Spine
-
A survey of pain intensity and psychological symptoms in patients with chronic neck pain after whiplash injury. ⋯ The SCL-90-R is a convenient instrument to administer to patients with whiplash. It yielded a characteristic profile of pain and appears to be more expedient than other psychometric tests for these patients.
-
This study was designed to construct the projection of the lateral sacral mass on the posterior ilium using cadaveric pelves and to measure the dimensions of the projection. ⋯ This study reported the average location of the lateral sacral mass on the outer table of the ilium. The superior area of the projection may be an ideal zone for transiliosacral screw placement.
-
Review
Functional restoration. Returning patients with chronic low back pain to work--revolution or fad?
A review was performed to assess the basis for functional restoration programs in returning patients with chronic low back pain to work. ⋯ Further clinical trials based on sound methodology are needed.
-
One hundred five patients with adolescent idiopathic scoliosis who underwent posterior spinal instrumentation and fusion with predeposited autologous blood, with or without intraoperative autologous transfusion, were reviewed. ⋯ The addition of intraoperative autologous transfusion to a preoperative phlebotomy program had no benefit on homologous blood exposure or post-operative hematocrit changes in this population. Blood requirements for this procedure can be met less expensively and more reliably by merely donating one's own blood.
-
This study was designed to reveal the progression pattern and essential histological findings of the lesions in the spinal cord affected by cervical spondylotic myelopathy. ⋯ There appears to be a common pattern of lesion progression in cervical spondylotic myelopathy: atrophy and neuronal loss in the anterior horn and intermediate zone develop first, followed by degeneration of the lateral and posterior funiculi. Eventually, marked atrophy develops throughout the entire gray matter and severe degeneration occurs in the lateral funiculus. Furthermore, the existence of thin myelinated fibers in the white matter suggests focal demyelinating and remyelinating processes occur in cervical spondylotic myelopathy.