Sohail K. Mirza, MD, MPH The Spine Journal Volume 13, Issue 11, November 2013, Pages 1421–1433 Abstract Background context The clinical entity “discogenic back pain” remains controversial at fundamental levels, including its pathophysiology, diagnostic criteria, and optimal treatment. This is true despite availability of four randomized trials comparing the efficacy of surgical and nonsurgical treatments. […]
William C. Pannell The Spine Journal Available online 31 October 2013 In Press Abstract Background Context There is a lack of agreement among spine surgeons as to the best surgical treatment modality for many degenerative lumbar diseases. Though there are many studies examining trends in spinal surgery, specific studies reporting the variations in surgical treatment […]
By Peter Whoriskey and Dan Keating October 27, 2013 By some measures, Federico C. Vinas was a star surgeon. He performed three or four surgeries on a typical weekday at the Daytona Beach, Fla., hospital that employed him, and a review showed him to be nearly five times as busy as other neurosurgeons. The hospital […]
The National Surgical Quality Improvement Program (NSQIP) 2005-2010 Kimon Bekelis, M.D Abstract Background and Context There is increasing scrutiny by several regulatory bodies regarding the complications of spine surgery. Precise delineation of the risks contributing to those complications remains a topic of debate. Purpose We attempted to create a predictive model of complications in patients […]
One year after surgery to relieve back pain, about of third of patients still were using narcotic painkillers, according to a study that raised new concerns about the long-term use of opioids….
A Systematic Review Phillips, Frank M. MD Abstract Study Design. Systematic literature review. Objective. To categorize published evidence systematically for lumbar fusion for chronic low back pain (LBP) in order to provide an updated and comprehensive analysis of the clinical outcomes. Summary of Background Data. Despite a large number of publications of outcomes of spinal […]
A Systematic Review and Meta-analysis Xia, Xiao-Peng MD Abstract Study Design. Systematic review of published prevalence of adjacent segment degeneration (ASD) after spine surgery. Objective. To evaluate the prevalence of ASD in patients after cervical and lumbar spine surgery. Summary of Background Data. ASD is a common complication after spine surgery in long-term follow-up. A […]
A randomised clinical trial comparing the effects of two exercise programmes on clinical outcome and lumbar multifidus muscle function Hebert JJ,et al. Br J Sports Med. 2013 Sep 12. doi: 10.1136/bjsports-2013-092402. [Epub ahead of print] Affiliation School of Psychology and Exercise Science, Murdoch University, Murdoch, Western Australia, Australia. Abstract BACKGROUND: The optimal components of postoperative […]
Christopher M. Coulis, DC, MS Journal of Chiropractic Medicine Volume 12, Issue 3, September 2013, Pages 168–175 Abstract Objective The purpose of this case series is to describe chiropractic care including spinal manipulation for 3 patients with postsurgical spine pain. Clinical features Three patients with postsurgical spine pain (1 cervical fusion, 1 lumbar discectomy, and […]
Fineberg, Steven J. MD; Kurd, Mark F. MD; Patel, Alpesh A. MD, FACS; Singh, Kern MD Spine 15 August 2013 Vol. 38 – Issue 18: p 1584–1589 Study Design. Retrospective database analysis. Objective. To determine rates of gastrointestinal (GI) hemorrhage after lumbar fusions, a population-based database was analyzed to identify incidence, mortality, and risk factors […]
Fineberg, Steven J. MD Spine 01 June 2013 Vol. 38 – Issue 13: p 1154–1159 Abstract Study Design. Retrospective database analysis. Objective. A population-based database was analyzed to identify the incidence, risk factors, and mortality associated with thromboembolic events after lumbar spine surgery. Summary of Background Data. Pulmonary embolism (PE) and deep vein thrombosis (DVT) […]
Results From a Prospective Study of Workers in Washington State Keeney, Benjamin J. PhD Spine: 15 May 2013 – Volume 38 – Issue 11 – p 953–964 doi: 10.1097/BRS.0b013e3182814ed5 Occupational Health/Ergonomics Abstract Study Design. Prospective population-based cohort study. Objective. To identify early predictors of lumbar spine surgery within 3 years after occupational back injury. Summary […]
In an article written to educate the public about back pain, the Journal of the American Medical Association (JAMA) has suggested that patients seek chiropractic and other conservative back-pain treatment before taking more invasive measures. The article says that surgery is not usually needed for treating back pain and should only be considered when other […]
Michael D Reife Chiropractic & Manual Therapies 2013, 21:12 doi:10.1186/2045-709X-21-12 Published: 22 April 2013 Abstract Objective The purpose of this case report is to describe a patient who presented with a case of peroneal neuropathy that was originally diagnosed and treated as a L5 radiculopathy. Clinical features A 53-year old female registered nurse presented to […]
Nationwide cohort study Kim CH Spine (Phila Pa 1976). 2013 Apr 1;38(7):581-90. doi: 10.1097/BRS.0b013e318274f9a7. PubMedReference Abstract STUDY DESIGN: Retrospective cohort study using national health insurance data. OBJECTIVE: To provide a longitudinal reoperation rate after surgery for lumbar herniated intervertebral disc (HIVD) disease, and to compare the reoperation rates of surgical methods. SUMMARY OF BACKGROUND DATA: […]
9.28.2012 Nearly 20 percent of people who underwent low back fusion surgery developed post-traumatic stress disorder symptoms associated with that surgery, according to a recent Oregon Health & Science University study published in the journal Spine. Past studies have noted PTSD symptoms in some trauma, cancer and organ transplant patients. But this is the first study, […]
Juratli SM Spine (Phila Pa 1976). 2009 Apr 1;34(7):740-7. doi: 10.1097/BRS.0b013e31819b2176. PubMed Reference Abstract STUDY DESIGN: Retrospective population-based cohort study. OBJECTIVE: To describe mortality after lumbar fusion surgery in Washington State workers’ compensation claimants in the perioperative period and beyond. SUMMARY OF BACKGROUND DATA: Although lumbar fusion surgery can be associated with serious complications, perioperative […]
Eur Spine J. 2006 Apr;15(4):423-32. Epub 2005 Aug 18. Comparison of postural control in unilateral stance between healthy controls and lumbar discectomy patients with and without pain. Bouche K1, Stevens V, Cambier D, Caemaert J, Danneels L. Abstract MAIN PROBLEM: Previous studies have demonstrated that sciatica patients have poorer postural control than healthy controls and […]