Lumbar segmental instability: Points to ponder

Gopinath, Parasuram

doi:10.1016/j.jor.2015.09.005

Cited by 21 publications

(10 citation statements)

References 27 publications

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“…The current literature on multiple myeloma and spinal stability was systematically reviewed before the study began to determine the best clinical and imaging evidence of spinal stability and to establish a framework for MM spine stability assessments [9][10][11][12] .…”

Section: Systematic Reviewmentioning

confidence: 99%

Preliminary Establishment of a Spinal Stability Scoring System for Multiple Myeloma

Yao

Shi

et al. 2021

Preprint

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Background: Multiple myeloma is an incurable malignant plasma cell disorder that represents the most common primary malignant bone tumor. It commonly involves bone metastasis in multiple vertebral bodies, which SINS scoring system may not be fully applicable to MM patients. We designed a stability evaluation system to evaluate the spinal stability of patients with MM spinal involvement in order to guide clinical treatment.Methods: By using Delphi method, information was collected and extracted through a series of questionnaires and improved via feedback and we preliminary establishment of a spinal stability scoring system for multiple myeloma.Results: Fifteen clinicians completed a second round of questionnaires and compared their answers with those of the first round of questionnaires to identify significant comments or changes that required group discussions. As a result, no further feedback was used to improve the scoring system. After integrating the information from the expert consultation questionnaire, we established the initial scoring system for MM spine stability and used the scoring system to assess a series of representative clinical cases. The scoring system consisted of the following six components. The MM spinal stability scoring system was created by calculating the scores of the six separate components: Location, Pain, Number of segments, Physiological curvature, Comorbidities and Neurological function. The minimum value was ‘0’, and the maximum value was ‘24’. A score of ‘0-10’ indicated ‘spine stability’, a score of ‘11-17’ indicated ‘potential instability’, and a score of ‘18-24’ indicated ‘spine instability’. Patients with a score of ‘11-24’ need an intervention such as surgery.Conclusions: The initial establishment of the MM spine stability scoring system provides a vital theoretical basis for the evaluation of spine stability in individuals with MM. Trial registration: The conducted study contains a retrospective analysis of medical records of our hospital database. Beijing Chao-yang Hospital Human Research Ethics Committee classifies this as a retrospective audit. The ethics approval and consent was given for the conducted retrospective data analysis.

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Section: Systematic Reviewmentioning

confidence: 99%

Preliminary Establishment of a Spinal Stability Scoring System for Multiple Myeloma

Yao

Shi

et al. 2021

Preprint

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“…Диагностика нестабильности ПДС остается спорным вопросом и непростой задачей для практикующего врача, что, в свою очередь, определяет неоднозначность подходов в ее лечении [4,18,19].…”

Section: инструментальная диагностика нестабильности пдсunclassified

Lumbar spine segmental instability in degenerative spine conditions

Фраерман

Yarikov²,

Викторович³

et al. 2020

Science and Innovations in Medicine

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1240% of people with low back pain have spinal instability in degenerative-dystrophic diseases of the spine. The paper highlights the biomechanical basis for the development of segmental instability and discusses various hypotheses for the development of this condition. The authors describe the modern methods of neuroimaging used in the diagnosis of segmental instability, such as radiography, functional spondylography, CT, functional CT, MRI. Further, the paper presents provocative tests used in the diagnosis of instability: passive extension of the lumbar spine, standing, sitting, pron-instability, "scissors", compression of spinous processes, forward lean in standing position, and some others. The authors shared their experience in diagnosing segmental instability. However, the discrepancy between the data of instrumental examinations and patient complaints, poorly studied rotational and lateral instability in osteochondrosis indicate the need for a more detailed study of the instability of the spine as a whole.

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“…Each segment exhibits three types of kinematics, translation, angulation and rotation in six degrees of ROM. Hence, stability or instability should be assessed accordingly [43]. Current classification and recommendations take only sagittal instability into consideration.…”

Section: Spinal Segmental Instabilitymentioning

confidence: 99%

Pyogenic spondylodiscitis

Almansour

Pepke

2019

Orthopäde

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Background. Pyogenic spondylodiscitis (PS) is a debilitating condition laden with orthopedic and neurological complications. The choice of the best step in management is often delayed due to the controversy encompassing its multiple facets. Several classification systems were proposed in the literature to define optimal management; however, consensus was not achieved. Objective. The aim of this study was to review the literature and critically appraise the classification systems of PS and the rationale behind the classification criteria. Methods. A literature search was conducted in PubMed. Titles and abstracts of articles were searched using different synonyms of

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Lumbar segmental instability: Points to ponder

Cited by 21 publications

References 27 publications

Preliminary Establishment of a Spinal Stability Scoring System for Multiple Myeloma

Preliminary Establishment of a Spinal Stability Scoring System for Multiple Myeloma

Lumbar spine segmental instability in degenerative spine conditions

Pyogenic spondylodiscitis

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