Entries by Lori Klink

Do Former Smokers Exhibit a Distinct Profile Before and After Lumbar Spine Surgery?

Spine Jun 2017 Jazini E et al RESULTS:Of 1187 eligible cases, 843 (71%) had complete data, with 477 Never, 250 Former, and 116 Current smokers. Among patients who had a fusion, baseline and 12-month post-op PROs were significantly different between cohorts, with Former smokers having intermediate scores between Current and Never smokers. In the decompression only […]

Why Lumbar Artificial Disk Replacements (LADRs) Fail.

Clin surg 2017 Pettie et al MATERIALS AND METHODS:Every patient undergoing ADR at 1 IDE site by 2 surgeons was evaluated for clinical success. Failure was defined as <50% improvement in ODI and VAS or any additional surgery at index or adjacent spine motion segment. Three ADRs were evaluated: Maverick, 25 patients; Charité, 31 patients; and […]

Do manual therapies help low back pain? A comparative effectiveness meta-analysis.

Spine April 2014. Menke M.STUDY DESIGN:Meta-analysis methodology was extended to derive comparative effectiveness information on spinal manipulation for low back pain.RESULTS:Of 84% acute pain variance, 81% was from nonspecific factors and 3% from treatment. No treatment for acute pain exceeded sham’s effectiveness. Most acute results were within 95% confidence that predicted by natural history alone. […]

Intermittent cervical traction for neck pain: meta-analysis of recent RCTs.

Yang et al. Spine; July 2017. These RCTs suggest significantly lower post-traction pain scores vs. patients getting placebo interventions. Short-term benefits are noted however significant differences on longer term follow up did not differ dramatically. It is noted further, less biased studies are necessary to draw firm conclusions of long-term benefits.It’s important to note that ‘encouragement, […]

Decompression Versus Decompression and Fusion for Degenerative Lumbar Stenosis in a Workers’ Compensation Setting

Tye, Erik Y. BA*,†; Anderson, Joshua MD‡ et al Spine July 2017 Objective. The aim of this study was to compare outcomes in Workers’ compensation (WC) subjects receiving decompression alone versus decompression and fusion for the indication of degenerative spinal stenosis (DLS) without deformity or instability.Summary of Background Data. The use of a fusion procedure during […]

Evidence for a role of nerve injury in painful intervertebral disc degeneration: A cross-sectional proteomic analysis of human cerebrospinal fluid.

Kim TKY et al Spine 2017AbstractIntervertebral disc degeneration (DD) is a cause of low back pain (LBP) in some individuals. However, while >30% of adults have DD, LBP only develops in a subset of individuals. To gain insight into the mechanisms underlying non-painful versus painful DD, human cerebrospinal fluid (CSF) protein expression was examined.PERSPECTIVE:Cerebrospinal fluid […]

ATI’s and non-celiac gluten sensitivity

The study investigated a relationship between the presence of chronic health conditions outside the bowel and the contribution of a family of protiens found in wheat called amylase-trypsin inhibitors(ATI’s). ATI’s make up about 4% of wheat protiens. Past studies focused on Gluten and its effects on digestive health this research casts a light on the […]

Relationship between Active Trigger Points and head/neck posture and migraine.

Ferracini GN et al Am J Phys Med Rehab. Nov;95 2016.The study investigated a relationship between the presence of active trigger points (TrPs) craniocervical posture and clinical features in patients with migraine. Patient postural assessments and radiographs were analyzed for head and neck posture. The results showed patients with migraine had active or latent TrPs […]

Lumbar disc herniation and cauda equine syndrome following spinal manipulative therapy.

Boucher P, Robidoux S. J Forensic Legal Med. Feb. 2014.This interesting review of (6) Canadian court cases where Chiropractors were sued for allegedly causing a lumbar disc herniation after spinal manipulation. The highlights of the cases were:1. Informed consent is an ongoing process and can’t be entirely delegated to office personnel.2. When patient history reveals […]

Diagnosiing discogenic LBP associated with DDD using a medical interview.

Tonosu J et al PLoS One Nov. 2016.This research project sought to find the specificity and sensitivity of a series of (5) clinician questions associated with disc-related back pain whose responses may indicate a likelihood of discogenic pain.These constitute a support-tool from which clinicians can better assess the target-area generating the patients’ symptoms:1. Experience pain […]