The Kellgren and Lawrence Score as a helpful tool for the indication for total disc replacement at the cervical spine.

The Kellgren and Lawrence Score as a helpful tool for the indication for total disc replacement at the cervical spine. Technol Health Care. 2019;27(3):317-326 Authors: Struwe C, Bornemann R, Schildberg FA, Wirtz DC, Pflugmacher R, Rommelspacher Y Abstract BACKGROUND: Several studies showed encouraging results after total disc replacement (TDR) in patients with cervical-brachial syndrome (CBS). OBJECTIVE: The aim of this study was to supplement the existing documentation of results after total disc replacement and to underline the importance of the correct indication. METHODS: The clinical and radiological outcome of 34 patients was evaluated in a 2-year follow-up by several parameters as the Visual Analogue Scale (VAS) for pain, the Neck Disability Index (NDI) and the Kellgren and Lawrence Score. RESULTS: The median values for NDI changed from 65% (20-90) before surgery to 20% (0-86) 2 years after surgery (p
Source: Technology and Health Care - Category: Medical Devices Authors: Tags: Technol Health Care Source Type: research

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ConclusionAvailable data suggest that the information needs of people with low back pain are centred around their desire for a diagnosis, potentially contributing to expectations for and overuse of imaging. People with low back pain expressed a strong desire for clear, consistent and personalised information on prognosis, treatment options and self-management strategies, related to healthcare and occupational issues. To correct unhelpful beliefs and optimise delivery of evidence-based therapy, patient and healthcare professional education (potentially by an integrated public health approach) may be warranted.
Source: Journal of Physiotherapy - Category: Physiotherapy Source Type: research
The objective of this study was to explore the feasibility of CRISPR epigenome editing based therapy for DDD, by modulation of TNFR1/IL1R1 signaling in pathological human IVD cells.Methods: Human IVD cells from the nucleus pulposus of patients receiving surgery for back pain were obtained and the regulation of TNFR1/IL1R1 signaling by a lentiviral CRISPR epigenome editing system was tested. These cells were tested for successful lentiviral transduction/expression of dCas9-KRAB system and regulation of TNFR1/IL1R1 expression. TNFR1/IL1R1 signaling disruption was investigated via measurement of NF- κB activity, apoptos...
Source: GEO: Gene Expression Omnibus - Category: Genetics & Stem Cells Tags: Expression profiling by high throughput sequencing Homo sapiens Source Type: research
In a busy morning at UNISON’s local government conference in Liverpool today, delegates discussed a range of issues around health, safety and welfare. The question of disability leave is one of particular concern, with Bev Miller for the national disabled members’ committee pointing out that the “duration of disability leave should not have a limited time. “A proper disability policy [is needed] to mitigate against any unfair treatment of disabled employees.” John Actrill spoke of how he has set up a disabled workers’ meeting at Portsmouth City Council. “It is most important that a...
Source: UNISON meat hygiene - Category: Food Science Authors: Tags: Article 2019 Local Government Conference disability disability leave health and safety hot-desking stress in the workplace Source Type: news
“Lies, damned lies and statistics.” That was the damning comment on the government claim that the UK has record employment. Shirley Scott for the service group executive opened today’s debates at UNISON’s local government conference in Liverpool with a motion on zero-hours contracts. She pointed out that zero-hours contracts – now seen in local government, “particularly in social care”– are linked to “privatisation” and are simply a “cost-cutting measure”. Moves to “casualise” the workforce also have a negative impact on sick pay and pensio...
Source: UNISON meat hygiene - Category: Food Science Authors: Tags: Article News 2019 Local Government Conference casualisation zero-hours contracts Source Type: news
Conclusions: OLIF gives favorable short term clinical and radiological outcomes in patients of ADLD. It could potentially reduce the need for morbid pelvic fixation and posterior osteotomies in patients with degenerative lumbar deformity.
Source: Indian Journal of Orthopaedics - Category: Orthopaedics Authors: Source Type: research
Conclusions: We outlined our concluding management principle for the treatment of C1-type II odontoid fractures based on the nature of C1 fracture and atlantoaxial stability. The treatment principle can obtain satisfactory results for the management of C1-type II odontoid fractures.
Source: Indian Journal of Orthopaedics - Category: Orthopaedics Authors: Source Type: research
This study included 65 patients with lumbar spondylolisthesis, who underwent either open transpedicular screw fixation (OTPSF) with posterior lumbar interbody fusion (PLIF) (OTPSF group, n = 33) or PPSF with reduction system (PPSFr group, n = 32) after PLIF. The slippage degree (SD); the intervertebral disc height (IDH); lumbar lordosis (LL); and segmental angle (SA) were measured on the follow-up simple lateral radiographs. For pain and functional assessment in patients, visual analogue scale (VAS) scores for low back pain and leg pain, and Oswestry Disability Index (ODI) scores were measured. SA (P 
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research
ConclusionsRigorous realignment of sagittal vertical axis is correlated with ODI outcomes, especially in very elderly patients.Level of EvidenceLevel 4.
Source: Spine Deformity - Category: Orthopaedics Source Type: research
Publication date: Available online 12 June 2019Source: European Journal of Integrative MedicineAuthor(s): Z Didem Takinaci, Mine Karagülle, Halim İşsever, M Zeki KaragülleAbstractIntroductionThe effect of spa therapy, a non-pharmacological treatment for chronic low back pain (CLBP) has been evaluated by several randomized clinical trials. This randomized controlled trial was conducted to compare the effect of balneotherapy alone versus balneotherapy with physical exercise.MethodsParticipants (n = 60) with low back pain for more than 6 months and attending a musculoskeletal clinic were recruited in...
Source: European Journal of Integrative Medicine - Category: Complementary Medicine Source Type: research
Conclusions: Endoscope-assisted and microscope-assisted tubular discectomies resulted in similar clinical outcomes for LDH, while the microscope-assisted surgery may relate to better recovery rate for LSS, less surgical time, and less intraoperative dural tear. PMID: 31179327 [PubMed - in process]
Source: Biomed Res - Category: Research Authors: Tags: Biomed Res Int Source Type: research
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