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Changes in paraspinal muscles and their association with low back pain and spinal degeneration: CT study

December 30, 2009 by admin · Leave a Comment 

Changes in paraspinal muscles and their association with low back pain and spinal degeneration: CT study
This study was an ancillary project to the Framingham Study. A sample of 3,529 participants aged 40–80 years had a CT scan performed to assess aortic calcification. 187 individuals were randomly enrolled in this study. LBP in the last 12 months was evaluated using self-report questionnaire. Density (in Hounsfield units) of multifidus and erector spinae was evaluated on CT. The prevalence of intervertebral disc narrowing, facet joint osteoarthritis (FJOA), spondylolysis, spondylolisthesis and spinal stenosis were also evaluated. We used linear regression models to examine the association of paraspinal muscles density with age, sex, BMI, LBP, and spinal degeneration features. The results show that in our study, men have higher density of paraspinal muscles than women, young…

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Annual Evidence Update on Spinal Diseases: 14-18 December 2009

December 17, 2009 by admin · Leave a Comment 

Annual Evidence Update on Spinal Diseases: 14-18 December 2009
Source: NHS Evidence Area: News NHS Evidence - trauma and orthopaedics and the Musculoskeletal Specialist Collection have produced an Annual Evidence Update on Spinal Diseases.  This includes guidelines and systematic reviews published within the last year covering low back pain, ankylosing spondylitis, disc herniation and spinal fractures.  Please see the link below for details. (Source: NeLM - News)

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Spinal Decompression Therapy and Back Pain

December 15, 2009 by admin · Leave a Comment 

Spinal Decompression Therapy and Back Pain
The mystique of technology as a fix for everything extends to back pain — in particular, as spinal decompression therapy, an offering that has gained visibility as among the latest in spine care (along with laser treatment — this article applies to that approach, too). The method involves a mechanical device intended to separate vertebrae and thereby to relieve pain.

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Review: evidence for the effectiveness of surgery for low back pain, radiculopathy, and spinal stenosis is limited

December 10, 2009 by admin · Leave a Comment 

Review: evidence for the effectiveness of surgery for low back pain, radiculopathy, and spinal stenosis is limited
(Source: Evidence-Based Medicine)

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Heavy kids may suffer back pain, spinal disc woes

December 10, 2009 by admin · Leave a Comment 

Heavy kids may suffer back pain, spinal disc woes
CHICAGO (Reuters Health) - Add severe back pain and spine abnormalities to the list of problems overweight and obese adolescents can develop. (Source: Reuters: Health)

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Minimally Invasive Spine Surgery Gains Ground At NewYork-Presbyterian/Columbia

December 5, 2009 by admin · Leave a Comment 

Minimally Invasive Spine Surgery Gains Ground At NewYork-Presbyterian/Columbia
Minimally invasive techniques have become standard for many procedures, from the removal of the gallbladder to angioplasty, but the approach is now only beginning to be available to patients with spinal conditions. The surgical team at NewYork-Presbyterian Hospital/Columbia University Medical Center’s Spine Center aims to bring the benefits of minimally invasive surgery for patients with intractable back pain, stenosis, spinal deformity, even spinal cancer… (Source: Health News from Medical News Today)

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Overweight children may develop back pain and spinal abnormalities

December 3, 2009 by admin · Leave a Comment 

Overweight children may develop back pain and spinal abnormalities
Being overweight as a child could lead to early degeneration in the spine, according to a new study. (Source: ScienceDaily Headlines)

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Spinal tuberculosis in post-liver transplantation patients: case reports

December 1, 2009 by admin · Leave a Comment 

Spinal tuberculosis in post-liver transplantation patients: case reports
We report 3 cases of spinal TB in Chinese recipients of orthotopic liver transplant whose first complaint was back pain. These 3 cases were diagnosed by magnetic resonance imaging and percutaneous biopsy. After treatment with isoniazid, rifampicin, streptomycin, and ethambutol for >1 year, symptoms of 2 patients improved noticeably, but 1 patient died of liver failure and severe mixed pulmonary infection. Diagnosis and treatment regimens of spinal TB are discussed. (Source: Transplant Infectious Disease)

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The relevance of childhood developmental factors to the efficacy of acupuncture on the affective component of back pain.

December 1, 2009 by admin · Leave a Comment 

The relevance of childhood developmental factors to the efficacy of acupuncture on the affective component of back pain.
Authors: Straiton N There is substantial evidence to support the use of acupuncture in the treatment of low back pain. The main predictors of chronic low back pain are non-medical and psychosocial. The understanding of how acupuncture can modulate the pain experience has recently been enhanced by the elucidation of the role of C fibre afferents on the limbic system. C fibre deactivation of the limbic system can only occur in the presence of intact corticosubcortical neuronal pathways. The normal development of these pathways is determined by social factors in the early years of life. The effect of acupuncture treatment for low back pain may be determined by successful relationships between the mother and child in the first 18 months of life. PMID: 19942726 [PubMed - as supplied by …

A case of primary leptomeningeal gliomatosis confined to the spinal cord

November 23, 2009 by admin · Leave a Comment 

A case of primary leptomeningeal gliomatosis confined to the spinal cord
We report a case of primary leptomeningeal gliomatosis limited to the spinal cord occurring in a 52 years-old patient, who presented with back pain and leg weakness. MRI-scan of the craniospinal axis revealed an enhancing cervicothoracic lesion confined to the leptomeninges. A diagnostic biopsy was taken followed by a six level cervicothoracic laminoplasty with the aim of debulking of the dorsal portion of the tumour and relieving cord compression. Two weeks following surgery, the patient developed bilateral arm weakness. Repeat imaging revealed extension of the lesion to the level of the lower medulla. This patient underwent spinal radiotherapy and concomitant chemotherapy with Temozolomide, but she died of pneumonia 8.5 months after the time of diagnosis. No post-mortem w…

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