Disc

Mechanical effects of traction on lumbar intervertebral discs: A magnetic resonance imaging study

Musculoskeletal Science & Practice June 2017 Volume 29, Pages 78–83 Daniel H.K. Chow, PhD Highlights Mechanical effects of traction on lumbar discs was evaluated using MRI. Horizontal traction using 42% of body weight was associated with an increased disc height of lower lumbar discs. Horizontal traction also resulted in reduced lordosis and change in tilt angle. The […]

Association of Mild Leg Length Discrepancy and Degenerative Changes in the Hip Joint and Lumbar Spine

J Manipulative Physiol Ther. 2017 Apr 17. pii: S0161-4754(17)30065-9. doi: 10.1016/j.jmpt.2017.03.001. [Epub ahead of print] Murray KJ1, Molyneux T1, Le Grande MR2, Castro Mendez A3, Fuss FK4, Azari MF5. Author information Abstract OBJECTIVE: The purpose of this study was to evaluate the correlation between mild leg length discrepancy (LLD) and degenerative joint disease (DJD) or […]

Non operative management of massive lumbar disc prolapses, an observational study

Anupkumar Shetty, Peter Craig, Shashank Chitgopkar; Robert Jones Agnes Hunt Orthopaedic Hospital, Oswestry SY10 7AG The Spine Journal March 2017 Volume 17, Issue 3, Supplement, Pages S12–S13 BACKGROUND CONTEXT: Most of the herniated discs resolve spontaneously, Although there are multiple papers on mild to moderate disc prolapses treated conservatively there are very few papers on […]

Incidence of Spontaneous Resorption of Lumbar Disc Herniation: A Meta-Analysis.

Pain Physician. 2017 Jan-Feb;20(1):E45-E52. Zhong M1, Liu JT2, Jiang H2, Mo W3, Yu PF2, Li XC2, Xue RR3. Abstract BACKGROUND: Lumbar disc herniation (LDH), a common disease, is often treated conservatively, frequently resulting in spontaneous resorption of the herniated disc. The incidence of this phenomenon, however, remains unknown. OBJECTIVE: To analyze the incidence of spontaneous […]

Influence of Complex Loading Conditions on Intervertebral Disc Failure

Spine: 15 January 2017 – Volume 42 – Issue 2 – p E78–E85 doi: 10.1097/BRS.0000000000001699 Biomechanics Berger-Roscher, Nikolaus Dipl.-Ing.; Casaroli, Gloria MSEng; Rasche, Volker PhD; Villa, Tomaso PhD; Galbusera, Fabio PhD; Wilke, Hans-Joachim PhD Study Design. High resolution imaging investigation of the failure of ovine lumbar intervertebral discs under complex loading. Objective. To investigate how […]

Inequality in leg length is important for the understanding of the pathophysiology of lumbar disc herniation

J Craniovertebr Junction Spine. 2016 Apr-Jun; 7(2): 87–90. doi:  10.4103/0974-8237.181829 PMCID: PMC4872568 Mehmet Sabri Balik, Ayhan Kanat,1 Adem Erkut, Bulent Ozdemir,1 and Osman Ersagun Batcik1 Author information ► Copyright and License information ► Abstract Objective: Inequality in leg length may lead to to abnormal transmission of load across the endplates and degeneration lumbar spine and […]

Biomechanics of Degenerative Spinal Disorders

Asian Spine J. 2016 Apr; 10(2): 377–384. Published online 2016 Apr 15. doi:  10.4184/asj.2016.10.2.377 PMCID: PMC4843079 Justin A. Iorio,1 Andre M. Jakoi,2 and Anuj Singla3 Author information ► Article notes ► Copyright and License information ► Go to: Abstract The spine has several important functions including load transmission, permission of limited motion, and protection of […]

Resolution of Lumbar Disk Herniation without Surgery

Jennifer Hong, M.D., and Perry A. Ball, M.D. N Engl J Med 2016; 374:1564 April 21, 2016 DOI: 10.1056/NEJMicm1511194 A 29-year-old woman presented to the spine clinic with new-onset pain in her right leg, accompanied by paresthesia. There were no bowel or bladder symptoms. Magnetic resonance imaging (MRI) of the lumbar spine revealed a lumbar disk herniation […]

Hypovitaminosis D and Cervical Disk Herniation among Adults Undergoing Spine Surgery

Global Spine J. 2013 Dec;3(4):231-6. doi: 10.1055/s-0033-1354252. Epub 2013 Aug 21. Stoker GE1, Buchowski JM1, Chen CT1, Kim HJ1, Park MS2, Riew KD1. Abstract Study Design Single-center, retrospective study. Objective Suboptimal concentrations of vitamin D have been linked to hip and knee osteoarthritis in large, population-based cohort studies. We sought to examine the association of vitamin D […]

The death of the sit-up

The Canadian Armed Forces has thrown out dated fitness testing in favour of real-world tasks. By: Mary Ormsby Feature reporter, Published on Wed Jan 20 2016 The Canadian Armed Forces recently dropped the decades-long staple of school gym class and elite athletic training alike from its fitness testing and replaced it with exercises that better […]

Progression of lumbar disc herniations over an eight-year period -a longitudinal MRI study using quantitative measures

BMC Musculoskelet Disord. 2016 Jan 15;17(1):26. doi: 10.1186/s12891-016-0865-6. Progression of lumbar disc herniations over an eight-year period in a group of adult Danes from the general population – a longitudinal MRI study using quantitative measures. Kjaer P, Tunset A, Boyle E, Jensen TS. Abstract BACKGROUND: A lumbar disc herniation (LDH) is a localised displacement of […]

MRI Findings of Disc Degeneration are More Prevalent in Adults with Low Back Pain than in Asymptomatic Controls

AJNR Am J Neuroradiol. 2015 Dec;36(12):2394-9. doi: 10.3174/ajnr.A4498. Epub 2015 Sep 10. MRI Findings of Disc Degeneration are More Prevalent in Adults with Low Back Pain than in Asymptomatic Controls: A Systematic Review and Meta-Analysis. Brinjikji W, Diehn FE, Jarvik JG, Carr CM, Kallmes DF, Murad MH4 Luetmer PH. Abstract BACKGROUND AND PURPOSE: Imaging features of […]

Disc degeneration implies low back pain

Theor Biol Med Model. 2015 Nov 9;12(1):24. doi: 10.1186/s12976-015-0020-3. Zheng CJ, Chen J. Abstract BACKGROUND: Low back pain exerts a tremendous burden on individual patients and society due to its prevalence and ability to cause long-term disability. Contemporary treatment and prevention efforts are stymied by the absence of a confirmed cause for the majority of […]

Recurrence of Pain after Usual Non-Operative Care for Symptomatic Lumbar Disc Herniation: Analysis of Data from the Spine Patient Outcomes Research Trial

PM R. 2015 Nov 5. pii: S1934-1482(15)01103-X. doi: 10.1016/j.pmrj.2015.10.016. [Epub ahead of print] Suri P, Pearson AM, Scherer EA, Zhao W, Lurie JD, Morgan TS, Weinstein JN. Abstract OBJECTIVE: To determine risks and predictors of recurrent leg and low back pain (LBP) following unstructured, usual non-operative care for subacute/chronic symptomatic lumbar disc herniation (LDH). DESIGN: […]

Risk factors for lumbar intervertebral disc height narrowing: a population-based longitudinal study in the elderly

BMC Musculoskelet Disord. 2015 Nov 9;16(1):344. doi: 10.1186/s12891-015-0798-5. Akeda K, Yamada T, Inoue N, Nishimura A, Sudo A. Abstract BACKGROUND: The progression of disc degeneration is generally believed to be associated with low back pain and/or degenerative lumbar diseases, especially in the elderly. The purpose of this study was to quantitatively evaluate changes in lumbar […]

Effect of Lumbar Disc Degeneration and Low-Back Pain on the Lumbar Lordosis in Supine and Standing: A Cross-Sectional MRI Study

Spine: November 2015 – Volume 40 – Issue 21 – p 1690–1696 Hansen, Bjarke B. MD Abstract Study Design. Cross-sectional study. Objective. To examine the influence of low-back pain (LBP) and lumbar disc degeneration (LDD) on the lumbar lordosis in weight-bearing positional magnetic resonance imaging (pMRI). Summary of Background Data. The lumbar lordosis increases with […]

MRI of the lumbar spine with dedicated G-scan machine in the upright position

Radiol Med. 2015 Jul 28. [Epub ahead of print] Magnetic resonance imaging (MRI) of the lumbar spine with dedicated G-scan machine in the upright position: a retrospective study and our experience in 10 years with 4305 patients. Splendiani A Abstract PURPOSE: To evaluate the pathological changes of the lumbar spine and the instability of the […]

Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0

By Deborah Pate, DC, DACBR The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade. The ASSR recently put […]

What Are Long-term Predictors of Outcomes for Lumbar Disc Herniation? A Randomized and Observational Study

Clin Orthop Relat Res. 2015 Jun;473(6):1920-30. doi: 10.1007/s11999-014-3803-7. Kerr D, Zhao W, Lurie JD. Abstract BACKGROUND: Although previous studies have illustrated improvements in surgical cohorts for patients with intervertebral disc herniation, there are limited data on predictors of long-term outcomes comparing surgical and nonsurgical outcomes. QUESTIONS/PURPOSES: We assessed outcomes of operative and nonoperative treatment for […]

Associations between lumbosacral transitional anatomy types and degeneration at the transitional and adjacent segments

Farshad-Amacker NA, et al. Spine J. 2015. Show full citation Abstract BACKGROUND CONTEXT: The relation between specific types of lumbosacral transitional vertebra and the degree of degeneration at and adjacent to the transitional level is unclear. It is also unknown whether the adjacent cephalad segment to a transitional vertebra is prone to greater degeneration than a […]