Spine
-
A direct method for three-dimensional in vivo spine kinematic studies was developed and used to measure segmental motion patterns in healthy subjects. ⋯ This new method offers dynamic recording capabilities and a measurement error comparable with stereo radiographic methods. Repetitive ranging experiments are highly reproducible. The range of motion for axial rotation seems overestimated in previous cadaveric studies. Coupling patterns show large variations between individuals.
-
A prospective study with independent clinical and radiologic review. ⋯ Most cervical disc herniations regress with time and without the need for surgical resection. Thus, surgical intervention can be avoided with adequate pain control, allowing the herniation time to regress.
-
The authors measured and compared the stiffness of cadaveric lumbar spines stabilized with several anterior interbody fusion devices. The information obtained provides a foundation for determining how methods of anterior lumbar fixation can maximize rigidity and promote development of bony fusion. ⋯ Our data demonstrate the effectiveness of threaded interbody fusion device and the Texas Scottish Rite Hospital-B screw in immobilizing the L3-L4 and L4-L5 disc spaces. Rigidity of fixation in the lumbar spine may aid in the maintenance of lordosis.
-
This is a retrospective study analyzing 76 patients treated by decompression, pedicle screw instrumentation, and fusion for spondylolytic spondyiolisthesis with symptomatic spinal stenosis. ⋯ The addition of posterior lumbar interbody fusion to posterolateral fusion after a complete decompression and pedicle screw fixation is a recommended procedure for the treatment of spondylolytic spondylolishesis with spinal stenosis.
-
This cross-sectional study compares the Oswestry and Roland-Morris disability scales in two groups of patients with low back pain of different clinical and electromyographic severity. ⋯ The authors conclude that both functional disability scales accurately discriminated between these two groups of patients with low back pain of very different clinical and electromyographic severity.