Lumbar Spine Capsule Strain After Total Disc Replacement

2010 ◽  
Author(s):  
Tomoyuki Takigawa ◽  
Alejandro A. Espinoza Orías ◽  
Howard S. An ◽  
Peter Simon ◽  
Keizo Sugisaki ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Facet Joint ◽  
Total Disc Replacement ◽  
Clinical Results ◽  
Disc Replacement ◽  
Segmental Motion ◽  
Low Back ◽  
Disc Disease ◽  
Poor Outcomes

Degenerative disc disease is a common cause for low back pain, and sometimes requires surgical treatment. Total disc replacement (TDR) is one such surgical option performed to remove the painful disc and preserve segmental motion. However, TDR clinical results are not always satisfactory. Altered kinematics and residual low back pain have been reported as frequent poor outcomes. The facet joint is a pure articular joint and can be a pain generator. Although the effect of TDR on ROMs (ranges of motion) and facet contact force is relatively well studied, the influence of TDR on facet capsules has not been clarified yet. The purpose of this study was to evaluate the effect of TDR on facet joint capsule strain.

Total disc replacement for chronic low-back pain

2010 ◽  
Author(s):  
Wilco Jacobs ◽  
Alexander Tuschel ◽  
Marinus de Kleuver ◽  
Wilco Peul ◽  
AJ Verbout ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Total Disc Replacement ◽  
Disc Replacement ◽  
Low Back

Impairment Rating for Non-Specific Back Pain Under the AMA Guides, Sixth Edition: Medical Perspective

2014 ◽  
Vol 19 (2) ◽  
pp. 3-6 ◽  
Author(s):  
James B. Talmage ◽  
Jay Blaisdell ◽  
Marjorie Eskay-Auerbach ◽  
Christopher R. Brigham
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Examination ◽  
Chronic Back Pain ◽  
Facet Joint ◽  
Spinal Pain ◽  
Low Back ◽  
Disc Disease ◽  
Sixth Edition ◽  
Recurrent Low Back Pain

Abstract Low back pain and disability are common and evaluating a patient with non-specific spinal pain may be challenging, including determining impairment. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, provides ratable impairment for the diagnosis of “non-specific chronic, or chronic recurrent low back pain (also known as chronic sprain/strain, symptomatic degenerative disc disease, facet joint pain,” and others. The evaluator should consider the diagnosis of non-specific chronic back pain only when no category of specific diagnosis fits the case (eg, no fracture, no spinal stenosis) or when “no reliable physical examination or imaging findings” but the patient's history of pain is felt to be reliable. According to the AMA Guides, primary determinant between a class 0 and class 1 rating for non-specific chronic back pain is whether the evaluator gives credibility to the patient's subjective reports of pain and interference with activities of daily living (ADLs). An evaluator may choose to use the Pain Disability Questionnaire (reproduced in the article) and Table 17-6, Functional History Adjustment, Spine, to determine the Functional History Grade Modifier (GMFH). The diagnosis of non-specific chronic or chronic recurrent low back pain yields a positive impairment only when the evaluator feels the patient's pain, as quantified by the GMFH, is reliably reported. Because there are no diagnostic objective findings on physical examination or clinical studies, these modifiers are excluded.

Total Disc Replacement for Chronic Discogenic Low Back Pain

Spine ◽  
2013 ◽  
Vol 38 (1) ◽  
pp. 24-36 ◽  
Author(s):  
Wilco C.H. Jacobs ◽  
Niels A. van der Gaag ◽  
Moyo C. Kruyt ◽  
Alexander Tuschel ◽  
Marinus de Kleuver ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Total Disc Replacement ◽  
Disc Replacement ◽  
Low Back ◽  
Discogenic Low Back Pain

Diagnostic accuracy of low-dose versus ultra-low-dose CT for lumbar disc disease and facet joint osteoarthritis in patients with low back pain with MRI correlation

2017 ◽  
Vol 47 (4) ◽  
pp. 491-504 ◽  
Author(s):  
Sun Hwa Lee ◽  
Seong Jong Yun ◽  
Hyeon Hwan Jo ◽  
Dong Hyeon Kim ◽  
Jae Gwang Song ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Diagnostic Accuracy ◽  
Low Dose ◽  
Facet Joint ◽  
Lumbar Disc ◽  
Low Back ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Facet Joint Osteoarthritis

Total disc replacement for chronic low back pain

BMJ ◽  
2011 ◽  
Vol 342 (may19 2) ◽  
pp. d2745-d2745 ◽  
Author(s):  
J. Fairbank
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Total Disc Replacement ◽  
Disc Replacement ◽  
Low Back

scholarly journals Coflex interspinous implant placement leading to synovial cyst development: case report

2018 ◽  
Vol 29 (3) ◽  
pp. 265-270 ◽  
Author(s):  
Seba Ramhmdani ◽  
Marc Comair ◽  
Camilo A. Molina ◽  
Daniel M. Sciubba ◽  
Ali Bydon
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Facet Joint ◽  
Cauda Equina ◽  
Synovial Cyst ◽  
Leg Pain ◽  
Segmental Motion ◽  
Low Back ◽  
The Right ◽  
Lumbar Spinal

Interspinous process devices (IPDs) have been developed as less-invasive alternatives to spinal fusion with the goal of decompressing the spinal canal and preserving segmental motion. IPD implantation is proposed to treat symptoms of lumbar spinal stenosis that improve during flexion. Recent indications of IPD include lumbar facet joint syndrome, which is seen in patients with mainly low-back pain. Long-term outcomes in this subset of patients are largely unknown. The authors present a previously unreported complication of coflex (IPD) placement: the development of a large compressive lumbar synovial cyst. A 64-year-old woman underwent IPD implantation (coflex) at L4–5 at an outside hospital for low-back pain that occasionally radiates to the right leg. Postoperatively, her back and right leg pain persisted and worsened. MRI was repeated and showed a new, large synovial cyst at the previously treated level, severely compressing the patient’s cauda equina. Four months later, she underwent removal of the interspinous process implant, bilateral laminectomy, facetectomy, synovial cyst resection, interbody fusion, and stabilization. At the 3-month follow-up, she reported significant back pain improvement with some residual leg pain. This case suggests that facet arthrosis may not be an appropriate indication for placement of coflex.

Lumbar Total Disc Replacement for Discogenic Low Back Pain

Spine ◽  
2015 ◽  
Vol 40 (24) ◽  
pp. 1873-1881 ◽  
Author(s):  
Rolando Garcia ◽  
James J. Yue ◽  
Scott Blumenthal ◽  
Dom Coric ◽  
Vikas V. Patel ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Total Disc Replacement ◽  
Disc Replacement ◽  
Low Back ◽  
Lumbar Total Disc Replacement ◽  
Discogenic Low Back Pain

Cost-Effectiveness of Total Disc Replacement Versus Multidisciplinary Rehabilitation in Patients With Chronic Low Back Pain

Spine ◽  
2014 ◽  
Vol 39 (1) ◽  
pp. 23-32 ◽  
Author(s):  
Lars Gunnar Johnsen ◽  
Christian Hellum ◽  
Kjersti Storheim ◽  
Øystein P. Nygaard ◽  
Jens Ivar Brox ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cost Effectiveness ◽  
Chronic Low Back Pain ◽  
Total Disc Replacement ◽  
Disc Replacement ◽  
Low Back ◽  
Multidisciplinary Rehabilitation

Lumbar Total Disc Replacement for Discogenic Low Back Pain: Primary Powered Endpoint Outcomes of The ActivL® IDE Clinical Trial

2016 ◽  
Vol 16 (10) ◽  
pp. S260 ◽  
Author(s):  
Rolando Garcia ◽  
James J. Yue ◽  
Scott L. Blumenthal ◽  
Domagoj Coric ◽  
Vikas V. Patel
Keyword(s):  
Clinical Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Total Disc Replacement ◽  
Disc Replacement ◽  
Low Back ◽  
Lumbar Total Disc Replacement ◽  
Discogenic Low Back Pain
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