12, 1 November 2013 | RadioGraphics, Vol. 27, No. 12, No. 3, No. 4, Journal of Korean Neurosurgical Society, Vol. 27, No. 30, 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? 22, No. What are the comparative radiologic and procedural outcomes of single versus multiple transpsoas fusions during DLIF in patients requiring surgery for spinal instability? 2007;245(1):62-77. 35, No. 9, No. Cross-sectional study of 880 outpatients with low back and/or leg pain regarding age distribution of three radiologic factors.Objectives. 30, No. and Accuracy of the clinical examination to predict radiographic instability of the lumbar spine. Age distribution of three radiologic factors for lumbar instability: probable aging process of the instability with disc degeneration. 197, No. 69, No. 8, 1 December 2012 | Asian Journal of Sports Medicine, Vol. 24, No. Dedicated images with sagittal and coronal reformat or derived from TAP scan. 1, International Orthopaedics, Vol. RRL * CT thoracic or lumbar spine without contrast. 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. https://doi.org/10.1053/j.semss.2005.10.002. 22, No. 12, Journal of Spinal Disorders & Techniques, Vol. 2001;39(1):55-71, v-vi. 1, Journal of Evolution of Medical and Dental Sciences, Vol. 15, No. Siemund R, Thurnher M, Sundgren PC. 2013, Advances in Bioscience and Biotechnology, Vol. 11, 29 November 2011 | Clinical Orthopaedics and Related Research®, Vol. 117, No. The finding that radiological instability was highest at the L 4–5 segment is similar to the findings of other studies. 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). 23, No. 9, Magnetic Resonance Imaging Clinics of North America, Vol. 8, Magnetic Resonance Imaging Clinics of North America, Vol. 9, Journal of Korean Society of Spine Surgery, Vol. 29, No. 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. Summary of Background Data. 31, No. 10, Journal of Clinical Neuroscience, Vol. 80, No. 11, Journal of the American Academy of Physician Assistants, Vol. ABSTRACT : An attempt was made to define more precisely the notion of spine instability in lumbar spondylolisthesis. 1, Journal of Neurosurgery: Spine, Vol. Copyright © 2020 Elsevier B.V. or its licensors or contributors. 4, Journal of Back and Musculoskeletal Rehabilitation, Vol. 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. Pain immediately upon sitting down and relieved by standing up is often associated with radiologic lumbar instability or marked anterior loss of disc space 40, No. 2, Rheumatic Disease Clinics of North America, Vol. Lumbar spinal segmental instability is frequently cited as a cause of low backache but its clinical symptoms and signs are non-specific. This is a more complex procedure in relation to the simpel decompression preformed without instability for spinal stenosis. 8, No. 7, 28 August 2013 | Sports Health: A Multidisciplinary Approach, Vol. 6, European Journal of Radiology, Vol. The best diagnostic methods and the most efficacious treatment approaches are … At present, much controversy exists regarding the proper definition of the condition, the best diagnostic methods, and the most efficacious treatment approaches. To investigate the proportion and relationship of three individual radiologic factors with age on segmental instability in sagittal plane in consecu Australian Journal of Physiotherapy37: 171-173. Crossref Medline Google Scholar; 23. 20, No. 9. An Updated Review, Unilateral pedicle screw fixation through a tubular retractor via the Wiltse approach compared with conventional bilateral pedicle screw fixation for single-segment degenerative lumbar instability: a prospective randomized study, Injectable, High Modulus, And Fatigue Resistant Composite Scaffold for Load-Bearing Soft Tissue Regeneration, Traumatic Thoracolumbar Spine Injuries: What the Spine Surgeon Wants to Know, Core Stabilization Exercise Prescription, Part I, Spinal Deformity in Aged Zebrafish Is Accompanied by Degenerative Changes to Their Vertebrae that Resemble Osteoarthritis, Association of Benign Joint Hypermobility With Spinal Segmental Motion and Its Clinical Implication in Active Young Males. MSc. Sequestrectomy With Additional Transpedicular Dynamic Stabilization for the Treatment of Lumbar Disc Herniation, Biomechanics of the spine. 7, No. The term ‘instability’ has crept into the literature on low back pain as a diagnostic entity. 4, No. 10, Journal of Medical Sciences, Vol. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. 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 … This instability is diagnosed using diagnostic imaging. 15, 25 August 2018 | Current Pain and Headache Reports, Vol. Rating. Clinical presentation is not specific, and the relationship between radiologic evidence of instability and its symptoms is controversial. 14, No. 04, World Journal of Orthopedics, Vol. 27, No. 24, No. Because of its simplicity, … 5, 21 April 2011 | European Spine Journal, Vol. 1, American Journal of Physical Medicine & Rehabilitation, Vol. Which factors prognosticate spinal instability following lumbar laminectomy? Radiologic assessment of lumbar intervertebral instability and degenerative spondylolisthesis. Radiographic evaluation of ventral instability in lumbar spondylolisthesis: do we need extension radiographs in routine exams? 2, Chiropractic & Manual Therapies, Vol. 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. 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. 11, Journal of Orthopaedic & Sports Physical Therapy, Vol. 04, No. Andrews FJ: Lumbar :;egmental instability: Manual assessment findings supported by rad iological measurement (A case study). 8, Chinese Neurosurgical Journal, Vol. 38, No. 4, No. 3, Medical Engineering & Physics, Vol. 45, No. 11, Clinical Orthopaedics & Related Research, Vol. Lumbar Spinal Stenosis: Who Should Be Fused? 6, Journal of Bodywork and Movement Therapies, Vol. Instability of the lumbar spine, however, remains a poorly understood subject. 2, 4 August 2013 | European Spine Journal, Vol. 3, 21 May 2016 | Neuroradiology, Vol. 36, No. MRI thoracic or lumbar spine without contrast. Clinical presentation is not specific, and the relationship between radiologic evidence of instability and its symptoms is controversial. 2, Journal of Clinical Medicine, Vol. Overt instability generally requires stabilization either by external or internal means. 4, 10 April 2012 | European Spine Journal, Vol. 4, Journal of Womenʼs Health Physical Therapy, 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, … 3, No. A lumbar motion segment is considered to be unstable when it exhibits abnormal movement. 46, No. aco66100@par.odn.ne.jp 50, Journal of Back and Musculoskeletal Rehabilitation, Vol. 33, No. 2, 17 March 2012 | European Spine Journal, Vol. 4, 1 December 2012 | Neurosurgical Review, Vol. The American Academy of Orthopaedics Surgeons state: ‘Segmental instability is an abnormal response to applied loads, characterized by motion in motion … Lumbar instability can be classified into two types: radiological and clinical. 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