Abstract:
:This prospective study of 185 patients undergoing first-time lumbar surgery compared how accurately clinical criteria and water-soluble myelography predicted the operative findings. Clinical diagnostic criteria of nerve root pain, root irritation signs, and neurologic signs of root compression supplemented by myelography were shown to be much more accurate than myelography alone, both in predicting the presence or absence of nerve root involvement and in distinguishing disc prolapse from bony entrapment. Provided the clinical criteria were clearly defined, patients with three or more of the four criteria were usually found to have a disc prolapse while bony entrapment could frequently be identified with one or two criteria. It is concluded that although lumbar disc prolapse is well-recognized, in practice clinical assessment and diagnostic criteria need to be defined more clearly to match increasingly sophisticated radiology.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Morris EW,Di Paola M,Vallance R,Waddell Gdoi
10.1097/00007632-198606000-00007subject
Has Abstractpub_date
1986-06-01 00:00:00pages
436-9issue
5eissn
0362-2436issn
1528-1159journal_volume
11pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:An experimental study of cardiovascular complications that arise during vertebroplasty was conducted. OBJECTIVE:To investigate the sequential occurrence of fat embolism and hypotension during vertebroplasty. SUMMARY OF BACKGROUND DATA:Vertebroplasty, the augmentation of vertebrae with polymethylmethacryl...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200203010-00005
更新日期:2002-03-01 00:00:00
abstract:STUDY DESIGN:A retrospective study was undertaken which evaluated the medical records and imaging studies of a subset of patients managed by the spine service at Jackson Memorial Hospital who were diagnosed with an esophageal perforation in the setting of spinal surgery. OBJECTIVE:To assess the safety and efficacy of ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000182309.97403.ca
更新日期:2005-10-15 00:00:00
abstract::Lumbar intervertebral joints were subjected to compressive and shear forces calculated to simulate walking with a heavy pack on the back. The joints with articular tropism were found to rotate toward the side of the more oblique facet. The mechanics relating the orientation of the articular facets with joint forces an...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198003000-00011
更新日期:1980-03-01 00:00:00
abstract:STUDY DESIGN:: A retrospective study. OBJECTIVE:: To evaluate the safety of free-hand pedicle screw placement during revision surgery at levels with a solid posterior fusion mass and/or identified pseudarthroses of the thoracic and lumbosacral spine. SUMMARY OF BACKGROUND DATA:: Placement of pedicle screws into previ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31816f28a1
更新日期:2008-05-01 00:00:00
abstract::Spinal cord evoked potentials were recorded from spinous processes of the lumbar, thoracic, and cervical levels of the spinal column of normal cats in response to direct stimulation of the sciatic nerve and subcutaneous stimulation of the posterior tibial nerve. The typical primary response was altered by changes in l...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-197911000-00007
更新日期:1979-11-01 00:00:00
abstract:STUDY DESIGN:A retrospective chart review of 1561 patients with spinal injury was conducted over a 4-year period. OBJECTIVES:To determine the rate of surgical site infection in the spinal trauma population, to compare infection rates after spinal operations for elective and traumatic indications, and to identify risk ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000067109.23914.0A
更新日期:2003-07-01 00:00:00
abstract::The increased complexity of Cotrel-Dubousset instrumentation has, as an unexpected side effect, a potential increase in blood loss. A prospective randomized study was undertaken to test the hypothesis that application of a fibrin sealant to exposed cancellous bone can significantly reduce blood loss during Cotrel-Dubo...
journal_title:Spine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007632-199009000-00014
更新日期:1990-09-01 00:00:00
abstract:STUDY DESIGN:Retrospective. OBJECTIVE:To examine the relationship between American Society of Anesthesiologists (ASA) score and inpatient pain and narcotics consumption following anterior cervical discectomy and fusion (ACDF). SUMMARY OF BACKGROUND DATA:Higher ASA scores have been previously linked to increased posto...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003135
更新日期:2019-11-15 00:00:00
abstract:STUDY DESIGN:This is a 3-year prospective study of juvenile low back pain (LBP). OBJECTIVES:To investigate persistence and change in LBP. SUMMARY OF BACKGROUND DATA:Earlier episodes of LBP are a strong risk factor for LBP in adults, while the persistence of LBP through adolescence is not known. METHODS:The material ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000143666.58758.8b
更新日期:2004-11-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional study to evaluate the thoracic and lumbar spine in patients with diastrophic dysplasia (DD). OBJECTIVES:To find the causative factors behind the spinal deformities and restricted mobility of the spine. SUMMARY OF BACKGROUND DATA:Typical findings in this skeletal dysplasia are short-limbed...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200101150-00014
更新日期:2001-01-15 00:00:00
abstract:STUDY DESIGN:Biomechanical laboratory research. OBJECTIVE:To compare 4 techniques for vertebral body insufficiency fracture repair by analyzing restoration of height, strength, and stiffness, and quantifying cement leakage. SUMMARY OF BACKGROUND DATA:Current techniques for insufficiency fracture repair, restore prefr...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000224546.29268.d1
更新日期:2006-07-01 00:00:00
abstract:STUDY DESIGN:Literature review. OBJECTIVES:It was the purpose of the Spine Trauma Study Group to compile a collection of clinically useful imaging methods used in lower cervical spine trauma and to describe in detail how these measurements should be made. SUMMARY OF BACKGROUND DATA:Injury detection, description, and ...
journal_title:Spine
pub_type: 共识发展会议,杂志文章,评审
doi:10.1097/01.brs.0000201273.39058.dd
更新日期:2006-03-01 00:00:00
abstract:STUDY DESIGN:Preliminary report of new antitumor treatment. OBJECTIVE:To evaluate the effectiveness of electrochemotherapy as a novel treatment of spinal metastasis. SUMMARY OF BACKGROUND DATA:Electrochemotherapy is a new antitumor treatment that combines systemic bleomycin with electric pulses delivered locally at t...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001125
更新日期:2015-12-01 00:00:00
abstract:STUDY DESIGN:The authors retrospectively reviewed 28 patients with multilevel Pott disease who underwent anterior radical débridement, decompression, and fusion with anterior spinal instrumentation and fibular allograft replacement. OBJECTIVES:To assess the efficacy of allograft fibular fusion and anterior spinal stab...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000048666.17934.17
更新日期:2003-03-01 00:00:00
abstract:STUDY DESIGN:A new magnetic resonance image analysis method is proposed which is based on the definition of the borders of the vertebral bodies adjacent to the intervertebral disc and their varying relationships. The reproducibility of this method (the so-called "centroid" method) was assessed by consecutive measuremen...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199603010-00006
更新日期:1996-03-01 00:00:00
abstract::Changes on facet joint articular cartilage biology after chymopapain-induced disc height loss were determined in adult mongrel dogs. Disc height decreased to 50% at 2 weeks and returned to 80% at 6 months. The biochemistry and histology of the involved-level facet joints were followed at 2 weeks, 6 weeks, 3 months and...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198611000-00016
更新日期:1986-11-01 00:00:00
abstract::Two groups of surgically treated patients with degenerative spondylolisthesis were compared. Those who had decompression accompanied by fusion had more favorable outcomes than those treated with decompression alone. ...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1985-04-01 00:00:00
abstract::Automated percutaneous discectomy is a new, safe procedure for treating herniated lumbar discs still contained by the annulus or posterior longitudinal ligament. In 1985, one of the authors reported a percutaneous nucleus aspiration technique using a 2-mm aspiration probe. This small probe produced minimal tissue dama...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199103000-00018
更新日期:1991-03-01 00:00:00
abstract:STUDY DESIGN:Investigation of the effects of recombinant human cathepsin L on intervertebral discs and comparison with the effects of chymopapain. OBJECTIVE:To evaluate the effects of cathepsin L on intervertebral discs as an agent for chemonucleolysis. SUMMARY BACKGROUND DATA:Cathepsin L is a typical cysteine protei...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199901150-00004
更新日期:1999-01-15 00:00:00
abstract:STUDY DESIGN:Retrospective review. OBJECTIVE:To describe an accurate method of intraoperative localization of thoracic spine levels with percutaneously placed radiopaque markers at the pedicle of the level of interest. SUMMARY OF BACKGROUND DATA:Intraoperative localization of thoracic spine levels can be difficult in...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181c90bdf
更新日期:2010-09-01 00:00:00
abstract:STUDY DESIGN:We present the case study of a 31-year-old lady who had a spontaneous cervical spinal epidural hematoma in the postpartum period and who presented with sudden onset of neck pain and lower limb weakness for which an emergency decompressive laminectomy was performed with neurological recovery. OBJECTIVE:To ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31823232a5
更新日期:2012-03-15 00:00:00
abstract:STUDY DESIGN:We demonstrated the differentiation of notochordal cells by direct observation using a live automated cell imaging system. We also hypothesized that notochordal cells have characteristics of chondrocyte-like cells. OBJECTIVE:To determine characteristics of notochordal cells by matrix protein expression an...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181b26ed1
更新日期:2009-11-01 00:00:00
abstract:STUDY DESIGN:Case series. OBJECTIVE:To describe the outcomes of workers' compensation (WC) claimants who have had a lumbar intradiscal electrothermal therapy (IDET) procedure. SUMMARY OF BACKGROUND DATA:IDET was developed as a less invasive treatment alternative to fusion after failure of conservative treatment for d...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000092376.41688.1a
更新日期:2004-02-15 00:00:00
abstract:STUDY DESIGN:A study on active cervical range of motion (RoM) in healthy females of different ages. OBJECTIVE:Perform a three-dimensional quantitative analysis of active head-cervical RoM in healthy females to assess the relationship with age. SUMMARY OF BACKGROUND DATA:Age-related variations in active cervical RoM a...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181afe826
更新日期:2009-08-15 00:00:00
abstract:STUDY DESIGN:Forty-one patients undergoing lumbar laminectomy for radiculopathy resulting from herniated discs assessed their health status using a generic health outcome instrument (Medical Outcomes Study Short Form 36) before surgery and at an average of 2 years after surgery. OBJECTIVES:To assess whether lumbar lam...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199604150-00010
更新日期:1996-04-15 00:00:00
abstract:STUDY DESIGN:In vitro biomechanical study. OBJECTIVE:To characterize cervical total disc replacement (TDR) kinematics above two-level fusion, and to determine the effect of fusion alignment on TDR response. SUMMARY OF BACKGROUND DATA:Cervical TDR may be a promising alternative for a symptomatic adjacent level after p...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318222d4ad
更新日期:2011-08-01 00:00:00
abstract:STUDY DESIGN:Prospective study. OBJECTIVE:To identify the impact of laminoplasty on range of motion (ROM) and sagittal alignment of the cervical spine. SUMMARY OF BACKGROUND DATA:Cervical laminoplasty is an effective procedure decompressing multilevel spinal cord compression. Preoperative lordosis of the cervical spi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318158c573
更新日期:2007-11-01 00:00:00
abstract:STUDY DESIGN:Multicenter, retrospective study. OBJECTIVE:To compare the outcomes of three surgical treatments for congenital spinal deformity due to a hemivertebra. SUMMARY OF BACKGROUND DATA:Congenital anomalies of the spine can cause significant and progressive scoliosis and kyphosis. Their management may be challe...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0b013e318233f4bb
更新日期:2011-11-15 00:00:00
abstract:STUDY DESIGN:Retrospective. OBJECTIVE:To study the incidence of intraoperative cerebrospinal fluid (CSF) leak in patients with ossified posterior longitudinal ligament (OPLL) undergoing central cervical corpectomy (CC) and to describe a reliable technique for treating the leak after CC. SUMMARY OF BACKGROUND DATA:The...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318195d245
更新日期:2009-03-01 00:00:00
abstract:METHODS:Vertebral artery injury is a rarely described complication of anterior cervical decompression. The authors performed a retrospective review of their operative database for the purposes of defining the optimal management of this complication and its avoidance. RESULTS:Four of 1,215 (0.3%) patients undergoing an...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199411001-00010
更新日期:1994-11-15 00:00:00