Low Back Pain Pathogenesis and Treatment

Development and Clinical Evaluation of Bioactive Implant for Interbody Fusion in the Treatment of Degenerative Lumbar Spine Disease (Low Back Pain) (Surgical Treatment) Part 2

Experimental development of bioactive titanium in forms by LASAK The LASAK Company developed bioactive titanium with original surface modification at the end of the 1990s. Due to the limitations of the glass-ceramic implant mentioned above, we have been developing a new type of implant combining bioactive properties and higher mechanical resistance in cooperation with LASAK […]

Development and Clinical Evaluation of Bioactive Implant for Interbody Fusion in the Treatment of Degenerative Lumbar Spine Disease (Low Back Pain) (Surgical Treatment) Part 3

Assessment of bioactivity of the implant using SPECT-CT During our investigations, we attempted to demonstrate the migration of bone cells along the surfaces of the glass-ceramic or biotitanium implants using imaging investigations. Unfortunately, standard CT or MRI were not able to provide this precise information. The CT scans were limited by screw artefacts, and the […]

Surgical Management of Low Back Pain and Degenerative Spinal Disorders (Surgical Treatment) Part 1

Introduction Low back pain is the second most common reason to seek a physician in the United States, third most common reason for a surgical procedure, and fifth most common cause for hospitalization (Andersson, 1997). The lifetime prevalence of low back pain is predicted to range from 60 to 80 percent (Hart, 1995; Van Tulder, […]

Surgical Management of Low Back Pain and Degenerative Spinal Disorders (Surgical Treatment) Part 2

Clinical diagnosis While axial back pain is common in scoliosis, Smith et al (2008) showed that neurological symptoms and deficits are also frequently found in these patients. The incidences of back pain and radiculopathy were found to be 99 percent and 85 percent, respectively. Neurogenic symptoms typically arise from the concave side of the curve […]

Surgical Management of Low Back Pain and Degenerative Spinal Disorders (Surgical Treatment) Part 3

Surgical methods Surgical treatment for degenerative lumbar conditions causing axial low back pain can be considered in two broad categories: fusion procedures and motion-preservation techniques. For stable conditions causing low back pain, fusing two vertebrae together will eliminate the pain arising from their articulation. In an attempt to preserve motion, like in the hip or […]

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