Academic literature on the topic 'Lumbar vertebrae treatment'
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Journal articles on the topic "Lumbar vertebrae treatment"
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Lee, Hsieh-Hsing, Shing-Sheng Wu, Shih-Youeng Chuang, Tsu-Te Yeh, and Po-Quang Chen. "BIOMECHANICAL EVALUATION OF TRANSPEDICULARLY PLACED INTRAVERTEBRAL SUPPORT FOR THE MANAGEMENT OF OSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURES." Journal of Musculoskeletal Research 11, no. 01 (March 2008): 37–43. http://dx.doi.org/10.1142/s0218957708001936.
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This in vitro biomechanical study reports on a new implant, called an intravertebral expandable pillar (IVEP). The implant is aimed at restoring the height and strength of collapsed vertebra after fracture in an osteoporotic patient. The hypothesis is that the IVEP can effectively restore the body height of the compressed vertebra and provide proper stiffness for the collapsed vertebra. Although the reported complication rate of percutaneous vertebroplasty by injection of polymethylmethacrylate (PMMA) is low, the sequelae are severe; other potential adverse effects of PMMA injection into the vertebral body include thermal necrosis of the surrounding tissue caused by a high polymerization temperature, and lack of long-term biocompatibility. We test the mechanical properties before and after fracture of 14 human cadaver lumbar vertebrae by a material testing system. The fractured vertebra was implanted with the IVEP, and its mechanical properties tested. The vertebral body height at each stage was evaluated by a digital caliper and radiographic films. After IVEP implantation, the vertebral body height restoration rate was 97.8%. The vertebral body height lost 12.7% after the same loading to create fracture. The vertebra lost half of its strength after compressed fracture, while IVEP implantation restored 86.4% of intact vertebra strength. The stiffness of intact vertebrae was significantly greater than that of untreated vertebrae after fracture and fractured vertebrae with IVEP treatment, while the stiffness of fractured vertebrae after IVEP treatment was significantly greater than that of untreated vertebrae after fracture. The bipedicularly implanted IVEP restores the initial height and strength of the vertebral body following an induced compression fracture, and could be used by a minimally invasive procedure to treat lumbar vertebra compression factures and avoid the disadvantage of using bone cement in vertebroplasty or kyphoplasty.
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Ortiz, A. Orlando. "Use and evaluation of a semi-permeable mesh implant in vertebral augmentation for the treatment of painful osteoporotic vertebral compression fractures." Journal of NeuroInterventional Surgery 8, no. 3 (January 13, 2015): 328–32. http://dx.doi.org/10.1136/neurintsurg-2014-011512.
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ObjectiveTo assess the efficacy of a semi-permeable mesh implant in the treatment of painful thoracic and lumbar osteoporotic vertebral compression fractures.MethodsPatients with painful thoracic and lumbar osteoporotic vertebral compression fractures which were refractory to conventional medical management and less than 3 months of age were considered possible candidates for this vertebral augmentation technique. Data recorded for the procedure included patient age, gender, fracture level and morphology, mesh implant size, amount of cement injected, cement extravasation, complications, and pre- and post-procedure numeric pain scores and Oswestry Disability Index (ODI) scores.Results17 patients were included in this retrospective study; 12 women and 5 men, with an average age of 78.6 years. Each patient had one level treated with the mesh implant; 4 thoracic levels and 13 lumbar levels. The 10×15 mm implant was used in 13 treated vertebrae, including the two thoracic vertebrae; the 10×20 mm implant was used to treat 3 lumbar vertebrae, and one 10×25 mm implant was used to treat an L1 vertebra. An average of 2.4 mL of acrylic bone cement was injected, and there was fluoroscopic evidence of a small amount of cement leakage in one case. No patient related complications were seen and there were no device failures. All patients, followed-up to at least 3 weeks, showed significant pain relief. The average pretreatment numeric pain score of 9 and ODI of 50 decreased to an average post-treatment score of 0.6 and 12, respectively (p<0.001).ConclusionsVertebral augmentation with a semi-permeable mesh stent implant can be used to effectively and safely treat osteoporotic vertebral compression fractures within the lower thoracic and lumbar spine.
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Hubner, André Rafael, Carlos Tobias Scortegagna, Charles Leonardo Israel, Everton Luis do Amarante Ivo, Fabiano Favretto, Marcelo Ribeiro, and Leandro de Freitas Spinelli. "NEW PROPOSAL FOR THE TREATMENT OF CORONAL SPLIT FRACTURES IN LUMBAR VERTEBRAE: THE FATIGUE CURVE." Coluna/Columna 20, no. 2 (June 2021): 127–31. http://dx.doi.org/10.1590/s1808-185120212002235745.
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ABSTRACT Objective: To evaluate a new treatment for split fractures through fatigue tests on a swine model. Methods: Thirty lumbar spine samples (L2-L3-L4) from swine models were divided into three test groups. The first was the control group (intact vertebrae). In the second group, a bone defect was created, similar to a coronal split fracture of the vertebral body. For this, a bone defect (osteotomy) was performed in the coronal axis of the middle third of the middle lumbar vertebral body (L3), keeping the disc-ligament structures intact. In the third group, the same procedure was performed to cause bone failure, but was associated with the use of synthesis material, with pedicular fixation using 3.5 mm cannulated screws with partial thread, in order to apply compression at the fracture site, giving resistance and support to the vertebra. The groups were submitted to biomechanical fatigue tests. The number of cycles required to failure in the specimen was analyzed. Results: The use of the synthesis material increased the resistance of the fractured vertebrae to levels equal to those of the intact vertebra for low cycles with loads of 40% of the failure load, possibly losing up to 20% of their resistance for higher cycles. Conclusions: In the vertebrae in which synthetic material was used, greater resistance to a greater number of cycles for a longer period of time was observed when compared with the fractured vertebrae, suggesting that this is an interesting method for the fixation of split-type spinal fractures. Level of evidence III; Experimental Study.
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Shen, Lanjuan, Cheng Ji, Jian Lin, and Hongping Yang. "Construction of Vertebral Body Tracking Algorithm Based on Dynamic Imaging Parameter Measurement and Its Application in the Treatment of Lumbar Instability." Journal of Medical Imaging and Health Informatics 11, no. 7 (July 1, 2021): 1834–44. http://dx.doi.org/10.1166/jmihi.2021.3534.
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Static imaging measurements could not truly reflect the dynamic panorama of the lumbar movement process, and the abnormal activities between the lumbar vertebrae and their dynamic balance could not be observed, resulting in difficulties in the mechanism analysis of lumbar instability and the efficacy evaluation of manipulation therapy. Therefore, this paper constructed a vertebral tracking algorithm based on dynamic imaging parameter measurement through imaging parameter measurement and calculation. According to the imaging data obtained by vertebral body tracking algorithm, the corresponding statistical methods were used to compare the functional scores before and after manipulation and the changes of imaging data, so as to evaluate the therapeutic effect of manipulation on lumbar instability. Through the clinical observation and imaging analysis of 15 patients with lumbar instability before and after manipulation treatment, it is verified that the vertebra tracking algorithm is effective in the vertebra tracking and plays a positive role in the treatment of lumbar instability.
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Nadulich, K. A., V. V. Khominets, and E. B. Nagornyi. "Tactics of surgical treatment of patients with lumbar spondylolysis." Bulletin of the Russian Military Medical Academy 22, no. 2 (June 15, 2020): 84–93. http://dx.doi.org/10.17816/brmma50052.
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The bilateral defect of the pars interarticularis (spondylolysis) is often the cause of low back pain syndrome and can lead to development of spondylolistesis. In some cases inefficiency of conservative treatment of this condition forces orthopedists to use surgical technologies. At the same time, in young patients with intact intervertebral discs, the rigid segmental fixation of the spine should be avoided. Where no neural decompression is needed, selective osteosynthesis of the pars defect is an optimal technique. The authors present the results of surgical treatment of 15 patients with single and two-level lumbar spondylolysis, 4 of which revealed minimal I degree lytic spondylolystesis of the L5 vertebrae. Localization of the pathological process in all patients was noted on both sides. In two patients spondylolysis defects of two vertebrae were detected (in one- adjacent L4 and L5, in the other - L2 and L4 vertebrae with sacralization of L5). The average period from the onset of symptoms ranged from 6 months to 2 years (an average of 14 months). All patients undergone bone autoplasty with iliac crest bone graft, and osteosynthesis of vertebral arches by a combined laminar-transpedicular system of the screw - rod - hook type. All patients had excellent and good anatomic and functional results. The used method of surgical treatment of patients of this category should be considered pathogenetically justified, as it is aimed at repair of spondylolytic defects as the main cause of segmental instability and forward displacement of vertebrae. The possibility to avoid fixation of intact segments of spine allows to categorize this operation as organ-preserving.
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Fukuda, Kentaro, Hiroyuki Katoh, Yuichiro Takahashi, Kazuya Kitamura, and Daiki Ikeda. "Minimally invasive anteroposterior combined surgery using lateral lumbar interbody fusion without corpectomy for treatment of lumbar spinal canal stenosis associated with osteoporotic vertebral collapse." Journal of Neurosurgery: Spine 35, no. 2 (August 2021): 154–62. http://dx.doi.org/10.3171/2020.10.spine201293.
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OBJECTIVE Various reconstructive surgical procedures have been described for lumbar spinal canal stenosis (LSCS) with osteoporotic vertebral collapse (OVC); however, the optimal surgery remains controversial. In this study, the authors aimed to report the clinical and radiographic outcomes of their novel, less invasive, short-segment anteroposterior combined surgery (APCS) that utilized oblique lateral interbody fusion (OLIF) and posterior fusion without corpectomy to achieve decompression and reconstruction of anterior support in patients with LSCS-OVC. METHODS In this retrospective study, 20 patients with LSCS-OVC (mean age 79.6 years) underwent APCS and received follow-up for a mean of 38.6 months. All patients were unable to walk without support owing to severe low-back and leg pain. Cleft formations in the fractured vertebrae were identified on CT. APCS was performed on the basis of a novel classification of OVC into three types. In type A fractures with a collapsed rostral endplate, combined monosegment OLIF and posterior spinal fusion (PSF) were performed between the collapsed and rostral adjacent vertebrae. In type B fractures with a collapsed caudal endplate, combined monosegment OLIF and PSF were performed between the collapsed and caudal adjacent vertebrae. In type C fractures with severe collapse of both the rostral and caudal endplates, bisegment OLIF and PSF were performed between the rostral and caudal adjacent vertebrae, and pedicle screws were also inserted into the collapsed vertebra. Preoperative and postoperative clinical and radiographical status were reviewed. RESULTS The mean number of fusion segments was 1.6. Walking ability improved in all patients, and the mean Japanese Orthopaedic Association score for recovery rate was 65.7%. At 1 year postoperatively, the mean preoperative Oswestry Disability Index of 65.6% had significantly improved to 21.1%. The mean local lordotic angle, which was −5.9° preoperatively, was corrected to 10.5° with surgery and was maintained at 7.7° at the final follow-up. The mean corrective angle was 16.4°, and the mean correction loss was 2.8°. CONCLUSIONS The authors have proposed using minimally invasive, short-segment APCS with OLIF, tailored to the morphology of the collapsed vertebra, to treat LSCS-OVC. APCS achieves neural decompression, reconstruction of anterior support, and correction of local alignment.
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Hanson, Eric H., Rahul K. Mishra, David S. Chang, Thomas G. Perkins, Daniel R. Bonifield, Richard D. Tandy, Peter E. Cartwright, Randal R. Peoples, and William W. Orrison. "Sagittal whole-spine magnetic resonance imaging in 750 consecutive outpatients: accurate determination of the number of lumbar vertebral bodies." Journal of Neurosurgery: Spine 12, no. 1 (January 2010): 47–55. http://dx.doi.org/10.3171/2009.7.spine09326.
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Object When the number of lumbar and sacral vertebrae is being assessed, variations from typical lumbosacral anatomy may confuse the practitioner, potentially leading to significant clinical errors. In this study, the authors describe the statistical variation in lumbar spine anatomy in an outpatient imaging setting, evaluate the potential implications for clinical practice based on the variation in the number of lumbar-type vertebrae identified, and recommend a method for rapidly determining the number of lumbar spine vertebral bodies (VBs) in outpatients referred for lumbar spine MR imaging. Methods A total of 762 patients (male and female) who presented with low back–related medical conditions underwent whole-spine MR imaging in an outpatient setting. Results The high-speed whole-spine evaluation was successful for determining the number of lumbar-type VBs in 750 (98%) of 762 consecutive patients. The sagittal whole-spine 3-T MR imaging system images obtained between the beginning of January 2005 and the end of February 2007 were reviewed. The VBs were counted successively from the level of C-2 inferiorly to the intervertebral disc below the most inferior lumbar-type VB. Numbers of disc herniations were also evaluated in the context of the number of VBs. Conclusions One in 5 of these outpatients did not have 5 lumbar-type vertebrae: 14.5% had 6; 5.3% had 4; and 1 (0.13%) had the rare finding of 3 lumbar-type vertebrae. Two-thirds of the individuals with 6 lumbar-type vertebrae were male and two-thirds of the individuals with 4 lumbar-type vertebrae were female. Sagittal whole-spine MR imaging can be performed rapidly and efficiently in the majority of patients (98%), and provides improved accuracy for the determination of the number of lumbar-type VBs. A supplementary coronal MR, Ferguson view radiograph or intraoperative fluoroscopic determination for the presence of lumbosacral transitional vertebrae may add additional information when indicated for clinical treatment or surgical planning.
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Hohn, Eric A., Bryant Chu, Audrey Martin, Elizabeth Yu, Connor Telles, Jeremi Leasure, Tennyson L. Lynch, and Dimitriy Kondrashov. "The Pedicles Are Not the Densest Regions of the Lumbar Vertebrae: Implications for Bone Quality Assessment and Surgical Treatment Strategy." Global Spine Journal 7, no. 6 (April 11, 2017): 567–71. http://dx.doi.org/10.1177/2192568217694141.
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Study Design: Cadaver study. Objective: To determine the bone density of lumbar vertebral anatomic subregions. Bone mineral density (BMD) is a major factor in osseous fixation construct strength. The standard region for implant fixation of the spine is the pedicle; however, other regions may be more viable options with higher bone quality. Methods: Using computed tomography images, the spine was digitally isolated by applying a filter for adult bone. The spine model was separated into 5 lumbar vertebrae, followed by segmentation of each vertebra into 7 regions and determination of average Hounsfield units (HU). HU was converted to BMD with calibration phantoms of known BMD. Results: Overall mean BMD in vertebral regions ranged from 172 to 393 mg/cm3 with the highest and lowest BMD in the lamina and vertebral body, respectively. Vertebral regions formed 3 distinct groups ( P < .03). The vertebral body and transverse processes represent one group with significantly lower BMD than other regions. Spinous process, pedicles, and superior articular processes represent a second group with moderate BMD. Finally, inferior articular process (IAP) and lamina represent a third group with significantly higher BMD than other regions. Conclusions: Standard lumbar fusion currently uses the vertebral body and pedicles as primary locations for fixation despite their relatively low BMD. Utilization of posterior elements, especially the lamina and IAP, may be advantageous as a supplement to modern constructs or the primary site for fixation, possibly mitigating construct failures due to loosening or pullout.
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Jankovic, Tanja, Jelena Zvekic-Svorcan, and Ksenija Boskovic. "Verification of osteoporotic vertebral fractures caused by glucocorticoids." Medical review 67, no. 3-4 (2014): 118–22. http://dx.doi.org/10.2298/mpns1404118j.
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Introduction. Long-term administration of glucocorticoids leads to rapid osteoporosis, and vertebral fractures are one of its most common complications. The methods used in identification are semi-quantitative ones, based on visual assessment, and quantitative ones, which use morphometric criteria. Case Report. A 79-year-old woman, who has suffered from polymyalgia rheumatica since July 2012, was treated with prednisone at a daily dose of 20 mg. Radiography of thoracic and lumbar spine verified the reduction of body height of T 12, L3 and L4 vertebrae. Densitometry findings showed a decrease in bone density at the lumbar segment of the spine and femoral neck. Dual-energy x-ray absorptiometry device was used to perform vertebral morphometry by applying Genant semi-quantitative method, which verified crush fractures of the body of T4 and L3 vertebrae, while the L2 vertebra had a biconcave shape. The spinal deformity index parameter was 8. An intense pain developed in the back after 9 months of glucocorticoids administration. The repeated radiographic findings of thoracic and lumbar spine and vertebral morphometry, which had been done by dual-energy xray absorptiometry device, revealed deterioration in the form of serial crush fractures, while fat distribution index parameter increased to 15. Dual-energy x-ray absorptiometry finding showed a decrease in T score at the femoral neck. Conclusion. Longterm administration of glucocorticoids is accompanied by a rapid loss of bone mass, and vertebral fractures are one of its most common consequences. Therefore, its prevention, early diagnosis and treatment are required. The combination of qualitative conventional radiography and semi-quantitative dual-energy xray absorptiometry vertebral morphometry plays an important role in identifying vertebral fractures.
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Jeromel, Miran, and Janez Podobnik. "Magnetic resonance spectroscopy (MRS) of vertebral column – an additional tool for evaluation of aggressiveness of vertebral haemangioma like lesion." Radiology and Oncology 48, no. 2 (June 1, 2014): 137–41. http://dx.doi.org/10.2478/raon-2013-0013.
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Abstract Background. Most vertebral haemangioma are asymptomatic and discovered incidentally. Sometimes the symptomatic lesions present with radiological signs of aggressiveness and their appearance resemble other aggressive lesions (e.g. solitary plasmacytoma). Case report. We present a patient with large symptomatic aggressive haemangioma like lesion in 12th thoracic vertebra in which a magnetic resonance spectroscopy (MRS) was used to analyse fat content within the lesion. The lesion in affected vertebrae showed low fat content with 33% of fat fraction (%FF). The fat content in non-affected (1st lumbar) vertebra was as expected for patient’s age (68%). Based on MRS data, the lesion was characterized as an aggressive haemangioma. The diagnosis was confirmed with biopsy, performed during the treatment - percutaneous vertebroplasty. Conclusions. The presented case shows that MRS can be used as an additional tool for evaluation of aggressiveness of vertebral haemangioma like lesions.
Dissertations / Theses on the topic "Lumbar vertebrae treatment"
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Ruchelsman, Michal (Michal Aliza). "The effect of Zoledronate treatment timing on lumbar and caudal vertebrae in ovariectomized rats." Thesis, Massachusetts Institute of Technology, 2007. http://hdl.handle.net/1721.1/40470.
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Thesis (S.B.)--Massachusetts Institute of Technology, Dept. of Mechanical Engineering, 2007.Includes bibliographical references (leaves 21-22).
Introduction: While there have been numerous studies demonstrating the effect of bisphosphonates in rats as either a preventative treatment or recovering treatment for osteoporosis, few have directly compared the two treatment alternatives with respect to their effects on bone microstructure and strength. This paper, then, investigates the effects of treatment timing using Zoledronate [ZOL], a potent bisphosphonate, on the lumbar and caudal vertebrae in ovariectomized [OVX], female Wistar rats. Methods: Twenty nine rats were divided into four groups according to their treatment: OVX at week 0 (n=5), OVX+earlyZOL (20 jig/kg s.c. week 0, n=8), OVX+late ZOL (20 jlg/kg s.c. week 8, n=7), and SHAM-OVX (n=9). Results: Micro-computed tomography (giCT) evaluation of six parameters characterizing bone morphology [BV/TV, ConnD, SMI, TbTh, TbNr, and TbSp] showed slightly favorable effects with early ZOL treatment in the fourth lumbar [L4] vertebrae. Compared to SHAM-OVX, OVX has a significantly (p<0.05) lower BV/TV, higher SMI, and TbSp. OVX+earlyZOL had a significantly higher BV/TV than OVX and SHAM-OVX and a lower TbSp than OVX.
(cont.) Decreasing trends but no statistically significant differences were reached in the cortical thickness with treatment, nor were there any differences in bone morphology between the groups in the sixth caudal vertebrae [CD6]. A two-way ANOVA revealed an interaction between the vertebral site and treatment group for BV/TV and TbSp. jCT and static compression tests on the L3 and L4 of rats in a secondary study revealed significant correlations in architectural parameters and biomechanical properties between the two vertebrae. L4 had a higher BV/TV, SMI, and minimum area [minA] and a lower TbNr and TbSp than L3, but L4 had lower values for stiffness, energy to failure [energy], and ultimate load. Regression analysis also showed statistically significant correlations between ultimate load [Uload] and total bone volume [BV], energy and BV, Uload and minA, stiffness and minA, and energy and minA. Conclusion: Results showed slightly favorable trends on bone microstructure for early treatment and demonstrated the potential for clinical advantages using preventative therapy. Upon further research in understanding the vertebrae's response to ZOL at different time points after OVX, treatment for osteoporosis may be better directed.
by Michal Ruchelsman.
S.B.
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黃玉雲. "吳氏中醫手法治療腰痛的臨床研究." HKBU Institutional Repository, 2006. http://repository.hkbu.edu.hk/etd_ra/760.
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陳永德. "腰椎間盤突出症手法治療規律的文獻研究." HKBU Institutional Repository, 2009. http://repository.hkbu.edu.hk/etd_ra/1028.
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王沛球. "腰腿痛指壓與針刺「阿是穴」臨床治療比較研究." HKBU Institutional Repository, 2006. http://repository.hkbu.edu.hk/etd_ra/758.
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Elvis, Mahmutović. "Uticaj medicinske rehabilitacije na kvalitet života operativno i neoperativno lečenih pacijenata sa lumbalnom radikulopatijom." Phd thesis, Univerzitet u Novom Sadu, Medicinski fakultet u Novom Sadu, 2018. https://www.cris.uns.ac.rs/record.jsf?recordId=105513&source=NDLTD&language=en.
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Uvod: Sindrom lumbalne radikulopatije obuhvata disfunkciju nervnog korena lumbalne kičme, prouzrokovano kompresijom, nastalom usled hernijacije (protruzije, prolapsa) intervertebralnog diska ili zbog inflamatornih i degenerativnih promena (najčešće osteofita) u foraminalnom otvoru. Kvalitet života predstavlja savremeni koncept posmatranja ishoda oboljenja i uspešnosti terapijske procedure kako u svim oblastima medicine, tako i u problematici lumbalne radikulopatije.Cilj: Proceniti kvalitet života operativno i neoperativno lečenih pacijenata sa lumbalnom radikulopatijom na početku lečenja i 3 meseca, odnosno 6 meseci nakon sprovedene medicinske rehabilitacije.Metode: Istraživanje predstavlja prospektivnu kliničku studiju kojom je analiziran kvalitet života bolesnika sa lumbalnom radikulopatijom. Obuhvaćen je randomiziran i stratifikovan uzorak pacijenata sa lumbalnom radikulopatijom diskalne geneze starosti 20 do 65 godina, oba pola (n=100), lečenih u Specijalnoj bolnici za progresivne mišićne i neuromišićne bolesti Novi Pazar. Jedna grupa ispitanika (n=50) lečena je isključivo neoperativnim metodama, dok je druga grupa bolesnika (n=50) lečena hirurškim i neoperativnim metodama. Kod svih pacijenata sproveden je konzervativni tretman primenom fizikalnih procedura, kineziterapijskih procedura, ergonomske edukacije. Medikamentna terapija je kod svih bila identična. Za procenu stanja pacijenata, kvaliteta života i efekta rehabilitacionog tretmana korišćena su dva standardizovana upitnika: opšti zdravstveni upitnik Medical Outcomes Study Short Form 36 (SF 36) i upitnik specifičan za oboljenje The Oswestry Disability Index (ODI).Rezultati: Vrednosti SF-36 upitnika prikazanih sumarnim fizičkim (SFS) i mentalnim (SMS) skorom, i kod neoperativno lečenih ispitanika (FSFS=450,221 i p<0,001; FSMS=106,543 i p<0,001), ali i kod operativno lečenih (FSFS=490,721 i p<0,001; FSMS=72,055 i p<0,001) značajno su se menjale u toku ispitivanja. Vrednosti SFS kod neoperativno lečenih pacijenata (početak tretmana, 3 meseca, 6 meseci): 35,5 / 44,7 / 50,8; kod operativno lečenih: 28,8 / 42,8 / 49,2. Vrednosti SMS kod neoperativno lečenih pacijenata: 40,6 / 44,8 / 52,6; kod operativno lečenih: 37,8 / 45,2 / 52,5.Najveće poboljšanje SFS, kod obe grupe pacijenata, je registrovano u prva tri meseca od početka rehabilitacionog tretmana, dok je najveći napredak SMS registrovan u prva tri meseca od početka rehabilitacionog tretmana kod druge grupe pacijenata.Vrednosti skora Osvestri indeksa nesposobnosti (ODI), i kod pacijenata prve grupe (F=432,810 i p<0,001), ali i kod pacijenata druge grupe (F=1341,180 i p<0,001) značajno su se menjale u toku ispitivanja. Vrednosti ODI kod neoperativno lečenih pacijenata su: 51,5% / 36% / 22,5%; a kod pacijenata druge grupe: 56,1% / 38,9% / 23,7%. Najveće poboljšanje je registrovano u prva tri meseca od početka rehabilitacionog tretmana kod druge grupe pacijenata. Postoje statistički značajne korelacije glavnih sumarnih skorova i domena SF-36 (SFS i SMS) i ODI skorova.Zaključak: Kvalitet života i funkcionalni status i neoperativno i operativno lečenih pacijenata je značajno bolji u komparaciji stanja, na 3 meseca i na 6 meseci u odnosu na početak rehabilitacije, kao i na 6 meseci u odnosu na stanje na 3 meseca.Introduction: The syndrome of lumbar radiculopathy involves dysfunction of nerve roots of the lumbar spine, caused by compression, resulting due to herniation (protrusion, prolapse) intervertebral disc, or due to inflammatory and degenerative changes (usually osteophytes) in foraminal opening. Quality of life is the modern concept of observing the outcome of disease and therapeutic procedures in performance in all areas of medicine, as well as the problems of lumbar radiculopathy.Aim: Assess the quality of life for surgically and conservatively treated patients with lumbar radiculopathy at initiation of treatment and 3 months, and 6 months after conducting medical rehabilitation.Methods: The study is a prospective clinical study, which analyzed the quality of life of patients with lumbar radiculopathy. Also included is randomized and stratified sample of patients with lumbar radiculopathy of discal genesis aged 20 to 65 years, of both sexes (n=100) treated at the Special Hospital for progressive muscular and neuromuscular diseases Novi Pazar. One group of patients (n=50) were treated exclusively non-surgical methods, while the second group of patients (n=50) treated with surgical and non-surgical methods. In all patients was conducted by applying the conservative treatment of physical procedures, kinesitherapy procedures, ergonomic education. Medication treatment is at all were identical. To assess the condition of patients, quality of life and the effect of rehabilitation treatment used two standardized questionnaires: a general health questionnaire Medical Outcomes Study Short Form 36 (SF 36) and disease-specific questionnaire The Oswestry Disability Index (ODI).Results: Values SF-36 questionnaire presented summary physical (SFS) and mental (SMS) scores, with non-surgical treated subjects (FSFS=450.221, p<0.001; FSMS=106.543, p<0.001), but also at surgical treated (FSFS=490.721, p<0.001; FSMS=72.055, p<0.001) were significantly changed during the study. Values at SFS non-surgical treated patients (beginning of treatment, 3 months, 6 months): 35.5 / 44.7 / 50.8; at surgical treated: 28.8 / 42.8 / 49.2. Values SMS with the non-surgical treated patients: 40.6 / 44.8 / 52.6; with surgical treated: 37.8 / 45.2 / 52.5. The biggest improvement of SFS, in both groups of patients were registered in the first three months of the start of the rehabilitation treatment, while the biggest progress SMS is registered in the first three months of the start of treatment in other patient groups. The Oswestry Disability Index (ODI) values score, in patients of the first group (F=432.810, p<0.001), and in second group of patients (F=1341.180, p<0.001) were significantly changed during the study. ODI values at non-surgical treated patients were: 51.5% / 36% / 22.5%; the second group of patients: 56.1% / 38.9% / 23.7%. The bigest improvement was registered in the first three months of the start of treatment in second group patients. There are statistically significant correlations main summary scores and SF-36 domains (SFS and SMS) and ODI scores.Conclusion: The quality of life and functional status of both groups patients was significantly better in comparison to the situation, at 3 months and 6 months compared to the beginning of rehabilitation, as well as at 6 months compared to 3 months.
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"A treatment protocol for lumbar facet syndrome, comparing diversified chiropractic manipulative therapy and Traumeel S®." Thesis, 2009. http://hdl.handle.net/10210/2680.
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Lötter, Ingrid. "The efficacy of the homeopathic remedy Discus Compositum® in the treatment of lumbar facet syndrome." Thesis, 2010. http://hdl.handle.net/10210/3160.
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M. Tech.Low back pain is experienced by approximately 60-90% of the population and is one of the most expensive public health problems today (Shin and Slipman, 2005). Lumbar facet joint syndrome is a common condition, involving about 79% of patients suffering from low back pain (Schleifer, et al., 1994). The aim of this study was to determine the effectiveness of treatment for lumbar facet syndrome with the homeopathic injectable Discus compositum® by using the pressure algometer, Helbig and Lee scorecard system and the Oswestry low back pain questionnaire. This double-blind placebo-control trial, with matched pairs, was conducted at the University of Johannesburg and participants were recruited with posters and by word of mouth. Thirty-two participants that met the inclusion criteria, and were not outside of treatment parameters, were included in the study. These participants were then randomly divided into two groups: Group A was treated with Discus compositum® injectables and Group B was treated with placebo injectables. In addition, participants were matched according to activity levels of more than 3 times per week and activity levels of less than 3 times per week. Participants in both groups were treated four times over a period of two weeks; two treatments per week. A one month post-injection follow-up consultation was carried out in order to determine if the treatment had a lasting effect. The subjective and objective data was analysed by using non-parametric tests in order to establish statistical significance between visits and between groups. The subjective data was obtained by using the Oswestry low back pain and disability questionnaire. The objective data was gathered by using the Helbig and Lee scorecard system as well as the algometer readings. The two sample groups did exhibit statistical differences. The results showed that there was a significant decrease in the pain experienced by the participants, as well as a significant change in the participant’s pain pressure threshold, for both groups. With regards to the diagnostic criteria a higher percentage of participants that were treated with Discus compositum® injections were no longer diagnosed with lumbar facet syndrome according to the Helbig and Lee scorecard system, than those participants that were treated with the placebo injections. In addition, it was determined that a combination of Discus compositum® injections and activity levels of more than 3 times per week proved to be beneficial. Based on the results of this study, one can determine that Discus compositum® is effective in the treatment of lumbar facet syndrome.
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Hope, Megan Maryse. "The effect of flexion distraction therapy of the lumbar spine on the electromyographic activity of the erector spinae muscle." Thesis, 2011. http://hdl.handle.net/10210/3765.
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M.Tech.OBJECTIVE: The aim of this study was to determine the electromyographic effect of flexion distraction therapy of the lumbar spine on the Erector Spinae muscles in participants with lumbar facet dysfunction. STUDY DESIGN: Thirty participants with lumbar facet dysfunction underwent 6 flexion distraction therapy treatments on alternate days over a 2-week period (excluding weekends) to test the electromyographic effect on the Erector Spinae muscle. SETTING: University of Johannesburg Chiropractic Clinic, Johannesburg, South Africa. SUBJECTS: Thirty participants with lumbar facet dysfunction participated in this study. The participants were divided into two groups of fifteen participants each and matched according to age and gender. Group 1, the study group, received flexion distraction therapy to the restricted segments in the lumbar spine. Group 2, the control group, did not receive any flexion distraction therapy and rested during the duration of the treatment. METHODS: Lumbar Erector Spinae muscle electrical activity was tested before and after treatment one, three and six using surface electromyography (sEMG). One pair of bipolar electrodes was placed bilaterally over the Erector Spinae muscles at the level of L3. Participants were asked to lie down in a prone position with their arms next to their sides. They were then instructed to perform five maximum voluntary lower back extension exercises by lifting their chests and shoulders as high off the plinth as possible. Each contraction lasted five seconds, with a rest period of ten seconds between each contraction. The average rest and work surface electromyography readings were recorded, analysed and compared for reference. Information regarding the intensity of the pain experienced by the vii subjects was also collected at the start of treatment one, three and five using the Numerical Pain Rating Scale. RESULTS: Comparison of the results indicated a statistically significant difference between the two groups and their responses to the treatments. Subjectively, a statistically significant improvement was observed in Group 1 between the third and the sixth treatments and the first and the sixth treatments, with an overall 80% improvement in pain, thus demonstrating the medium to long term effects of flexion distraction therapy. Objectively, Group 1 demonstrated a statistically significant medium to long term improvement in the resting rate of the Erector Spinae muscles as observed between the first and sixth treatments. Statistically, the two groups responded differently over time with regards to the contraction ability of the Erector Spinae muscle. A statistically significant and immediate improvement was observed in the sixth treatment in Group 1, thus further supporting the long term effects and benefits of flexion distraction therapy. CONCLUSION: In light of these findings it can be concluded that flexion distraction therapy, as represented by Group 1, demonstrated favourable treatment results in terms of the pain experienced by the subjects, the resting rate and contraction ability of the Erector Spinae muscles. The trends observed in this study should be used and tested in future research studies of a similar nature incorporating larger sample groups.
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Boshoff, Anèe. "A study to compare the effect of lumbar spine adjustments, rectus femoris muscle stretches and a combination of both treatments on the flexibility of the rectus femoris muscles." Thesis, 2012. http://hdl.handle.net/10210/4584.
Full textAbstract:
M.Tech.This unblinded, randomised pilot study was performed to determine and compare the effect of innervation specific lumbar spine adjustments and stretching on the flexibility of the rectus femoris muscles in asymptomatic subjects. Twelve asymptomatic subjects between the ages of 20 and 30 years were recruited by the use of advertisements placed around the University of Johannesburg, Doornfontein Campus. The inclusion criteria required that the patient had decreased rectus femoris muscle flexibility (testing positive on the rectus femoris contracture test) and no history of, or any current osteoarthritis or pathology of the hips or knees. The patients were randomly placed into one of three groups by drawing a group number from a closed bag. Group 1 consisted of four subjects receiving a single lumbar spine adjustment per treatment relating to the most restricted segment in the L2-L4 area as well as bilateral proprioceptive neuromuscular facilitation (PNF) of the rectus femoris muscles; Group 2 consisted of four subjects receiving bilateral rectus femoris muscle stretches (PNF); and Group 3 consisted of four subjects who received a single lumbar spine adjustment at the L2-L4 area to the most restricted segment found. One adjustment per treatment was performed. With the subject in the rectus femoris contracture test position, a goniometer was used to measure the knee range of motion bilaterally before and after treatments. These measurements were used as objective data. Each subject was treated twelve times over a four to six week period. The objective results indicated that there was a statistically significant improvement in rectus femoris muscle flexibility in both Group 1 and Group 3. In conclusion, it was shown that specific adjustments at the spinal level of the nerve innervation for the rectus femoris muscle resulted in an improvement of the flexibility of the rectus femoris muscle and with a greater effect on the leg ipsilateral to the side of the spinal adjustment. This gives support for the effectiveness of innervation specific spinal adjustments.
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Guimaraens, Jeremy John. "The benefit of patient education in conjuction with chiropractic treatment for the management of posterior lumbar facet syndrome." Thesis, 2014. http://hdl.handle.net/10210/11752.
Full textBooks on the topic "Lumbar vertebrae treatment"
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Stabholz, Ludvig M. Low back disorders: Innovative ambulatory treatment, self-treatment, and prophylaxis. New York: Vantage Press, 1992.
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The pelvic girdle: An approach to the examination and treatment of the lumbo-pelvic-hip region. Edinburgh: C. Livingstone, 1989.
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Lee, Diane. The pelvic girdle: An approach to the examination and treatment of the lumbo-pelvic-hip region. 2nd ed. Edinburgh: Churchill Livingstone, 1999.
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The pelvic girdle: An approach to the examination and treatment of the lumbo-pelvic-hip region. 3rd ed. Edinburgh: Churchill Livingstone, 2004.
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Oh, Sooyoung. Autologous bone plugs fusion: Treatment for lumbar instability : 3E criteria, technical operative notes, the functioning of the Oh's screw. Basel: Karger, 2009.
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Oh, Sooyoung. Autologous bone plugs fusion: Treatment for lumbar instability : 3E criteria, technical operative notes, the functioning of the Oh's screw. Basel: Karger, 2009.
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Elly, Hengeveld, Banks Kevin 1959-, and English Kay, eds. Maitland's vertebral manipulation. 7th ed. Edinburgh: Elsevier Butterworth-Heinemann, 2005.
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Linda-Joy, Lee, and Vleeming Andry, eds. The pelvic girdle: An integration of clinical expertise and research. 4th ed. Edinburgh: Elsevier/Churchill Livingstone, 2011.
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B, Camins Martin, and O'Leary Patrick F, eds. The Lumbar spine. New York: Raven Press, 1987.
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Ecri. Treatment of Degenerative Lumbar Spinal Stenosis. Public Health Service, 2001.
Find full textBook chapters on the topic "Lumbar vertebrae treatment"
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Scarabino, Tommaso, Fabio Quinto, Michele Maiorano, Michela Capuano, and Saverio Pollice. "Lumbar Collapse in Chordoma Vertebral Drawing." In Imaging Spine After Treatment, 229–31. Milano: Springer Milan, 2013. http://dx.doi.org/10.1007/978-88-470-5391-5_76.
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Potente, Chiara, Roberto Trignani, Tommaso Scarabino, and Gabriele Polonara. "Traumatic Lumbar Collapse Rigid Stabilization and Vertebral Body Stenting." In Imaging Spine After Treatment, 221–22. Milano: Springer Milan, 2013. http://dx.doi.org/10.1007/978-88-470-5391-5_73.
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"LUMBAR ORTHOSES." In Diagnosis and Treatment of Pain of Vertebral Origin, 255–56. CRC Press, 2005. http://dx.doi.org/10.1201/b14257-33.
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"LUMBAR TECHNIQUES." In Diagnosis and Treatment of Pain of Vertebral Origin, 477–98. CRC Press, 2005. http://dx.doi.org/10.1201/b14257-71.
Full textConference papers on the topic "Lumbar vertebrae treatment"
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Hajizadeh, Khatereh, Mengjie Huang, Ian Gibson, and Gabriel Liu. "Developing a 3D Multi-Body Model of a Scoliotic Spine During Lateral Bending for Comparison of Ribcage Flexibility and Lumbar Joint Loading to the Normal Model." In ASME 2013 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/imece2013-62899.
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Knowledge of the movements of the whole spine and lumbosacral joint is important for evaluating clinical pathologic conditions that may potentially produce unstable situations in human body movements. At present there are few studies that report systematic three-dimensional (3D) movement and force analysis of the whole spine. In this paper, a fully discretized bio-fidelity 3D musculoskeletal simulation model for biomechanical (kinematic) analysis of scoliosis for a patient with right thoracolumbar scoliosis is presented. It is important to note that this method can be used for modeling various types of scoliosis. It should be noted that this is the first time that such a detailed model of this kind has been constructed according to known literature. The combined loading conditions acting on the intervertebral joints and corresponding angles between vertebrae were analyzed during lateral bending through the motion capturing and musculoskeletal modeling of two female subjects, one with normal spine and the other with scoliosis. The scoliosis subject who participated in this study has thoracolumbar scoliosis with convexity to the right. Since lateral bending is one of the typical tasks used by clinicians to determine the severity of scoliosis condition, the motion data of the subjects in lateral bending while standing was captured. These motion data were assigned to train the musculoskeletal multi-body models for the inverse and forward dynamics simulations. The mobility of the ribcage, joint angle, as well as joint force were analyzed using the developed simulation model. According to the results obtained the combined loadings at the lumbar joints in the scoliosis model are considerably higher than the loads of the normal model in this exercise. This research has investigated the effect of thoracolumbar scoliosis on spinal angles and joint forces in lateral bending by the application of motion data capturing and virtual musculoskeletal modeling. The results of this study contribute to a better understanding of human spine biomechanics and help future investigations on scoliosis to understand its development as well as improved treatment processes.
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Varadarajan, Ravikumar, F. Amirouche, Franklin Wagner, and Kern Guppy. "A Finite Element Study of Osteoporosis in a Disc Degenerated Lumbar Spine Subject to Axial Compression." In ASME 2002 International Mechanical Engineering Congress and Exposition. ASMEDC, 2002. http://dx.doi.org/10.1115/imece2002-32625.
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Disc degeneration leads to various spinal disorders like Spondylylosis, Stenosis and Osteophyte formation and Osteoporosis leads to Compression fracture of the vertebral body. Biomechanical investigation of stress changes in the lumbar spine caused by disc degeneration has been done using mathematical models and cadavaric studies (1). Osteoporosis has also been studied in a similar manner (2). However, very little is known of the combined effects of osteoporosis and disc degeneration in the lumbar spine and how it may affect the treatment planning. This paper presents our findings on the combined effect using detailed finite element model of L4-L5 segments.
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Kim, Yoon Hyuk, Won Man Park, and Kyungsoo Kim. "Biomechanical Analysis in the Lumbar Spine During Two-Step Traction Therapy." In ASME 2014 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2014. http://dx.doi.org/10.1115/detc2014-35701.
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Traction therapy is a widely used conservative treatment for low back pain. However, the effects of traction therapy on lumbar spine biomechanics are not well known. We investigated biomechanical effects of two-step traction therapy, which consists of global axial traction and local decompression, on the lumbar spine using a validated three-dimensional finite element model of the lumbar spine. One-third of body weight was applied at the center of the L1 vertebra toward the superior direction for the first axial traction. Anterior translation of L4 spinal bone was considered as the second local decompression. The lordosis angle between the superior planes of the L1 vertebra and sacrum was 44.6° at baseline, 35.2° with global axial traction, and 46.4° with local decompression. The fibers of annulus fibrosus in the posterior region, and intertransverse and posterior longitudinal ligaments experienced stress primarily during global axial traction, these stresses decreased during local decompression. A combination of global axial traction and local decompression would be helpful for reducing tensile stress on the fibers of the annulus fibrosus and ligaments, and intradiscal pressure in traction therapy. The present study could be used to develop a safer and more effective type of traction therapy.
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Wang, Shaobai, Peter G. Passias, Qun Xia, Kirkham B. Wood, and Guoan Li. "In-Vivo Lumbar Intervertebral Disc Geometric Deformation During Functional Postures." In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-206677.
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Degeneration of the intervertebral disc is responsible for the vast majority of back pain. Significant efforts have been made to characterize lumbar intervertebral disc (IVD) deformation during physiologic functional postures in an attempt at understanding the mechanisms resulting in disc related spinal disorders and improving their surgical treatment. However, the details of IVD deformation, including the magnitude and direction of tension and shear, have yet to be clearly defined in-vivo mainly due to technical limitations. This study investigated lumbar IVD geometric deformation from translation and orientation of the adjacent level endplates using a combined MR and fluoroscopic image matching technique [1]. Tensile and shear deformation was quantified by comparing IVD deformation at flexion and extension positions to standing position at the L2-L5 vertebral levels.
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Kiapour, A., A. M. Kiapour, H. Serhan, S. Garfin, T. Allen, and V. K. Goel. "Effect of Different Fixation Techniques on Segmental Kinematics and Load Sharing of Lumbar Spine: A FEM Study." In ASME 2012 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/sbc2012-80882.
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Fusion has been the gold standard for treatment of various disorders associated with the spine especially at intervertebral disc level. The surgical procedure for fusion often requires fixation of the anterior column of the defected segment with interbody fixation devices such as cages. Anterior (ALIF), transforaminal (TLIF) and lateral (LIF) lumbar interbody fusion are some of the most common techniques for segmental fixation. The unacceptably low fusion rate with the interbody cages, when used as standalone, has led to the practice of combining these devices with posterior instrumentation. The segmental kinematics, the load distribution on the vertebral endplate and on the components of the posterior instrumentation are the key biomechanical parameters which can help to evaluate the performance of interbody fixation techniques with posterior instrumentation. We conducted a finite element (FE) study to compare biomechanics of these fixation methods.
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Fernandes, Donald J., Mariappan Senthiappan Athiyamaan, Sandesh Rao, Sharaschandra Shankar, and Abhishek Krishna. "Comparison of Various Radiotherapy Dose Fractionation Schedules in Palliation of Bone Metastasis." In Annual Conference of Indian Society of Medical and Paediatric Oncology (ISMPO). Thieme Medical and Scientific Publishers Pvt. Ltd., 2021. http://dx.doi.org/10.1055/s-0041-1735374.
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Abstract Introduction Bone metastasis is a common manifestation of malignancy. Bone metastases causes various morbidities and affect the quality of life. External beam radiotherapy is the mainstay of treatment of uncomplicated painful bone metastases. Different radiotherapy fractionation schedules are in practice for palliation of painful bone metastases. Objectives This study was aimed to compare and report the outcomes of various fractionation schedules of radiation therapy (RT) in terms of pain relief and quality of life in patients with painful bone metastases. Materials and Methods Eighty patients were randomized into four treatment arms with different RT fractionation schedules, namely, 8 Gy in 1 fraction, 20 Gy in 5 fractions, 24 Gy in 6 fractions, and 30 Gy in 10 fractions. Patients were assessed for pain by visual analog scale (VAS), performance status and quality of life before initiating the treatment, on the day of completion of treatment, and 1 week, 1 month, and 3 months of treatment completion. Results Majority of the metastases constituted from breast followed by lung cancer. Of these, 27.5% had metastases to the thoracic vertebra, 26.25% to the lumbar vertebra, 22.5% to the pelvis, 8.75% to the sternum, 6.25% each to cervical vertebra and femur, and 1.25% each to humerus and ribs. The mean VAS score prior to start of RT was 5.31, 5.21, 5.54, and 4.87 in arms A, B, C, and D, respectively. At the end of treatment, the scores were 3.0, 3.29, 2.77, and 2.47, respectively. At the end of 3 months, the scores were 1.54, 0.57, 0.54, and 0.60, respectively. The pain reduction was significant in all the four arms (p < 0.05). Also, 25% of the patients’ arm A had complete pain relief, whereas 45% of patients in arms B, C, and D had complete pain relief. In arm A, the performance status failed to improve at 3 months when compared with 1-week post-RT but the improvement was significant in the remaining three arms. There was improvement in the quality of life in all the arms, both in terms of function and symptoms. The mean score of symptomatic quality of life based on the EORTC BM22 module prior to start of RT was 38.14, 34.91, 28.85, and 29.17 in arms A, B, C, and D, respectively. There was a significant drop to 9.29, 6.55, 5.13, and 6.11 at 1-month posttreatment in the four arms, respectively. The outcomes in terms of functional quality of life showed a similar trend. Conclusion This study demonstrated that pain reduction by various RT fractionation schedules were similar, and no statistically significant difference was noted. Performance status and quality of life improved in all the four treatment arms post-RT.