scholarly journals Congenital Fusion of Lumbar Vertebrae Leading to Chronic Low Back Pain

2021 ◽  
Author(s):  
Ruben H. Schwartz ◽  
Jamal Hasoon ◽  
Amnon A. Berger ◽  
Alan D. Kaye
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Lumbar Vertebrae ◽  
Low Back ◽  
Congenital Fusion

scholarly journals Intractable Chronic Low-Back Pain Caused by Ligamentopathia Treated Using a Spinous Process Plate (S-plate)

2010 ◽  
Vol 3 ◽  
pp. CMAMD.S3831 ◽  
Author(s):  
Koichi Iwatsuki ◽  
Toshiki Yoshimine ◽  
Kazuhiro Yoshimura ◽  
Masahiro Ishihara ◽  
Yu-Ichiro Ohnishi ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Conservative Therapy ◽  
Spinous Process ◽  
Lumbar Vertebrae ◽  
Low Back ◽  
First Line ◽  
Acute Low Back Pain

We report a case of intractable chronic low-back pain in a gymnast that was caused by ligamentopathia in the interspinous region of the lumbar vertebrae. Sprained interspinous ligaments are a common mechanical cause of acute low-back pain in athletes. Although conservative therapy is generally effective in such cases, in this case it was not. The patient experienced severe low-back pain during lumbar flexion with tension between the L5/S interspinous ligaments. We performed interspinous fixation by using a spinous process plate system, which has been developed for short in situ fusions, and following which the low-back pain resolved. Conservative therapy for low-back pain caused by ligamentopathia is first-line choice, but interspinous fixation with instrumentation might be recommended in intractable cases with conservative therapy.

scholarly journals Intra- and Inter-Rater Reliability of Three Measurements for Assessing Tactile Acuity in Individuals with Chronic Low Back Pain

2020 ◽  
Vol 2020 ◽  
pp. 1-14
Author(s):  
Juan Wang ◽  
Changcheng Chen ◽  
Mengsi Peng ◽  
Yizu Wang ◽  
Bao Wu ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Correlation Coefficient ◽  
Chronic Low Back Pain ◽  
Pearson Correlation ◽  
Intraclass Correlation ◽  
Lumbar Vertebrae ◽  
Low Back ◽  
Tactile Acuity ◽  
Rater Reliability

Objective. To investigate the intra- and inter-rater reliability of three measurements on painful and pain-free sides in participants with chronic low back pain (CLBP) at different ages. Methods. We recruited 60 participants with CLBP and divided them equally into a group of younger participants with chronic low back pain (18 ≤ age ≤ 35, Y-CLBP) and a group of older participants with chronic low back pain (36 ≤ age ≤ 65, O-CLBP). Participants were assessed by two testers within the same day (10 min interval), and one of the testers repeated the assessment program 24 h later. The intraclass correlation coefficient (ICC) was used to assess reliability. The Pearson correlation coefficient was used to analyze the correlation between tactile acuity and age, waistline, and pain-related variables. Results. In the Y-CLBP group, the intra-rater reliability of two-point discrimination (TPD), point-to-point test (PTP), and two-point estimation (TPE) on the painful and pain-free sides was good (ICC range: 0.74–0.85), whereas the inter-rater reliability of TPD, PTP, and TPE on the painful and pain-free sides was moderate to good (ICC range: 0.65–0.76). In the O-CLBP group, the intra-rater reliability of TPD, PTP, and TPE on the painful and pain-free sides was good (ICC range: 0.75–0.85), whereas the inter-rater reliability of TPD, PTP, and TPE on the painful and pain-free sides was moderate to good (ICC range: 0.70–0.85). Age, waistline, duration of pain, maximum pain, general pain, and unpleasant score caused by pain were positively correlated with tactile acuity thresholds (D-TPD, A-TPD, PTP, and TPE) (r > 0.365, p < 0.05 ). When BMI was controlled, age, waistline, and pain-related variables were positively correlated with tactile acuity thresholds (r > 0.388; p < 0.05 ). Conclusion. In the participants of Y-CLBP and O-CLBP groups, TPD, PTP, and TPE have moderate-to-good intra- and inter-rater reliability on the painful and pain-free sides of the fifth lumbar vertebrae.

scholarly journals A Comparison of Lumbosacral Kinematics during Prolonged Sitting in Non-specific Chronic Low Back Pain Subgroups; a cross-sectional study

2019 ◽  
Author(s):  
Mansoor Alameri ◽  
Everett Lohman III ◽  
Noha Daher ◽  
Robert Dudley ◽  
Amjad Shallan ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Motor Control ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Rating Scale ◽  
Lumbar Vertebrae ◽  
Low Back ◽  
Significant Deterioration ◽  
Cross Sectional ◽  
Prolonged Sitting

Abstract Abstract Background: Although, non-specific chronic low back pain (NSCLBP) has been associated with abnormal lumbosacral kinematics, little is known about the possible driving mechanisms of pain development overtime during prolonged sitting period. Therefore, the purpose of this study was to examine the differences in lumbosacral postures in adults with and without NSCLBP, and their role on pain development during a 1-hour of prolonged sitting task. Methods: Twenty NSCLBP subjects with motor control impairment (MCI) [10 classified as having flexion pattern (FP) disorder, and 10 with active extension pattern (AEP) disorder], and 10 healthy controls participated in the study. Subjects underwent a 1-hour sitting protocol on a standard office chair. Lumbosacral postures including: sacral tilt (ST), third lumbar vertebrae (L3) position, and relative lower lumbar angle (RLLA) were recorded using a two-dimensional inclinometer over the 1-hour period. Perceived back pain intensity was recorded using a numeric pain rating scale every 10 minutes throughout the sitting period. Results: All study groups presented with significantly distinctive lumbosacral kinematics at the lowest level of pain (the beginning of the sitting period) (p<0.05), as well as at the highest level of pain (the end of the sitting period) (p£0.05). The MCI subgroups showed a significant deterioration in lumbosacral kinematics and pain levels overtime (p<0.01). The directions of deterioration in lumbosacral kinematics over the 1-hour sitting period occurred in the direction of the motor control impairment (kyphosis for FP subgroup or lordosis for the AEP subgroup). Both MCI subgroups reported a similarly significant increase in pain through mid-sitting (p<0.001). However, after mid-sitting, the AEP subgroup displayed a significantly reversed decrease in the lordotic postures (p=0.001) which was accompanied by much less increase in pain level compared to the FP subgroup. Conclusion : The present study’s findings suggest that MCI subgroups presented with distinctive underlying maladaptive postural patterns. However, the significant increase in pain over the 1-hour sitting might not be only attributed to the inherent maladaptive postures, also it may be related to the directional deterioration in lumbosacral postures overtime.

Anxiety sensitivity and opioid use motives among adults with chronic low back pain.

2020 ◽  
Author(s):  
Andrew H. Rogers ◽  
Lorra Garey ◽  
Amanda M. Raines ◽  
Nicholas P. Allan ◽  
Norman B. Schmidt ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Anxiety Sensitivity ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Opioid Use
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