW,Mirza SK,Tencer AF,Ching RP

    更新日期:2000-01-01 00:00:00

  • Outcomes of Minimally Invasive versus Open Surgery for Intermediate to High-grade Spondylolisthesis: A 10-Year Retrospective, Multicenter Experience.

    abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:The primary objective of our study was to evaluate the surgical outcomes and complications of minimally invasive surgery (MIS) versus open surgery in the management of intermediate to high grade spondylolisthesis, and secondarily to compare the outcomes following MIS ...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0000000000003573

    authors: Lak AM,Abunimer AM,Rahimi A,Tafel I,Chi J,Lu Y,Groff M,Zaidi HA

    更新日期:2020-10-15 00:00:00

  • Predicting Neurologic Recovery after Surgery in Patients with Deficits Secondary to MESCC: Systematic Review.

    abstract:STUDY DESIGN:Systematic literature review and expert survey OBJECTIVE.: The aim of this study was to determine factors associated with neurologic improvement in patients with neurologic deficits secondary to metastatic epidural spinal cord compression (MESCC). Clear understanding of these factors will guide surgical de...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0000000000001827

    authors: Laufer I,Zuckerman SL,Bird JE,Bilsky MH,Lazáry Á,Quraishi NA,Fehlings MG,Sciubba DM,Shin JH,Mesfin A,Sahgal A,Fisher CG

    更新日期:2016-10-15 00:00:00

  • Neuropeptide changes in compressed spinal nerve roots.

    abstract:STUDY DESIGN:Compression-induced changes in the concentration of substance P and VIP (vasoactive intestinal polypeptide), in spinal nerve roots and dorsal root ganglia were studied in an experimental nerve root compression model in pigs. OBJECTIVES:To analyze by radioimmunoassay the concentration of the neuropeptides ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199503150-00007

    authors: Cornefjord M,Olmarker K,Farley DB,Weinstein JN,Rydevik B

    更新日期:1995-03-15 00:00:00

  • Factors associated with early magnetic resonance imaging utilization for acute occupational low back pain: a population-based study from Washington State workers' compensation.

    abstract:STUDY DESIGN:A population-based, prospective cohort study. OBJECTIVE:To identify demographic, job-related, psychosocial, and clinical factors associated with the use of magnetic resonance imaging (MRI) within 6 weeks from injury (early MRI) among workers' compensation claimants with acute occupational low back pain (L...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31823a03cc

    authors: Graves JM,Fulton-Kehoe D,Martin DP,Jarvik JG,Franklin GM

    更新日期:2012-09-01 00:00:00

  • Viscoelastic properties of intervertebral disc cells. Identification of two biomechanically distinct cell populations.

    abstract:STUDY DESIGN:A combined experimental and theoretical biomechanical study to quantify the mechanical properties of living cells of the porcine intervertebral disc. OBJECTIVES:To quantify zonal variations in the mechanical properties and morphology of cells isolated from the intervertebral disc. SUMMARY OF BACKGROUND D...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199912010-00009

    authors: Guilak F,Ting-Beall HP,Baer AE,Trickey WR,Erickson GR,Setton LA

    更新日期:1999-12-01 00:00:00

  • An unusual cause of sciatica. A case report.

    abstract:STUDY DESIGN:This case report illustrates the need to be aware of extraspinal causes of sciatica. A patient with a strangulated sciatic hernia showed the clinical features of sciatic leg pain, intestinal obstruction, and a left gluteal abscess. OBJECTIVE:To highlight the need to examine the course of the sciatic nerve...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199810010-00019

    authors: Servant CT

    更新日期:1998-10-01 00:00:00

  • Spinal cord dimensions in children with Klippel-Feil syndrome: a controlled, blinded radiographic analysis with implications for neurologic outcomes.

    abstract:STUDY DESIGN:Retrospective case series. OBJECTIVE:To evaluate the axial cross-sectional dimensions of the spinal cord and cerebrospinal fluid (CSF) column in children with Klippel-Feil Syndrome (KFS) versus an age-matched cohort of control subjects. SUMMARY OF BACKGROUND DATA:Neurologic sequelae and chronic pain are ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181732a22

    authors: Auerbach JD,Hosalkar HS,Kusuma SK,Wills BP,Dormans JP,Drummond DS

    更新日期:2008-05-20 00:00:00

  • Does plate fixation prevent disc degeneration after a lateral anulus tear?

    abstract:STUDY DESIGN:The sheep model was used to investigate the development of disc degeneration after outer anular tearing. OBJECTIVES:The authors determined whether plate fixation promotes healing of peripheral anular tears and thereby minimizes disc degeneration. SUMMARY OF BACKGROUND DATA:A limited outer anular tear (si...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199412150-00010

    authors: Moore RJ,Latham JM,Vernon-Roberts B,Fraser RD

    更新日期:1994-12-15 00:00:00

  • Isolation and characterization of mesenchymal stromal cells from human degenerated nucleus pulposus: comparison with bone marrow mesenchymal stromal cells from the same subjects.

    abstract:STUDY DESIGN:To identify mesenchymal stromal cells (MSC) from degenerate human nucleus pulposus (NP) and compare them with bone marrow (BM) MSC. OBJECTIVE:To test whether MSC obtained from NP and BM from the same subjects share similar biologic characteristics. SUMMARY OF BACKGROUND DATA:Recent studies have proposed ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181cb8828

    authors: Blanco JF,Graciani IF,Sanchez-Guijo FM,Muntión S,Hernandez-Campo P,Santamaria C,Carrancio S,Barbado MV,Cruz G,Gutierrez-Cosío S,Herrero C,San Miguel JF,Briñon JG,del Cañizo MC

    更新日期:2010-12-15 00:00:00

  • Progressive disc herniation: an investigation of the mechanism using radiologic, histochemical, and microscopic dissection techniques on a porcine model.

    abstract:STUDY DESIGN:Basic scientific investigation using radiologic, histochemical, and microscopic dissection techniques. OBJECTIVE:To document the process of mechanically induced disc herniation from repetitive loading exposure. SUMMARY OF BACKGROUND DATA:Current knowledge of the mechanism of disc herniation is limited to...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31815b64f5

    authors: Tampier C,Drake JD,Callaghan JP,McGill SM

    更新日期:2007-12-01 00:00:00

  • Acute pyogenic sacroiliitis without predisposing conditions.

    abstract:STUDY DESIGN:Clinical and imaging findings of patients diagnosed with pyogenic sacroiliitis were retrospectively analyzed. OBJECTIVES:To characterize the clinical and magnetic resonance features of patients with acute pyogenic sacroiliitis without the usually known predisposing conditions and to investigate the diagno...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000092481.42709.6F

    authors: Doita M,Yoshiya S,Nabeshima Y,Tanase Y,Nishida K,Miyamoto H,Watanabe Y,Kurosaka M

    更新日期:2003-09-15 00:00:00

  • Monitoring of lumbosacral nerve roots during spinal instrumentation.

    abstract::A technique is described for intraoperative, multimodality electrophysiologic monitoring of the spinal cord and lumbosacral nerve roots (cauda equina). Simultaneous monitoring with the techniques of electromyography, compound muscle action potentials, and somatosensory evoked potentials is found to provide highly usef...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199310001-00023

    authors: Hormes JT,Chappuis JL

    更新日期:1993-10-15 00:00:00

  • Changes in serum melatonin levels in response to pinealectomy in the chicken and its correlation with development of scoliosis.

    abstract:STUDY DESIGN:Normal, sham, and groups of chickens subjected to pinealectomy from which serum melatonin levels were measured and correlated with scoliosis development in a period of 5 weeks. OBJECTIVES:To measure serum melatonin levels in chickens subjected to pinealectomy and control chickens and correlate findings wi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199811150-00002

    authors: Wang X,Moreau M,Raso VJ,Zhao J,Jiang H,Mahood J,Bagnall K

    更新日期:1998-11-15 00:00:00

  • The cervical facet capsule and its role in whiplash injury: a biomechanical investigation.

    abstract:STUDY DESIGN:Cervical facet capsular strains were determined during bending and at failure in the human cadaver. OBJECTIVE:To determine the effect of an axial pretorque on facet capsular strains and estimate the risk for subcatastrophic capsular injury during normal bending motions. SUMMARY OF BACKGROUND DATA:Epidemi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200005150-00007

    authors: Winkelstein BA,Nightingale RW,Richardson WJ,Myers BS

    更新日期:2000-05-15 00:00:00

  • Surgical treatment of adolescent idiopathic scoliosis: the basics and the controversies.

    abstract::Decisions about when to operate should be based on more than just an arbitrary Cobb measurement. The patient's skeletal maturity, balance, and other parameters of curve size also should be considered. Although it is desirable to fuse as few segments as possible, there is no benefit to fusing short if the top and botto...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199405000-00020

    authors: Bridwell KH

    更新日期:1994-05-01 00:00:00

  • Clinical outcomes and fusion success at 2 years of single-level instrumented posterolateral fusions with recombinant human bone morphogenetic protein-2/compression resistant matrix versus iliac crest bone graft.

    abstract:STUDY DESIGN:This is a prospective, randomized study comparing iliac crest bone graft to bone morphogenetic protein (BMP)/compression resistant matrix in instrumented posterolateral fusions for single-level lumbar degenerative disease. A higher recombinant human bone morphogenetic protein (rhBMP)-2 dose and a carrier s...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/01.brs.0000240715.78657.81

    authors: Dimar JR,Glassman SD,Burkus KJ,Carreon LY

    更新日期:2006-10-15 00:00:00

  • Accuracy of intermittent fluoroscopy to detect intravascular injection during transforaminal epidural injections.

    abstract:STUDY DESIGN:Prospective validity study. OBJECTIVE:To determine how accurately intermittent fluoroscopy detects inadvertent intravascular injection during transforaminal epidurals. SUMMARY OF BACKGROUND DATA:Serious morbidity caused by transforaminal epidural injections is frequently related to inadvertent vascular i...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31816960fe

    authors: Smuck M,Fuller BJ,Chiodo A,Benny B,Singaracharlu B,Tong H,Ho S

    更新日期:2008-04-01 00:00:00