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Low Back Pain
Published in Benjamin Apichai, Chinese Medicine for Lower Body Pain, 2021
Lumbar spinal stenosis is the condition of a narrowing passageway within the spine whereby the nerve roots leaving the spinal column are compressed. It is another common cause of sciatica. Some people with spinal stenosis may not have symptoms.
Genetics
Published in Manoj Ramachandran, Tom Nunn, Basic Orthopaedic Sciences, 2018
Peter Calder, Harish Hosalkar, Aresh Hashemi-Nejad
Kyphosis at the thoracolumbar junction usually improves spontaneously. Ligamentous laxity is present in most patients, and the knees are most commonly in varus alignment but may be in excessive valgus. Facial bones, skull base and foramen magnum are underdeveloped. Cranial bones are normal. Foramen magnum stenosis is common. Significant respiratory problems develop in 10% of affected individuals because of an abnormal thoracic cage configuration, mid-facial hypoplasia, upper airway obstruction or spinal cord compression at the foramen magnum. Three percent of affected individuals have hydrocephalus, and detection is difficult because head size may run above the 97th percentile. In the lumbar spine, spinal stenosis is common. Interpedicular distance decreases from L1 to L5. The vertebral bodies have a scalloped appearance. The pelvis characteristically appears broad and flat, with squared iliac wings (champagne glass pelvis). The long bones are short and thick with metaphyseal flaring. Angulation is common at both the distal femoral and the proximal tibial metaphyses. Lumbar spinal stenosis is the most common and disabling problem.
A Randomized, Controlled Trial of Fusion Surgery for Lumbar Spinal Stenosis *
Published in Alexander R. Vaccaro, Charles G. Fisher, Jefferson R. Wilson, 50 Landmark Papers, 2018
Jerry C. Ku, Jefferson R. Wilson
Lumbar spinal stenosis is the most common indication for spinal surgery, and studies have shown that surgical treatment in selected patients is more successful than conservative measures. The aim of this study was to investigate whether fusion surgery as an adjunct to decompression surgery resulted in better clinical outcomes than decompression alone in patients with lumbar spinal stenosis, with or without degenerative spondylolisthesis.
Treatment for lumbar spinal stenosis in elderly patients using percutaneous endoscopic lumbar discectomy combined with postoperative three-dimensional traction
Published in Expert Review of Medical Devices, 2019
Dexin Hu, Jun Fei, Genjun Chen, Yongjie Yu, Zhen Lai
Lumbar spinal stenosis is a common orthopedic disease in patients more than 40 years old, seriously affecting the quality of life of patients. Surgery solely for the purposes of alleviating pain does not meet the requirements of modern elderly patients, and traditional surgical treatment cannot relieve pain and improve patients’ quality of the life at the same time. A total of 180 elderly patients with lumbar spinal stenosis were chosen to evaluate the clinical efficacy of percutaneous endoscopic lumbar discectomy (PELD) combined with postoperative three-dimensional traction in the treatment of lumbar spinal stenosis compared with PELD and traditional surgery in this study. The results showed that PELD combined with postoperative three-dimensional traction reduced surgical trauma, provided adequate decompression for the spine, improved surgical outcomes, and improved the quality of life of patients, indicating that PELD combined with postoperative three-dimensional traction was an effective and promising treatment for lumbar spinal stenosis.
Degenerative lumbar spinal stenosis and physical functioning: an exploration of associations between self-reported measures and physical performance tests
Published in Disability and Rehabilitation, 2018
Elisabeth Thornes, Hilde Stendal Robinson, Nina Køpke Vøllestad
Symptomatic degenerative lumbar spinal stenosis (LSS) is a common condition in the older population.[1] In western countries, ∼4% of persons over 65 years suffer from LSS,[2] and as many of these are in need of different levels of health-assistance, LSS is associated with substantial costs.[2] The degeneration of the lumbar spine, evolving over years, may lead to massive discomfort and disability for the patients.[3] When symptomatic, the condition manifests itself by position related symptoms, assumed to be caused by the constricted volume in the spinal canal [4] which again is thought to lead to neurogenic ischemia (intermittent neurogenic claudication).[5] The patients present with a variety of symptoms as lumbar or buttock pain, pain, numbness and/or weakness in one or both legs. The symptoms increase by prolonged standing or walking, and diminish when the patient bends forward or sits down. There is no gold-standard for diagnosing LSS and the diagnosis is as such clinical.[1,6,7] Clinical guidelines recommend conservative treatment before considering surgery.[8]
Evaluating the effectiveness of online Continuing medical education during the COVID-19 pandemic
Published in Medical Teacher, 2023
Andrew Jang, Me-riong Kim, Seung Min Kathy Lee, In-Hyuk Ha, Ji-Yun Shin, Rance McClain, Jinho Lee
Participants could attend multiple courses out of six activities available online. All six activities were in PDF text format, available free of charge available in both English and Korean and provided asynchronously during the period April 2020 to February 2021. The six activity topics were as follows:COVID-19: A quick guide for primary care physicians (Focusing on comparative analysis of epidemiology and impact), 30 min reading time, Byung-mo Park, KMD, PhD.Challenges and responses to COVID-19: Focusing on coping and mental health, 30 min reading time, In-Hyuk Ha, KMD, PhD.An updated review of clinical practice guidelines for low back pain in primary care, 45 min reading time, Me-riong Kim, KMD. PhD.Effect of opioid versus non-opioid medications on pain-related function in patients with chronic back pain or hip or knee osteoarthritis pain: The SPACE randomized clinical trial, 45 min reading time, Ha-neul Kim, KMD, PhD.Long-term course of lumbar disc resorption and associated predictive factors, 45 min reading time, In-Hyuk Ha, KMD, PhD.Lumbar spinal stenosis (LSS): Surgical and non-surgical approaches, 45 min reading time, Young Suk Yoon, KMD.