The treatment of degenerative discogenic pain is controversial, and anterior lumbar fusion for the treatment of degenerative discogenic low back pain has also been a controversial topic for over a generation. The aim of this systematic review was to evaluate the outcome of different anterior lumbar fusion levels for degenerative discogenic low back pain. In this study, we performed a clinical o...

Background: Human survival depends on the availability of water. Safe drinking water is a fundamental human right as well basic need for good health. At mineral and organic levels composition, exposure to electromagnetic fields can cause considerable changes in quality As result, more easily absorbed into cell walls throughout body, making it better suited organ growth development. When drunk d...

OBJECTIVE To examine the combined relationships between age, gender, and body mass index (BMI) and the specific source of chronic low back pain. DESIGN Retrospective chart review. SETTING University spine center. PATIENTS Charts from 378 cases from 358 consecutive patients were reviewed and 157 independent cases from 153 patients who underwent definitive diagnostic injections were analyze...

PURPOSE Small size needles have been regularly used for intradiscal injection of innocuous/potential therapeutic compounds in experimental conditions, but also in clinic procedures, such as discography. Our aim was to investigate if a 30-gauge needle could trigger observable changes on intact intervertebral discs. We compared these effects to those induced by a large size needle (21-gauge), a w...

Internal disc disruption is a common cause of disabling low back pain in a substantial number of young, healthy adults. A clinical diagnosis of internal disruption, in absence of objective clinical findings, is convincingly established only by means of provocation discography. Intradiscal electrothermal therapy has been shown to be effective in managing chronic disabling discogenic pain. This p...

BACKGROUND Platelet-rich plasma (PRP) has been found to be effective for a variety of musculoskeletal conditions. The treatment of discogenic pain with PRP is under investigation. OBJECTIVE To assess changes in pain and function in patients with discogenic low back pain after an intradiscal injection of PRP. STUDY DESIGN Prospective trial. METHODS Patients were diagnosed with discogenic l...

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Sixty patients with one-level discogenic pain confirmed by plain radiography, magnetic resonance imaging, and provocative discography for degenerative disc disease were randomized: one-third BAK anterior interbody fusion and two-thirds anterior SB Charité artificial disc replacement. The mean age was 40.3 years (range 21–56 years). Nineteen cases were at L4–L5 and 41 cases were at L5–S1. Ninete...