Tag: Intervertebral Disc Displacement

The influence of obesity on the outcome of treatment of lumbar disc herniation: analysis of the Spine Patient Outcomes Research Trial (SPORT).

Posted: January 26, 2017 at 7:26 am   /   Degenerative, General Spine

This publication by Rihn et al represents a retrospective analysis of data collected from the Spine Patient Outcomes Research Trial (SPORT).   As has been previously published describing the SPORT trial, participants were either randomized or placed in an observational cohort. This data presented was taken from the as-treated analysis and therefore the randomization effect was […]

13

No Comments read more

Long-term outcomes of surgical and nonsurgical management of sciatica secondary to a lumbar disc herniation: 10 year results from the maine lumbar spine study.

Posted: May 26, 2016 at 1:19 pm   /   Degenerative

The debate of surgical management vs. nonsurgical care for the treatment of sciatica resulting from a lumbar disc herniation remains ongoing. This study by Atlas et al (2005) represents a long term prospective investigation looking at the outcomes of surgery vs. conservative treatment up to ten years for patients with sciatica due to a disc […]

14

No Comments read more

Percutaneous lumbar laser disc decompression: an update of current evidence.

Posted: April 14, 2016 at 11:21 am

This systematic review by Singh et al (2013) provides an up to date review of the effectiveness of percutaneous lumbar laser discectomy. The acceptance of minimally invasive spine surgery continues to grow from both a demand by patients and amongst surgeons. The goals of having smaller incisions, limiting soft tissue trauma, shorter operating times and […]

?

No Comments read more

ISSLS Prize winner: The anatomy of failure in lumbar disc herniation: an in vivo, multimodal, prospective study of 181 subjects.

Posted: February 19, 2016 at 12:05 pm   /   Degenerative

Conventional wisdom states that the mode of failure and cause of disc herniation is secondary to a rupture of nucleus material through the annulus fibrosis. In this paper, the senior author prospectively defined the nature of intraoperatively identified disc herniations in 181 consecutive patients qualified for inclusion. Inclusion criteria included requiring a single level lumbar […]

14

No Comments read more

Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis.

Posted: December 5, 2015 at 8:13 am   /   Degenerative

This study by Hilibrand et al remains one of the most widely cited studies in regarding adjacent segment disease following anterior cervical discectomy and fusion.   The study population of 374 consecutive patients (409 fusions) were followed prospectively for the development of adjacent segment disease, as defined by symptomatic radiculopathy or myelopathy, at an adjacent segment […]

12

No Comments read more

A prospective, randomized study of lumbar fusion. Preliminary results.

Posted: December 2, 2015 at 3:20 pm   /   Degenerative

This  randomized study published in 1993 was one of the first to compare instrumentation to no instrumentation using the prospective approach.  One hundred and twenty four patients were included in this study who underwent surgery for a degenerative lumbar condition that included isthmic and degenerative spondylolisthesis, degenerative disc disease, scoliosis with spinal stenosis and repair […]

15

No Comments read more

Magnetic resonance imaging of the lumbar spine in people without back pain.

Posted: December 2, 2015 at 2:45 pm   /   Degenerative

This study published in 1994 was similar to that of one of the most widely cited studies looking at the presence of abnormal findings on MRI scans in asymptomatic patients by Boden et al (1990).    Jensen et al evaluated the lumbar MRI scans of 98 asymptomatic volunteers and 27 patients that were symptomatic with low […]

10

No Comments read more

Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation.

Posted: November 23, 2015 at 10:51 am   /   Degenerative

This study published by Boden et al in 1990 was a landmark study that continues to be one of the most referenced works of all time relating to spinal disorders. Despite this study being referenced over 1000 times in the medical literature, there are several modern day concerns /criticisms of this study that must be […]

13

No Comments read more