Surgical Results after Soft System Stabilization of the Lumbar Spine in Degenerative Disc Disease - Long Term Results

1998 ◽  
Vol 140 (6) ◽  
pp. 521-525 ◽  
Author(s):  
D. Brechbühler ◽  
T. M. Markwalder ◽  
M. Braun
Keyword(s):  
Lumbar Spine ◽  
Degenerative Disc Disease ◽  
Long Term Results ◽  
Surgical Results ◽  
Disc Disease ◽  
Degenerative Disc

Long-Term Results of Conservative Treatment of Osteomyelitis Spine

10.12737/5912 ◽  
2014 ◽  
Vol 21 (3) ◽  
pp. 108-112 ◽  
Author(s):  
Веретельникова ◽  
I. Veretelnikova ◽  
Носков ◽  
V. Noskov ◽  
Стариков ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Degenerative Disc Disease ◽  
Neurological Complications ◽  
Long Term Results ◽  
Bone Block ◽  
Life Questionnaire ◽  
Disc Disease ◽  
Degenerative Disc ◽  
Treatment Indications

The purpose of this study was to analyze long-term results of conservative treatment of patients with osteomyelitis of the spine. The authors examined 135 patients with osteomyelitis of the spine. Conservative treatment was made in 67 (50%) patients, other patients was carried out surgical treatment. Indications for treatment included: early diagnosis of the disease, the absence of sig-nificant lesions destruction of vertebral bodies, neurological complications, the presence of comorbidity and organ failure. The complex conservative treatment consisted of: antibacterial and detoxification therapies, orthopedic immobilization, immune-corrective and tonic medicines. In the preoperative and long-term period (time from 1 year to 15 years after surgery) the clinical, paraclinical, radiation methods and classification developed by Frankel H.L.et al (1969) were used for evaluation of neurological disorders. Long-term results included assessment of pain on VAS and quality of life questionnaire developed by Oswestry and SF-36. For statistical analysis of the material was used the software package Statistica 6.1 (license agreement BXXR006B092218FAN11). Long-term clinical, laboratory and x-ray methods didn’t shown recurrence of the disease. In 16 patients with neurological complications after treatment, regression of neurological symptoms was revealed. Pains in the spine, associated with symptoms of degenerative disc disease without neurological deficit, were established in some patients. At most patients the presence of spontaneous fibrous or bone block is marked at the level of former inflammatory process with symptoms of degenerative disc disease in the lower divisions. All patients returned to their previous jobs in terms from 6 to 12 months after the treatment. Thus, the authors concluded that conservative treatment of the patients with osteomyelitis of the spine is defensible, harmless and effective method in particular indicated cases.

scholarly journals Effect of Core Stabilizing Training on Young Individuals Presenting Different Stages of Degenerative Disc Disease—Preliminary Report

2021 ◽  
Vol 18 (7) ◽  
pp. 3499
Author(s):  
Tomasz Kuligowski ◽  
Błażej Cieślik ◽  
Natalia Kuciel ◽  
Agnieszka Dębiec-Bąk ◽  
Anna Skrzek
Keyword(s):  
Lumbar Spine ◽  
Outcome Measures ◽  
Degenerative Disc Disease ◽  
Preliminary Report ◽  
Primary Outcome ◽  
Core Stability ◽  
Post Intervention ◽  
Disc Disease ◽  
Degenerative Disc

The aim of this study was to assess the efficacy of stabilizing training for the deep core muscles of the lumbar spine in subjects with degenerative disc disease. This study was conducted on 38 participants. The participants were divided into two groups: the extrusion group (EXT, n = 17) and the protrusion group (PRO, n = 21). All the subjects underwent a four-week-long core stability exercise-based treatment (five sessions/week). Clinical outcome measures were assessed pre-intervention (pre), post-intervention (post) and four weeks after the intervention (follow-up). The primary outcome measures were the spinal range of motion (ROM; Spinal Mouse® device) and the Oswestry Disability Index (ODI). In the PRO group, the ROM decreased from 88.52° pre-intervention to 83.33° post-intervention and to 82.82° at follow-up (p = 0.01), while the ODI decreased from 16.14 points pre-intervention to 6.57 points post-intervention, with 9.42 points at follow-up (p < 0.01). In the EXT group, the ROM decreased from 81.00° pre-intervention to 77.05° post-intervention, then increased to 77.94° at follow-up (p = 0.03), while the ODI decreased from 22.58 points pre-intervention to 15.41 points post-intervention and to 14.70 points at follow-up (p < 0.001). Although the stabilizing exercise sessions improved the clinical outcomes in each group, we cannot make conclusions as to whether the type of intervertebral disc damage significantly affects the results of stabilizing exercise-based treatment.

Long-term outcome of fusion for degenerative disc disease in the lumbar spine

2019 ◽  
Vol 101-B (12) ◽  
pp. 1526-1533 ◽  
Author(s):  
Peter Endler ◽  
Per Ekman ◽  
Ivan Berglund ◽  
Hans Möller ◽  
Paul Gerdhem
Keyword(s):  
Back Pain ◽  
Lumbar Spine ◽  
Degenerative Disc Disease ◽  
Interbody Fusion ◽  
Patient Reported Outcome ◽  
Posterolateral Fusion ◽  
Disc Disease ◽  
Degenerative Disc ◽  
Additional Surgery ◽  
Patient Reported

AimsChronic low back pain due to degenerative disc disease is sometimes treated with fusion. We compared the outcome of three different fusion techniques in the Swedish Spine Register: noninstrumented posterolateral fusion (PLF), instrumented posterolateral fusion (IPLF), and interbody fusion (IBF).Patients and MethodsA total of 2874 patients who were operated on at one or two lumbar levels were followed for a mean of 9.2 years (3.6 to 19.1) for any additional lumbar spine surgery. Patient-reported outcome data were available preoperatively (n = 2874) and at one year (n = 2274), two years (n = 1958), and a mean of 6.9 years (n = 1518) postoperatively and consisted of global assessment and visual analogue scales of leg and back pain, Oswestry Disability Index, EuroQol five-dimensional index, 36-Item Short-Form Health Survey, and satisfaction with treatment. Statistical analyses were performed with competing-risks proportional hazards regression or analysis of covariance, adjusted for baseline variables.ResultsThe number of patients with additional surgery were 32/183 (17%) in the PLF group, 229/1256 (18%) in the IPLF group, and 439/1435 (31%) in the IBF group. With the PLF group as a reference, the hazard ratio for additional lumbar surgery was 1.16 (95% confidence interval (CI) 0.78 to 1.72) for the IPLF group and 2.13 (95% CI 1.45 to 3.12) for the IBF group. All patient-reported outcomes improved after surgery (p < 0.001) but were without statistically significant differences between the groups at the one-, two- and 6.9-year follow-ups (all p ≥ 0.12).ConclusionThe addition of interbody fusion to posterolateral fusion was associated with a higher risk for additional surgery and showed no advantages in patient-reported outcome Cite this article: Bone Joint J 2019;101-B:1526–1533

Stand-alone Anterior Lumbar Interbody Fusion for Degenerative Disc Disease of the Lumbar Spine

Spine ◽  
2014 ◽  
Vol 39 (15) ◽  
pp. E894-E901 ◽  
Author(s):  
John Lammli ◽  
M. Camden Whitaker ◽  
Alan Moskowitz ◽  
Jennifer Duong ◽  
Frank Dong ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Degenerative Disc Disease ◽  
Interbody Fusion ◽  
Anterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Disc Disease ◽  
Degenerative Disc
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