Navigation Links
Breakthroughs in treatment of spine and back conditions
Date:3/10/2010

Approximately 21 million visits were made to physicians' offices due to back problems in 2006. While countless adults experience back pain and stiffness, many suffer from serious spine and back conditions including injury, herniated discs and the deterioration of the vertebrae. Three new studies presented at the 2010 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS) detail advances in back care and treatment options for specific back and spine conditions. Each of the following three studies consider and report on the patients' best outcomes and options:

  • Does the duration of symptoms affect outcomes in the treatment of lumbar disc herniation?
  • Treatment of Lumbar Spinal Stenosis: Who Decides to Have Surgery?
  • Balloon Kyphoplasty vs Non-surgical Care: 2 Year Outcome of a Randomized Controlled Trial

Slipped Disc: When to Seek Treatment?

Lumbar disc herniation, or a slipped disc, mainly affects adults aged 30 to 40 years and is commonly caused by degenerative changes in the spine. Typically, these changes produce symptoms gradually, beginning with pain centered in the lower back. With progression of the condition, patients may suffer from extreme back pain and that also may spread into the buttocks and down the legs.

A new study released today analyzed the effect of symptom duration when treating herniated discs in the lower back. A comparison was made between 927 patients who had intervertebral lumbar disc herniation symptoms for less than six months and 265 patients who had symptoms longer than six months. Patients with symptoms lasting longer than six months had worse outcomes after both operative and non-operative treatment than patients with shorter symptom duration.

"The bottom line is patients who seek treatment, whether it is surgical or non-surgical, during the first six months of symptoms will respond better to treatment," said Jeffrey A. Rihn, MD, study co-investigator and assistant professor, Department of Orthopaedic Surgery, Thomas Jefferson University and The Rothman Institute. "We also learned that surgery offers advantages over non-surgical treatment regardless of the duration of symptoms."

Learn more.

Spine Injury in Seniors: Is Surgery For You?

Lumbar spinal stenosis is the leading cause of spine surgery in patients over age 65. Spinal degeneration narrows the spinal canal and compresses the spinal cord and nerves. Previous studies have demonstrated the benefit of surgery over non-surgical management of this condition, however, in these studies it was unclear what were the indications for surgery and largely unknown which patients select surgery.

The study unveiled today looked at 241 patients who underwent surgery and 115 who had non-operative care. Researchers found that patients who chose surgery tended to be:

  • Younger;
  • With more pain and more disability; and
  • Felt their symptoms were progressing.

"These results help complete the evaluation and treatment algorithm for patients with spinal stenosis. The findings will enhance the shared decision-making process by aiding physicians in counseling patients to help them choose the right treatment option," explained Mark F. Kurd, MD, lead author of the study and orthopaedic surgery resident, Thomas Jefferson University and The Rothman Institute.

Learn more.

Vertebral Fractures: Surgical or Non-Surgical Care?

Vertebral compression fractures are one of the most frequent consequences of osteoporosis. They cause pain, disability and diminished quality of life. Current non-surgical treatment options involve pain medication, bed rest, physiotherapy and back bracing. However these options do not address the resulting vertebrae breakdown, height loss and other resulting problems.

Balloon kyphoplasty is a minimally invasive procedure for acute vertebral fractures that reduces and corrects the vertebral deformity by inserting expandable balloon tamps and then filling it with bone cement. In 2007, 46,000 inpatient kyphoplasty procedures were performed in the United States, according to the Nationwide Inpatient Sample, Healthcare Cost and Utilization Project coordinated by the Agency for Healthcare Research & Quality.

Results were presented today from a study of 149 patients treated with balloon kyphoplasty and 151 patients treated with non-surgical treatment. Measurements for quality of life, back pain and function, and days of disability were assessed through 24 months of follow-up. Compared to non-surgical care, balloon kyphoplasty:

  • Improved quality of life;
  • Reduced back pain and disability; and
  • Did not increase adverse events including the risk of vertebral fracture over two years.

"I have been using balloon kyphoplasty to treat patients with painful vertebral compression fractures for years so the immediate and sustained pain relief we saw in the study did not surprise me," concluded Jan Van Meirhaeghe, MD, study co-author and orthopaedic surgeon, Department of Orthopaedic Surgery, St-Jans Hospital, Brugge, Belgium and Gent University Hospital, Gent, Belgium. "But until now these decreased pain levels and significant quality of life improvement, as compared to non-surgical treatment, had not been demonstrated in a clinical trial."


'/>"/>

Contact: Lauren L. Pearson
pearson@aaos.org
847-384-4031
American Academy of Orthopaedic Surgeons
Source:Eurekalert

Related medicine news :

1. National Event Addresses Breakthroughs in Crohn's & Colitis Research: National Expert & Researcher Answers Key Questions on Interactive Webcast/Teleconference
2. Human Dental Technology Leads to Breakthroughs for Pet Dental Health at Sergeants Pet Care Products, Inc.
3. Genetix Pharmaceuticals' Adrenoleukodystrophy (ALD) Product Recognized As One of Science Magazine's Top 10 Scientific Breakthroughs of 2009
4. Biggest Medical Breakthroughs and Milestones of the Last Decade Broadcast on SIRIUS XMs Doctor Radio Channel
5. Autism Research at the Childrens Hospital of Philadelphia Is Among Time Magazines Top 10 Medical Breakthroughs
6. Breakthroughs in Eye Care Products Offer Fresh Approach for Soothing Eyes
7. Leaders from the Field of Pain Therapeutics to Discuss Latest Discoveries and Breakthroughs at Arrowhead's 3rd Annual Pain Therapeutics Summit
8. Canine Cancer #1 Fear of Dog Lovers, Web Exclusive by Morris Animal Foundation Provides News on Latest Breakthroughs - Crucial Facts for Dog Owners
9. 5,000 Medical Leaders Report Latest Advancements in Biomedical Technologies; Breakthroughs by 2015 Predicted for Alzheimer's, Heart Disease, Cancer, and Diabetes
10. Dental Convention to Highlight Latest Breakthroughs in Dentistry
11. Presidential medal for technological breakthroughs earned by 2 chemical engineering professors
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... ... that offers insurance and financial preparation services, is providing an update on a ... organization. , Rock City Rescue is a locally recognized nonprofit that provides shelter ...
(Date:10/13/2017)... ... October 13, 2017 , ... The International Association of Eating ... excellence for the field of eating disorders, announces the opening of early registration ... Orlando, Florida at the Omni Resort at ChampionsGate. , The annual ...
(Date:10/13/2017)... ... 2017 , ... Apple Rehab Shelton Lakes , which specializes in the ... facility as part of a disaster drill on October 3rd. , Apple Rehab participated ... Emergency Manager, as well as the Connecticut Long Term Care Mutual Aid Plan ...
(Date:10/13/2017)... , ... October 13, 2017 , ... Global Healthcare Management’s ... Alexandria Park in Milford, NJ. This free event, sponsored by Global Healthcare Management’s ... The fun run is geared towards children of all ages; it is a ...
(Date:10/13/2017)... ... October 13, 2017 , ... “The Journey: From the Mountains to the ... save lost souls in the Philippines. “The Journey: From the Mountains to the Mission ... of the Bible. She has taught all ages and currently teaches a class of ...
Breaking Medicine News(10 mins):
(Date:10/4/2017)... South Korea , Oct. 4, 2017  South ... its next-generation CPR training aide "cprCUBE" on Kickstarter. The ... chest compression during cardiac arrests with better efficiency compared ... It also offers real-time feedback on efficacy of the ... The crowdfunding campaign has a goal to raise $5,000. ...
(Date:10/2/2017)... -- Eli Lilly and Company (NYSE: LLY ) ... of 2017 on Tuesday, October 24, 2017. Lilly will ... the investment community and media to further detail the ... begin at 9 a.m. Eastern time. Investors, media and ... the conference call through a link that will be ...
(Date:9/28/2017)... -- Hill-Rom Holdings, Inc. (NYSE: HRC), will host its ... on Friday, November 3, 2017, beginning at 7:00 a.m. ... 8:30 a.m. (CDT) / 9:30 a.m. (EDT). ... and guidance for 2018, Hill-Rom executives will also highlight ... and long-range financial outlook through 2020. ...
Breaking Medicine Technology: