scholarly journals Effects of the Treatment of Acute Lumbar Painful Syndrome (ALPS) by "Praxis Method" during the Period from 1996 to 2000

2003 ◽  
Vol 3 (2) ◽  
pp. 25-29
Author(s):  
Džemal Pecar ◽  
Izet Masić ◽  
Muris Pecar ◽  
Muzafer Mujić ◽  
Mediha Karić
Keyword(s):  
Intervertebral Disc ◽  
Clinical Results ◽  
Lumbar Pain ◽  
Muscle Injuries ◽  
Physical Medicine ◽  
Lumbosacral Region ◽  
Length Of Treatment ◽  
Joint Fracture ◽  
Painful Syndrome ◽  
Lumbar Syndrome

Summary Acute lumbar syndrome occurs suddenly and is accompanied with strong pain in the lower part of the back. The most frequent APLS causes are vertebral (herniation of intervertebral disc, subluxation of intervertebral disc, subluxation of intervertebral joint, fracture of vertebra -traumatic or pathological), or extravertebral (subluxation of sacroiliac joint, acute bursitis of iliolumbar segment, muscle injuries or injuries of tendo-ligamentous apparatus of lumbosacral region).The treatment of acute lumbar painful syndrome is classified as medical, alternatively medical, surgical and combined. On the basis of durable experience, “Praxis method” as a treatment of lumbar pain (general and acute) is being applied in the Centre for Physical Medicine and Rehabilitation “Praxis” in Sarajevo. During the period from 1996 to 2000, the total number of 5.663 patients were examined in the centre “Praxis”. Out of that number, 17.7% (1.003) of patients had acute lumbar painful syndrome (ALPS). Immediately after the therapeutic manipulation, which included “Praxis method, 31.5% (317) patients experienced the cessation of pains followed by ending of the treatment. The length of treatment for the rest of patients lasted: 1-7 days in 412 or 41.07% of patients, 8-21 days in 195 or 19.48% of patients, and more than 21 days in 79 or 7.88% of patients. For all patients (1.003) the average treatment duration was 6.6 days. The recidivation occurred in 127 patients (12.66%).Throughout the treatment successfulness estimation according to clinical results scaled from 0 to 5, it was confirmed that out of the total number of 831 patients (82.85%) results were excellent in 459 patients (45.76%) or very good in 372 patients (35.09%).The average age of patients was ranging between 35 and 45 years (621 patients or 61.9%). The male/female distribution was 2:1.

Melatonin: Protection of the Intervertebral Disc

2019 ◽  
Vol 2 (3) ◽  
pp. 1-9
Author(s):  
Russel J Reiter ◽  
Sergio Rosales-Corral ◽  
Ramaswamy Sharma
Keyword(s):  
Intervertebral Disc ◽  
Molecular Mechanisms ◽  
Intervertebral Discs ◽  
Lumbar Pain ◽  
Low Back ◽  
Work Time ◽  
Protective Actions ◽  
Aging Populations ◽  
Definition Of ◽  
Endogenous Melatonin

     Low back pain (lumbar pain) due to injury of or damage to intervertebral discs is common in all societies.  The loss of work time as a result of this problem is massive.  Recent research suggests that melatonin may prevent or counteract intervertebral disc damage. This may be especially relevant in aging populations given that endogenous melatonin, in most individuals, dwindles with increasing age. The publications related to melatonin and its protection of the intervertebral disc are reviewed herein, including definition of some molecular mechanisms that account for melatonin’s protective actions. 

scholarly journals Outcomes in cases of lumbar degenerative spondylolisthesis more than 5 years after treatment with minimally invasive decompression: examination of pre- and postoperative slippage, intervertebral disc changes, and clinical results

2016 ◽  
Vol 24 (3) ◽  
pp. 367-374 ◽  
Author(s):  
Gen Mori ◽  
Yasuo Mikami ◽  
Yuji Arai ◽  
Takumi Ikeda ◽  
Masateru Nagae ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Intervertebral Disc ◽  
Disc Degeneration ◽  
Intervertebral Disc Degeneration ◽  
Degenerative Spondylolisthesis ◽  
Clinical Results ◽  
Natural Course ◽  
Disc Height ◽  
Minimally Invasive Decompression

OBJECT There are reports that fusion is the standard treatment of choice for cases of lumbar degenerative spondylolisthesis (LDS) associated with lumbar spinal canal stenosis with a large degree of slippage. The reasons why, however, have not been clarified. On the other hand, it is known that the progress of slippage decreases and restabilization occurs over the natural course of LDS. Therefore, if minimally invasive decompression could be performed, there would be little possibility of it influencing the natural course of LDS, so it would not be necessary to include preoperative percentage slip in the criteria for the selection of fusion. This study examined the course of LDS cases more than 5 years after treatment with minimally invasive decompression to determine whether pre- and postoperative slippage and disc changes influence the clinical results. METHODS A total of 51 intervertebral segments in 51 cases with the chief complaint of radicular or cauda equina symptoms due to lumbar spinal canal stenosis were examined after prospective treatment with minimally invasive decompression for LDS. The mean age of the patients at the time of surgery was 66.7 years and the mean follow-up period was 7 years 4 months. Minimally invasive decompression was performed regardless of the degree of low-back pain or percentage slip. The outcome variables were clinical results and changes in imaging findings. RESULTS Over the follow-up period, postoperative percentage slip increased and disc height decreased, but the Japanese Orthopaedic Association score improved. Regardless of the preoperative percentage slip, disc height, or degree of intervertebral disc degeneration or segmental instability, the clinical results were favorable. In the high preoperative percentage slip group, low disc height group, and progressive disc degeneration group, there was little postoperative progress of slippage. In the group with a postoperative slippage increase of more than 5%, slippage increased significantly at postoperative year 2, but no significant difference was observed at the final follow-up. CONCLUSIONS When minimally invasive decompression was performed to treat LDS, the postoperative change in slippage was no different from that during the natural course. Furthermore, regardless of the degree of preoperative slippage or intervertebral disc degeneration, the clinical results were favorable. Also, the higher the preoperative percentage slip and the more that disc degeneration progressed, the more the progress of postoperative slippage decreased. Because the postoperative progress of slippage decreased, it is believed that even after minimally invasive decompression, restabilization occurs as it would during the natural course. If minimally invasive decompression can be performed to treat LDS, it is believed that preoperative percentage slip and intervertebral disc degeneration do not have to be included in the appropriateness criteria for fusion.

Current Situation of Design Criteria for Intervertebral Disc Prosthesis

2013 ◽  
Author(s):  
Epifanio Vargas-Alcaraz ◽  
Adrián Espinosa-Bautista ◽  
Marcelo López-Parra
Keyword(s):  
Intervertebral Disc ◽  
First Generation ◽  
Second Generation ◽  
Clinical Results ◽  
Design Criteria ◽  
Disc Prosthesis ◽  
Design Features ◽  
Intervertebral Disc Prosthesis ◽  
Prosthesis Replacement ◽  
Spine Mobility

This paper presents the literature review on the design criteria for intervertebral disc prosthesis. The design criteria relate to the design features that intervertebral prosthesis must accomplish (i.e. fixation to bones, spine mobility, energy absorption and etcetera). The need to improve the performance has led to changes in the features which reflect in the current design criteria. Currently, the disc prosthesis technology is experiencing a generational change. The first generation was thoroughly studied while the second generation is in the clinical tests stage. During the time the first generation prostheses were applied in patients there was not a clear trend in the clinical results which produced a lack of trust and reliability in the performance of the disc prosthesis. The changes in the design features of one generation compared to the next generation are based in the deepening in the knowledge of the problem and the results obtained with the first generation prostheses. Some design criteria were identified for the first generation. These criteria were not completely characterized since there was not enough information to be used by the designer. This lack of characterization of most design criteria produced many different versions without a clear focus which help to define the basic design features of disc prostheses. This document presents the necessary information to thoroughly characterize the design criteria outlining the missing information for the design criteria found. An analysis is done of the design criteria in the second generation of prosthesis. Finally if the information contained in the design criteria is enough, the clinical results would be better focused to achieve a more repeatable, reproducible and reliable process for a total disc intervertebral prosthesis replacement as now is considered the vertebral fusion, this is a gold standard.

scholarly journals Clinical Results of Lisfranc Joint Fracture-Dislocation

2007 ◽  
Vol 56 (1) ◽  
pp. 145-148
Author(s):  
Kazuki Kanazawa ◽  
Ichiro Yoshimura ◽  
Takahiro Ida ◽  
Akinori Takeyama ◽  
Masatoshi Naito ◽  
...  
Keyword(s):  
Clinical Results ◽  
Fracture Dislocation ◽  
Lisfranc Joint ◽  
Joint Fracture

scholarly journals Profilaxy of Surfaces Determined by Lumber Overheading in Young Adult

GYMNASIUM ◽  
2019 ◽  
Vol XX (2) ◽  
pp. 56
Author(s):  
Ștefan Toma ◽  
Geanina Toma
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lower Back Pain ◽  
Low Frequency ◽  
Lumbar Pain ◽  
Low Back ◽  
Physical Medicine ◽  
Recovery Programs ◽  
Lower Back ◽  
Kinetic Treatment

Low lumbar pain, localized or associated with a root syndrome constitutes over 50% of the cases presented in the services of physical medicine and recovery. Lumbar pain determines for temporary individuals in the current society a temporary incapacity for work. Its incidence increases with age, the physical-kinetic treatment being the most judicious treatment of lower back pain. The subjects of the research were in the number of 50 diagnosed with lower back pain, which we divided into two groups, one control and one experimental. Over the course of six months, recovery programs were applied for the patients, whom we recruited and were diagnosed with low back pain. The clinical management of persons diagnosed with low back pain is a complex one which involves the development of protocols that contain besides physical exercise and physiotherapy procedures such as laser therapy, ultrasonotherapy, the application of high and low frequency currents.

The future of spinal arthroplasty: a biomaterial perspective

2004 ◽  
Vol 17 (3) ◽  
pp. 1-14 ◽  
Author(s):  
Rod J. Oskouian ◽  
Richard Whitehill ◽  
Amir Samii ◽  
Mark E. Shaffrey ◽  
J. Patrick Johnson ◽  
...  
Keyword(s):  
Intervertebral Disc ◽  
Host Response ◽  
Clinical Results ◽  
Disc Replacement ◽  
Facet Joints ◽  
Artificial Disc ◽  
Functional Spinal Unit ◽  
Hip And Knee Arthroplasty ◽  
Spinal Arthroplasty ◽  
Low Incidence

Both total hip and knee arthroplasty have demonstrated outstanding clinical results. The functional spinal unit composed of the intervertebral disc and facet joints is at least as complex. The intricacies of the coupled motions of the functional spinal unit have made development of an artificial disc a challenge. There have been several failed attempts to create a disc replacement that recapitulates normal motion while providing significant longevity and a low incidence of complications. Better understanding of the biomechanics of the intervertebral disc complex and improvements in implant material have made successful intervertebral disc replacement a likely reality, now that several artificial discs have completed Food and Drug Administration clinical trials. In this manuscript the authors detail the biomaterials used in disc arthroplasty and discuss joint wear and the host response to wear debris.

Lumbosacral Degenerative Stenosis in the Dog

2000 ◽  
Vol 13 (02) ◽  
pp. 97-103 ◽  
Author(s):  
Y. Moens ◽  
P. Coppens ◽  
Kathelijne Peremans ◽  
H. Vinck ◽  
L. A. A. Janssens
Keyword(s):  
Surgical Treatment ◽  
Invasive Surgery ◽  
Clinical Results ◽  
Type Ii ◽  
Surgical Results ◽  
Antiinflammatory Drugs ◽  
Lumbosacral Region ◽  
Comparable Group ◽  
Disc Protrusion ◽  
The Mean

SummaryA total of thirtyfive dogs with a Hansen type two disc protrusion of the lumbosacral region were operated upon with a technique consisting of dorsal decompression, dorsal anulectomy and disc curettage. The presurgical signs existed for 14 months (mean) and 97% of the animals had been treated unsuccessfully with antiinflammatory drugs. The mean age at the time of surgery was 7,2 years and the mean weight 28 kg. Seventyone percent of the animals were males. A postsurgical questionnaire was mailed to the owners – mean 30 months – after surgery. The results of the surgery were such that 69% of the owners reported that their dog ameliorated after surgery of which 53% found their dog to be completely cured. Comparing the surgical results of this group with a comparable group of animals operated with a dorsal decompression technique alone (without anulectomy), and of which the owners were questioned with the same questionnaire, yielded identical clinical results. Our conclusion therefore is, that the more aggressive and invasive surgery which is neither suitable nor appropriate in that subgroup of patients with lumbosacral degenerative stenosis, plus a type II Hansen disc protrusion and without any, neurological deficit.The results of the surgical treatment of Hansen type II disc protrusion are described. Owners reported that 69% of the patients improved following the operation and that 53% were cured.

scholarly journals BIOCHEMICAL AND BIOMECHANICAL SUBSTANTIATION OF REPARATIVE REGENERATION OF INTERVERTEBRAL DISCS IN PATIENTS WITH DEGENERATIVE DISC DISEASES

2020 ◽  
Vol 8 (3) ◽  
pp. 249-254
Author(s):  
J. A. Bodnarchuk ◽  
M. V. Khyzhnjak ◽  
О. О. Potapov ◽  
N. G. Chopik
Keyword(s):  
Cell Therapy ◽  
Intervertebral Disc ◽  
Nucleus Pulposus ◽  
Disc Degeneration ◽  
Pathological Process ◽  
Degenerative Changes ◽  
Lumbar Pain ◽  
Biological Aging ◽  
Degenerative Disc ◽  
Pain Syndromes

Degenerative disc diseases occupy the second place in the overall structure of morbidity with temporary disability. In 40% of patients with spinal osteochondrosis, diseases of the locomotor apparatus and connective tissue cause primary disability. Disc degeneration is a pathological process that is the main cause of low back pain and is observed in the vast majority of people at some point in their lives. The influence of mechanical stress leads to degenerative changes in the tissues of the nucleus pulposus of the intervertebral disc. Limited transport and low cellular saturation of the discs hinder recovery, make the intervertebral disc particularly vulnerable to injury, and contribute to the appearance of morphological tissue damage associated with the processes of biological aging. The pathological process involves all structural elements of the intervertebral disc. The earliest manifestations of disc degeneration usually occur in the nucleus pulposus, where a reduced content of proteoglycans disrupts mechanical function, which leads to progressive morphological degeneration of the entire intervertebral segment. Existing treatment methods (both surgical and conservative) are not able to adjust the number of cells in the nucleus pulposus and are unable to stop the pathological process in the intervertebral disc. Prevention of degeneration or repair of the intervertebral disc is a potential treatment for lumbar pain syndromes. Cell therapy has become a subject of great interest, as new research reports significant regenerative potential for many cellular sources, including the regeneration of the nucleus pulposus region of the intervertebral disc. The use and implementation of modern cell therapy in practical neurosurgery allows us to approach the problem of intervertebral disc degeneration at a new qualitative level with the use of multipotent cells, biochemical peptides in the reparative processes of the nucleus pulposus, as a possibility of treatment and prevention of vertebrogenic pain syndromes in the future. Keywords intervertebral disc, nucleus pulposus, cell therapy, transplantation, degenerative changes, reparation

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