Index level mobility after total lumbar disc replacement: is it beneficial or detrimental?

Abstract:

STUDY DESIGN:Analysis of segmental and total lumbar range of motion (ROM) before and after total lumbar disc replacement. OBJECTIVE:To examine the relationship between absolute segmental and total lumbar ROM and evolution of ROM on clinical outcome. SUMMARY OF BACKGROUND DATA:At the moment, data are scarce with regard to the evolution of total lumbar ROM (t-ROM) and segmental ROM (s-ROM) after total lumbar disc replacement. Moreover, the influence of ROM on clinical outcome still is unclear and remains a matter of controversial debate. METHODS.: Forty patients operated on for mono- or bisegmental symptomatic degenerative disc disease with a total of 45 artificial discs (ProDisc-L, Synthes) were analyzed. Pre- and postoperative s-ROM and t-ROM were measured on flexion/extension radiographs. The Oswestry Low Back Pain Disability Questionnaire and the Short Form 36 Health Survey were obtained pre- and postoperatively with a minimum follow-up of 3 years (37-64 months). RESULTS:Neither the s-ROM (pre-/postoperatively: 6.9 degrees/7.3 degrees) nor the t-ROM (pre-/postoperatively: 34.9 degrees/35.8 degrees) did change significantly after implantation of an artificial disc. Postoperatively, there was an increase of s-ROM (t-ROM) in 40% (40%), a decrease in 35% (30%), and no change in 25% (30%) of the patients. A significant inferior clinical outcome only was observed in patients with decreased t-ROM. The resulting postoperatively s-ROM had no significant impact on outcome. CONCLUSION:Neither the absolute s-ROM nor the evolution of s-ROM (increase, decrease, unchanged) was positively correlated with better clinical outcome. Although a positive correlation was observed with regard to t-ROM.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Cakir B,Schmidt R,Mattes T,Fraitzl CR,Reichel H,Käfer W

doi

10.1097/BRS.0b013e31819b213c

subject

Has Abstract

pub_date

2009-04-20 00:00:00

pages

917-23

issue

9

eissn

0362-2436

issn

1528-1159

pii

00007632-200904200-00010

journal_volume

34

pub_type

杂志文章

相关文献

SPINE文献大全
  • Isolated congenital cervical block vertebrae below the axis with neurological symptoms.

    abstract::A reviews of 13 cases of symptomatic isolated congenital cervical fusion (block vertebrae) below the C2 level is presented. Ten cases were collected from a review of the English literature and three new cases were added. All 13 patients presented neurologic symptoms of radiculopathy and/or myelopathy with either no hi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198103000-00002

    authors: Lee CK,Weiss AB

    更新日期:1981-03-01 00:00:00

  • Is occupational low back pain on the rise?

    abstract:STUDY DESIGN:A retrospective analysis of back pain claim data from two sources, a workers' compensation provider and Washington State Department of Labor and Industries. The Workers' Compensation Provider claim data were examined over a 9-year period, 1987-1995, and the Washington claim data were examined over a 5-year...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199904010-00015

    authors: Murphy PL,Volinn E

    更新日期:1999-04-01 00:00:00

  • The role of directly applied hypothermia in spinal cord injury.

    abstract:STUDY DESIGN:The effect of intense local hypothermia was evaluated in a precision model of spinal canal narrowing and spinal cord injury in rats. The spinal cord injury was cooled with a custom cooling well used over the epidural surface. Basso, Beattie, and Bresnahan (BBB) motor scores and transcranial magnetic motor-...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200009150-00006

    authors: Dimar JR 2nd,Shields CB,Zhang YP,Burke DA,Raque GH,Glassman SD

    更新日期:2000-09-15 00:00:00

  • Assessment of human disc degeneration and proteoglycan content using T1rho-weighted magnetic resonance imaging.

    abstract:STUDY DESIGN:T1rho relaxation was quantified and correlated with intervertebral disc degeneration and proteoglycan content in cadaveric human lumbar spine tissue. OBJECTIVE:To show the use of T1rho-weighted magnetic resonance imaging (MRI) for the assessment of degeneration and proteoglycan content in the human interv...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000217708.54880.51

    authors: Johannessen W,Auerbach JD,Wheaton AJ,Kurji A,Borthakur A,Reddy R,Elliott DM

    更新日期:2006-05-15 00:00:00

  • Torulopsis glabrata spinal osteomyelitis involving two contiguous vertebrae. A case report.

    abstract:STUDY DESIGN:A case report and literature review of the five previous case reports. OBJECTIVES:To outline the features of Torulopsis glabrata spinal osteomyelitis, including its risk factors, diagnosis, and recommended treatments. SUMMARY OF BACKGROUND DATA:Fungal infections in general and Torulopsis glabrata in part...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-199604010-00019

    authors: Curran MP,Lenke LG

    更新日期:1996-04-01 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

  • A stochastic model of trunk muscle coactivation during trunk bending.

    abstract::Biomechanical models of the spine have traditionally assumed that workplace lifting conditions (weight, posture, motion, etc.) precisely dictate the magnitude of individual muscle forces necessary to maintain a biomechanical balance within the trunk. However, because there are a large number of muscle groups within th...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Mirka GA,Marras WS

    更新日期:1993-09-01 00:00:00

  • Role of sodium in the pathophysiology of secondary spinal cord injury.

    abstract:STUDY DESIGN:Experimental study using an in vitro model of compressive injury to isolated adult rat dorsal column axons. OBJECTIVES:To examine the role of extracellular Na+ (Na+e) in mediating secondary injury to spinal cord axons after compressive trauma. The mechanisms of intracellular sodium entry were examined usi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199510001-00002

    authors: Fehlings MG,Agrawal S

    更新日期:1995-10-15 00:00:00

  • Posterior vertebral column resection in fixed lumbosacral deformity.

    abstract:STUDY DESIGN:Retrospective study. OBJECTIVES:To report the results and the technique of posterior vertebral column resection (PVCR) in fixed lumbosacral deformity. SUMMARY OF BACKGROUND DATA:Fixed lumbosacral deformity has gross imbalance as well as progressive compensatory thoracolumbar deformity because of the abse...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000188190.90034.be

    authors: Suk SI,Chung ER,Lee SM,Lee JH,Kim SS,Kim JH

    更新日期:2005-12-01 00:00:00

  • Disc pressure measurements.

    abstract::By measurement of intradiscal pressure in vitro, the hydrostatic properties of the nucleus pulposus of normal lumbar intervertebral disc were proven. The hydrodynamic properties seem to exist also in the somewhat degenerated disc, but not in the more severely deranged ones. Intravitally-performed measurements of disc ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198101000-00020

    authors: Nachemson AL

    更新日期:1981-01-01 00:00:00

  • Surgical strategy for cervical myelopathy due to ossification of the posterior longitudinal ligament: Part 2: Advantages of anterior decompression and fusion over laminoplasty.

    abstract:STUDY DESIGN:Retrospective study of 27 patients who underwent anterior decompression and fusion (ADF) for treatment of cervical myelopathy due to ossification of the posterior longitudinal ligament (OPLL). OBJECTIVES:To compare surgical outcome of ADF with that of laminoplasty. SUMMARY OF BACKGROUND DATA:During the p...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.brs.0000257566.91177.cb

    authors: Iwasaki M,Okuda S,Miyauchi A,Sakaura H,Mukai Y,Yonenobu K,Yoshikawa H

    更新日期:2007-03-15 00:00:00

  • Opioid-free Analgesia for Posterior Spinal Fusion Surgery Using Erector Spinae Plane (ESP) Blocks in a Multimodal Anesthetic Regimen.

    abstract:STUDY DESIGN:A case report. OBJECTIVE:The aim of this study was to report the use of erector spinae plane (ESP) blocks as part of an opioid-free multimodal anesthetic regimen and its impact on postoperative pain and opioid requirements following spine surgery. SUMMARY OF BACKGROUND DATA:Posterior spinal fusion surger...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002855

    authors: Chin KJ,Lewis S

    更新日期:2019-03-15 00:00:00

  • An international comparison of back surgery rates.

    abstract:SUMMARY OF BACKGROUND DATA:Although high geographic variation in back surgery rates within the United States have been documented, international comparisons have not been published. METHODS:The authors compared rates of back surgery in eleven developed countries to determine if back surgery rates are higher: 1) in the...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199405310-00001

    authors: Cherkin DC,Deyo RA,Loeser JD,Bush T,Waddell G

    更新日期:1994-06-01 00:00:00

  • Delayed distant spinal metastasis in thymomas.

    abstract:STUDY DESIGN:A case report. OBJECTIVE:To demonstrate 2 cases of delayed distant spinal metastasis from a thymoma with comprehensive immunohisto-chemical analysis. SUMMARY OF BACKGROUND DATA:Thymoma is a rare slow-growing cancer arising in the mediastinum. Thymomas usually grow invasively into surrounding structures. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000029

    authors: Hong B,Nakamura M,Hartmann C,Brandis A,Ganser A,Krauss JK

    更新日期:2013-12-15 00:00:00

  • Reduction of bone retropulsed into the spinal canal in thoracolumbar vertebral body compression burst fractures. A prospective randomized comparative study between Harrington rods and two transpedicular devices.

    abstract:STUDY DESIGN:This was a prospective, randomized study. OBJECTIVE:To compare the ability of three methods of internal fixation (Harrington rods, AO internal fixator, posterior segmental fixator) to obtain reduction of intracanal fragments in thoracolumbar vertebral compression burst fractures. SUMMARY OF BACKGROUND DA...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007632-199508000-00010

    authors: Vornanen MJ,Böstman OM,Myllynen PJ

    更新日期:1995-08-01 00:00:00

  • Surgical revision rates of hooks versus hybrid versus screws versus combined anteroposterior spinal fusion for adolescent idiopathic scoliosis.

    abstract:STUDY DESIGN:Multi-institution retrospective review. OBJECTIVE:To determine the surgical revision rates of hook, hybrid, anteroposterior, and total pedicle screw constructs for adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA:Much debate continues on the safety, efficacy, and cost of thoracic pedicle...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0b013e31814b1ba6

    authors: Kuklo TR,Potter BK,Lenke LG,Polly DW Jr,Sides B,Bridwell KH

    更新日期:2007-09-15 00:00:00

  • Intraoperative experience with neuromotor evoked potentials. A review of 60 consecutive cases.

    abstract:STUDY DESIGN:A review of 60 surgical cases for correction of scoliosis, during which neuromotor evoked potentials and somatosensory evoked potentials were monitored. OBJECTIVES:To determine the validity and reliability of intraoperative neuromotor evoked potential monitoring in cases of scoliosis, where damage to the ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199910010-00012

    authors: Lubitz SE,Keith RW,Crawford AH

    更新日期:1999-10-01 00:00:00

  • Postural alignment in barefoot and high-heeled stance.

    abstract::The posture of nineteen subjects under two conditions of footwear was analyzed for differences in the location of the line of gravity of the body with respect to anatomical landmarks. Intrasubject comparison of barefoot and high-heeled stance showed that the wearing of high heels caused lumbar flattening, a backward t...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198805000-00018

    authors: Opila KA,Wagner SS,Schiowitz S,Chen J

    更新日期:1988-05-01 00:00:00

  • The subaxial cervical spine injury classification system: a novel approach to recognize the importance of morphology, neurology, and integrity of the disco-ligamentous complex.

    abstract:STUDY DESIGN:The classification system was derived through a literature review and expert opinion of experienced spine surgeons. In addition, a multicenter reliability and validity study of the system was conducted on a collection of trauma cases. OBJECTIVES:To define a novel classification system for subaxial cervica...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0b013e3181557b92

    authors: Vaccaro AR,Hulbert RJ,Patel AA,Fisher C,Dvorak M,Lehman RA Jr,Anderson P,Harrop J,Oner FC,Arnold P,Fehlings M,Hedlund R,Madrazo I,Rechtine G,Aarabi B,Shainline M,Spine Trauma Study Group.

    更新日期:2007-10-01 00:00:00

  • A comparison of fatigue failure responses of old versus middle-aged lumbar motion segments in simulated flexed lifting.

    abstract:STUDY DESIGN:Survival analysis techniques were used to compare the fatigue failure responses of elderly motion segments to a middle-aged sample. OBJECTIVES:To compare fatigue life of a middle-aged sample of lumbosacral motion segments to a previously tested elderly cohort. An additional objective was to evaluate the i...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000259812.75138.c0

    authors: Gallagher S,Marras WS,Litsky AS,Burr D,Landoll J,Matkovic V

    更新日期:2007-08-01 00:00:00

  • National and regional rates and variation of cervical discectomy with and without anterior fusion, 1990-1999.

    abstract:STUDY DESIGN:A national hospitalization database was used to determine rates and trends in the treatment of cervical disc disease. OBJECTIVE:To examine the temporal and geographic variations in hospitalizations and surgical procedures for cervical disc disease. SUMMARY OF BACKGROUND DATA:Studies of spinal surgery dur...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000058880.89444.A9

    authors: Angevine PD,Arons RR,McCormick PC

    更新日期:2003-05-01 00:00:00

  • Analysis of rabbit intervertebral disc physiology based on water metabolism. II. Changes in normal intervertebral discs under axial vibratory load.

    abstract::Metabolic changes induced by axial vibratory load to the spine were investigated based on water metabolism in normal intervertebral discs of rabbits with or without pentobarbital anesthesia. Tritiated water concentration in the intervertebral discs of unanesthetized rabbits was reduced remarkably by axial vibration fo...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198811000-00016

    authors: Hirano N,Tsuji H,Ohshima H,Kitano S,Itoh T,Sano A

    更新日期:1988-11-01 00:00:00

  • Trunk sway measures of postural stability during clinical balance tests in patients with chronic whiplash injury symptoms.

    abstract:STUDY DESIGN:Trunk sway occurring during clinical stance and gait tasks was compared between a group of subjects with a chronic whiplash injury, resulting from an automobile collision, and a normal collective. OBJECTIVES:To examine if population specific trunk sway patterns for stance and gait could be identified for ...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.BRS.0000083170.34304.A3

    authors: Sjöström H,Allum JH,Carpenter MG,Adkin AL,Honegger F,Ettlin T

    更新日期:2003-08-01 00:00:00

  • Minimally Invasive Surgery for Neuromuscular Scoliosis: Results and Complications in a Series of One Hundred Patients.

    abstract:STUDY DESIGN:A retrospective review. OBJECTIVE:To report the results of an alternative technique using a minimally invasive fusionless surgery. The originality is based on the progressive correction of the deformities with proximal and distal fixation and on the reliability of the pelvic fixation using iliosacral scre...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002588

    authors: Miladi L,Gaume M,Khouri N,Johnson M,Topouchian V,Glorion C

    更新日期:2018-08-01 00:00:00

  • The course of low back pain from adolescence to adulthood: eight-year follow-up of 9600 twins.

    abstract:STUDY DESIGN:Prospective study with 8-year follow-up. OBJECTIVE:To describe the evolution of low back pain from adolescence into adulthood. SUMMARY OF BACKGROUND DATA:High prevalence rates of low back pain among children and adolescents have been demonstrated in several studies, and it has been theorized that low bac...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000199958.04073.d9

    authors: Hestbaek L,Leboeuf-Yde C,Kyvik KO,Manniche C

    更新日期:2006-02-15 00:00:00

  • Symptomatic spinal arachnoid cysts: report of two cases with review of the literature.

    abstract:STUDY DESIGN:Two unusual cases of intradural extramedullary noncommunicating arachnoid cysts are presented, with a review of literature. OBJECTIVE:To assess surgical excision results in the reversal of symptoms and neurologic deficits. SUMMARY OF BACKGROUND DATA:Most patients harboring arachnoid cysts are asymptomati...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-200301150-00019

    authors: Kumar K,Malik S,Schulte PA

    更新日期:2003-01-15 00:00:00

  • The use of mathematical models for studies of scoliosis biomechanics.

    abstract::The use of mathematical and other types of models for the study of the biomechanics of scoliosis is reviewed in this article. The article is based on a talk presented at the 1987 Meeting of the Scoliosis Research Society. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199110000-00014

    authors: Schultz AB

    更新日期:1991-10-01 00:00:00

  • Is a condition-specific instrument for patients with low back pain/leg symptoms really necessary? The responsiveness of the Oswestry Disability Index, MODEMS, and the SF-36.

    abstract:STUDY DESIGN:Analysis of longitudinal data collected prospectively from patients seen in 27 National Spine Network member centers across the United States. OBJECTIVE:To evaluate the responsiveness of the Oswestry Disability Index, MODEMS scales, and all scales and summary scales of the MOS Short-Form 36 (SF-36) for pa...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.BRS.0000050654.97387.DF

    authors: Walsh TL,Hanscom B,Lurie JD,Weinstein JN

    更新日期:2003-03-15 00:00:00

  • Spinal disabilities in military and civil aviators.

    abstract:OBJECTIVE:The purpose of this study was to analyze the nature and cause of spinal disabilities among military and civil aircrew in India. SUMMARY OF BACKGROUND DATA:Studies suggest that military aircrew may be more prone than nonaviators to develop spinal disabilities. An in-depth analysis of such disabilities can ena...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31817bb9aa

    authors: Taneja N

    更新日期:2008-12-01 00:00:00

  • Complications and outcomes of pedicle subtraction osteotomies for fixed sagittal imbalance.

    abstract:STUDY DESIGN:Radiographic analysis, outcomes analysis (pain scale, Oswestry, SRS-24), and accumulation of complications. Outcomes and complications collected prospectively. Radiographic analysis performed retrospectively. OBJECTIVES:To assess the benefits and stress complications of pedicle subtraction osteotomies for...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000090891.60232.70

    authors: Bridwell KH,Lewis SJ,Edwards C,Lenke LG,Iffrig TM,Berra A,Baldus C,Blanke K

    更新日期:2003-09-15 00:00:00