Patient characteristics associated with diagnostic imaging evaluation of persistent low back problems.

Abstract:

STUDY DESIGN:Post hoc analysis of data from the National Low Back Pain Study, a prospective observational multicenter study of patients referred for the evaluation and treatment of persistent low back problems. OBJECTIVE:To identify patient characteristics associated with use of particular diagnostic imaging examinations in patients with persistent low back problems. SUMMARY OF BACKGROUND DATA:The Agency for Health Care Policy and Research clinical practice guidelines on low back problems suggest that the use of particular diagnostic imaging tests for a given patient should be based on specific characteristics of that patient. METHODS:Use of diagnostic imaging examinations in 2,374 patients with persistent low back problems who were enrolled in the National Low Back Pain Study from 1986 to 1991 was analyzed. Stepwise logistic regression was used to identify patient characteristics that distinguish between enrollees who underwent particular imaging studies. RESULTS:Characteristics that distinguished patients who had undergone magnetic resonance imaging from those who had received only lumbo-sacral spine radiographs included higher socioeconomic status, greater resource use in the preceding 12 months, more functional impairment, presence of sciatica, and presence of neurologic signs/symptoms suggestive of nerve root compromise. Suspected soft tissue involvement was characteristic of enrollees who had undergone magnetic resonance imaging, whereas suspected structural involvement characterized patients who received noncontrast computed tomography. Only nonclinical factors, such as higher annual household income, disability compensation, and male gender distinguished enrollees who had undergone both magnetic resonance imaging and computed tomography-myelography from those who received only computed tomography-myelography. CONCLUSION:Particular patient socioeconomic and clinical characteristics are associated with receipt of specific imaging studies in evaluation of persistent low back problems.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Ackerman SJ,Steinberg EP,Bryan RN,BenDebba M,Long DM

doi

10.1097/00007632-199707150-00021

subject

Has Abstract

pub_date

1997-07-15 00:00:00

pages

1634-40; discussion 1641

issue

14

eissn

0362-2436

issn

1528-1159

journal_volume

22

pub_type

杂志文章,多中心研究

相关文献

SPINE文献大全
  • Pain response to sagittal end-range spinal motion. A prospective, randomized, multicentered trial.

    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

    authors: Donelson R,Grant W,Kamps C,Medcalf R

    更新日期:1991-06-01 00:00:00

  • Acupuncture for chronic low back pain: a multicenter, randomized, patient-assessor blind, sham-controlled clinical trial.

    abstract:STUDY DESIGN:Multicenter, randomized, patient-assessor blind, sham-controlled clinical trial. OBJECTIVE:To investigate the efficacy of acupuncture treatment with individualized setting for reduction of bothersomeness in participants with chronic low back pain (cLBP). SUMMARY OF BACKGROUND DATA:Low back pain is one of...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/BRS.0b013e318275e601

    authors: Cho YJ,Song YK,Cha YY,Shin BC,Shin IH,Park HJ,Lee HS,Kim KW,Cho JH,Chung WS,Lee JH,Song MY

    更新日期:2013-04-01 00:00:00

  • Predicting Neurologic Recovery after Surgery in Patients with Deficits Secondary to MESCC: Systematic Review.

    abstract:STUDY DESIGN:Systematic literature review and expert survey OBJECTIVE.: The aim of this study was to determine factors associated with neurologic improvement in patients with neurologic deficits secondary to metastatic epidural spinal cord compression (MESCC). Clear understanding of these factors will guide surgical de...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0000000000001827

    authors: Laufer I,Zuckerman SL,Bird JE,Bilsky MH,Lazáry Á,Quraishi NA,Fehlings MG,Sciubba DM,Shin JH,Mesfin A,Sahgal A,Fisher CG

    更新日期:2016-10-15 00:00:00

  • Inhibition of p21-Activated Kinase 1 by IPA-3 Promotes Locomotor Recovery After Spinal Cord Injury in Mice.

    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

    authors: Ji X,Zhang Y,Zhang L,Chen H,Peng Y,Tang P

    更新日期:2016-06-01 00:00:00

  • Intraarticular atlantooccipital fusion for the treatment of traumatic occipitocervical dislocation in a child: a new technique for selective stabilization with nine years follow-up.

    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

    authors: Jeszenszky D,Fekete TF,Lattig F,Bognár L

    更新日期:2010-05-01 00:00:00

  • Randomized controlled trial of specific spinal stabilization exercises and conventional physiotherapy for recurrent low back pain.

    abstract:STUDY DESIGN:Pragmatic, multicentered randomized controlled trial, with 12-month follow-up. OBJECTIVE:To evaluate the effect of adding specific spinal stabilization exercises to conventional physiotherapy for patients with recurrent low back pain (LBP) in the United Kingdom. SUMMARY OF BACKGROUND DATA:Spinal stabiliz...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/01.brs.0000232787.71938.5d

    authors: Cairns MC,Foster NE,Wright C

    更新日期:2006-09-01 00:00:00

  • Kinematics of the canine lumbar intervertebral joint. An in vivo study before and after adjacent instrumentation.

    abstract:STUDY DESIGN:In vivo, canine lumbar spine intervertebral motion was measured before and after instrumentation of caudal segments. The three-dimensional kinematics of the intervertebral joint were described using helical axes and Fourier series. OBJECTIVE:The in vivo three-dimensional kinematics of the intervertebral j...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Schendel MJ,Dekutoski MB,Ogilvie JW,Olsewski JM,Wallace LJ

    更新日期:1995-12-01 00:00:00

  • Radiographic changes following anterior cervical fusion.

    abstract::In nine patients who underwent anterior cervical fusions for cervical spondylosis, preoperative cervical spine films were compared with radiographs taken seven to 15 years after fusion. Eight of the nine patients were found to have radiographic evidence of increased degenerative diseases located primarily below the le...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198009000-00002

    authors: Hunter LY,Braunstein EM,Bailey RW

    更新日期:1980-09-01 00:00:00

  • Atlantoaxial instability in Lesch-Nyhan syndrome.

    abstract:STUDY DESIGN:A clinical case report of two brothers with Lesch-Nyhan syndrome found to have atlantoaxial instability is reported. OBJECTIVES:To report the clinical and radiologic findings and the operative outcome in these patients. SUMMARY OF BACKGROUND DATA:Both patients had biochemically proven Lesch-Nyhan syndrom...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199603150-00020

    authors: Shewell PC,Thompson AG

    更新日期:1996-03-15 00:00:00

  • The functional rating index: reliability and validity of the Persian language version in patients with neck pain.

    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

    authors: Ansari NN,Feise RJ,Naghdi S,Mohseni A,Rezazadeh M

    更新日期:2012-06-15 00:00:00

  • Preoperative fibrinogen plasma concentration is associated with perioperative bleeding and transfusion requirements in scoliosis surgery.

    abstract:STUDY DESIGN:Prospective observational study. OBJECTIVE:To investigate the potential association between fibrinogen, bleeding, and transfusion requirements after scoliosis surgery. SUMMARY OF BACKGROUND DATA:Bleeding complications during and after orthopedic surgery are associated with increased morbidity and mortali...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181d952dc

    authors: Carling MS,Jeppsson A,Wessberg P,Henriksson A,Baghaei F,Brisby H

    更新日期:2011-04-01 00:00:00

  • Intrathoracic chordoma presenting as a posterior superior mediastinal tumor.

    abstract::A case of thoracic chordoma successfully treated with surgical excision is reported and described. Thoracic chordomata presenting as posterior superior mediastinal tumors occur infrequently and may be highly malignant lesions. Early radical surgery through thoracotomy provide the best hope of cure, and radiation offer...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198310000-00016

    authors: Cotler HB,Cotler JM,Cohn HE,Israel HI,Gartland JJ

    更新日期:1983-10-01 00:00:00

  • A biomechanical study of a cervical spine stabilization device: Roy-Camille plates.

    abstract:STUDY DESIGN:Three-hole Roy-Camille posterior plates (Howmedica, Inc., Rutherford, NJ) were used to fix severely destabilized fresh cadaveric cervical spines. Fixed spine constructs were tested mechanically in flexion-extension and torsion, and the results were compared with the same characteristics in the intact spine...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199701010-00007

    authors: Smith ME,Cibischino M,Langrana NA,Lee CK,Parsons JR

    更新日期:1997-01-01 00:00:00

  • Results of lumbosacral fusion for degenerative disc disease with and without instrumentation. Two- to five-year follow-up.

    abstract::Functional and surgical outcomes are reported in two consecutive groups of patients who underwent one- and two-level lumbosacral fusion. The first group underwent standard posterolateral lumbosacral fusion, and the second group underwent lumbosacral fusion with compression U-rod instrumentation. Fusions were carried o...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199203000-00018

    authors: Grubb SA,Lipscomb HJ

    更新日期:1992-03-01 00:00:00

  • Risk Factors of Adjacent Segment Disease After Transforaminal Inter-Body Fusion for Degenerative Lumbar Disease.

    abstract:STUDY DESIGN:A retrospective study. OBJECTIVE:The purpose of this study was to determine the incidence and risk factors of adjacent segment disease (ASD) after transforaminal inter-body fusion (TLIF) for degenerative lumbar disease. SUMMARY OF BACKGROUND DATA:ASD is a major complication after spinal fusion. Many repo...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001728

    authors: Yamasaki K,Hoshino M,Omori K,Igarashi H,Nemoto Y,Tsuruta T,Matsumoto K,Iriuchishima T,Ajiro Y,Matsuzaki H

    更新日期:2017-01-15 00:00:00

  • Spinal deformity in idiopathic juvenile osteoporosis.

    abstract::Idiopathic juvenile osteoporosis is an unusual condition appearing in the prepubertal child who is otherwise normal. Characteristically, the condition is of variable severity and of limited duration and always affect the spine. One of the major complications of idiopathic juvenile osteoporosis has been residual kyphos...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198101000-00001

    authors: Jones ET,Hensinger RN

    更新日期:1981-01-01 00:00:00

  • Three-dimensional movements of the whole lumbar spine and lumbosacral joint.

    abstract::Knowledge of the normal movements of whole lumbar spine and lumbosacral joint is important for evaluating clinical pathologic conditions that may potentially produce unstable situations in these regions. At present there are few studies that report systemic three-dimensional movement analysis of these regions. The pur...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198911000-00020

    authors: Yamamoto I,Panjabi MM,Crisco T,Oxland T

    更新日期:1989-11-01 00:00:00

  • Evaluation of spinal missile injuries with respect to bullet trajectory, surgical indications and timing of surgical intervention: a new guideline.

    abstract:STUDY DESIGN:Analysis of the patients with spinal missile injury (SMI). OBJECTIVE:Choosing the optimum treatment for SMI with respect to bullet trajectory, evaluation of surgical indications, and timing of surgical intervention. SUMMARY OF BACKGROUND DATA:A few guidelines were reported for the management of SMI. But ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31818579a7

    authors: Duz B,Cansever T,Secer HI,Kahraman S,Daneyemez MK,Gonul E

    更新日期:2008-09-15 00:00:00

  • Magnetic resonance imaging in cadaver dogs with metallic vertebral implants at 3 Tesla: evaluation of the WARP-turbo spin echo sequence.

    abstract:STUDY DESIGN:Laboratory investigation, ex vivo. OBJECTIVE:Postoperative complications are common after spinal implantation procedures, and magnetic resonance imaging (MRI) would be the ideal modality to image these patients. Unfortunately, the implants cause artifacts that can render MRI nondiagnostic. The WARP-turbo ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182a58b14

    authors: Griffin JF 4th,Archambault NS,Mankin JM,Wall CR,Thompson JA,Padua A Jr,Purdy D,Kerwin SC

    更新日期:2013-11-15 00:00:00

  • Mesenchymal Stem Cell Homing Into Intervertebral Discs Enhances the Tie2-positive Progenitor Cell Population, Prevents Cell Death, and Induces a Proliferative Response.

    abstract:STUDY DESIGN:Experimental study with human mesenchymal stem cells (MSCs) and intervertebral disc (IVD) tissue samples. OBJECTIVE:This study aimed to characterize the effect of MSC homing on the Tie2-positive IVD progenitor cell population, IVD cell survival, and proliferation. SUMMARY OF BACKGROUND DATA:Homing of hum...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003150

    authors: Wangler S,Peroglio M,Menzel U,Benneker LM,Haglund L,Sakai D,Alini M,Grad S

    更新日期:2019-12-01 00:00:00

  • Risk Factors for Blood Transfusion With Primary Posterior Lumbar Fusion.

    abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:To identify factors associated with blood transfusion for primary posterior lumbar fusion surgery, and to identify associations between blood transfusion and other postoperative complications. SUMMARY OF BACKGROUND DATA:Blood transfusion is a relatively common occurr...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001047

    authors: Basques BA,Anandasivam NS,Webb ML,Samuel AM,Lukasiewicz AM,Bohl DD,Grauer JN

    更新日期:2015-11-01 00:00:00

  • Percutaneous placement of radiopaque markers at the pedicle of interest for preoperative localization of thoracic spine level.

    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

    authors: Binning MJ,Schmidt MH

    更新日期:2010-09-01 00:00:00

  • Spinal cord intramedullary pressure. A possible factor in syrinx growth.

    abstract:STUDY DESIGN:This study analyzed biomechanical characteristics of the cervical spinal cord, especially in relation to neck flexion. Intramedullary pressure was measured in different neck positions. OBJECTIVES:The results provided a rationale for dynamic changes in intramedullary pressure, with the flexed neck position...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Tachibana S,Kitahara Y,Iida H,Yada K

    更新日期:1994-10-01 00:00:00

  • Results of the prospective, randomized, multicenter Food and Drug Administration investigational device exemption study of the ProDisc-L total disc replacement versus circumferential fusion for the treatment of 1-level degenerative disc disease.

    abstract:STUDY DESIGN:A prospective, randomized, multicenter, Food and Drug Administration-regulated Investigational Device Exemption clinical trial. OBJECTIVE:To evaluate the safety and effectiveness of the ProDisc-L (Synthes Spine, West Chester, PA) lumbar total disc replacement compared to circumferential spinal fusion for ...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/BRS.0b013e318054e377

    authors: Zigler J,Delamarter R,Spivak JM,Linovitz RJ,Danielson GO 3rd,Haider TT,Cammisa F,Zuchermann J,Balderston R,Kitchel S,Foley K,Watkins R,Bradford D,Yue J,Yuan H,Herkowitz H,Geiger D,Bendo J,Peppers T,Sachs B,Girardi

    更新日期:2007-05-15 00:00:00

  • New uses and refinements of the paraspinal approach to the lumbar spine.

    abstract::The paraspinal approach was described by our group in 1968. It differs from the approach described by Melvin Watkins in 1953 in that it is a longitudinal separation of the sacrospinalis group between the multifidus and longissimus, and not between the lateral border of the entire sacrospinalis group and quadratus lumb...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Wiltse LL,Spencer CW

    更新日期:1988-06-01 00:00:00

  • Vertebral 'corner' defect associated with lumbar disk herniation shown by magnetic resonance imaging.

    abstract::Two examples of a marked defect of the corner of the vertebral body adjacent to an intervertebral disk herniation are presented. The prevalence of this finding was assessed in 43 randomly selected patients with disk herniation (at 46 levels). None of these patients had such marked vertebral defects (moderate changes a...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199301000-00016

    authors: Vincent JM,Baldwin JE,Sims C,Dixon AK

    更新日期:1993-01-01 00:00:00

  • Alterations in T2 relaxation magnetic resonance imaging of the ovine intervertebral disc due to nonenzymatic glycation.

    abstract:STUDY DESIGN:An in vitro study using ovine intervertebral discs to correlate the effects of increasing advanced glycation end-products (AGEs) with disc hydration evaluated by magnetic resonance imaging (MRI). OBJECTIVE:To determine the relationship between the level of AGEs and tissue water content in intervertebral d...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31822ce81f

    authors: Jazini E,Sharan AD,Morse LJ,Dyke JP,Aronowitz EB,Chen LK,Tang SY

    更新日期:2012-02-15 00:00:00

  • Treatment of canine intervertebral disc displacement with chondroitinase ABC.

    abstract:STUDY DESIGN:This study demonstrated the therapeutic value of chemonucleolysis with chondroitinase ABC to canine intervertebral disc displacement. OBJECTIVES:To determine the efficacy of Chondroitinase ABC in the management of canine intervertebral disc displacement. SUMMARY OF BACKGROUND DATA:No previous study has a...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199707010-00002

    authors: Takahashi T,Nakayama M,Chimura S,Nakahara K,Morozumi M,Horie K,Fujita Y,Hirose T

    更新日期:1997-07-01 00:00:00

  • Implication of Biomarker Mutations for Predicting Survival in Patients With Metastatic Lung Cancer to the Spine.

    abstract:STUDY DESIGN:A retrospective cohort study. OBJECTIVE:We performed a retrospective study of patients treated at our institution over the last 7 years to ascertain whether gene expression signatures in patients with advanced metastatic disease are associated with survival, when the disease has progressed to the spine. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002683

    authors: Choi BD,Shankar GM,Sivaganesan A,Van Beaver LA,Oh K,Shin JH

    更新日期:2018-11-01 00:00:00

  • Segmental contribution toward total lumbar range of motion in disc replacement and fusions: a comparison of operative and adjacent levels.

    abstract:STUDY DESIGN:Radiographic results from a prospective, randomized, multicenter trial assessing patients who underwent lumbar total disc replacement (TDR) or circumferential arthrodesis for 1-level degenerative disc disease. OBJECTIVE:To quantify the relative segmental contribution to total lumbar range of motion (ROM) ...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/BRS.0b013e3181af2622

    authors: Auerbach JD,Jones KJ,Milby AH,Anakwenze OA,Balderston RA

    更新日期:2009-11-01 00:00:00