Abstract:
STUDY DESIGN:A clinicobiomechanical study. OBJECTIVE:To clarify the clinicobiomechanical characteristics of a segment with lumbar degenerative spondylolisthesis (LDS) using an original intraoperative measurement system. SUMMARY OF BACKGROUND DATA:Although radiographical evaluation of LDS is extensively performed, the diagnosis of segmental instability remains controversial. The intraoperative measurement system used in this study is the first clinically available system that performs cyclic flexion-extension displacement of the segment with all ligamentous structures intact and can determine both the stiffness (N/mm) and neutral zone (NZ, [mm/N]). METHODS:Forty-eight patients with LDS (males/females = 19/29, 68.5 yr; group D) were compared with 48 patients with lumbar spinal stenosis without LDS (males/females = 33/15, 64.8 yr, group N) in terms of symptoms, radiological, and biomechanical results. Instability was defined as a segment with NZ more than 2 mm. Symptoms (36-Item Short Form Health Survey), radiographical findings (radiographs, magnetic resonance images, computed tomographic scans), stiffness, NZ, and frequency of instability were also compared. Risk factors for instability were analyzed by multivariate logistic regression with a forward stepwise procedure. RESULTS:None of the physical function categories or radiological findings of 36-Item Short Form Health Survey and low back pain (visual analogue scale) differed significantly between the groups. Although NZ was significantly greater in group D (1.97) than in group N (1.73) (P < 0.05), the frequency of instability did not differ significantly between groups. Facet opening (odds ratio, 11.0; P < 0.01) and facet type (odds ratio, 6.0; P < 0.05) were significant risk factors for instability. CONCLUSION:Neither the symptoms nor the frequency of instability differed significantly between groups. The radiological findings of spondylolisthesis did not indicate instability, but facet opening and sagittally oriented facets were indicative of instability. The results of this study demonstrated that LDS is not always unstable in the measurement setting, suggesting that the instability of LDS can stabilize spontaneously during the natural course. LEVEL OF EVIDENCE:N/A.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Hasegawa K,Kitahara K,Shimoda H,Ishii K,Ono M,Homma T,Watanabe Kdoi
10.1097/BRS.0000000000000621subject
Has Abstractpub_date
2014-12-15 00:00:00pages
2127-35issue
26eissn
0362-2436issn
1528-1159pii
00007632-201412150-00006journal_volume
39pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:Modified Delphi technique. OBJECTIVE:To develop guidelines for the clinical management of scoliosis in Rett syndrome through evidence review and consensus expert panel opinion. SUMMARY OF BACKGROUND DATA:Rett syndrome is a rare disorder and clinical expertise is thus with small case series. Scoliosis is ...
journal_title:Spine
pub_type: 杂志文章,实务指引
doi:10.1097/BRS.0b013e3181a95ca4
更新日期:2009-08-01 00:00:00
abstract::: This next issue of Evidence-Based Recommendations for Spine Surgery examines six articles that seek to address pressing and relevant issues in contemporary spine surgery. These articles explore the safety and efficacy of tranexamic acid during lumbar surgery, the utility of post-operative MRI after spinal decompress...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003512
更新日期:2020-06-15 00:00:00
abstract::Herophilus (325-255 B. C.) is one of the group that has been called the great Greek physicians. All members of this group lived during the last 400 years of Greek intellectual leadership and the first 200 years of Roman domination. Herophilus was born in the Greek town of Chalcedon. He received his medical training un...
journal_title:Spine
pub_type: 传,历史文章,杂志文章
doi:10.1097/00007632-199809010-00022
更新日期:1998-09-01 00:00:00
abstract:STUDY DESIGN:The effects of exogenous 5-hydroxytryptamine (5-HT), tumor necrosis factor(TNF)-α, 5-HT + TNF in combination, and autologous nucleus pulposus (NP) at dorsal root ganglion (DRG) were examined using rat models. OBJECTIVE:To examine the interaction of 5-HT with TNF for pain-related behavior in a rat lumbar d...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181fea618
更新日期:2011-02-01 00:00:00
abstract:STUDY DESIGN:A case report of traumatic atlantooccipital dislocation (AOD) managed by intraarticular-posterior fusion from a posterior approach at the C0-C1 level with preservation of C1-C2 motion. OBJECTIVE:To present a new technique for atlantooccipital fusion with long-term follow-up. SUMMARY OF BACKGROUND DATA:Th...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181c91fa1
更新日期:2010-05-01 00:00:00
abstract:STUDY DESIGN:A prospective, longitudinal cohort study assessing quantitative socioeconomic outcomes of tertiary rehabilitation for chronically disabled patients with cervical spinal disorders compared with those with more common chronic lumbar spinal disorders. OBJECTIVES:To assess 1-year socioeconomic outcomes of a w...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199901150-00020
更新日期:1999-01-15 00:00:00
abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:To investigate the association between preoperative baseline serum albumin and postoperative surgical complication. SUMMARY OF BACKGROUND DATA:The prevalence of malnutrition in the hospitalized patient population has only been recently recognized. Preoperative hypoal...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000450
更新日期:2014-08-15 00:00:00
abstract:STUDY DESIGN:Multicenter retrospective cohort study. OBJECTIVE:To investigate the relationship between resident involvement in the operating room and 30-day complication rates in patients undergoing single-level anterior cervical diskectomy and fusion (ACDF). SUMMARY OF BACKGROUND DATA:Although an integral part of ac...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0000000000001230
更新日期:2016-03-01 00:00:00
abstract:STUDY DESIGN:Retrospective review. OBJECTIVE:To assess the relationship between age and complications, and report age-stratified complication rates for the surgical treatment of adult scoliosis. SUMMARY OF BACKGROUND DATA:Literature examining age and complication rates for adult scoliosis surgery is conflicting. The ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001239
更新日期:2016-03-01 00:00:00
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
更新日期:2008-12-01 00:00:00
abstract:STUDY DESIGN:Psychometric testing of the Persian Functional Rating Index (PFRI). OBJECTIVE:To determine the reliability and validity of the PFRI in Persian-speaking subjects with neck pain (NP). SUMMARY OF BACKGROUND DATA:The Functional Rating Index is a self-report questionnaire that can be used for patients with ba...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31824b5bde
更新日期:2012-06-15 00:00:00
abstract:STUDY DESIGN:Kinematics of the upper cervical spine during head rotation were investigated using three-dimensional magnetic resonance imaging (MRI) in healthy volunteers. OBJECTIVES:To demonstrate in vivo intervertebral coupled motions of the upper cervical spine. SUMMARY OF BACKGROUND DATA:Although various in vivo a...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000116998.55056.3c
更新日期:2004-04-01 00:00:00
abstract:STUDY DESIGN:Ninety-six male adult CD-1 mice were randomly divided into sham, spinal cord injury (SCI) + vehicle, and SCI + IPA-3 groups. Expression of matrix metalloproteinase (MMP)-2 and MMP-9, production of tumor necrosis factors (TNF)-α and interleukin (IL)-1β, tissue edema, blood-spinal cord barrier penetrability,...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001491
更新日期:2016-06-01 00:00:00
abstract:STUDY DESIGN:Retrospective review. OBJECTIVES:To determine the risk of postlaminectomy thoracolumbar kyphosis in skeletally immature achondroplasts and evaluate the need for concurrent fusion at multilevel decompression. SUMMARY OF BACKGROUND DATA:Spinal stenosis is a relatively common complication of achondroplasia....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000194778.60486.a3
更新日期:2006-01-15 00:00:00
abstract::Improving spinal fusion by optimizing scaffold and surface engineering is a topic of interest for both surgeons and researchers. Concerns regarding patient safety with off-label use of bone morphogenetic protein (BMP) have increased, and patients are choosing minimally invasive spine surgery to lessen morbidity by avo...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001426
更新日期:2016-04-01 00:00:00
abstract:STUDY DESIGN:Prospective, randomized, multicenter, Food and Drug Administration Investigational Device Exemption trial. OBJECTIVE:To evaluate the safety and efficacy of Coflex interlaminar stabilization compared with posterior spinal fusion in the treatment of 1- and 2-level spinal stenosis and degenerative spondyloli...
journal_title:Spine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/BRS.0b013e31829a6d0a
更新日期:2013-08-15 00:00:00
abstract::Camptocormia is a rare low-back disorder involving an abnormal posture of extreme forward flexion. Most reports of camptocormia were of male military recruits during World Wars I and II. The differential diagnosis of the postural deformity, the psychologic formulation of camptocormia as a conversion disorder, and the ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198505000-00006
更新日期:1985-05-01 00:00:00
abstract:STUDY DESIGN:Feasibility analysis of percutaneous posterolateral thoracic microendoscopic discectomy in a human cadaver model. OBJECTIVE:To describe a new, minimally invasive, posterolateral approach to the thoracic spine for the treatment of disc herniations. SUMMARY OF BACKGROUND:Thoracoscopic discectomy offers sur...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000162275.95579.ee
更新日期:2005-05-15 00:00:00
abstract:STUDY DESIGN:The first case of scoliosis in an Orangutan spine is reported. OBJECTIVES:To study the nature of scoliosis in the spinal specimen, and to determine the etiologic significance to human idiopathic scoliosis. SUMMARY OF BACKGROUND DATA:Idiopathic scoliosis has not been observed in primates other than man. P...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000051928.68584.A4
更新日期:2003-04-01 00:00:00
abstract:STUDY DESIGN:An amalgamated review of the current state of knowledge about psychosocial factors in low back pain (LBP), as presented at the plenary session at the Fourth International Forum on LBP Research in Primary Care (March 16-18, 2000, Israel). OBJECTIVES:To outline evidence-based theories that have lead to the ...
journal_title:Spine
pub_type:
doi:10.1097/00007632-200203010-00020
更新日期:2002-03-01 00:00:00
abstract::STUDY DESIGN.: A prospective interventional case-series study plus a retrospective analysis of historical patients for comparison of data. OBJECTIVE.: To evaluate workflow, feasibility, and clinical outcome of navigated stabilization procedures with data acquisition by intraoperative computed tomography. SUMMARY OF BA...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181b77b19
更新日期:2009-12-15 00:00:00
abstract:STUDY DESIGN:A prospective study of anterior transarticular screw (ATS) fixation patients. OBJECTIVE:To develop a method to determine screw tip position through plain radiography after percutaneous ATS fixation to prevent occipitocervical joint (OCJ) violation. SUMMARY OF BACKGROUND DATA:No studies using plain radiog...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001508
更新日期:2016-09-01 00:00:00
abstract:STUDY DESIGN:A follow-up study evaluating postural control, lumbar movement perception, and paraspinal muscle reflexes in disc herniation-related chronic low back pain (LBP) before and after discectomy. OBJECTIVES:To assess the effect of discectomy on postural control, lumbar perception, and reflex activation of paras...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:
更新日期:2003-04-15 00:00:00
abstract:STUDY DESIGN:An operator-blinded dual modality trial of measurement of lumbar multifidus muscle cross-sectional area was performed. OBJECTIVE:To compare two imaging modalities used for measurement of the lumbar multifidus muscle. METHODS:Ten normal female subjects aged 21-31 years were imaged on two separate days usi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199501000-00010
更新日期:1995-01-01 00:00:00
abstract:STUDY DESIGN:Retrospective database review OBJECTIVE.: The aim of this study was to analyze the implications of solid organ transplant (SOT) on postoperative outcomes following elective one or two-level anterior cervical discectomy and fusion (ACDF). SUMMARY OF BACKGROUND DATA:Although SOTs have been associated with i...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003230
更新日期:2020-02-01 00:00:00
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
更新日期:2000-01-01 00:00:00
abstract::Clinical practice guidelines and protocols are a seductive way of trying to improve the standard of clinical practice. If these are to be most effective, they must evaluate rigorously the evidence supporting a particular management strategy and make appropriate recommendations based on this information. This process n...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199607010-00021
更新日期:1996-07-01 00:00:00
abstract:STUDY DESIGN:A meta-analysis of surgical outcomes of cauda equina syndrome secondary to lumbar disc herniation. OBJECTIVES:To determine the relationship between time to decompression after onset of cauda equina syndrome and clinical outcome, and to identify preoperative variables that were associated with outcomes. S...
journal_title:Spine
pub_type: 杂志文章,meta分析
doi:10.1097/00007632-200006150-00010
更新日期:2000-06-15 00:00:00
abstract::Clinical features, contrast-enhanced lumbar tomographic findings, and biochemical plasma fibrinolytic parameters were critically assessed in 70 patients suffering severe, chronic postsurgical low-back and radicular pain to determine the cause of their persisting symptoms. Patients exhibited gross functional disability...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199109000-00005
更新日期:1991-09-01 00:00:00
abstract:STUDY DESIGN:Narrative review. OBJECTIVE:Describe current issues of outcomes assessment in spine research, with a focus on their application to advocacy oriented research. SUMMARY OF BACKGROUND DATA:Outcomes measurement in back pain has advanced substantially over the past decade. METHODS:Qualitative assessment of o...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e318053d45f
更新日期:2007-05-15 00:00:00