European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
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To determine the safety and efficacy of using a single posterior approach with transforaminal lumbar interbody debridement and fusion (TLIDF) plus pedicle screws fixation in treating infective spondylodiscitis in the lumbar spine. ⋯ A single posterior approach with TLIDF and pedicle screws instrumentation for lumbar infective spondylodiscitis provided a satisfactory clinical outcome, adequate infection control and good fusion rate, and this strategy avoids the risks of anterior or staging surgeries.
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The purpose of this study was to investigate the impact of low back pain (LBP) on future health-related quality of life (HRQoL). Current evidence suggests that individuals with LBP have poorer HRQoL than those without LBP. However, most of the evidence comes from cross-sectional studies where LBP and HRQoL are determined at the same time. One prospective study examined the association between days with LBP and HRQoL but did not account for the intensity of LBP. Therefore, this association needs to be tested in a large prospective population-based sample with a valid measure of LBP and adequate control of known confounders. ⋯ Low back pain has an impact on future physical HRQoL. Strategies for reducing the effects of LBP on HRQoL should be an important focus for clinicians, researchers, and health policy makers.
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Observational Study
The effect of daily walking steps on preventing neck and low back pain in sedentary workers: a 1-year prospective cohort study.
This study aimed to investigate the causal relationship between daily walking steps and the 1-year incidence of neck and low back pain in workers with sedentary jobs. ⋯ Increasing daily walking steps is a protective factor for onset of neck pain in those with sedentary jobs. Interventions to reduce neck pain should include attempts to increase daily walking steps.
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Clinical Trial
Age-related cutoffs for cervical movement behaviour to distinguish chronic idiopathic neck pain patients from unimpaired subjects.
The present study aims to develop age-dependent cutoff values in a quasi-experimental, cross-sectional diagnostic test study. ⋯ By including such classifications, the present findings expand actual research stating an age-related decrease in kinematic behaviour only using categorising span widths across decades. Future study is warranted to reveal our results' potential applicability for intervention onset decision making for idiopathic neck pain patients.
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Low back pain and overweight are two relevant disabling health conditions. To date, there is a lack of information about the effectiveness of nonoperative therapy in persons with overweight and low back pain. The aim of our study was to evaluate if overweight has any influence on the effectivity of conservative treatment in patients with low back pain during a mid- to long-term time period. ⋯ We conclude for the first time that a conservative treatment program in patients even with chronic low back pain is effective both in a short-term and a mid- to long-term time period respectively without any significant differences between patients with a normal BMI or with overweight or obesity.