Magnetic Resonance Imaging Findings of the Lumbar Spine in Elite Horseback Riders: Correlations With Back Pain, Body Mass Index, Trunk/Leg-Length Coefficient, and Riding Discipline
American Journal of Sports Medicine, 11/05/2009
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Kraft CN et al. – Although riders have a high prevalence of low back pain (LBP), there is no conclusive MRI ... undue disk degeneration, spondylolysis, spondylolisthesis, or pathologic changes of the paraspinal muscles of the lumbar spine.
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A Comparative MRI Study of Upper and Lower Lumbar Motion Segments in Patients With Low Back Pain
Journal of Spinal Disorders & Techniques, 10/05/2009
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Saberi H et al. – The study revealed that pathological alteration in vertebral end plates is the same in upper and lower lumbar bony tissues as detected by Modic's criteria, whereas those of ... pain of at least 4 weeks duration, aged 18 to 70 years were prospectively enrolled. All underwent thorough neurological assessment and lumbar 1.5 T high–resolution magnetic resonance imaging, being evaluated by independent neurosurgeon and neuroradiologists. Nucleus pulposus ... 270 women. 66 percent of lower lumbar levels showed NP dislodgement at least in 1 level. Aging had significant association with NP dislodgement, and patients with lower lumbar NP dislodgement had a mean age, 10 years younger than those with upper lumbar NP dislodgement. There was ... kg/m2, and vibratory job either in upper or lower lumbar levels and NP degeneration. Heavy lifting was associated with upper lumbar NP dislodgement while, sedentary and housework were associated with NP dislodgement only in lower lumbar levels. Also cigarette smoking (>=10 pack/y ... upper lumbar NP dislodgement. Modic changes correlated only with advanced age (>50 y), and there was no association with body mass index >25, smoking, job habits and sex.
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The Efficacy of Physical Therapy and Physical Therapy Plus Calcitonin in the Treatment of Lumbar Spinal Stenosis
Yonsei Medical Journal, 10/29/2009
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Sahin F et al. – In 45 patients with lumbar spinal stenosis who received 8 weeks of treatment, concomitant use of calcitonin with physical therapy and exercise did not have any benefical effect on the patient's pain, functional status, lumbar mobility and ... distance.
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Lumbar spine spondylolysis in the adult population: using computed tomography to evaluate the possibility of adult onset lumbar spondylosis as a cause of back pain
Skeletal Radiology, 11/19/2009
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Brooks BK et al. – No significant increase in the prevalence of lumbar spondylolysis was demonstrated in patients older than 20 ... years. This suggests that the development of symptomatic lumbar pars defects do not occur in this population and should not be considered as a rare but potentially treatable cause of new onset low back pain in adults. This study demonstrated an overall prevalence of pars defects of 8.0% in our
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Disc Height and Segmental Motion as Risk Factors for Recurrent Lumbar Disc Herniation
Spine, 11/13/2009
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Kim KT et al. – DHI and sROM showed a significant correlation with the incidence of recurrent lumbar disc herniation, suggesting that preoperative biomechanical conditions of the spine can be an important pathogenic factor in the site of lumbar disc surgery ... orthopedics
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Sonoanatomy of the Lumbar Spine of Pregnant Women at Term
Regional Anesthesia and Pain Medicine, 11/05/2009
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Borges BCR et al. – The paramedian longitudinal sonograms of the lumbar spine are of superior quality to those obtained in the transverse plane. When using the transverse approach, a high incidence of inconclusive sonograms should be ... lower segments. The incidence of atypical LF images, especially in the upper lumbar segments, warrants further investigation because it can have implications for the epidural technique.
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Outcome of percutaneous rupture of lumbar synovial cysts: a case series of 101 patients
The Spine Journal, 10/23/2009
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Martha JF et al. – This study presents the largest clinical series of nonsurgical treatment for lumbar facet joint synovial cysts. Lumbar facet joint steroid injection with attempted cyst rupture is
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Simple Oblique Lumbar Magnetic Resonance Imaging Technique and its Diagnostic Value for Extraforaminal Disc Herniation
Spine, 10/21/2009
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Heo DH et al. – The authors suggest that oblique lumbar MRI can precisely demonstrate nerve roots in foraminal and extraforaminal areas. This technique is a simple and ... tool for extraforaminal lumbar disc herniations.
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Sex life and sexual function in men and women before and after total disc replacement compared with posterior lumbar fusion
The Spine Journal, 11/23/2009
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Berg S et al. – Impairment of sex life appears to be related to CLBP. An improvement in sex life after TDR or lumbar fusion was positively correlated to a reduction in LBP. Total disc replacement ... associated with greater sexual dysfunction compared with instrumented lumbar fusion performed either as a PLF or as a PLIF. Sexual function, expressed as orgasm, deteriorated in men in the Fusion group postoperatively, in spite of this group reporting less LBP after 2 years.
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Paraplegia Following Image-Guided Transforaminal Lumbar Spine Epidural Steroid Injection: Two Case Reports
Pain Medicine, 10/29/2009
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Kennedy DJ et al. – These cases consolidate a pattern emerging in the literature. Distal cord and conus injury can occur following transforaminal injections at lumbar levels, whether injection is on the ... with the probability of radicular–medullary arteries forming an arteria radicularis magna at lumbar levels. All cases used particulate corticosteroids, which promotes embolization in a radicular artery as the likely mechanism of injury. The risk of this complication can be reduced, and
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