Vertebral Augmentation is Superior to Nonoperative Care at Reducing Lower Back Pain for Symptomatic Osteoporotic Compression Fractures: A Meta-Analysis
This study’s goal was to (i) assess the clinical outcomes with and without vertebral augmentation (VA) for osteoporotic vertebral compression fractures (VCFs) with versus without correlating signs and symptoms; and (ii) acute (symptoms 6 mo). Summary of Background Data: Previously, a randomized controlled trial in the New England Journal of Medicine concluded that vertebroplasty for osteoporotic VCFs provided no clinical benefit over sham surgery. However, the VCFs examined had no clinical correlation with symptom, physical examination, or imaging (magnetic resonance imaging/bone scan) findings. Nonetheless, the randomized controlled trial resulted in a reduction in VA performed in the United States. Currently, no consensus exists on VA versus nonoperative care for symptomatic VCFs (SVFs). Materials and Methods: A literature search was conducted for studies on VA and conservative management for VCFs. Meta-analysis was performed using the random-effects model. The primary outcome was improvement in lower back pain visual analog score. SVFs were defined as radiographic VCF with clinical correlation. Radiographic-alone VCF (RVF) was defined as radiographic VCF without clinical correlation. Results: Thirteen studies totaling 1467 patients with minimum 6-month follow-up were found. Pain reduction was greater with VA over conservative management for SVFs (P
Conclusions: Paraspinal muscles evaluated with MRI were more significantly associated with the pathology of ASD compared with appendicular skeletal muscle evaluations with dual-energy x-ray absorptiometry. The present study indicates that multifidus and erector muscles significantly influenced the maintenance of the pelvic alignment. Level of Evidence: Level III.
Condition: Back Pain, Low Interventions: Behavioral: Physiotherapist-led primary care model for back pain; Behavioral: Usual care Sponsors: Jordan Miller, PT, PhD; Canadian Institutes of Health Research (CIHR) Not yet recruiting
Condition: Low Back Pain (LBP) Intervention: Device: exercise + photobiomodulation therapy Sponsor: Federal University of the Valleys of Jequitinhonha and Mucuri Not yet recruiting
CONCLUSION: Subcutaneous administration of collagen is not inferior in terms of effectiveness to periradicular and epidural injections in the treatment of LBP in lumbar spondylosis. PMID: 32100719 [PubMed - in process]
CONCLUSION: Clinicians perceived a need to communicate the complexity of non-specific low back pain in order to help patients make sense of their condition, rather than applying alternative labelling. There are multiple barriers to integrating a socially constructed framework that need to be overcome. PMID: 32095836 [PubMed - as supplied by publisher]
Condition: Low Back Pain Intervention: Behavioral: 16-week supervised heavy resistance training program with weekly undulating periodization Sponsor: Norwegian University of Science and Technology Completed
This study aimed to investigate the association between 25-hydroxyvitamin D (25(OH)D) level and Low back pain (LBP) among adolescents while adjusting for potential confounders pertinent to this age group including the weight of school bags, body mass index and physical activity. A cross-sectional study was conducted on randomly selected 760 adolescents in middle schools. Data on LBP and the risk factors for LBP were collected from the parents by self-administered questionnaire and from adolescents by face-to-face interview. Blood samples were tested in an accredited laboratory; and 25(OH)D was measured using liquid chromat...
Nutcracker syndrome refers to the clinical manifestations of left renal vein compression between the superior mesenteric artery and the abdominal aorta, causing urinary changes and low back pain.
Condition: Non-specific Low Back Pain Interventions: Other: Graded activity; Other: Motor Control Exercises Sponsors: McMaster University; Canadian Institutes of Health Research (CIHR); Macquarie University, Australia; Laval University; The University of Queensland; University of Alberta Not yet recruiting
Condition: Chronic Low-back Pain Interventions: Other: Home Rehabilitation Program; Other: e-Health program Sponsor: Universidad de Almeria Not yet recruiting