Disc Height and Lumbar Index as Independent Predictors of Degenerative Spondylolisthesis in Middle-Aged Women With Low Back Pain

Objective: Non-specific low back pain (non-specific LBP) is common problem between office-work employees. This study aimed to evaluate the short-term impacts of Pulsed Electromagnetic Field (PEMF) therapy in the treatment of non-specific LBP symptoms as pain, back mobility, LBP disabilities, and Health–Related Quality of Life (HRQOL). Methods: Forty-two University’s employees with non-specific LBP and aged from 35 to 55 years who participated in this study from January to June 2018 were divided into two groups: group A; received PEMF therapy and group B; received sham treatment. The outcome measures were; numerical rating scale, Modified Oswestry LBP Disability Score, Modified Schober test, and the Short Form-36 questionnaire. Evaluations were performed for both groups before and after finishing treatment. Results: All outcome measures were significantly improved statistically in the experimental group at the end of the intervention (p<0.05). On the other hand, there were non-significant differences in all outcome measures in the sham group (p>0.05). Conclusions: PEMT therapy may decrease pain, LBP disability, increase lumbar spine mobility, and improve HRQOL in middle-aged university’s employees with nonspecific LBP. doi: https://doi.org/10.12669/pjms.35.4.49 How to cite this:Abdelhalim NM, Samhan AF, Abdelbasset WK. Short-Term impacts of pulsed electromagnetic field therapy in middle-aged university’s employees with non-specific low back pain: A pilot study. Pak J Med Sci. 2019;35(4):---------. doi: https://doi.org/10.12669/pjms.35.4.49 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Surgical treatment of adult degenerative spondylolisthesis by instrumented transforaminal lumbar interbody fusion in the Han nationality

Journal of Neurosurgery Spine ◽

10.3171/2009.2.spine08623 ◽

2009 ◽

Vol 10 (5) ◽

pp. 496-499 ◽

Cited By ~ 20

Author(s):

Hao Xu ◽

Hao Tang ◽

Zhonghai Li

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Interbody Fusion ◽

Degenerative Spondylolisthesis ◽

Transforaminal Lumbar Interbody Fusion ◽

Low Back ◽

Lumbar Interbody Fusion ◽

Peek Cage ◽

Han Nationality

Object The transforaminal lumbar interbody fusion (TLIF) procedure was developed to provide the surgeon with a fusion procedure that may reduce many of the risks and limitations associated with posterior lumbar interbody fusion, yet produce similar stability in the spine. There are few large series with long-term follow-up data regarding instrumented TLIF and placement of 1 diagonal polyetheretherketone (PEEK) cage. The authors performed a prospective study to evaluate the outcome and safety of instrumented TLIF with 1 diagonal PEEK cage for degenerative spondylolisthesis in the Han nationality in China. Methods Between May 2001 and April 2006, 60 patients (35 men and 25 women; mean age 55.5 years, range 45–70 years) with symptomatic degenerative spondylolisthesis underwent the TLIF procedure with 1 diagonal PEEK cage and additional pedicle screw internal fixation at the authors' institution. The inclusion criteria involved degenerative spondylolisthesis (Grades I and II) in patients with chronic low-back pain with or without leg pain. Results One patient had a postoperative temporary motor and sensory deficit of the adjacent nerve root. Reoperation was required in 1 patient because of pedicle screw migration. One patient developed a pseudarthrosis and had increasing complaints of low-back pain 1 year postoperatively and underwent a subsequent revision surgery. Two patients had nerve root symptomatic compression resulting from cage migration and insufficient decompression after surgery, and they underwent revision. Two patients had a dural tear that required fibrin glue application during surgery. No implant fracture or subsidence occurred in any patient. Clinically, the pain index and Oswestry Disability Index (ODI) score improved significantly from before surgery to the 2-year follow-up. In the TLIF group, the pain index improved from 69 to 25 (p < 0.001). The postoperative ODI showed a significant postoperative reduction of disability during the whole period of follow-up (p < 0.001). The preoperative mean ODI score was 32.3 (16–80), and postoperative 13.1 (0–28). Disc space height and foraminal height were restored by the surgery and maintained at the latest follow-up time. Conclusions In the authors' experience, instrumented TLIF with 1 diagonal PEEK cage can be a surgical option for treatment of degenerative spondylolisthesis in the Han nationality in China.

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Point of View: How Common Is Low Back Pain in the Nordic Population? Data From a Recent Study on a Middle-Aged General Danish Population and Four Surveys Previously Conducted in the Nordic Countries

Spine ◽

10.1097/00007632-199607010-00006 ◽

1996 ◽

Vol 21 (13) ◽

pp. 1525

Author(s):

Tapio Videman

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Population Data ◽

Nordic Countries ◽

Point Of View ◽

Low Back ◽

Middle Aged ◽

Danish Population

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Restoration of disc height reduces chronic low back pain

Journal of Science and Medicine in Sport ◽

10.1016/j.jsams.2008.12.030 ◽

2009 ◽

Vol 12 ◽

pp. S11

Author(s):

C. Apfel ◽

S. Cakmakkaya ◽

W. Martin ◽

F. Florio ◽

J. Pergolizzi ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Disc Height ◽

Low Back

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Nonsurgically managed patients with degenerative spondylolisthesis: a 10- to 18-year follow-up study

Journal of Neurosurgery Spine ◽

10.3171/spi.2000.93.2.0194 ◽

2000 ◽

Vol 93 (2) ◽

pp. 194-198 ◽

Cited By ~ 20

Author(s):

Shunji Matsunaga ◽

Kosei Ijiri ◽

Kyoji Hayashi

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Clinical Symptoms ◽

Degenerative Spondylolisthesis ◽

Low Back ◽

Indications For Surgery ◽

Initial Examination ◽

Content Type ◽

Fine Print

Object. Controversy exists concerning the indications for surgery and choice of surgical procedure for patients with degenerative spondylolisthesis. The goals of this study were to determine the clinical course of nonsurgically managed patients with degenerative spondylolisthesis as well as the indications for surgery. Methods. A total of 145 nonsurgically managed patients with degenerative spondylolisthesis were examined annually for a minimum of 10 years follow-up evaluation. Radiographic changes, changes in clinical symptoms, and functional prognosis were surveyed. Progressive spondylolisthesis was observed in 49 patients (34%). There was no correlation between changes in clinical symptoms and progression of spondylolisthesis. The intervertebral spaces of the slipped segments were decreased significantly in size during follow-up examination in patients in whom no progression was found. Low-back pain improved following a decrease in the total intervertebral space size. A total of 84 (76%) of 110 patients who had no neurological deficits at initial examination remained without neurological deficit after 10 years of follow up. Twenty-nine (83%) of the 35 patients who had neurological symptoms, such as intermittent claudication or vesicorectal disorder, at initial examination and refused surgery experienced neurological deterioration. The final prognosis for these patients was very poor. Conclusions. Low-back pain was improved by restabilization. Conservative treatment is useful for patients who have low-back pain with or without pain in the lower extremities. Surgical intervention is indicated for patients with neurological symptoms including intermittent claudication or vesicorectal disorder, provided that a good functional outcome can be achieved.

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Isolated Lumbar Extension Resistance Training Improves Strength, Pain, and Disability, but Not Spinal Height or Shrinkage (“Creep”) in Participants with Chronic Low Back Pain

Cartilage ◽

10.1177/1947603517695614 ◽

2017 ◽

Vol 11 (2) ◽

pp. 160-168 ◽

Cited By ~ 4

Author(s):

James Steele ◽

Stewart Bruce-Low ◽

Dave Smith ◽

David Jessop ◽

Neil Osborne

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Resistance Training ◽

Chronic Low Back Pain ◽

Control Period ◽

Disc Height ◽

Low Back ◽

Intervention Period ◽

Lumbar Extension ◽

Time Point

Objective. Loss of disc height is commonly associated with chronic low back pain (CLBP). Isolated lumbar extension (ILEX) exercise for the lumbar extensors is recommended to treat CLBP and is suggested such exercise might promote disc healing and regeneration. This study examined a 12-week ILEX intervention on indirect determination of disc height and shrinkage through seated stadiometry, strength, pain, and disability. Design. A quasi-experimental wait-list controlled design was used. Nine participants underwent pretesting (T1), a 12-week control period, retesting (T2), a 12-week intervention period, and finally posttesting (T3). Seated stadiometry, ILEX strength, pain, and disability were measured at each time point. Results. No significant repeated-measures effects for any seated stadiometry variables occurred. Significant improvement across the intervention period (T2 to T3) was found for strength ( P <0.0001; effect size [ES] = 2.42). Change in pain was not significant for repeated effects ( P = 0.064); however, ES for the intervention period (T2 to T3) was moderate (ES = −0.77). Change in disability was significant between time point T1 and T3 ( P = 0.037) and ES for the intervention period (T2 to T3) was large (ES = −0.92). Pain and disability achieved minimal clinically important changes. Conclusions. This is apparently the first study to examine disc change in vivo after exercise in CLBP. Results of the present study, though supporting ILEX resistance training to improve strength, pain, and disability, did not find any effect on spinal height.

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Is there a relationship between occupational activities and low back pain in obese, middle-aged women?

Climacteric ◽

10.3109/13697137.2013.794778 ◽

2013 ◽

Vol 17 (1) ◽

pp. 87-91 ◽

Cited By ~ 6

Author(s):

D. M. Urquhart ◽

P. P. Phyomaung ◽

A. E. Wluka ◽

M. R. Sim ◽

A. Forbes ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Low Back ◽

Middle Aged ◽

Occupational Activities

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Comparison of Decompression Alone and Decompression Combined with Fusion for Treating Lumbar Degenerative Spondylolisthesis

10.21203/rs.2.16397/v1 ◽

2019 ◽

Author(s):

wenqiang xin ◽

Qi-qiang Xin ◽

xinyu yang

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Meta Analysis ◽

Degenerative Spondylolisthesis ◽

Leg Pain ◽

Cochrane Library ◽

Low Back ◽

Vas Score ◽

Negative Results ◽

Lumbar Degenerative Spondylolisthesis

Abstract Background To assess the necessity or not of the addition of fusion to decompression for lumber degenerative spondylolisthesis patients.Method Potential publications were selected from PubMed, Web of Science and Cochrane Library. Gray relevant studies were manually searched. We set the searching time spanning from the creating date of electronic engines to August 2019. STATA version 11.0 was exerted to process the pooled data.Results Six RCTs were selected in our analysis. A total of 650 participants were divided into 275 in the decompression group and 375 in the fusion group. Our meta-analysis showed negative results generally. No statistic differences were found in VAS score for low back pain (WMD, -0.045; 95%CI, -1.259 to 1.169; P=0.942) and leg pain (WMD, 0.075; 95% CI, -1.201 to 1.35; P=0.908), ODI score (WMD, 1.489; 95% CI, -7.232 to 10.211; P=0.738), EQ-5D score (WMD, 0.03; 95% CI, -0.05 to 0.12; P=0.43), Odom’s classification (OR, 0.353; 95%CI 0.113, 1.099; P=0.072), postoperative complications (OR, 0.437; 95% CI, 0.065 to 2.949; P=0.395), secondary operation (OR, 2.541; 95% CI 0.897, 7.198; P=0.079) and postoperative degenerative spondylolisthesis (OR=8.59,P=0.27). Subgroup analysis in VAS score on low back pain (OR=0.77, 95% CI, 0.36 to 1.65; P=0.50) was demonstrated as no meaning as well.Conclusion The overall efficacy of the combination of decompression and fusion is not found to be superior to decompression alone. At the same time, more evidence-based performance is needed to supplement this opinion.

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