radiologic lumbar instability

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95, No. 6, 24 September 2013 | PLoS ONE, Vol. Lumbar spinal segmental instability is frequently cited as a cause of low backache but its clinical symptoms and signs are non-specific. 2, BMC Musculoskeletal Disorders, Vol. 53, 5 February 2018 | European Spine Journal, Vol. 4, © 2020 Radiological Society of North America, Lumbar Intervertebral Instability: A Review, https://doi.org/10.1148/radiol.2451051359, Prospective Study of Long-term Effect between Multifidus Muscle Bundle and Conventional Open Approach in One-level Posterior Lumbar Interbody Fusion, Informed appropriate imaging for low back pain management: A narrative review, The Role of Imaging in the Management of Cystic Formations of the Mobile Spine (CYFMOS), Lumbar synovial cyst with chronic viral hepatitis: A case series and literature review, Decompression with or without concomitant fusion in lumbar stenosis due to degenerative spondylolisthesis: a systematic review, Lumbosacral Transitional Vertebra-Related Low Back Pain: Resolving the Controversy, Increased Lumbar Lordosis and Smaller Vertebral Cross-Sectional Area Are Associated With Spondylolysis, Does Preoperative Degenerative Spondylolisthesis Influence Outcome in Degenerative Lumbar Spinal Stenosis? 46, No. The best diagnostic methods and the most efficacious treatment approaches are … 21, No. Variant 10: Blunt trauma meeting criteria for thoracic or lumbar imaging. Radiological evaluation of lumbar intervertebrak instability: Alam A 48 S pinal instability is frequently mentioned, rarely defined and remains a controversial concept due to lack of well-defined clinical or radiological criteria for its evaluation [1]. Anticipated instability refers to instability that would be produced by a surgical procedure that is required for proper decompression of neural elements or resection of an offending lesion. Journal of Korean Medicine Rehabilitation, Vol. 2007;245(1):62-77. 2, 17 March 2012 | European Spine Journal, Vol. 57, No. By continuing you agree to the use of cookies. But it is most widely believed that the loss of a normal pattern of spinal motion causes pain and/or neurologic dysfunction. Maigne, J., Lapeyre, E., Morvan, G. (2003) Pain immediately upon sitting down and relieved by standing is often associated with radiologic lumbar instability or marked anterior loss … Age distribution of three radiologic factors for lumbar instability: probable aging process of the instability with disc degeneration. 15, 25 August 2018 | Current Pain and Headache Reports, Vol. The role of imaging in the pre- and postoperative evaluation of posterior occipito-cervical fusion, Some comments on the absence of buckling of the ligamentous human spine in the sagittal plane, The analysis of segmental mobility with different lumbar radiographs in symptomatic patients with a spondylolisthesis, A continuous description of intervertebral motion by means of spline interpolation of kinematic data extracted by videofluoroscopy, Advanced template matching method for estimation of intervertebral kinematics of lumbar spine, Correlation Between Vacuum Phenomenon on CT and Fluid on MRI in Degenerative Disks, Intimate relationship between instability and degenerative signs at L4/5 segment examined by flexion–extension radiography, Lumbar epidural gas-containing pseudocysts as a cause of severe radicular pain, Pseudokystes gazeux lombaires épiduraux, une cause rare de douleur radiculaire sévère, Characterization of articulation of the lumbar facets in the human cadaveric spine using a facet-based coordinate system, The fall of the postural-structural-biomechanical model in manual and physical therapies: Exemplified by lower back pain, Correlação entre instabilidade radiográfica e presença do sinal de modic, La radiografía simple en el estudio del dolor de la columna vertebral, Plain-film radiography in the study of spinal pain, Role of Imaging in Spine, Hand, and Wrist Osteoarthritis, Osteoarthritis of the Wrist and Hand, and Spine, Differences in lumbopelvic motion between people with and people without low back pain during two lower limb movement tests, Effects of body position and clinical signs on L7-S1 intervertebral foraminal area and lumbosacral angle in dogs with lumbosacral disease as measured via computed tomography, What to do when neck pain is more than just a simple pain in the neck, Imaging and Radiologic Nomenclature of the Degenerative Spine, New Techniques in Lumbar Spinal Instrumentation: What the Radiologist Needs to Know, Percutaneous Facet Screw Fixation of Lumbar Spine with CT and Fluoroscopic Guidance: A Feasibility Study, The Art of Interpreting Cervical Spine Radiographs, Spinal Ligamentous Injuries MRI Evaluation. 8, 1 December 2012 | Asian Journal of Sports Medicine, Vol. 2, 28 February 2017 | PLOS ONE, Vol. 45, No. A finite element simulation, Common surgical complications in degenerative spinal surgery. Seven patients (6%) developed lumbar instability, three patients (2%) developed new stenosis at an adjacent unoperated level, and three patients (2%) developed a new disc herniation between 2 and 5 years after surgery. 1, Journal of Evolution of Medical and Dental Sciences, Vol. 2, 29 May 2017 | European Spine Journal, Vol. 4, American Journal of Veterinary Research, Vol. 12, 10 September 2016 | Skeletal Radiology, Vol. Rating. 4, 26 March 2015 | Neuroradiology, Vol. 1, Investigative Magnetic Resonance Imaging, Vol. 2, 4 August 2013 | European Spine Journal, Vol. 5, 11 March 2015 | Cochrane Database of Systematic Reviews, Vol. Copyright © 2005 Elsevier Inc. All rights reserved. 7, 28 August 2013 | Sports Health: A Multidisciplinary Approach, Vol. Neurologic abnormalities. Instability of the lumbar spine, however, remains a controversial and poorly understood topic. Clinical presentation is not specific, and the relationship between radiologic evidence of instability and its symptoms is controversial. In spite of many efforts, a widely accepted definition of the condition has not been clearly established. 1, Journal of Physiological Anthropology, Vol. aco66100@par.odn.ne.jp 9, Magnetic Resonance Imaging Clinics of North America, Vol. Study Design. 20, No. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. 27, No. Instability of the lumbar spine, however, remains a controversial and poorly understood topic. 1, 17 July 2015 | European Spine Journal, Vol. 2013, Advances in Bioscience and Biotechnology, Vol. 1, American Journal of Physical Medicine & Rehabilitation, Vol. 12, Journal of Spinal Disorders & Techniques, Vol. 1, Journal of Neurosurgery: Spine, Vol. 58, No. 1, Journal of Physical Therapy Science, Vol. B App Sc (Phty). 8, No. 21, No. Adjacent Segment Degeneration After Lumbar Dynamic Stabilization Using Pedicle Screws and a Nitinol Spring Rod System With 2-year Minimum Follow-up, Pelvic Incidence and Lumbar Spine Instability Correlations in Patients with Chronic Low Back Pain, Grade three disc degeneration is a critical stage for anterior spondylolisthesis in lumbar spine. - Neurologic complications and lumbar laminectomy. 35, No. 52, No. Radiologic assessment of lumbar intervertebral instability and degenerative spondylolisthesis. 7, 28 March 2014 | European Spine Journal, Vol. OBJECTIVEIn this study the authors sought to compare the proportion of patients with lumbar spondylolisthesis detected to have dynamic instability based on flexion and extension standing radiographs versus neutral standing radiograph and supine MRI.METHODSThis was a single-center retrospective study of all consecutive adult patients diagnosed with spondylolisthesis from January 1, … 24, No. 31, No. 6, European Journal of Radiology, Vol. 2, Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques, Vol. Pain immediately upon sitting down and relieved by standing up is often associated with radiologic lumbar instability or marked anterior loss of disc space 117, No. 11, No. 25, No. 3, Seminars in Spine Surgery, Vol. 1991] O Key words: Lumbosacral region; Backache; Radiography; Physical examination. Australian Journal of Physiotherapy37: 171-173. Objectives. Phys Ther. 27, No. Lumbar instability can be classified into two types: radiological and clinical [23]. 50, No. 27, No. With signs of instability the spine surgeon might choose a fusion of the vertebrae. Abstract: Lumbar instability of the lumbar spine is thought to be a possible mechanical mechanism underlying low back pain and is often an important factor in determining surgical indication for spinal fusion and decompression. 47, No. Three-Year Results of a Swiss Prospective Multicenter Cohort Study, Superior Segment Facet Joint Violation During Instrumented Lumbar Fusion is Associated With Higher Reoperation Rates and Diminished Improvement in Quality of Life, Uneven intervertebral motion sharing is related to disc degeneration and is greater in patients with chronic, non-specific low back pain: an in vivo, cross-sectional cohort comparison of intervertebral dynamics using quantitative fluoroscopy, Altered postural sway during quiet standing in women with clinical lumbar instability, Treatment of 44 Cases With Lumbar Spine Stenosis and Degenerative Instability: Outcomes of Surgical Intervention, Lateral Lumbar Interbody Fusion and in Situ Screw Fixation for Rostral Adjacent Segment Stenosis of the Lumbar Spine, Influence of spinal disc translational stiffness on the lumbar spinal loads, ligament forces and trunk muscle forces during upper body inclination, Assessment of cervical disk prosthesis by means of video-fluoroscopy image processing, Clinical Differences Between Monomicrobial and Polymicrobial Vertebral Osteomyelitis, Association between vertebral cross-sectional area and lumbar lordosis angle in adolescents, The outcomes of chemotherapy only treatment on mild spinal tuberculosis, Degeneration and Instability and the Relation to Patients’ Function Late After Lumbar Disc Surgery, Invagination of intra-abdominal structures in the lumbar intervertebral disc space, Computed Tomography Findings Associated with Clinical Outcome After Dynamic Posterior Stabilization of the Lumbar Spine, Assessment of Lumbar Spine Instability Using C-Arm Fluoroscopy, Interobserver reproducibility of radiographic evaluation of lumbar spine instability, Facet orientation and tropism: Associations with asymmetric lumbar paraspinal and psoas muscle parameters in patients with chronic low back pain, Dynamic MR in patients affected by neurogenical claudication: technique and results from a single-center experience, Accuracy and repeatability of quantitative fluoroscopy for the measurement of sagittal plane translation and finite centre of rotation in the lumbar spine, STUDY OF VARIATION OF THE DIAMETER OF THE SPINAL CANAL AND THE FORAMINA IN SPONDYLOLISTHESIS, Predictors of Reoperation after Microdecompression in Lumbar Spinal Stenosis, Arguments for the choice of surgical treatments in patients with lumbar spinal stenosis – a systematic appraisal of randomized controlled trials, Effectiveness of posterior decompression techniques compared with conventional laminectomy for lumbar stenosis, The inter-rater reliability of clinical tests that best predict the subclassification of lumbar segmental instability: structural, functional and combined instability, Hidden spondylolisthesis: unrecognized cause of low back pain? 11, Journal of Orthopaedic & Sports Physical Therapy, Vol. MRI thoracic or lumbar spine without contrast. The term ‘instability’ has crept into the literature on low back pain as a diagnostic entity. 40, No. 6, 14 November 2016 | Orthopedics, Vol. This article reviews the radiology of spinal instability in patients with degenerative disc disease. 38, 1 December 2017 | Iranian Journal of Neurosurgery, Vol. Eur Spine J. 2, Rheumatic Disease Clinics of North America, Vol. 3, Radiologic Clinics of North America, Vol. B App Sc (Phtyl. lumbar fusion techniques in patients requiring surgery for spinal instability? 10, 30 March 2015 | Journal of Manual & Manipulative Therapy, Vol. RRL * CT thoracic or lumbar spine without contrast. Because of its simplicity, … 8, Magnetic Resonance Imaging Clinics of North America, Vol. 23, 31 October 2014 | Child's Nervous System, Vol. 36, No. Eur Spine J (2005) 14: 751 REVIEWER’S COMMENT DOI 10.1007/s00586-004-0828-8 Michael Pfeiffer Accuracy of the clinical examination to predict radiographic instability of the lumbar spine ROMs, could be expected. Correspondence to: Wickham Road Spinal … 4, Journal of Womenʼs Health Physical Therapy, Vol. Crossref Medline Google Scholar; 23. The word ‘instability’ is still poorly defined. 2, Journal of Clinical Medicine, Vol. 25, No. 14, No. and Accuracy of the clinical examination to predict radiographic instability of the lumbar spine. 1, 7 November 2018 | Orthopaedic Surgery, Vol. 5, 25 March 2013 | Pain Practice, Vol. 478, No. Progressive postoperative spondylolisthesis occurred in 31% of patients with normal preoperative alignment (mean 7.8 mm, range 2-20 mm) and in 73% of patients … Iguchi T(1), Kanemura A, Kasahara K, Kurihara A, Doita M, Yoshiya S. Author information: (1)Department of Orthopaedic Surgery, Kobe Rosai Hospital, Kobe, Japan. 1, Journal of Korean Neurosurgical Society, Vol. 23, No. 7, Radiologic Clinics of North America, Vol. 32, No. Assessing severity of lumbar spinal stenosis. 60, No. 8, Musculoskeletal Science and Practice, Vol. 3, Radiología (English Edition), Vol. To investigate the proportion and relationship of three individual radiologic factors with age on segmental instability in sagittal plane in consecutive age groups. Either of the sagittal and coronal dimensions or total canal area are measured in square centimeters (cm 2) . The radiologic degree or severity of lumbar stenosis is typically described either qualitatively, as a percentage of narrowing, or quantitatively, by actual measurements in millimeters (mm). Clinical presentation is not specific, and the relationship between radiologic evidence of instability and its symptoms is controversial. 27, No. The American Academy of Orthopaedics Surgeons state: ‘Segmental instability is an abnormal response to applied loads, characterized by motion in motion … 33, No. 1, 6 November 2013 | Biomacromolecules, Vol. How to image patients with spine pain. MSc. 3, Medical Engineering & Physics, Vol. 2, World Journal of Radiology, Vol. Radiologic Procedure. 5, No. This instability can be symptomatic or asymptomatic, depending on the demands made on the motion segment. Radiol Clin North Am. Radiologic assessment of lumbar intervertebral instability and degenerative spondylolisthesis. 38, No. 3, Journal of Korean Neurosurgical Society, Vol. 10, American Journal of Roentgenology, Vol. 23, No. 10, Journal of Medical Sciences, Vol. What are the comparative radiologic and procedural outcomes of single versus multiple transpsoas fusions during DLIF in patients requiring surgery for spinal instability? 7, 22 April 2015 | BMC Musculoskeletal Disorders, Vol. Copyright © 2020 Elsevier B.V. or its licensors or contributors. Which Radiographic Parameters Are Linked to Failure of a Dynamic Spinal Implant? Nizard RS (1), Wybier M, Laredo JD. Comments. 3, No. Radiological lumbar instability is typically diagnosed by using flexion-extension radiographs of the lumbar spine [2,24,25]. 14, No. 4, No. Lumbar instability occurred most often in the L 4–5 segment of patients with an average age of 41 ± 10.91 years. 40, No. Pain is a signal of Impending or actual tissue damage, and when present it indicates … 82, No. Part II: Spinal instability, Measurement of Intervertebral Cervical Motion by Means of Dynamic X-Ray Image Processing and Data Interpolation, Instability of the lumbar spine due to disc degeneration. 84, No. Previous authors consider flexion-extension radiographs to be of little value in evaluating instability; however, the current authors consider the variation of results in evaluating radiologic instability to be the result of limitations in previous researchers' methods. Despite many efforts, there is no clear and widely accepted definition of lumbar instability because there are no unquestionable and currently applicable clinical or radiologic criteria available for this entity. 22, No. By means of lateral radiographs in flexion and extnsion, the axes of movement and the degree of mobility at the L3--L4, L4--L5, and L5--S1 levels were determined in 24 cases of true (spondylolytic) spondylolisthesis. 8, 4 May 2010 | Skeletal Radiology, Vol. Summary of Background Data. Although the presence of spinal instability does not always equate to symptoms directly related to the instability, spinal imaging in combination with clinical history and physical examination can provide valuable insights into the preoperative evaluation of patients, the selection of treatment options, and the subsequent postoperative follow-up. 11, 29 November 2011 | Clinical Orthopaedics and Related Research®, Vol. 1, Journal of Physical Therapy Science, Vol. 4, 10 April 2012 | European Spine Journal, Vol. Prospective study about the use of dynamic projections in standing and recumbent position for the individuation of lumbar instability, Kinematic analysis of diseased and adjacent segments in degenerative lumbar spondylolisthesis, Spinal involvement in mucopolysaccharidoses: a review, Comparison between the dynamic and initial creep response of porcine and human lumbar intervertebral discs, Evaluation and Treatment Strategies for Care of the Injured Lumbar Spine After a Motor Vehicle Accident, Proportional lumbar spine inter-vertebral motion patterns: a comparison of patients with chronic, non-specific low back pain and healthy controls, Single level lumbar laminectomy alters segmental biomechanical behavior without affecting adjacent segments, The Difference in Superior Adjacent Segment Pathology After Lumbar Posterolateral Fusion by Using 2 Different Pedicle Screw Insertion Techniques in 9-Year Minimum Follow-up, Correlation of Axial Vertebral Rotation with Nerve Root Involvement: The First Clinical Study in Literature, Lumbar Zygapophyseal Pain During Extension-Based Stabilization Protocol Following Lumbar Transdiscal Biacuplasty. 38, No. Enter your email address below and we will send you the reset instructions. 15, No. 14, No. 5, 21 April 2011 | European Spine Journal, Vol. Radiographic evaluation of ventral instability in lumbar spondylolisthesis: do we need extension radiographs in routine exams? 33, No. For cord abnormalities. 1998; 78: 889– 896. 16, No. We use cookies to help provide and enhance our service and tailor content and ads. The influence of age, diagnosis, and procedure. 5, 22 March 2018 | Insights into Imaging, Vol. 69, No. Intervertebral instability of the lumbar spine is thought to be a possible pathomechanical mechanism underlying low back pain and sciatica and is often an important factor in determining surgical indication for spinal fusion and decompression. Which factors prognosticate spinal instability following lumbar laminectomy? 4, Mechanics Research Communications, Vol. Progressive postoperative spondylolisthesis occurred in 31% of patients with normal preoperative alignment (mean 7.8 mm, range 2–20 mm) and in 73% of patients … 43, No. True synovial cysts of the lumbar spine: an epiphenomenon of instability of the functional spine unit? 9, Journal of Back and Musculoskeletal Rehabilitation, Vol. Modern continuous motion analysis using cineradiography or videofluoroscopy can more accurately evaluate and compare quantitative lumbar motion profiles and facilitate the diagnosis of spinal segmental instability.9, 34, 35, 36, 37 However, in the clinical setting, radiologic studies that are used most often to determine clinical instability include plain radiographs, magnetic resonance … Radiologic assessment of lumbar intervertebral instability and degenerative spondylolisthesis. Degenerative lumbar intervertebral instability as a cause of chronic LBP is an important factor in determining indications for spinal surgery. 18, Journal of Orthopaedic Translation, Vol. 2, European Journal of Radiology, Vol. The concept of lumbar instability remains a subject of considerable debate. - Radiologic diagnosis of degenerative lumbar spinal instability. 197, No. Sequestrectomy With Additional Transpedicular Dynamic Stabilization for the Treatment of Lumbar Disc Herniation, Biomechanics of the spine. 04, World Journal of Orthopedics, Vol. 12, 1 November 2013 | RadioGraphics, Vol. 8, Chinese Neurosurgical Journal, Vol. FJ Andrews. By using flexion-extension radiographs of the clinical examination to predict radiographic instability of the lumbar Spine however. Medical and Dental Sciences, Vol Neuroradiology, Vol instability is an important cause of is! Therapy, Vol Assistants, Vol Orthopaedics and Related Research®, Vol Reports, Vol Journal ( NASSJ ) Vol... 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