CT, MRI for lower back pain still prevalent in ED

The rate of CT and MRI scans for back pain remained steady from 2001 to 2016...Read more on AuntMinnie.comRelated Reading: IMV: MR providers work harder as procedure volume grows Are too many patients getting MRI scans for back pain? Less jargon makes MRI reports easier to read DeepSpine AI enhances grading of lumbar spinal stenosis Johns Hopkins tackles problem of unnecessary scans
Source: AuntMinnie.com Headlines - Category: Radiology Source Type: news

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Authors: Norimoto M, Eguchi Y, Kanamoto H, Oikawa Y, Matsumoto K, Masuda Y, Furuya T, Orita S, Inage K, Maki S, Shiga Y, Kinoshita H, Abe K, Inoue M, Umimura T, Sato T, Sato M, Suzuki M, Enomoto K, Ohtori S Abstract Study Design: Retrospective observational study. Purpose: Lumbar spinal stenosis (LSS) has traditionally been evaluated morphologically, there is a paucity of literature on quantitative assessment of LSS. The purpose of this study was to investigate whether intraspinal diffusion tensor imaging (DTI) parameters such as apparent diffusion coefficient (ADC) and fractional anisotropy (FA) are useful for...
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
Patients with lumbar spinal stenosis present with low back pain, numbness and pain in the legs and gait difficulties due to neurogenic claudication. Patients often walk in a stooped posture to increase the spinal canal diameter by stretching out the ligamentum flavum. This stooped posture leads to a positive sagittal balance. After decompressive surgery, patients may walk in a less stooped manner, improving their sagittal balance, which may lead to less back pain and improved patient reported outcomes.
Source: The Spine Journal - Category: Orthopaedics Authors: Source Type: research
Abstract A 33-year-old man was referred to physical therapy by his primary care physician for low back pain that had been present for 7 months. The neurologic screen with mixed upper and lower motor neuron signs was of concern for spinal cord involvement. The primary care physician was contacted and magnetic resonance imaging ordered. Facet arthrosis and epidural lipomatosis were present, resulting in thoracic and lumbar spinal stenosis. J Orthop Sports Phys Ther 2020;50(6):345. doi:10.2519/jospt.2020.9059. PMID: 32476581 [PubMed - in process]
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: J Orthop Sports Phys Ther Source Type: research
CONCLUSION: Epidural steroid injections are an effective nonsurgical option for pain relief and improvement of physical function in elderly patients. The NRS, ODI, and ILBPDI are reliable and valid scales that can be used to evaluate the outcomes of ESIs in a selected group of elderly patients. PMID: 32530487 [PubMed - as supplied by publisher]
Source: Turkish Neurosurgery - Category: Neurosurgery Authors: Tags: Turk Neurosurg Source Type: research
Authors: Azimi P, Yazdanian T, Benzel EC, Aghaei HN, Azhari S, Sadeghi S, Montazeri A Abstract Artificial neural networks (ANNs) have been used in a wide variety of real-world applications and it emerges as a promising field across various branches of medicine. This review aims to identify the role of ANNs in spinal diseases. Literature were searched from electronic databases of Scopus and Medline from 1993 to 2020 with English publications reported on the application of ANNs in spinal diseases. The search strategy was set as the combinations of the following keywords: "artificial neural networks," "...
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
This study included 390 patients with LHD or LSS referred for surgical evaluation after unsuccessful conservative treatment. Nonsuccess was defined as a Roland-Morris Disability score above 4 (0–23) or a Numeric Rating Scale back and leg pain score above 20 (0–60). Uni- and multivariate logistic regression analyses were used to investigate potential predictive factors including sociodemographic characteristics, history findings, levels of pain and disability, and magnetic resonance imaging findings. Results. Rates of nonsuccess at 2 years were approximately 30% in surgically treated patients with LHD, approx...
Source: Spine - Category: Orthopaedics Tags: SURGERY Source Type: research
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.
Source: Journal of Spinal Disorders and Techniques - Category: Surgery Tags: Primary Research Source Type: research
Conclusion5R-STS performance differs according to the etiology of back and leg pain, even after adjustment for demographic covariates. In combination with machine learning algorithms, OFI can be used to infer the etiology of spinal back and leg pain with accuracy comparable to other diagnostic tests used in clinical examination.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material.
Source: European Spine Journal - Category: Orthopaedics Source Type: research
AbstractPurposeTo define and analyze the learning curve of percutaneous endoscopic transforaminal decompression (PETD) for lumbar spinal stenosis (LSS).MethodsFrom July 2015 to September 2016, 78 patients underwent PETD; one of whom was converted to open surgery, two were lost, and 75 were included in this study. Clinical results were assessed by using the Oswestry Disability Index (ODI) and visual analog scale (VAS). The learning curve was assessed by a logarithmic curve-fitting regression analysis. Of these 75 patients, 35 were defined as the “early” group, and 40 were defined as the “late” group ...
Source: International Orthopaedics - Category: Orthopaedics Source Type: research
AbstractObjectiveTo estimate the effect of the knee bolster use during an MRI on lumbar spinal stenosis parameters and low back pain-related disability.MethodsA repeated-measurement study of 27 males and 19 females with mean age 55.78  ± 14.36, referred for an MRI of the lumbar spine due to low back pain, performed with and without standard knee bolster. A radiologist evaluated the lumbar lordosis Cobb’s angle, the cross-sectional area of the right and left intervertebral foramina and spinal canal at L1-L2, L2-L3, L3-L4 sp inal levels. Spinal symptoms were evaluated by the Oswestry Disability Que...
Source: Skeletal Radiology - Category: Radiology Source Type: research
More News: Back Pain | Low Back Pain | Lumbar Spinal Stenosis | Pain | PET Scan | Radiology