Disc

Conservatively treated massive prolapsed discs: a 7-year follow-up – Full Text Article

RT Benson Ann R Coll Surg Engl. Mar 2010; 92(2): 147–153. Abstract INTRODUCTION The natural history of a lumbar hernia of the nucleus pulposus (HNP) is not fully known and clear indications for operative intervention cannot be established from the literature. Several studies have shown that the largest discs appear to have the greatest tendency […]

The Association between Lumbar Disc Degeneration and Low Back Pain: The Influence of Age, Gender, and Individual Radiographic Features

Medscape.com The Association between Lumbar Disc Degeneration and Low Back Pain: The Influence of Age, Gender, and Individual Radiographic Features Evelien I. T. de Schepper, MD, Jurgen Damen, MD, Joyce B. J. van Meurs, PhD, Abida Z. Ginai, MD, Maria Popham, MSc, Albert Hofman, PhD, Bart W. Koes, PhD, Sita M. Bierma-Zeinstra, PhDDisclosures Spine. 2010;35(5):531-536. […]

The Twin Spine Study: Contributions to a changing view of disc degeneration

The Spine Journal Volume 9, Issue 1, January 2009, Pages 47-59 Michele C. Battié PhD Abstract Background context Disc degeneration was commonly viewed over much of the last century as a result of aging and “wear and tear” from mechanical insults and injuries. Thus, prevention strategies and research in lumbar degenerative changes and associated clinical […]

Observations on the natural history of massive lumbar disc herniation

J Bone Joint Surg Br. 2007 Jun;89(6):782-4. Cribb GL Abstract We have treated 15 patients with massive lumbar disc herniations non-operatively. Repeat MR scanning after a mean 24 months (5 to 56) showed a dramatic resolution of the herniation in 14 patients. No patient developed a cauda equina syndrome. We suggest that this condition may […]

An Epidemiologic Study of MRI and Low Back Pain in 13-Year-Old Children

Kjaer, Per PT, MSc, PhD Spine: 1 April 2005 – Volume 30 – Issue 7 – pp 798-806 Abstract Study Design. Cross-sectional cohort study of a general population. Objective. To describe associations between “abnormal” lumbar magnetic resonance imaging (MRI) findings and low back pain (LBP) in 13-year old children. Summary and Background Data. Very little […]

Anterior thoracic posture increases thoracolumbar disc loading

Harrison DE, et al. Eur Spine J. 2005. Abstract In the absence of external forces, the largest contributor to intervertebral disc (IVD) loads and stresses is trunk muscular activity. The relationship between trunk posture, spine geometry, extensor muscle activity, and the loads and stresses acting on the IVD is not well understood. The objective of […]

Correlation of clinical examination characteristics with three sources of chronic low back pain

Sharon Young, PT Young S, et al. The Spine Journal. November 2003; Vol. 3, Iss. 6, pp. 460-465. Background context Research has demonstrated some progress in using a clinical examination to predict discogenic or sacroiliac (SI) joint sources of pain. No clear predictors of symptomatic lumbar zygapophysial joints have yet been demonstrated. Purpose To identify significant […]

Comparative analysis of lumbar spine degeneration documented by x-rays versus large specimen cryomicrotome sections

Weisskopf M Z Orthop Ihre Grenzgeb. 2003 Jan-Feb;141(1):86-91. Abstract AIM OF THE STUDY: The extent of degenerative changes in the lumbar spine as seen on conventional radiographs is interpreted on the basis of visualized osseus structures and indirect signs such as diminution of disc height. In order to analyze the accuracy of these interpretations we compared […]

Pathophysiology of Lumbar Disc Degeneration: A Review of the Literature

Michael D. Martin, MD, Christopher M. Boxell, MD, FACS, and David G. Malone, MD Neurosurg Focus. 2002;13(2) Abstract Lumbar disc degeneration occurs because of a variety of factors and results in a multitude of conditions. Alterations in the vertebral endplate cause loss of disc nutrition and disc degeneration. Aging, apoptosis, abnormalities in collagen, vascular ingrowth, […]