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The X STOP is the fi rst Interspinous Process
Decompression (IPD) device that is proven to be
superior to non-operative therapy in patients with
neurogenic intermittent claudication secondary
to lumbar spinal stenosis (LSS) in a multicenter
randomized study at 1 and 2 years. The clinical
success rate in the X STOP IPD group was comparable
to that reported for laminectomy. The goal of
the current study was to compare the clinical
effectiveness and direct hospital costs of IPD with the
X STOP implant to those of laminectomy in patients
with LSS.
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With the recent FDA Approval of the CHARITE Artificial Disc, and
ongoing studies with a number of other artificial disc designs nearing
completion, artificial disc replacement is fast becoming the leading
edge of spinal surgery, an area that spine surgeons and patients
alike are eagerly embracing. The anterior approach to the spine has
been used for many years for fusions and subsequent redo operations,
`and the complications of these operations are well known to spine
and access surgeons. Artificial Disc replacement is a new technique
that is just beginning to be performed more widely, and the number
of revision or redo surgeries for these discs is small at this time.
There is little doubt however that these numbers will soon be increasing,
and judging from early evaluation of these cases, it may be that
re-operating on total discs may present its own unique challenges
separate from routine fusion cases.
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The FlexiCoreŽ Intervertebral Disc is indicated for the treatment of discogenic pain unresponsive to conservative treatment associated with degenerative disc disease (DDD).
Read more about FlexiCore® |
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Neurogenic intermittent claudication (NIC) secondary to lumbar spinal stenosis (LSS) is a posture-dependent complaint and it typically affects patients at the age of 50 years or older. NIC is defined as pain or numbness in the buttocks, thighs, and/or lower legs caused by decrease of the spinal canal area and brought on by either prolonged standing or exercise in the erect posture. The symptom is typically relieved by various manoeuvres that flex the lumbar spine, which increases the spinal canal area significantly
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One of our featured articles: Pain is a complicated condition stemming from mechanical and psychological stresses to nutritional and metabolic inadequacies. In the process of addressing the phenomenon of muscle pain, it is vital that the gestalt of a person's pain syndrome be taken into consideration.
Read more from A Brief Review of Pain Literature |
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This series is of historical interest as it represents the initial experience (outside of Dr. Steffee the inventor) with pedicle screw fixation to help fusions take in the early 1980's. The instrumentation has evolved alot since then and the complication rate has improved also as the techniques have been further perfected.
Read more about Clinical Efficacy of Spinal Instrumentation in Lumbar Degenerative Disc Disease |
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Although this article is for professionals it is of interest to any of you who have had spinal surgery that are not doing well or have had a spinal infection.
Learn more about Occult Infections Causing Persistent Low-Back Pain |
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This is a paper of interest to surgeons or anyone considering or who have had a spinal fusion especialy with a metallic fuion cage.
Find out more information about Fusion Rate and Disc Height in Interbody Cage Fusions |
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The discogram is still a poorly understood procedure but the only test that may tell the Specialist where the pain in the spine is coming from. Sometimes apparently minor abnormalities may cause alot of disability such as these endplate fractures which are not commonly considered a source of pain.
Read more about Painful Lumbar End-Plate Disruptions |
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Sexuality is an integral part of normal and healthy relationships. It need not be the first thing abandoned when you are bothered by a flare-up of your neck or back pain.
Learn more about Sex and the Back... |
