STUDY DESIGN Cross sectional study. PURPOSE To determine the accuracy of the screening magnetic resonance study of the lumbar spine in the diagnosis of nerve root compression in cases of low back pain as compared to the routine magnetic resonance imaging (MRI) study of the lumbar spine. OVERVIEW OF LITERATURE No local study has been conducted for this purpose. In an international study, the...

Introduction: Previous studies of bone stresses in the human lumbar spine have relied on simplified models when modeling the spinal musculature, even though muscle forces are likely major contributors to the stresses in the vertebral bones. Detailed musculoskeletal spine models have recently become available and show good correlation with experimental findings. A combined inverse dynamics and f...

Use of lumbar spine imaging, particularly advanced imaging, continues to grow rapidly in the United States. Many lumbar spine imaging tests are obtained in patients who have no clinical symptoms or risk factors suggesting a serious underlying condition, yet evidence shows that this routine imaging is not associated with benefits, exposes patients to unnecessary harms, and increases costs. This ...

We studied prospectively 1381 patients undergoing extradural anaesthesia for total hip or total knee replacement, to determine if extradural anaesthesia can be performed reliably in patients who have had previous lumbar spine surgery. Fifty-two of the 57 patients (91.2%) who had undergone lumbar spine surgery received a successful extradural anaesthetic, and 1307 of 1324 patients without previo...

Osteoporotic patients can present with either single or multiple fractures secondary to repeated falls and progressive osteoporosis. Multiple fractures often lead to additional spinal deformity and are a sign of more severe osteoporosis. In the thoracic spine, multiple fractures are associated with the development of gradual thoracic kyphosis but neurologic deficits are uncommon. In the lumbar ...

[Purpose] To evaluate the efficacy of our special rehabilitation method for patients with low back pain (LBP). [Subjects and Methods] All participants (n=33) received at least five individual 30-minute therapy sessions per week using the INFINITY method(®) and six group therapy sessions per week in a gymnasium and swimming pool, each lasting 30 minutes and including the INFINITY method(®). The ...

[Purpose] We explored the effect of thoracic movement-mediated training (TMMT) on back pain and trunk range of motion (ROM) in a lower back pain (LBP) patient with lumbar flexion rotation syndrome. [Subject] A 55-year-old male LBP patient with lumbar flexion rotation syndrome. [Methods] The subject underwent TMMT, consisting of two thoracic stretching exercises and three thoracic muscle-strengt...

OBJECTIVES This article reviews the prevalence of lumbarisation, sacralisation and lumbar ribs, and their morphological relevance by evaluating multi-slice computed tomography (MSCT) images. These segment variations can cause miscounting of vertebrae at the lumbar spinal level. METHODS A retrospective radiographic analysis of 226 cases scanned by MSCT prior to forensic autopsy was undertaken....