Structural equation modelling of lower back pain due to whole body vibration exposure in the construction industry.
This study examines key factors affecting LBP due to WBV exposure using the exploratory factor analysis and structural equation modelling. The results confirm five key factors, which are equipment, job-related, organizational, personal, and social- context, with their 17 associated items. The organizational factor is found the most important factor, as it influences the other four factors. The results also show that appropriate seat type, specific training program, job rotation, workers' satisfaction, and workers' physical condition are crucial in reducing LBP due to WBV exposure. Moreover, provision of new machines without proper training and good working condition might not help reduce LBP due to WBV exposure. The results help the construction companies to better understand key factors affecting LBP due to WBV exposure, and plan for a better health improvement program. PMID: 28795908 [PubMed - as supplied by publisher]
This article reviews the key contribution of integrated bone SPECT/CT in evaluating patients with persistent or recurring pain after spinal surgery, focusing on spinal fusion. Current literature supports the use of bone SPECT/CT as an adjunct imaging modality and problem-solving tool in evaluating patients with suspicion of pseudarthrosis, adjacent segment degeneration, and hardware failure. The role of bone SPECT/CT in post-operative orthopaedic scenarios is evolving, and this review highlights the need for further research on the role of bone SPECT/CT in these patients.
CONCLUSION: This study provides specific steps that physicians in the US can take to improve physician-patient interactions during primary care visits pertaining to CLBP. The findings could inform physician training, development of educational materials for patients, and future research. PMID: 29035178 [PubMed - in process]
Case report: A.C., female of Italian descent, age 87years, consulted in February 2013. She had a history of osteoporosis and had taken alendronate weekly for several years. She did not have densitometric studies. Due to low back pain an orthopedist had indicated i.v. zoledronic acid, 5mg/year for 3years (2006 –2008). She was on simvastatin, carvedilol, enalapril, with occasional supplements of ergocalciferol. In 2009 she suffered a fall and sustained a subtrochanteric fracture of the left femur. She was operated on and recovered uneventfully.
Two cases of osteoporosis related to pregnancy and lactation (a rare entity) are presented. Case 1 was a 35-year old woman who suffered acute low back pain in the 8th month of pregnancy. Pain worsened in the 4th month postpartum, and MRI showed recent deformation in L1 and older deformations in 3 other lumbar vertebrae. The laboratory was normal. BMD (DXA) was normal at the hip (Z-score −1.8), High-resolution pQCT showed cortical thinning and severe deterioration of trabecular bone in distal radius and tibia.
A new study explores the relationship between motor cortical reorganization and the severity and location of low back pain.Spine
Many physicians are advocating a simpler approach to treating lower back pain: exercise -- Read more on ScientificAmerican.com
Conclusion To our knowledge, this is the longest follow-up of surgical management of congenital lumbar kyphosis. Posterior fusion only halted the progression of the kyphosis with subsequent developed of adjacent segment disease distal to the fusion. Level of Evidence Level IV.
DiscussionIn the LBPinGP trial, we will investigate providing an intervention during the first interaction a person with back pain has with their GP. Because the FREE approach is used within a normal GP consultation, if effective, it may be a cost-effective means of improving LBP care.Trial registrationAustralian New Zealand Clinical Trials Registry,ACTRN12616000888460. Registered on 6 July 2016.
Multi-level spondylolysis is a rare cause of progressive lower back pain and patients that fail conservative management are treated surgically. Direct repair methods can maintain mobility and lead to decreased morbidity compared with spinal fusion in single-level spondylolysis. In this paper, we present a patient with non-adjacent multi-level spondylolysis that underwent the ‘smiley face’ technique of direct multi-level repair without fusion using 3D intraoperative spinal navigation.
The efficacy of ALO-02, an abuse-deterrent formulation containing extended-release oxycodone and sequestered naltrexone, in the treatment of chronic low back pain (CLBP) was studied in a 12-week randomized con...