The Relationship Between Lumbar Spine Kinematics during Gait and Low-Back Pain in Transfemoral Amputees

2010 ◽  
Vol 89 (8) ◽  
pp. 635-643 ◽  
Author(s):  
David C. Morgenroth ◽  
Michael S. Orendurff ◽  
Ali Shakir ◽  
Ava Segal ◽  
Jane Shofer ◽  
...  
2010 ◽  
Vol 20 (1) ◽  
pp. 71-78 ◽  
Author(s):  
Duc H. Do ◽  
Cyrus E. Taghavi ◽  
Winston Fong ◽  
Min Ho Kong ◽  
Yuichiro Morishita ◽  
...  

Spine ◽  
2001 ◽  
Vol 26 (17) ◽  
pp. 1910-1919 ◽  
Author(s):  
Lutz Vogt ◽  
Klaus Pfeifer ◽  
Martin Portscher ◽  
Winfried Banzer

2014 ◽  
Vol 19 (1) ◽  
pp. 30-34 ◽  
Author(s):  
Sungyun Kim ◽  
Byeongmun Hwang

BACKGROUND: Epidural steroid injection (ESI) is one of the most common nonsurgical treatments for low back pain. In general, corticosteroid therapy often results in bone loss and osteoporosis. In previous studies, bone mineral density (BMD) was evaluated after epidural injections of relatively small numbers and relatively low total doses of corticosteroids. However, the relationship between BMD and multiple ESIs remains to be elucidated.OBJECTIVE: To explore the relationship between BMD and multiple ESIs in postmenopausal women with low back pain.METHODS: Medical records of postmenopausal women with low back pain treated with or without ESIs were reviewed. BMD was measured in the lumbar spine, femoral neck and total femur after the treatments. A total of 71 patients were divided into two groups: group 1 included patients who had received non-ESI medications; and group 2 included those who had received ESIs >10 times, with a cumulative administered triamcinolone dose >200 mg.RESULTS: Patients in group 2 showed lower BMD in the femoral neck and total femur. However, no significant intergroup differences in the BMD of the lumbar spine were observed. The prevalences of osteoporosis and osteopenia in the lumbar spine and femoral neck were significantly higher in group 2; these patients also had lower femoral neck BMD Z-scores.CONCLUSIONS: Multiple ESIs (approximately 14 injections with a cumulative triamcinolone dose of approximately 400 mg) can reduce BMD in postmenopausal women with low back pain.


2016 ◽  
Vol 16 (10) ◽  
pp. S364
Author(s):  
Bryce Basques ◽  
Grant Shifflett ◽  
Michael Fice ◽  
Alejandro Espinoza Orias ◽  
Gunnar B. Andersson ◽  
...  

2015 ◽  
Vol 42 (4) ◽  
pp. 539-544 ◽  
Author(s):  
Sara P. Gombatto ◽  
Tricia Brock ◽  
Anthony DeLork ◽  
Glynis Jones ◽  
Erin Madden ◽  
...  

2018 ◽  
Vol 43 (2) ◽  
pp. 227-232 ◽  
Author(s):  
Mary E Matsumoto ◽  
Joseph M Czerniecki ◽  
Ali Shakir ◽  
Pradeep Suri ◽  
Michael Orendurff ◽  
...  

Background: Low back pain is a common secondary disabling condition in the transfemoral amputee population. Transfemoral amputees are at risk of excessive lumbar lordosis; it has been suggested that increased lumbar lordosis may be associated with low back pain. However, the relationship between lumbar lordosis angle and low back pain has not yet been studied in this population. Objective: To determine whether the extent of lumbar lordosis is associated with low back pain in transfemoral amputees. Study design: Case–control observational study. Methods: Participants included eight transfemoral amputees without low back pain and nine transfemoral amputees with low back pain. Etiology of amputation was primarily trauma. All participants underwent lateral view radiographs of the lumbar spine, from which lumbar lordosis angle and sacral inclination angle were measured. Results: Lumbar lordosis angle mean ± standard deviation was 46.1° ± 12.4° in participants with low back pain and 51.0° ± 12.6° in those without. Sacral inclination angle mean ± standard deviation was 38.3° ± 8.7° in participants with low back pain and 39.1° ± 7.5° in those without. There was no significant difference in lumbar lordosis angle or sacral inclination angle between participants with and without low back pain. Conclusion: This study suggests that increased lumbar lordosis angle and sacral inclination angle are not significantly associated with low back pain in transfemoral amputees of a primarily traumatic etiology. Clinical relevance Low back pain (LBP) is a common, disabling condition in transfemoral amputees. In the clinical setting, increased lumbar lordosis is implicated in LBP. This study does not support an association between increased lumbar lordosis and LBP; further study is needed to understand the increased prevalence of LBP in this population.


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