Risk Factors of Postoperative Low Back Pain for Lumbar Spine Disease

2016 ◽  
Vol 94 ◽  
pp. 248-254 ◽  
Author(s):  
Jiaao Gu ◽  
Fulin Guan ◽  
Lin Zhu ◽  
Guofa Guan ◽  
Zhiyong Chi ◽  
...  
2008 ◽  
Vol 4;11 (8;4) ◽  
pp. 549-554 ◽  
Author(s):  
Tim Lamer

Background: Any spine structure that is innervated by afferent nociceptive nerve fibers is a potential pain generator. In the lumbar spine, the most studied pain generators include: sacroiliac joints, the zygapophysial joints, the intervertebral discs, myofascial structures. Anomalous lumbosacral articulations, the spinous processes, and lumbar spine osteophytes are less commonly reported. Objective: To describe the diagnostic and therapeutic features of “kissing spine” disease or Baastrup’s Sign with particular attention to MRI findings and fluoroscopicallyguided injection therapy. Design: A series of 3 patients with axial low back pain presented with exam findings and MRI changes suggestive of pain emanating from adjacent spinous processes that appeared to be in direct contact or very closely opposed. This has been described in the literature as “kissing spine” disease or Baastrup’s sign. Fluoroscopically-guided injections were performed and the responses were studied. Results: The 3 patients had MRI findings consisting of inflammation and/or edema in the spinous processes and surrounding soft tissues. Fluoroscopically-guided injections provided pain relief in all 3 patients. One patient with recurrent pain eventually underwent successful surgical resection of the involved spinous processes. Conclusion: Painful adjacent and closely opposed spinous processes can be a source of axial low back pain. We have described MRI features and the responses to fluoroscopically-guided injections in 3 patients with this condition. Key words: Baastrup’s, kissing spine, spine injection


Spine ◽  
1995 ◽  
Vol 20 (21) ◽  
pp. 2298-2302 ◽  
Author(s):  
Mette Harreby ◽  
Kirsten Neergaard ◽  
Grete Hesselsôe ◽  
Jacob Kjer

2016 ◽  
Vol 16 (1) ◽  
pp. 32-41 ◽  
Author(s):  
Florence P.S. Mok ◽  
Dino Samartzis ◽  
Jaro Karppinen ◽  
Daniel Y.T. Fong ◽  
Keith D.K. Luk ◽  
...  

1984 ◽  
Vol 28 (5) ◽  
pp. 460-464
Author(s):  
Avinash M. Waikar ◽  
Robert E. Schlegel

A study was conducted to investigate the feasibility of using strength measurement as a diagnostic technique for assessing low back injuries involving symptomatic lumbar spine disease. The approach was to evaluate differences in the rates of strength build-up and in the variability of sustained lifting exertions performed by three groups of subjects. These groups included healthy subjects performing maximal exertions, healthy subjects performing submaximal exertions and symptomatic subjects with low back pain performing safe maximal exertions. The rate of strength build-up reliably distinguished between maximal and submaximal exertions while the ratio of within-trial variability to strength score differed significantly between the healthy and injured groups. Discriminant analysis was employed with partial success in distinguishing between the three groups using various derived measures of the force exertions.


2014 ◽  
Vol 4 (1_suppl) ◽  
pp. s-0034-1376724-s-0034-1376724
Author(s):  
K. Vladimirovich Tyulikov ◽  
K. Korostelev ◽  
V. Manukovsky ◽  
V. Litvinenko ◽  
V. Badalov

2020 ◽  
Vol 91 (12) ◽  
pp. 940-947
Author(s):  
Matthias Albermann ◽  
Maria Lehmann ◽  
Christian Eiche ◽  
Joachim Schmidt ◽  
Johannes Prottengeier

BACKGROUND: In their working life, airline pilots are exposed to particular risk factors that promote nonspecific low back pain (LBP). Because of the varying incidence internationally, we evaluated the point prevalences of acute, subacute, and chronic nonspecific LBP, as well as the current prevalences in German airline pilots. Furthermore, we compared the prevalence to the general German population and to European counterparts.METHODS: An anonymous online survey of 698 participating German airline pilots was evaluated. The impairment between groups was analyzed. Prevalences from our data were compared to existing data.RESULTS: The following point prevalences were found: 8.2% acute, 2.4% subacute, 82.7% chronic LBP; 74.1% of all individuals were suffering from current LBP when answered the questionnaire. A total time spent flying greater than 600 h within the last 12 mo was significantly related to acute nonspecific LBP. Individuals with any type of LBP were significantly impaired compared to those unaffected. It was found that German airline pilots suffer more often from current LBP than the general population and have a higher point prevalence of total LBP than their European counterparts.CONCLUSIONS: The evaluation showed a surprisingly high, previously unidentified, prevalence of nonspecific LBP in German airline pilots. Why German airline pilots suffer more often from LBP remains uncertain. The number of flying hours appears to have a negative effect on developing acute low back pain, but causation cannot be concluded. Other risk factors could not be confirmed.Albermann M, Lehmann M, Eiche C, Schmidt J, Prottengeier J. Low back pain in commercial airline pilots. Aerosp Med Hum Perform. 2020; 91(12):940947.


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