scholarly journals Lumbar spine segmental instability in degenerative spine conditions

2020 ◽  
Vol 5 (3) ◽  
pp. 164-169
Author(s):  
Aleksandr P. Fraerman ◽  
Anton V. Yarikov ◽  
Aleksandr O. Kotelnikov ◽  
Igor I. Smirnov ◽  
Vasilii A. Leonov ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Standing Position ◽  
Spinal Instability ◽  
Low Back ◽  
Degenerative Spine ◽  
Lateral Instability ◽  
Segmental Instability ◽  
Patient Complaints ◽  
Spinous Processes ◽  
Modern Methods

1240% of people with low back pain have spinal instability in degenerative-dystrophic diseases of the spine. The paper highlights the biomechanical basis for the development of segmental instability and discusses various hypotheses for the development of this condition. The authors describe the modern methods of neuroimaging used in the diagnosis of segmental instability, such as radiography, functional spondylography, CT, functional CT, MRI. Further, the paper presents provocative tests used in the diagnosis of instability: passive extension of the lumbar spine, standing, sitting, pron-instability, "scissors", compression of spinous processes, forward lean in standing position, and some others. The authors shared their experience in diagnosing segmental instability. However, the discrepancy between the data of instrumental examinations and patient complaints, poorly studied rotational and lateral instability in osteochondrosis indicate the need for a more detailed study of the instability of the spine as a whole.

scholarly journals Fluoroscopically-Guided Injections to Treat “Kissing Spine” Disease

2008 ◽  
Vol 4;11 (8;4) ◽  
pp. 549-554 ◽  
Author(s):  
Tim Lamer
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Soft Tissues ◽  
Nerve Fibers ◽  
Low Back ◽  
Mri Findings ◽  
Mri Features ◽  
Spinous Processes ◽  
Spine Disease

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

Effect of Anulus Fibrosus Repair on Lumbar Spine Biomechanics

2009 ◽  
Author(s):  
S. Kode ◽  
M. Gudipally ◽  
T. Takigawa ◽  
A. A. Espinoza Orías ◽  
R. Natarajan ◽  
...  
Keyword(s):  
United States ◽  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Disc Degeneration ◽  
Annual Incidence ◽  
Low Back ◽  
Spine Biomechanics ◽  
Anulus Fibrosus ◽  
Segmental Instability

Low back pain is sometimes related to, but not necessarily caused by, anulus fibrosus (AF) ruptures. Studies on low back pain have estimated an annual incidence of 5% and prevalence of 15% to 20% in United States alone [1]. Disc degeneration with or without herniation is frequently implicated in low back pain and sciatica, and is believed to be associated with segmental instability of the spine [2].

scholarly journals Bracing and supporting of the lumbar spine

1982 ◽  
Vol 6 (3) ◽  
pp. 139-146 ◽  
Author(s):  
S. Schroeder ◽  
H. Rössler ◽  
P. Ziehe ◽  
F. Higuchi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Orthopaedic Surgeon ◽  
Spinal Instability ◽  
Low Back ◽  
Lumbosacral Junction ◽  
Elastic Supports ◽  
Motion Segment

The orthopaedic surgeon should be familiar with various supports and braces for the treatment of low back pain. Severe cases of spinal instability always need a Hohmann overbridging brace, whereas the milder form of motion-segment instability is treated with one of the elastic supports. In cases of osteoporosis of the spine and insufficiency of the lumbosacral junction the Lindemann 2/3 semi-elastic brace is prescribed.

Treatment of Refractory Low Back Pain Caused by Degenerative Spine Disease with Minimally Invasive Techniques

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
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Minimally Invasive ◽  
Low Back ◽  
Minimally Invasive Techniques ◽  
Degenerative Spine ◽  
Degenerative Spine Disease ◽  
Invasive Techniques ◽  
Spine Disease

Severe low back pain with mild leg symptoms due to lumbar spine stenosis

2021 ◽  
pp. 1-4
Author(s):  
Ryo Kanematsu ◽  
Junya Hanakita ◽  
Toshiyuki Takahashi ◽  
Manabu Minami ◽  
Kazuhiro Miyasaka ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Low Back
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