BACKGROUND AND PURPOSE Vertebral augmentation is an established treatment for painful osteoporotic vertebral fractures of the spine. Nevertheless, patients may continue to have significant back pain afterward. The purpose of this study was to assess the source of persistent or recurrent back pain following vertebral augmentation. MATERIALS AND METHODS Our institutional review board approved t...

Although the existence of a "facet syndrome" had long been questioned, it is now generally accepted as a clinical entity. Depending on the diagnostic criteria, the zygapophysial joints account for between 5% and 15% of cases of chronic, axial low back pain. Most commonly, facetogenic pain is the result of repetitive stress and/or cumulative low-level trauma, leading to inflammation and stretchi...

PURPOSE To evaluate the benefit of fluoroscopy-guided lumbar spine interventional procedures in treatment of low back pain. METHODS This prospective descriptive study was performed on 60 patients with back/radicular pain after showing no improvement with conservative treatment. RESULTS One hundred and two injection sessions were done (average 1.7 injection per patient). Caudal and lumbar tr...

The aims of this study were; 1) to develop the final version of the Korean Roland-Morris Disability Questionnaire (RDQ), and 2) to compare the responsiveness between the RDQ and the Oswestry Disability Index (ODI) scores in patients having low back pain. The psychometric properties of the final Korean RDQ were evaluated in 221 patients. Among them, 30 patients were reliability tested. Validity ...

Degenerative lumbar spinal stenosis is caused by mechanical factors and/or biochemical alterations within the intervertebral disk that lead to disk space collapse, facet joint hypertrophy, soft-tissue infolding, and osteophyte formation, which narrows the space available for the thecal sac and exiting nerve roots. The clinical consequence of this compression is neurogenic claudication and varyi...

BACKGROUND Clinical guidelines are defined as systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. The clinical guideline industry has been erupting even faster than innovation in health care, constantly adding unhealthy perspectives with broad and complex mandates to health care interventions. Clinic...

Objective. This present study aimed to explore the clinical effects of ultrasound-guided (USG) mechanical needling with sterile water injection for lumbar facet joint syndrome. Methods. was a retrospective cohort that assessed outcome ageing patients who received USG injection. In addition, age- and gender-matched randomly selected from compared injected steroids in 2 : 1 ratio. The data were e...

When the hip does not move, spine labors double. For example, limited extension results in lumbar hyperextension and an increase spinal facet joint loading due to premature coupling. Patients who undergo surgery show significant improvement concomitant lower back problems, symptomatic low pain resolves approximately 80% of patients after total arthroplasty. impairment range motion (limitation o...

OBJECTIVE To examine the combined relationships between age, gender, and body mass index (BMI) and the specific source of chronic low back pain. DESIGN Retrospective chart review. SETTING University spine center. PATIENTS Charts from 378 cases from 358 consecutive patients were reviewed and 157 independent cases from 153 patients who underwent definitive diagnostic injections were analyze...