News Updates

Study to evaluate outcomes of different hip replacement techniques using mobile gait analysis system

Source: News-Medical.net

Researchers at Hospital for Special Surgery (HSS) have launched a pilot study using a portable gait analysis mat to determine early outcomes of several different hip replacement techniques. Gait analysis provides information about the way an individual walks.

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Large variation found in 3-D UKA alignment analysis for femoral, tibial components

Source: Healio

Recently published results showed large variation in the rotational plane for both femoral and tibial components during 3-D unicompartmental knee arthroplasty component alignment analysis in the standing position, suggesting the importance of component positioning.

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Single image slice may not capture 3-D muscle measurements in rotator cuff tears

Source: Healio

Patients with rotator cuff tears experience fatty infiltration increased percentages of most likely caused primarily by muscle atrophy and a single image slice did not capture 3-D muscle measurements, according to recently published data.

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Biologic status, screw fit and position contribute to failed fifth metatarsal fracture treatment in athletes

Source: Healio

Team physicians who treat high-level athletes with fifth metatarsal fractures, ones that are in zone 2 at the proximal extent of the fifth metatarsal and known as Jones fractures, should focus on ways to avoid failed treatment if they decide to surgically fix the fracture, a presenter at the American Orthopaedic Society for Sports Medicine Annual Meeting, said here.

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Endovascular treatment of below-the-elbow arteries in critical hand ischemia.

Source: PubMed

Although uncommon, critical hand ischemia (CHI) represents a cause of significant disability because of its effect on hand function. Percutaneous transluminal angioplasty (PTA) is now considered a first-line therapy for above-the-elbow artery disease while there are few data regarding the treatment of below-the-elbow (BTE) arteries.

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Hip Arthroplasty Risk in Men Higher With Increased Dairy Product Consumption

Source: Rheumatology Advisor

Consuming more dairy products may raise the risk for total hip arthroplasty for osteoarthritis (OA) in men, according to a study published in the Journal of Rheumatology.

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Does platelet-rich plasma for the knee work?

Source: Medical News Today

Athletes such as Tiger Woods and Rafael Nadal are rumored to have undergone a relatively new treatment that involves injections of platelet-rich plasma. Proponents say the therapy offers cutting-edge treatment for previously debilitating injuries, including painful knee problems due to osteoarthritis.

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Better fix for torn ACLs

Source: Science Daily

A torn anterior cruciate ligament, or ACL, is one of the most common knee injuries. Approximately 200,000 Americans experience a torn ACL each year, and more than half undergo surgical repairs. Now, researchers have developed a model to show that a newer surgical technique results in a stronger, more natural ACL repair.

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Low-dose CT of the whole spine found more sensitive than conventional radiographs in monitoring AS

Source: Healio

In patients with ankylosing spondylitis, low-dose CT of the whole spine delivered greater sensitivity than imaging with conventional radiographs, according to a study presented at the EULAR Annual Congress.

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Carpal Tunnel Up With Increased Electronic Device Use

Source: HealthDay News

Extended use of smartphones and other hand-held electronic devices leads to an increased risk of carpal tunnel syndrome, according to a study published online June 21 in Muscle & Nerve.

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Quadriceps exercise relieves pain in knee osteoarthritis

Source: Medical Xpress

A quadriceps isometric contraction exercise method is effective for relieving pain in knee osteoarthritis (OA), according to a study published online May 25 in the International Journal of Rheumatic Diseases.

Lanfeng Huang, from the Second Hospital of Jilin University in Changchun, China, and colleagues enrolled 250 patients with a confirmed diagnosis of knee OA and randomized them to an exercise treatment test group (128 patients) and a traditional treatment control group (122 patients). The test group used quadriceps isometric contraction exercise, while the control group used local physical therapy and oral nonsteroidal anti-inflammatory drugs.

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Study looks at needles in treatment for shoulder pain

Source: Science Daily

According to a new study, the type of procedure used to treat shoulder calcifications should be tailored to the type of calcification. The results of the study will help interventional radiologists determine whether to use one or two needles for an ultrasound-guided treatment for a common condition called rotator cuff calcific tendinopathy.

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Preventing long-term complications of an ACL tear

Source: Medical Xpress

Despite the frequency of torn ACLs, many people don't know that the injury results in a significant risk of developing arthritis

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Tenodesis, tenotomy showed favorable results in treatment of long head of biceps tendon lesions

Source: Healio

Results presented at the Arthroscopy Association of North America Annual Meeting showed favorable results with both tenodesis and tenotomy in the treatment of lesions of the long head of the biceps tendon.

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Generating improvement in spinal cord injuries

Source: Medicalxpress

A new therapy to treat spinal cord injuries in people who have lost all motor and sensory function below the injury site shows additional motor function improvement at 6-months and 9-months following treatment with 10 million AST-OPC1. The positive efficacy results from an ongoing research study were announced on Jan. 24 in a conference held by Asterias Biotherapeutics, Inc., the biotechnology company that manufactures AST-OPC1.

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Location of spinal correction influences risk of proximal junctional kyphosis development

Source: Science daily

A new study reports that PJK risk following lumbar spinal fusion depends on the level of the spine fused. Specifically, the authors who include members of the International Spine Study Group (ISSG) from multiple academic centers found that fusing the lower portion of lumbar spine results in a decreased risk of PJK.

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Spinal cord injury patients face many serious health problems besides paralysis

Source: Newswise

Spinal cord patients also are at higher risk for cardiovascular disease; pneumonia; life-threatening blood clots; bladder, bowel and sexual dysfunction; constipation and other gastrointestinal problems; pressure ulcers; and chronic pain, according to a report published in the journal Current Neurology and Neuroscience Reports.

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New trial may revolutionise treatment of spinal cord injury patients

Source: Medicalxpress

Queensland researchers are launching a world-first clinical trial aimed at improving recovery from spinal cord injuries. In the study, led by The University of Queensland and The Princess Alexandra (PA) Hospital, a new anti-inflammatory drug will be given to participants within hours of spinal trauma in an effort to minimise tissue damage. Queensland researchers are launching a world-first clinical trial aimed at improving recovery from spinal cord injuries. In the study, led by The University of Queensland and The Princess Alexandra (PA) Hospital, a new anti-inflammatory drug will be given to participants within hours of spinal trauma in an effort to minimise tissue damage.

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New system to detect spinal deformity

Source: Science daily

Researchers have developed a symmetry-recognition system for the surface of the human back that can three-dimensionally detect the early stages of idiopathic scoliosis, a type of spinal deformity, without the help of a specialist doctor.

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Tai chi can help relieve chronic neck pain, study shows

Source: Science daily

Tai Chi, a low-impact mind-body exercise, can be as effective as neck exercises in relieving persistent neck pain, according to results of randomized controlled trial.

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Study links chronic low back pain and illicit drug use in patients in community setting

Source: Healio

Adults with chronic low back pain in the United States were more likely to use marijuana, cocaine, heroin and methamphetamine and were also more likely to have a current prescription for pain-relieving opioid analgesics than adults without chronic low back pain, according to investigators.

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High-frequency spinal cord stimulation provides better results in chronic back, leg pain

Source: Science Daily

For patients with severe, chronic back and leg pain, a new high-frequency spinal cord stimulation (SCS) technique provides superior clinical outcomes, compared to conventional low-frequency SCS, reports a clinical trial.

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Surgical repair of phrenic nerve injury improves breathing

Source: Science Daily

In people with breathing difficulties caused by phrenic nerve injury, surgical reconstruction of the nerve can lead to significant improvement in breathing and an increase in regular physical activities, say researchers.

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Surgery for back pain reduces problems with sex life-related pain

Source: Science Daily

For patients with degenerative spinal disease, surgery is more effective in reducing pain that interferes with sexual activity, compared to nonsurgical treatment

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Many back pain patients get limited relief from opioids and worry about taking them, survey shows

Source: Science Daily

Millions of people take opioids for chronic back pain, but many of them get limited relief while experiencing side effects and worrying about the stigma associated with taking them, suggests research.

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Two biomarkers that contribute to spine osteoarthritis

Source: Science Daily

A research team has discovered a pair of tissue biomarkers that directly contribute to the harmful joint degeneration associated with spine osteoarthritis.

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Potential new target for treatment of spinal muscular atrophy discovered

Source: Medical Xpress

For the first time, scientists found that in spinal muscular atrophy (SMA), the affected nerve cells that control muscle movement, or motor neurons, have defects in their

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Clinical trial offers hope to restore limb function in man with complete cervical spinal cord injury

Source: Medical Xpress

Physicians at Rush University Medical Center became the first in Illinois to inject AST-OPC1 (oligodendrocyte progenitor cells), an experimental treatment, into the damaged cervical

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Scientists locate possible therapy target for spinal muscular atrophy

Source: Medical Xpress

Researchers at Iowa State University have discovered what could lead to a new treatment for spinal muscular atrophy, a potentially fatal genetic disorder in young children.

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Adding Corticosteroids to Local Anesthetic Injections for Spinal Stenosis Showed Little Benefit

Source: Medical News Today

Epidural injections with a glucocorticoid in combination with the local anesthetic lidocaine appear to be no better in reducing pain and physical limitations in patients with spinal stenosis, a common spine disorder, than injections of lidocaine alone, a new study has found.

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Fusion Procedures for Degenerative Disease of the Lumbar Spine: Updated Guidelines

Source: Medical News Today

Spinal fusion procedures constitute an established and successful therapy for patients with pain and/or neurological deficits due to degenerative diseases of the lumbar spine. It has been nine years since the original guidelines were published, and both knowledge and clinical practices change over time. The authors acknowledge, "all clinical practice guidelines are evolving documents that require periodic updating."

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Surgery Fear Stops People From Getting Back Pain Treatment

Source: Medical News Today

People suffering from back pain gradually seem to become reluctant to seek initial treatment for fears of surgery and myths relating to it. A recent article published in Napsnet informs surgery fear stops people from getting back pain treatment. The cause being cited as unnecessary apprehensions about surgery. In spite of assurances from physicians that the majority of people suffering from back pain will recover through conservative treatment such as anti-inflammatory drugs, physical therapy, and coping skills and exercise, a fear psychosis is preventing vast numbers of sufferers to seek the basic help. Only 1% are advised to undergo spinal surgery when all conservative methods have failed. Surveys reveal that it is a myth that one surgical procedure may lead to multiple ones, which is deterring back pain sufferers from seeking relief. It has been observed that some even wait 90 days or more, which is more than the stipulated period for seeking help. Preventing back pain needs changes to some daily habits.

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Low back pain? Don’t blame the weather

Source: ScienceDaily

According to the World Health Organization (WHO) nearly everyone experiences low back pain at some point in their life, making it the most prevalent musculoskeletal condition and affecting up to 33% of the world population at any given time. Those with musculoskeletal (bone, muscle, ligament, tendon, and nerve) pain report that their symptoms are influenced by the weather. Previous studies have shown that cold or humid weather, and changes in the weather increase symptoms in patients with chronic pain conditions.

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Upper Back Pain Relief

Source: Back Pain Relief Daily

To get upper back pain relief it is important to know what causes upper soreness. It is the stress on the group of muscles at the upper back, called Trapezius, which gives rise to upper soreness due to improper posture. Ignorance to keeping ergonomic postures while in any kind of activity over the years can be a major factor for upper soreness according to this article. Other contributory factors for upper soreness include improper lifting, bending at the waist without bending the knees, turning and twisting, and neglecting proper motion during heavy exercise. Carrying excess weight, smoking, sporting activities without warming up or cooling down, and not resting in case of injury are other reasons for upper soreness. Youngsters are also being affected with upper soreness due to improper posture.

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Spinal Cord Stimulation For Lower Back Pain

Source: Back Pain Relief Daily

There has been a lot of discussion about the technology for spinal cord stimulation for lower back pain heading for a successful future in bringing relief to people suffering from lumbar injury. Spinal stimulation has been found to be more effective than physical therapy, injections, medication, and surgery according to this article. This type of therapy is growing in popularity among spinal surgeons, interventional pain physicians, and anesthesiologists. It has been tried as one of the best possible modalities towards treating for lumbar injury.

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Low back pain and resting-state functional connection

Source: Medical News Today

The default mode network is a key area in the resting state, involving the posterior cingulate cortex, precuneus, medial prefrontal and lateral temporal cortices, and is characterized by balanced positive and negative connections classified as the "hubs" of structural and functional connectivity in brain studies.

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Spinal Cord Stimulation For Lower Back Pain

Source: Back Pain Relief Daily

There has been a lot of discussion about the technology for spinal cord stimulation for lower back pain heading for a successful future in bringing relief to people suffering from lumbar injury. Spinal stimulation has been found to be more effective than physical therapy, injections, medication, and surgery according to this article. This type of therapy is growing in popularity among spinal surgeons, interventional pain physicians, and anesthesiologists. It has been tried as one of the best possible modalities towards treating for lumbar injury.

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Vertebral augmentation device may offer first new treatment option in a decade for individuals with compression fractures

Source: Medical News Today

Individuals suffering from spinal fractures – caused by osteoporosis or weakened bones – now have another option to reduce pain, restore function and improve quality of life, according to a study of 300 patients treated with a new type of vertebral augmentation. Results of a randomized, controlled multicenter trial on a new implant treatment for vertebral compression fractures are being reported for the first time at the Society of Interventional Radiology’s 39th Annual Scientific Meeting.

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Spinal cord stimulator success depends on time factors

Source: Healio

Patients who waited less than 2 years for a spinal cord stimulator implant experienced success rates of 75% compared with a success rates of 15% in patients who waited 20 years after the onset of pain to receive the implant, according to a retrospective analysis.

The investigators involved in a poster presentation scheduled to be presented at the recent American Academy of Pain Medicine (AAPM) Annual Meeting reported their findings in a press release from the AAPM.

Fewer than 50% of all patients report long-term success with spinal cord stimulation (SCS) for treatment of chronic pain, they noted in the release.

“The success of SCS is time sensitive, in that as wait times decline, long-term outcomes with SCS are enhanced,” Krishna Kumar, MD, of Regina General Hospital, in Regina, Saskatchewan, Canada, stated.

The study included 443 patients who received SCS. Starting with the initial pain diagnosis, investigators examined points of delay to referral for SCS implantation by primary care physicians and specialists. Patients first saw a physician 3.4 months after developing a pain syndrome. The mean time to implantation from the first symptoms was 5.12 years. Neurosurgeons were quickest to refer these patients and non-implanting anesthetists were most likely to delay implantation, according to the release, which noted that treatment was 2.15 years longer if a non-implanting anesthetist versus a neurosurgeon referred the patient.

“Chronic pain is a disease unto itself, which is responsible for physical and psychological suffering. The importance of timely treatment must, therefore, be recognized by all physicians,” Kumar stated. Shortened wait times could significantly improve the success rates for SCS, he stated.

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Risk of POUR in lumbar surgery based on several factors

Source: Healio

Based on a study of 647 patients who underwent lumbar spine surgery, researchers found several factors that directly related to a patient’s possible development of post-operative urinary retention.

At the American Academy of Orthopaedic Surgeons Annual Meeting, Sapan D. Gandhi, BS, presented findings of a study he and his colleagues conducted to evaluate the prevalence of postoperative urinary retention (POUR) and to identify any patient and surgical factors associated with the development of this condition.

“We had about 5% of patients who underwent lumbar spine surgery develop POUR. These patients stayed in the hospital a little longer than patients who did not develop POUR,” Gandhi said. “Associated patient factors we found related to development of this condition is male gender, BPH [benign prostatic hyperplasia], age, diabetes and depression with anti-depression medication use. Smokers were less likely in our series to develop POUR.” Sapan D. Gandhi

The researchers retrospectively assessed 647 consecutive lumbar surgeries performed by a single surgeon with a primary investigator at a single site. They calculated the rate of patients who developed POUR after their surgeries and compared the length of hospital stay between patients who developed POUR and patients who did not develop the complication.

The results showed that 36 patients of the 647 patients included developed POUR, for a rate of 5.6%. The patients with POUR stayed in the hospital for an average of 3.9 days vs. 2.3 days for patients without POUR, based on the results. – by Robert Linnehan

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Yoga and Pilates For Back Ache

Source: Back Pain Relief Daily

Yoga and Pilates for back ache help to maintain proper posture and are recommended by physiotherapists and doctors. Iyengar Yoga and Stott Pilates have many benefits, according to this article, through providing relief from different injuries and lead to a healthy lifestyle. Iyengar Yoga has become very popular because it helps by creating equality and awareness of spiritual, physical, emotional, and mental levels.

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Ways To Prevent Lower Back Problems

Source: Back Pain Relief Daily

The following ways to prevent lower back problems will help to keep an individual engaged in daily activities without risking any injury to the back or neck. Changing the body position frequently and taking breaks during activities is important to prevent putting strain on the spine.

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Quality of life improves with minimally invasive surgery for low back pain

Source: Science Daily

Patients who have a low back surgery called minimally invasive transforaminal lumbar interbodyfusion, end up better off in many ways than patients who have more invasive surgery to alleviate debilitating pain. Quality of life improvements include smaller incisions, and reduced chronic low back pain, hospital stays, complications and scarring. The minimally invasive surgery can also lower costs and infection rates compared with more invasive, open procedures.

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Stem cell transplants may help treat degenerative disc disease

Source:Healio

Stem cell transplants was found to be viable and effective for halting or reversing degenerative disc disease in the spine, based on research conducted at the Mayo Clinic and presented at the American Academy of Pain Medicine Annual Meeting.

Recent developments in stem cell research made it possible to assess the effect of this therapy on intervertebral disc (IVD) height, investigators from the Mayo Clinic stated in a press release about their presentation.

“This landmark study draws the conclusion in pre-clinical animal studies that stem cell therapy for disc degenerative disease might be a potentially effective treatment for the very common condition that affects people’s quality of life and productivity,” WenchunQu, MD, PhD, one of the authors, stated in the release.

Qu noted in the press release that in the animal trials that he and his colleagues reviewed for their research, disc height increased and stem cell transplant led to increased disc water content. The introduction of stem cells also improved appropriate gene expression.

“These exciting developments place us in a position to prepare for translation of stem cell therapy for degenerative disc disease into clinical trials,” Qu stated.

The researchers performed a literature search of MEDLINE, EMBASE and PsycINFO databases for the study and manually searched reference lists for original, randomized, controlled trials on animals that examined the association between IVD stem cell transplant and changes in disc height. Six studies met their inclusion criteria, according to the release. Due to differences between the studies, Qu and colleagues used random-effects models to pool estimates of effect.

What they found was a great than 23% increase in the disc height index in the group that received the stem cell transplants compared with the placebo group (95% CI; 19.7-23.5; P < 0.001). None of the studies that Qu and colleagues included showed a decrease in the disc height index in the transplant group and the increases in the disc height index were statistically significant in all the individual studies, as noted in the release.

The researchers concluded in the release that the next step in this regard was to determine the safety, feasibility and efficacy of IVD stem cell transplant for humans.

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Numerous factors found to affect lumbar fusion infection rates

Source: Healio

A recently published study has identified multiple factors associated with an increased risk of infection following posterior lumbar spine fusions.

“Older age, diabetes, obesity, prior spine surgery, and length of hospital stay were each independently associated with an increased risk of developing infection among patients undergoing instrumented lumbar fusion for degenerative spine disease,” Kaisorn L. Chaichana, MD, and colleagues wrote in their study.

They included 817 consecutive patients who underwent lumbar fusion for degenerative spine disease between 1993 and 2010 in the retrospective review and identified factors associated with infection via a stepwise multivariate proportional hazards regression analysis.

Postoperative spinal wound infection was diagnosed in 37 patients (4.5%) at a median of 0.6 months after surgery. In their results, the factors that the investigators found were significantly associated with infection included increased age (relative risk [RR] 1.004 [95% CI 1.001–1.009], diabetes (RR 5.583 [95% CI 1.322–19.737], obesity (RR 6.216 [95% CI 1.832–9.338], previous spine surgery (RR 2.994 [95% CI 1.263–9.346], and a longer hospital stay (RR 1.155 [95% CI 1.076–1.230].

Twenty-one patients with a wound infection required a secondary operation, which involved instrumentation removal in three cases, but included incision, drainage, and/or debridement in the other cases, according to the study. "The overwhelming majority of these patients were treated effectively without hardware removal," the researchers noted. – by Christian Ingram

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Unilateral PLIF effective for single-segment degenerative lumbar instability treatment

Source: Healio

Compared to bilateral pedicle screw fixation, unilateral pedicle screw fixation performed through a tubular retractor via the Wiltse approach is a safe and effective method to treat single-segment degenerative lumbar instability, based on a study published in the Journal of Neurosurgery: Spine.

Researchers randomly assigned 39 consecutive patients with single-segment, low-grade degenerative lumbar instability to treatment with either unilateral or bilateral pedicle screw fixation. The unilateral group underwent unilateral posterior lumbar interbody fusion (PLIF) and ipsilateral pedicle screw fixation through a tubular retractor via the Wiltse approach and the bilateral group underwent modified bilateral PLIF with bilateral pedicle screw fixation via a posterior midline approach. All patients were followed up for 2 years with a VAS score, the Japanese Orthopaedic Association (JOA) score and the Oswestry Disability Index.

The results showed a statistically significantly shorter operative time and less blood loss in the unilateral group.

In the results at 2-years follow-up, the time trends in VAS and JOA scores differed slightly between the groups, but the researchers found no significant difference in VAS back or leg pain VAS score between the groups. They also reported complete bone fusion on CT in all patients.

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Ways to help manage chronic bone and joint pain

Source: MedicalNewsToday

The majority of chronic pain complaints concern the musculoskeletal system, but they also include headaches and abdominal pain. “As orthopaedic surgeons, we are experts in the management of acute injuries to the extremities and spine.

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Promising results from minimally invasive back surgery

Source: MedicalNewsToday

Beaumont research findings published in the February online issue of Spine shows that patients who have a low back surgery called minimally invasive transforaminal lumbar interbodyfusion, end up better off in many ways than patients who have more invasive surgery to alleviate debilitating pain.

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New findings on neurogenesis in spinal cord

Source: Science Daily

Research from KarolinskaInstitutet in Sweden suggests that the expression of the so called MYC gene is important and necessary for neurogenesis in the spinal cord. The findings are being published in the journal EMBO Reports.

The MYC gene encodes the protein with the same name, and has an important role in many cellular processes such as proliferation, metabolism, cell death and the potential of differentiation from immature stem cells to different types of specialized cells. Importantly it is also one of the most frequently activated genes in human cancer.

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Back surgery offers long-term societal benefits, according to new study

Source: Science Daily

Back pain is a significant problem in America. In 2010, more than 10 million people experienced back pain. More than 200,000 of these patients are diagnosed with a herniated disc. Employees who experience back pain miss an average of 26 days of work and spend nearly 34 days in bed each year. While at work, back pain can affect productivity.

Past research has found herniated disc surgery to be an effective treatment option to ease the extreme back pain associated with herniation of a disc. However, until now, none of these studies accounted for lost productivity in the workplace. A new study, commissioned by AAOS and conducted by health economists, found surgery to be a cost-effective option for patients who used it, particularly because of its effect on productivity.

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NBA star Bill Walton back in ‘game of life’ after advanced spine surgery

Source: APP.com

Crippling spinal stenosis can sideline even the most active celebrity athlete. Such was the case with 6-foot, 11-inch basketball Hall-of-Famer and NBC commentator Bill Walton, who last week recounted his struggles with degenerative back pain during a seminar for medical professionals and other patients at Avenue Restaurant in Long Branch.

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Patients With Spinal Cord Injuries Should be Assessed for Sleep Apnea

Source: Science Daily

A new study suggests that patients with spinal cord injuries could benefit from careful assessment for sleep apnea. Results show that 77 percent of spinal cord injury survivors had symptomatic sleep-disordered breathing, and 92 percent had poor sleep quality.

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Patients With Back Pain Saved From X-Ray Radiation Exposure by Innovative Motion Evaluation Tool

Source: MedicalNewsToday

Those have undergone extensive back surgery and need repeated X-rays to monitor their progress may soon have access to a new technology that skips the X-rays and repeated radiation exposure, opting instead for an innovative, noninvasive, non-X-ray device that evaluates spinal movement. The technology was created and patented by two engineering undergraduate students who recently formed their own company to market the device.

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Overuse Injuries, Burnout in Youth Sports Can Have Long-Term Effects

Source: Science Daily

As an emphasis on competitive success in youth sports has led to intense training, frequent competition and early single sport specialization, overuse injuries and burnout have become common. Given these concerns, the American Medical Society for Sports Medicine (AMSSM) has released a new clinical report that provides guidance to physicians and healthcare professionals who provide care for young athletes.

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Surgery vs. Non-Invasive Treatment – Which is Better for Herniated Discs?

Source: MedicalNewsToday

For patients with herniated discs in the lower (lumbar) spine, surgery leads to greater long-term improvement in pain, functioning, and disability compared to nonsurgical treatment, concludes an eight year follow-up study in Spine.

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