Study Design: Review Objective: To conduct a scoping review, and to determine trends and characteristics of spine research published by The Journal of Bone & Joint Surgery (JBJS) from 2005 to 2015. Method: A PubMed search of all studies published in JBJS from 2005 to 2015 was performed using the keyword “spine”. A similar search was conducted on the JBJS website from 2005 to 2015 using the keyword “spine”. The study by Gartsman et al (2005) was used as the main reference for this study. Results: Studies were more likely to be of a higher level of evidence (Level I or II) (53.57%) than of a lower level of evidence (Level III or IV). Level-I, II, and III studies (21.43%) had a higher likelihood of having an author with an advanced degree in addition to a medical degree than Level-IV studies (2.86%). Studies with three or more authors (97.14%) were more common than studies with only one or two authors (2.86%). There were more positive studies (53.93%) than non-positive studies (negative studies= 16.85%; neutral studies= 29.22%). Conclusion: The study shows improvement in trends of spine research published by JBJS over the past decade, which suggests an acknowledgement in the development of research techniques and methods. INTRODUCTION The quality of research performance has improved over the past few decades. Improvements in research have helped to significantly impact our understanding, treatment, and management of diseases. As research performance
The good news is that I am done growing, which means I will stop wearing the scoliosis brace. This is a great relief to me, as the brace I wear 16 hours per day, is like a plastic corset, extremely uncomfortable and confining. The bad news is that my spinal curve has increased yet again. Now, at a 43 degree curve, I meet with a pediatric spinal surgeon. The doctor suggests I wait six more months as he monitors my advancing curve closely, and then the consideration of a spinal fusion is the next step. The fusion is a major surgery where they place two titanium rods in the upper thoracic region of my spine and fuse the affected
‘Chiropractic (Greek kheir, hand, and praktikos, practitioner) is defined as the science of treating human ailments by adjustment of the spine’ Bradbury, P. (1957). It is grounded in the principle that the
MRI of the lumbar spine obtained on 05/19/15 revealed at L2-3, endplate osteophyte formation and disc bulge contribute to a mild degree of spinal canal stenosis and a mild degree of bilateral neural foraminal compromise. At L3-4, a disc bulge eccentric leftward and endplate osteophytes formation are responsible for a mild degree of spinal canal stenosis, a mild degree of right neural foraminal encroachment, and a moderate degree of left neural foraminal encroachment. At L4-5, there is a diffuse disc bulge and endplate osteophyte formation which effaces the ventral aspects of the thecal sac and are responsible for a moderate-to-severe degree of spinal canal stenosis, a mild degree of right neural foraminal encroachment, and a severe degree of left neural foraminal encroachment. At L5-S1, a shallow disc bulge and endplate osteophyte formation contribute to a mild degree of left neural foraminal encroachment, without compromise of the spinal
The spine is one of the most important structures in the human body. The spine is located in the dorsal cavity and consists of 24 bones, called vertebrae. These vertebrae play a crucial role in protected the body’s command center, the spinal cord. But what happens when a disorder prevents the spinal column from functioning correctly? Scoliosis is a musculoskeletal disorder that causes abnormal lateral curvature of the spine and it effects millions of people in the US per year. I have chosen this disorder because I am aspiring to become a chiropractor and scoliosis is a typical condition that chiropractors help treat on a daily basis.
“Get knowledge of the spine, for this is the requisite for many diseases.” –Hippocrates, 460-377 BC. If a Greek physician could make this statement over 2300 years ago, why is it such an under-exposed theory today? As stated in Chiropractic First, written by Dr. Rondberg, a chiropractor of 35 years and founder of the “Chiropractic Journal,” Hippocrates “believed that only nature could heal and it was the physician’s duty to remove any obstruction that would prevent the body from healing” (8-9). These “physicians” are called chiropractors today, and their goal is to remove subluxations, the displacement of two or more spinal disks that causes
MRI of the cervical spine obtained on 06/26/13 showed mild degenerative spondylitic changes and status post posterior fusion.
Spine injuries hurt a lot for example your spine can pop outback this up. 2-100,000 get spine injuries.
1. An x-ray examination of the thoracic spine reveals osteopenic changes at T7. What does this mean?
Of note, previous x-rays of the lumbar spine dated 01/14/16 showed a solid fusion at L4-5 with interbody graft at L4-5 as well as pedicle screw fixation in satisfactory alignment.
Spinal cord injury is a serious problem that effects close to 250,000 people in the United States with 10,000 people being injured per year . There are many things that can lead to spinal cord injury, including athletic injuries, car accidents, and recreational activities like swimming and biking. It primarily effects those between the ages of 16 and 30 and drastically effects the rest of their lives. It is a very debilitating injury that requires extensive medical care, often leaves the patients in a great deal of pain for the rest of their lives(2), and the treatment of which costs $10 billion dollars a year in the US.(facts from site 1) With all of these factors spurring research on there is a strong drive to
The pathogenic mechanisms leading to the development of LBPP remain poorly understood. However, ongoing research is advancing the understanding on the pathophysiology and many explanations have been advocated. Studies suggest that low back pain is commonly caused by disorders of the vertebrae and intervertebral joints, back muscles and ligaments, and spinal mechanics (Porth, 2011). The lower back (lumbar) is made up of five vertebrae (L1-L5) containing fibro cartilaginous discs to prevent the vertebrae from colliding, and protecting the spinal cord. The spine is stabilised by the multifidous muscles and ligaments of the back and abdomen. Additionally, facet joints support and enable spinal movement (Hughes et al., 2012) (Salzberg, 2012). An intervertebral disc consists of a gelatinous core covered by a fibrous ring (Hughes et al., 2012). Normally, the blood vessels and nerves flows outside of the disc, however if the discs loses its ability to manage physical forces, it
Study design: The study design was conducted with three different groups of patients. The first group consisted of spinal cord injury patients, the second group were patients suffering from rheumatologic pain, and the third group were individuals suffering from some form of back pain. All participants were 18 years or older.
Depending on the severity of the curvature, different treatment methods are implemented to attack this abnormality of the spine. Although the effectiveness of using plastic back braces to deter the curvature is still to be determined, doctors still generally use this method for smaller curves. In recent years, doctors have been employing a minimally invasive surgical approach for larger curves, one that requires surgeons to only make a few small incisions along the spine, rather than the traditional two-foot incision along the spine. This technique is by far the most radical treatment since the first scoliosis surgery took place in the early 1900s.
Different imaging modalities are used for acquiring the spinal information; MRI, CT, X-ray, ultrasound and a combination of them [10]. MRI is the best for displaying intervertebral disks in spine images
Scoliosis is a complex deformity or curvature of the spine and entire torso and has been recognized clinically for centuries (Asher, Marc A.). “For a few of the patients an underlying cause can be determined, including congenital changes, secondary changes related to neuropathic or myopathic conditions, or later in life from degenerative spondylosis. However, the cause of most scoliosis is not known and since about 1922 such patients have been diagnosed as having idiopathic scoliosis (Asher, Marc A.).”