Degenerative Disorders of the Lumbar and Cervical Spine

Roh, Jeffrey S.; Teng, Andelle L.; Yoo, Jung U.; Davis, John A.; Furey, Christopher G.; Bohlman, Henry H.

doi:10.1016/j.ocl.2005.01.007

Cited by 75 publications

(53 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is of interest that improvements in both pain sites deteriorate with time. Some may advocate inadequate decompression at the time of surgery (but this is not consistent with the initial improvements observed), progression of the underlying spondylosis condition and inactivity combined with ageing [34,36] as the cause for this deterioration. Work by Atlas et al [6] comparing the long term outcome of spinal stenosis suggests that it may be an inevitable part of the disease process but suggested that this effect was less marked in those who had surgical intervention.…”

Section: Discussionmentioning

confidence: 98%

The outcome of spinal decompression surgery 5 years on

2007

View full text Add to dashboard Cite

Decompression surgery is an increasingly common operation for the treatment of lumbar spinal stenosis. Although good relief from leg pain is expected after surgery, long term results of pain relief and function are more uncertain. This study prospectively followed a cohort of patients presenting with the signs and symptoms of spinal stenosis, who underwent decompression surgery to ascertain the long term outcome with respect to pain and function using visual analogue pain scores, the Oswestry Disability Index, and the Short Form 36, a general health questionnaire. From an initial pool of 84 recruited patients, 7 withdrew from surgical intervention; of the remaining 77, 51 (66%) returned for follow up assessments at 5 years. In these responders, a significant improvement was observed in back and leg pain, which was sustained for at least 1 year (P < 0.01). A significant improvement was also seen in physical function (P < 0.05) as assessed by Oswestry and SF-36. Although an initial improvement was noted in social function, this was not observed at 5 years. This study has demonstrated that decompression surgery is successful in relieving symptoms of lumbar spinal stenosis. Physical function, back and leg pain are significantly improved after 5 years but initial significant improvements in social function diminish over time.

show abstract

Section: Discussionmentioning

confidence: 98%

The outcome of spinal decompression surgery 5 years on

2007

View full text Add to dashboard Cite

show abstract

“…Thus, the Okhotsk series had the peculiar characteristic of a higher frequency of osteophytes on the body of the cervical spine among populations from the Japanese archipelago, although the Kumejima females had the highest frequency, as mentioned above. The cervical vertebrae only support loads of or on the head, while the head, trunk and upper extremities produce loads on the lumbar vertebrae (Roh et al, 2005). Although we know of no relevant customs in prehistoric Okhotsk culture, some dynamic loads caused a high frequency of degenerative changes of cervical spine of clinical severity in other archeological cases (Shedid and Benzel, 2007;Lovell, 1994).…”

Section: Osteophytes On the Vertebral Bodymentioning

confidence: 99%

“…Degenerative change of the spine is a common age-related vertebral alteration (Gallucci et al, 2005;Roh et al, 2005;Freund and Sartor, 2006;Pytel et al, 2006;Kalichman and Hunter, 2007;Ruan et al, 2007;Shedid and Benzel, 2007). The vertebral bodies are interconnected by the intervertebral discs (fibrocartilage), which are called symphyses.…”

Section: Introductionmentioning

confidence: 99%

Degenerative changes of the spine in people from prehistoric Okhotsk culture and two ancient human groups from Kanto and Okinawa, Japan

Shimoda

Nagaoka

Moromizato

et al. 2012

View full text Add to dashboard Cite

Degenerative changes of the spine in people of the Okhotsk culture were investigated in adult human skeletal remains from 38 males and 34 females. These findings were then compared with those in materials obtained from the medieval Kamakura period and early-modern peasants on Kumejima, Ryukyu Islands. The three samples clearly showed different patterns. In the Okhotsk series, the cervical spine of each sex had most osteophytes on the vertebral body, while the Kumejima samples had the highest frequency on the lumbar vertebrae. In the Kamakura series, males were most affected on the lower thoracic vertebrae. Moreover, severe osteophytes on the body of the lumbar vertebrae were more frequently seen in the Okhotsk males. Degenerative changes of the articular process of the Okhotsk series were most frequently seen in the lumbar vertebrae and least frequently seen in the cervical vertebrae. This is well contrasted with a high frequency of degenerative changes of cervical apophyseal joint in early-modern Kumejima peasants. The Kamakura series of each sex had generally low frequencies. Severe degenerative changes of apophyseal joint dominantly affected the Okhotsk series. It is inferred that different dynamic loads caused a high frequency of degenerative changes in the corresponding articular parts. For example, because the Okhotsk culture developed a considerable maritime infrastructure, the lifestyle required for sea-mammal hunting and fishing seems to have particularly affected the incidence of severe degenerative changes of the lumbar vertebrae.

show abstract

“…However, in cases where there is a failure in conservative measures, surgical treatment becomes an option (Roh et al, 2005). These procedures traditionally included decompression of spinal elements, correction of deformity and arthrodesis of the diseased spinal segment but, in some conditions, they both may be used in a combined manner (Schwarzenbach et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

“…The intervertebral disc plays the most important role in spine stabilization (Roh et al, 2005). Disc degeneration is a physiological process with aging.…”

Section: Introductionmentioning

confidence: 99%