Temporary external transpedicular fixation of the lumbosacral spine: a prospective, longitudinal study in 330 patients.

Abstract:

STUDY DESIGN:In this study, 330 patients with incapacitating low back pain underwent temporary external transpedicular fixation (TETF) of the lumbosacral spine in a prospective trial. OBJECTIVE:To evaluate TETF as a test for selecting suitable candidates for segmental spinal fusion. SUMMARY OF BACKGROUND DATA:Few studies regarding TETF have been published, and contradictory results concerning predictive value and morbidity were reported. METHODS:All patients were tested with the external fixator in two different positions: fixation and nonfixation. Before and during the test and at follow-up examination, pain was assessed on a Visual Analogue Scale (VAS). The TETF test was considered to be positive if the VAS score in the fixation state was 30 or more points lower than in the nonfixation state. Hence, a positive test would imply the decision to perform segmental lumbosacral fusion. When the reduction was less than 30 points, the test was negative. Individual pain reduction and working capacity were taken as measure of outcome. RESULTS:Most of the patients in this study (62%) underwent spinal surgery previously. The positive and negative TETF groups were quite similar, but a large within-group variation was found. Within the fusion group of 123 patients, improvement in VAS scores and improvement in working capacity were not significantly better for the positive TETF group in comparison with the negative TETF group. CONCLUSION:In this heterogeneous group of chronic patients with low back pain, TETF of the spine (including a placebo trial) does not appear to be of value in selecting suitable candidates for spinal fusion.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Elmans L,Willems PC,Anderson PG,van Limbeek J,de Kleuver M,van der Schaaf D

doi

10.1097/01.brs.0000190868.57106.4d

keywords:

subject

Has Abstract

pub_date

2005-12-15 00:00:00

pages

2813-6

issue

24

eissn

0362-2436

issn

1528-1159

pii

00007632-200512150-00020

journal_volume

30

pub_type

临床试验,杂志文章

相关文献

SPINE文献大全
  • Spinal Gout Without Spinal Symptom in a Junior School Student: A Case Report.

    abstract:STUDY DESIGN:Case report. OBJECTIVE:We report a case of a 16-year-old boy with intermittent and migratory polyarthralgia, who made a diagnostic dilemma. SUMMARY OF BACKGROUND DATA:Spinal involvement without spinal symptom in gout seems to be rare. However, the relationship of spinal gout to symptoms is poorly underst...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002403

    authors: Wu D,Ma J,Li S,Zhao J,Li L

    更新日期:2018-04-15 00:00:00

  • Lumbar laminectomy for the resection of synovial cysts and coexisting lumbar spinal stenosis or degenerative spondylolisthesis: an outcome study.

    abstract:STUDY DESIGN:Surgeon- and patient-based (SF-36) outcome measures were used to assess the results of decompressive laminectomies for the excision of synovial cysts with coexistent lumbar spinal stenosis (45 patients) or for synovial cysts with coexistent lumbar stenosis and degenerative spondylolisthesis (35 patients). ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200405010-00018

    authors: Epstein NE

    更新日期:2004-05-01 00:00:00

  • Effect of type II odontoid fracture nonunion on outcome among elderly patients treated without surgery: based on the AOSpine North America geriatric odontoid fracture study.

    abstract:STUDY DESIGN:Subgroup analysis of a prospective multicenter study. OBJECTIVE:Outcome analysis of nonoperatively treated elderly patients with type II odontoid fractures, including assessment of consequence of a fracture nonunion. SUMMARY OF BACKGROUND DATA:Odontoid fractures are among the most common fractures in the...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1097/BRS.0000000000000009

    authors: Smith JS,Kepler CK,Kopjar B,Harrop JS,Arnold P,Chapman JR,Fehlings MG,Vaccaro AR,Shaffrey CI

    更新日期:2013-12-15 00:00:00

  • Vertebral rotatory subluxation in degenerative scoliosis: facet joint tropism is related.

    abstract:STUDY DESIGN:A cross-sectional study. OBJECTIVE:To identify facet tropism as one of the possible risk factors leading to vertebral rotatory subluxation (VRS). SUMMARY OF BACKGROUND DATA:VRS has been considered as one of the prognostic factors for degenerative scoliosis. Although several risk factors of VRS, including...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000494

    authors: Bao H,Zhu F,Liu Z,Bentley M,Mao S,Zhu Z,Ding Y,Qiu Y

    更新日期:2014-12-15 00:00:00

  • Decreased risk of wound infection after posterior cervical fusion with routine local application of vancomycin powder.

    abstract:STUDY DESIGN:A retrospective cohort study. OBJECTIVE:To assess the ability of local vancomycin powder to prevent wound infection after posterior cervical fusion. SUMMARY OF BACKGROUND DATA:Wound infections are a significant source of morbidity and cost associated with spine surgery. Intraoperative application of vanc...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318285b219

    authors: Strom RG,Pacione D,Kalhorn SP,Frempong-Boadu AK

    更新日期:2013-05-20 00:00:00

  • The effect of post-injury spinal position on canal occlusion in a cervical spine burst fracture model.

    abstract:STUDY DESIGN:The canal space of burst-fractured, human cervical spine specimens was monitored to determine the extent to which spinal position affected post-injury occlusion. OBJECTIVE:To test the null hypothesis that there is no difference in spinal canal occlusion as a function of spinal positioning for a burst-frac...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199708010-00005

    authors: Ching RP,Watson NA,Carter JW,Tencer AF

    更新日期:1997-08-01 00:00:00

  • Which Lenke 1A curves are at the greatest risk for adding-on... and why?

    abstract:STUDY DESIGN:Multicenter review of prospectively collected data. OBJECTIVE:The purpose of this study was to evaluate the incidence of distal adding-on and associated risk factors in each of the 2 Lenke 1A curve patterns. SUMMARY OF BACKGROUND DATA:Previous work has demonstrated 2 distinct Lenke 1A curve patterns on t...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0b013e31824bac7a

    authors: Cho RH,Yaszay B,Bartley CE,Bastrom TP,Newton PO

    更新日期:2012-07-15 00:00:00

  • Instrumented transforaminal lumbar interbody fusion with bioresorbable polymer implants and iliac crest autograft.

    abstract:STUDY DESIGN:Twenty-seven patients underwent instrumented transforaminal lumbar interbody fusion (TLIF) procedures using bioresorbable implants as interbody spacers. The greater than 2-year clinical and radiographic results of this series are presented along with as a review of relevant preclinical and preliminary clin...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.brs.0000175185.46433.7a

    authors: Coe JD,Vaccaro AR

    更新日期:2005-09-01 00:00:00

  • Proximal Junctional Kyphosis After Posterior Spinal Instrumentation and Fusion in Young Children With Congenital Scoliosis: A Preliminary Report on its Incidence and Risk Factors.

    abstract:STUDY DESIGN:A retrospective study. OBJECTIVE:To determine the incidence and risk factors of proximal junctional kyphosis (PJK) in young children who underwent posterior instrumented spinal fusion. SUMMARY OF BACKGROUND DATA:PJK is a well-recognized postoperative complication in adults and adolescents. However, there...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002109

    authors: Chen X,Chen ZH,Qiu Y,Zhu ZZ,Li S,Xu L,Sun X

    更新日期:2017-10-15 00:00:00

  • Neurologic recovery associated with anterior decompression of spine fractures at the thoracolumbar junction (T12-L1).

    abstract::Between 1981 and 1990, twenty-two patients with incomplete neurologic deficits after thoracolumbar junction fractures were treated by anterior decompression and stabilization. Two patients were unavailable for follow-up examination, eleven underwent spinal canal decompression within 48 hours of injury (Group A); and n...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199208001-00019

    authors: Clohisy JC,Akbarnia BA,Bucholz RD,Burkus JK,Backer RJ

    更新日期:1992-08-01 00:00:00

  • Is there a connection between the clinical response after an external fixation test or a subsequent lumbar fusion and the pre-test intervertebral kinematics?

    abstract:STUDY DESIGN:Evaluation of a possible correlation of clinical symptoms of chronic low back pain (LBP) patients before and after application of external spinal fixation (ESF) with three-dimensional motion patterns. OBJECTIVE:To determine whether the intervertebral kinematics in chronic LBP patients correlate with pain ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200212010-00013

    authors: Lund T,Oxland TR,Nydegger T,Schlenzka D,Laine T,Heini P

    更新日期:2002-12-01 00:00:00

  • Posterior osteosynthesis of the atlas for nonconsolidated Jefferson fractures: a new surgical technique.

    abstract:STUDY DESIGN:Case report and surgical technique. OBJECTIVE:To describe a new technique to treat atlas burst fractures by selectively reconstructing the atlas from a posterior approach. SUMMARY OF BACKGROUND DATA:The two surgical techniques reported until now for stabilizing atlas burst fractures are associated with s...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318206cf63

    authors: Abeloos L,De Witte O,Walsdorff M,Delpierre I,Bruneau M

    更新日期:2011-09-15 00:00:00

  • Health-Related Quality of Life in Early-Onset Scoliosis Patients Treated Surgically: EOSQ Scores in Traditional Growing Rod Versus Magnetically Controlled Growing Rods.

    abstract:STUDY DESIGN:Cross-sectional study. OBJECTIVE:To compare quality of life and caregiver burden in traditional growing rod (TGR) and magnetic controlled growing rods (MCGR) patients. SUMMARY OF BACKGROUND DATA:MCGR decrease surgical sessions associated with treatment of early onset scoliosis (EOS), hoping to minimize t...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002274

    authors: Doany ME,Olgun ZD,Kinikli GI,Bekmez S,Kocyigit A,Demirkiran G,Karaagaoglu AE,Yazici M

    更新日期:2018-01-15 00:00:00

  • Relative versus absolute modulation of growth in the fusionless treatment of experimental scoliosis.

    abstract:STUDY DESIGN:Absolute and relative growth modulation of apical spinal segments were measured during creation and correction of an experimental scoliosis in a goat model. OBJECTIVE:To differentiate relative and absolute changes in growth on the concavity and convexity of an experimental scoliosis treated with anterior ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000227263.43060.50

    authors: Braun JT,Hines JL,Akyuz E,Vallera C,Ogilvie JW

    更新日期:2006-07-15 00:00:00

  • Can we convert between outcome measures of disability for chronic low back pain?

    abstract:STUDY DESIGN:Retrospective database analysis. OBJECTIVE:A range of patient-reported outcomes were used to measure disability due to low back pain. There is not a single back pain disability measurement commonly used in all randomized controlled trials. We report here our assessment as to whether different disability m...

    journal_title:Spine

    pub_type: 杂志文章,meta分析

    doi:10.1097/BRS.0000000000000866

    authors: Morris T,Hee SW,Stallard N,Underwood M,Patel S

    更新日期:2015-05-15 00:00:00

  • Extrusion of expandable stacked interbody device for lumbar fusion: case report of a complication.

    abstract:STUDY DESIGN:A case report. OBJECTIVE:We report on the device failure of a polyetherether-ketone expandable cage device with posterior migration of one of its components. SUMMARY OF BACKGROUND DATA:Posterior migration of transforaminal lumbar interbody fusion cage devices has been reported with static devices, and ou...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318257f14d

    authors: Kim PD,Baron EM,Levesque M

    更新日期:2012-08-15 00:00:00

  • The effects of stochastic resonance stimulation on spine proprioception and postural control in chronic low back pain patients.

    abstract:STUDY DESIGN:Spine proprioception and postural control in unstable sitting were compared in 18 chronic low back pain patients using a repeated measures design. OBJECTIVE:The study objective was to determine if stochastic resonance (SR) stimulation of the paraspinal muscles improves spine proprioception and trunk postu...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181971e09

    authors: Reeves NP,Cholewicki J,Lee AS,Mysliwiec LW

    更新日期:2009-02-15 00:00:00

  • Coexistence of cervical and lumbar disc disease.

    abstract::A retrospective analysis of 200 patients requiring cervical disc surgery was performed to determine the frequency of coexistent lumbar disc or spine abnormalities. The duration of follow-up ranged from 5 to 25 years, averaging 14 years. Sixty percent were women and 40% were men, their ages ranging from 25-73 years. An...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199012000-00006

    authors: Jacobs B,Ghelman B,Marchisello P

    更新日期:1990-12-01 00:00:00

  • 2001 Volvo Award Winner in Clinical Studies: Lumbar fusion versus nonsurgical treatment for chronic low back pain: a multicenter randomized controlled trial from the Swedish Lumbar Spine Study Group.

    abstract:STUDY DESIGN:A randomized controlled multicenter study with a 2-year follow-up by an independent observer. OBJECTIVES:To determine whether fusion of the lower lumbar spine could reduce pain and diminish disability more effectively when compared with nonsurgical treatment in patients with severe chronic low back pain (...

    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:10.1097/00007632-200112010-00002

    authors: Fritzell P,Hägg O,Wessberg P,Nordwall A,Swedish Lumbar Spine Study Group.

    更新日期:2001-12-01 00:00:00

  • Cognitive Patient Education for Low Back Pain in Primary Care: A Cluster Randomized Controlled Trial and Cost-Effectiveness Analysis.

    abstract:STUDY DESIGN:A pragmatic cluster randomized controlled trial in primary care. OBJECTIVE:The aim of this study was to estimate the clinical effectiveness and cost-effectiveness of a cognitive-based education program on patients with subacute or chronic low back pain (LBP) in primary care, compared to usual treatment, p...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0000000000001268

    authors: Werner EL,Storheim K,Løchting I,Wisløff T,Grotle M

    更新日期:2016-03-01 00:00:00

  • The trabecular anatomy of the axis.

    abstract::This article describes the internal anatomy of C2. Although some C2 specimens showed a high density of trabecular bone throughout, a feature noted in all specimens was a void or very hypodense area of bone located immediately beneath the dens. The observed nonuniform distribution of trabecular bone within the axis is ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199310001-00003

    authors: Heggeness MH,Doherty BJ

    更新日期:1993-10-15 00:00:00

  • Functional anatomy of the alar ligaments.

    abstract::Nineteen upper cervical spine specimens were dissected to examine the macroscopic and functional anatomy of alar ligaments. They are on both sides, symmetrically placed, approximately 10-13 mm long and elliptical in cross-section 3 X 6 mm in diameter. The fiber orientation is dependent on the height of dens axis, most...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198703000-00016

    authors: Dvorak J,Panjabi MM

    更新日期:1987-03-01 00:00:00

  • Comparing the clinical and radiological outcomes of pedicular transvertebral screw fixation of the lumbosacral spine in spondylolisthesis versus unilateral transforaminal lumbar interbody fusion (TLIF) with posterior fixation using anterior cages.

    abstract:STUDY DESIGN:This study retrospectively compares the clinical and radiologic outcomes of unilateral transforaminal lumbar interbody fusion (TLIF) with those of transvertebral screw fixation of the lumbosacral spine in high-grade spondylolisthesis. OBJECTIVE:To examine the outcome and perioperative complications of uni...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31817ecc01

    authors: Rodriguez-Olaverri JC,Zimick NC,Merola A,Vicente J,Rodriguez J,Tabuenca A,Loste A,Suñen E,Burgos J,Hevia E,Piza-Vallespir G

    更新日期:2008-08-15 00:00:00

  • Prospective radiographic and clinical outcomes of dual-rod instrumented anterior spinal fusion in adolescent idiopathic scoliosis: comparison with single-rod constructs.

    abstract:STUDY DESIGN:Anterior single or dual-rod instrumentation may be performed for the treatment of main thoracic, thoracolumbar, or lumbar adolescent idiopathic scoliosis (AIS) curves. OBJECTIVE:To compare the results of anterior dual-rod instrumentation in single-major AIS curves with our previous experience using single...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.brs.0000238966.75175.2b

    authors: Hurford RK Jr,Lenke LG,Lee SS,Cheng I,Sides B,Bridwell KH

    更新日期:2006-09-15 00:00:00

  • Craniovertebral tuberculosis: a retrospective review of 13 cases managed conservatively.

    abstract:STUDY DESIGN:Retrospective review of 13 cases with craniovertebral tuberculosis treated conservatively. OBJECTIVE:To evaluate the results of conservative treatment of craniovertebral tuberculosis and compare with the literature. SUMMARY OF BACKGROUND DATA:Craniovertebral tuberculosis is a rare entity even in endemic ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318074d41e

    authors: Chadha M,Agarwal A,Singh AP

    更新日期:2007-07-01 00:00:00

  • Comparison of Smith-Petersen versus pedicle subtraction osteotomy for the correction of fixed sagittal imbalance.

    abstract:STUDY DESIGN:Clinical, radiographic, and outcomes assessment comparing two surgical techniques. Clinical data were collected prospectively. The radiographic analysis was done retrospectively. OBJECTIVES:Smith-Petersen (chevron type) osteotomy (SPO) and pedicle subtraction osteotomy (PSO) have been used to correct fixe...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000179085.92998.ee

    authors: Cho KJ,Bridwell KH,Lenke LG,Berra A,Baldus C

    更新日期:2005-09-15 00:00:00

  • Use of an operating microscope during spine surgery is associated with minor increases in operating room times and no increased risk of infection.

    abstract:STUDY DESIGN:Retrospective database review. OBJECTIVE:To evaluate whether microscope use during spine procedures is associated with increased operating room times or increased risk of infection. SUMMARY OF BACKGROUND DATA:Operating microscopes are commonly used in spine procedures. It is debated whether the use of an...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000558

    authors: Basques BA,Golinvaux NS,Bohl DD,Yacob A,Toy JO,Varthi AG,Grauer JN

    更新日期:2014-10-15 00:00:00

  • Primary Ewing sarcoma of the spine mimicking a psoas abscess secondary to spinal infection.

    abstract:STUDY DESIGN:A case of primary Ewing sarcoma of the lumbar spine is presented. OBJECTIVE:To present and review a rare case of primary Ewing sarcoma of the lumbar spine that required differentiation from spinal infection. SUMMARY OF BACKGROUND DATA:Primary Ewing sarcoma originating from the spinal column is very rare....

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181995ec2

    authors: Akeda K,Kasai Y,Kawakita E,Seto M,Kono T,Uchida A

    更新日期:2009-04-20 00:00:00

  • Anabolic effects of Peniel 2000, a peptide that regulates TGF-β1 signaling on intervertebral disc degeneration.

    abstract:STUDY DESIGN:An in vitro study with bovine intervertebral disc (IVD) cells and an in vivo study with a rabbit disc degeneration model on the extracellular matrix metabolism by a biglycan-derived peptide (Peniel 2000; P2K). OBJECTIVE:To investigate the mechanism for P2K-induced increases in extracellular matrix and in ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31827aa896

    authors: Kwon YJ,Lee JW,Moon EJ,Chung YG,Kim OS,Kim HJ

    更新日期:2013-01-15 00:00:00

  • Strategies for outcome research in spinal disorders. An introduction.

    abstract::The evaluation of the clinical utility of the clinical diagnostic tests and procedures, what works in spinal disorders, and for whom and how treatment affects a patient's symptoms and function are key questions of outcomes research. This paper describes the advantages and limitations of the main study approaches used....

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199409151-00004

    authors: Liang MH,Andersson G,Bombardier C,Cherkin DC,Deyo RA,Keller RB,Lee CK,Lipscomb B,Shekelle P,Spratt KF

    更新日期:1994-09-15 00:00:00