Spine
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Cross-sectional retrospective review of 539 patients with lumbar spine magnetic resonance imaging (MRI). ⋯ Lumbar interspinous bursitis (Baastrup disease) is uncommon but not infrequent in symptomatic patients undergoing lumbar spine MRI. Patients with MRI evident Baastrup disease tend to be older, have central canal stenosis, bulging discs, and anterolisthesis. Further investigations determining the clinical significance of this finding are necessary.
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Do corticosteroids produce additional benefit in nerve root infiltration for lumbar disc herniation?
Experimental animal study. ⋯ NRI prevented mechanical allodynia. However, no additional benefit from using corticosteroid was identified, suggesting that corticosteroid may be unnecessary for NRI.
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Prospective validity study. ⋯ Based on these findings, we recommend use of live fluoroscopy to observe dynamic contrast flow during transforaminal epidural steroid injections.
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An observational prospective cohort study. ⋯ For trained observers of a population of patients with CLBP in a rehabilitation setting, the interobserver reliability of the Waddell score was moderate and the intraobserver reliability was good. No influence of clinical characteristics was found on interobserver reliability. To optimize the homogeneity and variability of the Waddell score, we recommend summing up the individual signs instead of summing up the categories.
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A retrospective clinical study. ⋯ The treatment of fixed cervical kyphosis with myelopathy using circumferential spinal osteotomies and instrumented reconstruction is technically demanding; however, restoration and maintenance of a neutral or lordotic cervical profile and excellent clinical outcomes are achievable.