Abstract:
STUDY DESIGN:Pain drawings were scored and their relationship to discographic pain responses was investigated. OBJECTIVES:The purpose of this study was to determine if there was a relationship between patients indicating pain in nonanatomic patterns on pain drawings (possibly suggestive of a tendency to overreport pain) and discographic pain responses, and in particular, if patients with abnormal drawings were more likely to provide false-positive discographic pain reports. SUMMARY OF BACKGROUND DATA:Patients with abnormal pain drawings have been found to have elevated scores on the hysteria and hypochondriasis scales of the Minnesota Multiphasic Personality Inventory. Elevations on these same two scales have been related to discordant discographic pain reports. METHODS:Pain drawings were completed by 170 patients the day of, but before computed tomography/discography. The drawings were scored as described by Ransford et al and classified as normal or abnormal. The number of levels at which a patient reported pain and the incidence of false-positive computed tomographic/discographic pain reports were compared for the two pain drawing groups. RESULTS:Patients with abnormal drawings reported pain at more levels than patients with normal ones. When dealing specifically with false-positive pain reports (pain reproduction on the injection of a nondisrupted disc), among the 105 patients in the normal group, only 13 (12.3%) reported false-positive pain. This was significantly less than the 50.0% (18 of 36) reporting false-positive pain in the abnormal group. The overall accuracy of pain drawings in differentiating patients with false-positive pain reports was 78.0% (110 of 141). CONCLUSIONS:There is a relationship between pain drawings and discographic pain responses. Pain drawings can help identify patients who may be likely to report pain on injection of a nondisrupted disc. While it was not totally sensitive to this occurrence, it can help identify at least some of the patients in whom pain responses should be interpreted cautiously.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Ohnmeiss DD,Vanharanta H,Guyer RDdoi
10.1097/00007632-199503150-00015subject
Has Abstractpub_date
1995-03-15 00:00:00pages
729-33issue
6eissn
0362-2436issn
1528-1159journal_volume
20pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:Systematic review and modified Delphi technique. OBJECTIVE:To use an evidence-based medicine process using the best available literature and expert opinion consensus to develop a comprehensive classification system to diagnose neoplastic spinal instability. SUMMARY OF BACKGROUND DATA:Spinal instability i...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3181e16ae2
更新日期:2010-10-15 00:00:00
abstract:STUDY DESIGN:A case report. OBJECTIVE:To report a case of the lumbar giant cell tumor (GCT) utilizing a new clinical treatment modality (denosumab therapy), which showed a massive tumor reduction combined with the L4 spondylectomy. SUMMARY OF BACKGROUND DATA:There are some controversies about spinal GCT treatments. D...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001191
更新日期:2016-02-01 00:00:00
abstract::A patient with idiopathic hypertrophic spinal pachymeningitis (HSP) with predominant involvement of the cervical and thoracic dura is reported. Serial magnetic resonance (MR) images detected isolated thickening and ridges of the dura mater. There has been no report describing the serial changes of MR images in idiopat...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-199403000-00021
更新日期:1994-03-01 00:00:00
abstract::Mobility of hips and lumbar spine were measured in 301 men and 175 women who were in employment but suffered from chronic or recurrent low-back pain. The degree of low-back pain (LBP) was assessed with a questionnaire. Hip flexion, extension, internal rotation, and hamstring flexibility in the men, and hip flexion and...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1988-06-01 00:00:00
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
更新日期:2006-07-15 00:00:00
abstract:STUDY DESIGN:This study investigated the effects of the intensive physical rehabilitation program on the trunk and knee extensor muscles in patients with chronic low back pain. At baseline and after 3 months, strength was measured and muscle biopsies were taken. OBJECTIVES:To evaluate the effects of strength exercises...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199502000-00014
更新日期:1995-02-01 00:00:00
abstract:STUDY DESIGN:A single large family, in which adolescent idiopathic scoliosis (AIS) and pectus excavatum (PE) segregate as an autosomal dominant condition, was evaluated. Genome-wide linkage analysis and candidate gene sequencing were performed. OBJECTIVE:To map the disease-causing locus in a large white family in whic...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31818b88a5
更新日期:2009-01-15 00:00:00
abstract:STUDY DESIGN:An ex vivo biomechanical study using cadaveric vertebral bodies. OBJECTIVE:To determine how bone mineral density (BMD) affects mechanical strength and stiffness of the vertebral body after vertebroplasty, and to determine how the association between mechanical properties and BMD varies with amount of ceme...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318133fc73
更新日期:2007-08-15 00:00:00
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...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000621
更新日期:2014-12-15 00:00:00
abstract::Sixty-six consecutive patients with adolescent idiopathic scoliosis treated by posterior spinal fusion using Harrington distraction compression instrumentation were followed for a minimum of 3 years. Initial surgical correction was satisfactory, but during the follow-up period, mean 4.4 years (3-5 years), there was a ...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1990-08-01 00:00:00
abstract:STUDY DESIGN:Retrospective database analysis. OBJECTIVE:To evaluate outcomes of human immunodeficiency virus (HIV) positive patients after cervical spine surgery. SUMMARY OF BACKGROUND DATA:Highly active antiretroviral medications have qualitatively altered the natural history of HIV, thus increasing the number of HI...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001103
更新日期:2015-11-01 00:00:00
abstract::Thirty patients with myelographic shortening of a single nerve root sheath without indentation of the dural sac were studied by CT. Lateral disc herniation was diagnosed by CT in 18 patients. The myelograms of these patients were considered suspicious of disc herniation in three patients, uncertain in seven, and misin...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198606000-00020
更新日期:1986-06-01 00:00:00
abstract:STUDY DESIGN:A retrospective analysis. OBJECTIVE:This study aimed to compare the safety and efficacy between the fusion-nonfusion hybrid construct (HC: anterior cervical corpectomy and fusion plus artificial disc replacement, ACCF plus cADR) and anterior cervical hybrid decompression and fusion (ACHDF: anterior cervic...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000588
更新日期:2014-11-01 00:00:00
abstract::Two-staged anterior and posterior spine fusion with instrumentation was evaluated in 17 cerebral palsy patients, ages 11 to 30 years. Functional benefits included improved sitting balance and, in ambulators, no loss of independence. Curve correction averaged 60%. The pseudarthrosis rate of 18% was lower than previousl...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198211000-00010
更新日期:1982-11-01 00:00:00
abstract:STUDY DESIGN:Retrospective case-control study. OBJECTIVE:The purpose of this study was to examine the factors of postoperative paralysis in patients who have undergone thoracic ossification of posterior longitudinal ligament (OPLL) surgery. SUMMARY OF BACKGROUND DATA:A higher percentage of thoracic OPLL patients expe...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001585
更新日期:2016-10-01 00:00:00
abstract::This article reports a prospective, randomized, multicentered study documenting changes in the intensity and location of low-back and referred pain to repeated end-range lumbar flexion and extension movements performed first while standing and then while recumbent during a single clinical patient evaluation. Significa...
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:10.1097/00007632-199106001-00006
更新日期:1991-06-01 00:00:00
abstract:STUDY DESIGN:Retro-prospective study. OBJECTIVES:To identify the incidence and the risk factors associated with the development of Facial pressure ulcers (FPU) in patients underwent spine surgery in prone position for at least 3 hours. SUMMARY OF BACKGROUND DATA:FPU is a serious complication that can occur after prol...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003892
更新日期:2020-12-17 00:00:00
abstract:STUDY DESIGN:This study of professional drivers is a part of a longitudinal record linkage study of all economically active men in Denmark, identified on January 1, 1981. Information about the main occupation was identified in 1980. The cohort was followed for first hospitalization with prolapsed cervical intervertebra...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199610150-00009
更新日期:1996-10-15 00:00:00
abstract:STUDY DESIGN:Retrospective study of 20 consecutive patients who underwent en bloc tumor excision of sacral chordomas and chondrosarcomas. OBJECTIVE:To evaluate the functional and oncological outcomes following en bloc tumor excision for sacral chordomas and chondrosarcomas. SUMMARY OF BACKGROUND DATA:Chordomas and ch...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181b61b90
更新日期:2009-09-15 00:00:00
abstract:STUDY DESIGN:A case report and review of the literature are presented. OBJECTIVE:To describe an extremely rare case of combined extraforaminal and intradiscal cement leakage in different vertebral levels following percutaneous vertebroplasty. SUMMARY OF BACKGROUND DATA:Cement leaks in vertebroplasty are relatively co...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e31805c0b25
更新日期:2007-05-20 00:00:00
abstract:STUDY DESIGN:A case report of surgically treated malignant triton tumor of the L2 nerve root. OBJECTIVES:To discuss treatment methods of the rare malignant triton tumor. SUMMARY OF BACKGROUND DATA:Malignant peripheral nerve sheath tumors are neoplasms that most often arise in peripheral nerves or in neurofibromas. Ma...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000138308.56051.c7
更新日期:2004-09-15 00:00:00
abstract:STUDY DESIGN:A case report of a patient who survived a traumatic disassociation of both atlanto-occipital and atlantoaxial joints. OBJECTIVE.: To describe a rare case of concurrent atlanto-occipital and atlantoaxial dislocation with a review of the related literature regarding occipitocervical dislocation. SUMMARY OF ...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e318182272a
更新日期:2008-08-15 00:00:00
abstract::It has been argued that a clarification of the mechanical causes of low-back pain requires a knowledge of the states of stress and strain throughout the lumbo-sacral spine. Since a purely experimental approach cannot provide this information, analytical model studies, to supplement measurements, are called for. In the...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198403000-00003
更新日期:1984-03-01 00:00:00
abstract:STUDY DESIGN:Isolated tubercular involvement of craniovertebral junction in a human immunodeficiency virus-positive patient causing paraplegia and sudden death with radiologic features is presented. OBJECTIVES:Isolated involvement of craniovertebral junction by tuberculosis causing quadriparesis is a rare entity. The ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000083257.63544.A9
更新日期:2003-08-01 00:00:00
abstract:STUDY DESIGN:Rabbit knee articular chondrocytes overexpressing human growth factors were injected into cultured intervertebral disc explants. Survival of the injected cells and accumulation of extracellular matrix were assessed. OBJECTIVE:To define the utility of cell-based gene delivery approach for repair of the int...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31816b1f38
更新日期:2008-04-15 00:00:00
abstract::Correct dermatome identification is essential to reduce nomenclature and surgical errors, to improve neurologic correlation, and to produce accurate statistics regarding low-back problems. The phylogenetic category of the spine must be known and junctional transitional vertebrae within the column properly identified a...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198005000-00003
更新日期:1980-05-01 00:00:00
abstract:STUDY DESIGN:This study examined the coactivation of trunk flexor and extensor muscles in healthy individuals. The experimental electromyographic data and the theoretical calculations were analyzed in the context of mechanical stability of the lumbar spine. OBJECTIVES:To test a set of hypotheses pertaining to healthy ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199710010-00003
更新日期:1997-10-01 00:00:00
abstract:STUDY DESIGN:A case series of adults with surgical treatment for adult idiopathic thoracolumbar and/or lumbar scoliosis, low back pain, and spinal stenosis was studied. OBJECTIVE:To assess pain relief, curve correction, and complications after combined procedures consisting of decompression, spine fusion, and stabiliz...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000048502.62793.0C
更新日期:2003-02-15 00:00:00
abstract::An electronic digital inclinometer was used to obtain normative data on cervical mobility from 58 normal subjects. They consisted of 28 males (age range, 17-61) and 30 females (age range, 19-62). The measurements were taken from occiput to T1 in flexion-extension, lateral bend, and axial rotation, isolating the region...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199311000-00007
更新日期:1993-11-01 00:00:00
abstract:STUDY DESIGN:A retrospective, cohort study of the kinematics of the lumbar spine of patients with spondylolisthesis compared with asymptomatic normal subjects. OBJECTIVE:To determine if abnormal motion could be detected in the radiographs of patients with spondylolisthesis. SUMMARY OF BACKGROUND DATA:Contrary to the ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000162400.06685.37
更新日期:2005-05-15 00:00:00