Spine

Dufour, Ninna; Thamsborg, Gorm; Oefeldt, Alex; Lundsgaard, Charlotte; Stender, Steen

Spine. 35(5):469-476, March 1, 2010.

doi: 10.1097/BRS.0b013e3181b8db2e

A randomized, clinical trial in patients with chronic low back pain compared a multidisciplinary biopsychosocial rehabilitation program with an intensive individual therapist-assisted back muscle strengthening exercise program. Both groups showed statistically significant lasting improvements in pain and disability scores, with only minor statistically significant differences between the 2 groups.

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Nakajima, Hideaki; Uchida, Kenzo; Yayama, Takafumi; Kobayashi, Shigeru; Guerrero, Alexander Rodriguez; Furukawa, Shoei; Baba, Hisatoshi

Spine. 35(5):497-504, March 1, 2010.

doi: 10.1097/BRS.0b013e3181b8e89b

Targeted retrograde BDNF gene delivery into rat injured cervical spinal cord following intramuscular injection using adenovirus vector suppresses apoptosis of neurons and oligodendrocytes in the gray and white matters, and had beneficial effects on the repair process in the injured cervical spinal cord.

Abstract:

Sánchez-Zuriaga, Daniel; Adams, Michael A.; Dolan, Patricia

Spine. 35(5):517-525, March 1, 2010.

doi: 10.1097/BRS.0b013e3181b967ea

Reflex activation of the back muscles was assessed in healthy subjects before and after separate interventions designed to induce either back muscle fatigue or creep in spinal tissues. Creep delayed back muscle reflexes. These findings suggest that prolonged flexion may increase the risk of bending injuries to the spine.

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de Schepper, Evelien I. T.; Damen, Jurgen; van Meurs, Joyce B. J.; Ginai, Abida Z.; Popham, Maria; Hofman, Albert; Koes, Bart W.; Bierma-Zeinstra, Sita M.

Spine. 35(5):531-536, March 1, 2010.

doi: 10.1097/BRS.0b013e3181aa5b33

Cross-sectional open population based study (N = 2819) used to report multiple LDD definitions and their associations with low back pain, for the separate genders and discreet age groups. Disc space narrowing at 2 or more levels appeared more strongly associated with low back pain than other radiographic features, especially after excluding level L5–S1.

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Cunningham, Mary R. A.; Hershman, Stuart; Bendo, John

Spine. 35(5):537-543, March 1, 2010.

doi: 10.1097/BRS.0b013e3181b204cc

There is no consensus on the best surgical approach for cervical spondylotic myelopathy. This systematic review looks at anterior cervical discectomy and fusion, laminectomy and fusion, multilevel corpectomy, and laminoplasty. Laminoplasty has fewer complications, possibly a greater range of motion and similar rates of neurologic recovery, but a greater incidence of neck pain.

Abstract:

Cheung, Wai Yuen; Lenke, Lawrence G.; Luk, Keith D. K.

Spine. 35(5):557-561, March 1, 2010.

doi: 10.1097/BRS.0b013e3181b9cfa9

A review of 35 consecutive patients with idiopathic scoliosis showing that segmental thoracic pedicle screw constructs achieved better scoliosis correction compared with fulcrum bending radiographs. The fulcrum bending corrective index was significantly higher in rigid than flexible curves. The postoperative Cobb angles could be calculated with a predictive equation.

Abstract:

Parent, Eric C.; Dang, Rohan; Hill, Doug; Mahood, Jim; Moreau, Marc; Raso, Jim; Lou, Edmond

Spine. 35(5):568-577, March 1, 2010.

doi: 10.1097/BRS.0b013e3181b9c9c0

The score distribution of the Scoliosis Research Society-22 questionnaire was examined in age, treatment strategy, curve severity, and curve type subgroups of females with adolescent idiopathic scoliosis. Most ceiling effects were observed in the youngest and the postsurgery subgroups, for the Pain and Satisfaction domains, respectively. Most Scoliosis Research Society-22 domains had acceptable levels of ceiling effects (<20%).

Abstract:

Van Daele, Ulrike; Hagman, Friso; Truijen, Steven; Vorlat, Peter; Van Gheluwe, Bart; Vaes, Peter

Spine. 35(5):583-589, March 1, 2010.

doi: 10.1097/BRS.0b013e3181b4fe4d

Previous studies have shown an increase in postural sway in chronic patients with low back pain. Higher cognitive systems as well as sensory processes contribute to postural control. This study shows a reduction in postural sway and trunk stiffness during unstable sitting due to the distracting effect of a cognitive dual-task.

Abstract:

Hu, Yongcheng; Xia, Qun; Ji, Jingtao; Miao, Jun

Spine. 35(5):590-595, March 1, 2010.

doi: 10.1097/BRS.0b013e3181b967ca

Traditional anteroposterior approaches for total spondylectomy require a 2-stage operation or changing the patient's position, with secondary sterilization in the one stage. So the surgical time, cost and trauma, as well as blood loss, would be increased. The methods in this study may be a good way for improving it.

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