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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Review
A review of spinal cord perfusion pressure guided interventions in traumatic spinal cord injury.
To evaluate the causality between interventions on spinal cord perfusion pressure and neurological outcome in traumatic spinal cord injury. ⋯ In spite of growing indications that neurological outcomes are related to the spinal cord perfusion pressure in traumatic spinal cord injuries, a solid conclusion cannot be made due to the limited literature available. Additional well-designed studies are needed to address this issue.
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Adult scoliosis is sometimes associated with back pain and severe curves can progress over time. Despite scoliosis has been estimated to affect up to 68% of the population over 60, there is scant literature about conservative treatment for adult scoliosis. Recently, we tested a new brace designed to alleviate pain for adult patients with chronic pain secondary to scoliosis. The study aims to test the efficacy of a prefabricated brace in reducing pain in adult scoliosis patients. ⋯ The prefabricated brace showed a significant improvement at 6 months of worst, leg and back pain in most patients in a group of adult women with IS and cLBP. The quality of life didn't change in a clinically significant way even if the patients reported satisfaction with the treatment. Trial registration number and date of registration: ClinicalTrials.gov Identifier: NCT02643290, December 31, 2015.
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To review the anatomy and function of the sacroiliac joint (SIJ), as well as the pathophysiology, clinical presentation, diagnostic criteria, and treatment options for SIJ dysfunction. ⋯ Diagnostic: individual cross-sectional studies with the consistently applied reference standard and blinding.
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Review
Surgical complications and re-operation rates in spinal metastases surgery: a systematic review.
The goal of this study was to review the incidence of complications and unplanned re-operations after surgery for metastatic spinal tumors. ⋯ Patients with spinal metastases frequently present with complex therapeutic challenges requiring multidisciplinary team assessment. Surgical site infection (6.5%) was the main reason for a re-operation in patients undergoing surgery for spinal metastases.
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This study was conducted to investigate the reaction times and symmetry index (SI) of the bilateral trunk and limb muscles between control subjects and subjects with low back pain (LBP) that persisted for two months or longer. ⋯ The delayed non-dominant ES reaction time might indicate a freedom of pain recurrence in the control group. Although the asymmetry increased on the RA and BB muscles in the LBP group, it decreased on the ES muscle. The asymmetries on the trunk and BB muscles were evident in the LBP group. The asymmetrical reactions in the arm-trunk muscles need to be considered for rehabilitation strategies.