Introduction: Low back pain is a major factor that influences both society and economy. In Hungary, 21% of the population suffers from low back pain or back pain, and six out of ten take medication for the disease. Therapy is complex and no single method has been proved effectively to treat this disease. There are four main factors associated with low back pain: the geometry of the spine, morphological degeneration, the pain of the patients associated with the degeneration and the degree of the impairment.
Aim: To investigate the relationship between the distribution of lumbar lordosis and the degeneration of intervertebral discs by mathematical analysis and its software application.
Method: Algorithmic analysis of 60 MRIs and their classification into degeneration classes using discriminant analysis.
Results: By the classification, three independent variables show significant results: the gender, the age, and the digression percentage (K), but not the gold standard Cobb-angle. The common correct predicted classification value of the classification functions is 83% and the correct predicted classification value is 92% in the most relevant serious degeneration class.
Conclusion: According to our results, the average degeneration of lumbar spine can be determined indirectly by the gender, the age, and the K (lordosis distribution) values with the Spinalyze Software which is available online for free. Orv Hetil. 2020; 161(31): 1286-1292.
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http://dx.doi.org/10.1556/650.2020.31794 | DOI Listing |
JB JS Open Access
January 2025
Department of Orthopaedic Surgery, University Hospital, Shiga University of Medical Science, Shiga, Japan.
Background: Although a certain degree of tension in bridging sutures is required for proper tendon healing following suture-bridge rotator cuff repair, excessive suture tension may be detrimental to tendon healing. This study aimed to investigate the effects of bridging suture tension on clinical outcomes and tendon healing. We hypothesized that fixed, low tension of the bridging sutures would improve the tendon healing rate and clinical outcomes compared with maximum manual tensioning.
View Article and Find Full Text PDFFoot Ankle Orthop
January 2025
University Medical Center, University of Geneva, Geneva, Switzerland.
Background: Syndesmotic instability is a significant concern in the management of unstable ankle fractures, occurring in approximately 10% to 13% of these cases. Early recognition and stabilization of syndesmotic injuries are essential to ensure optimal long-term outcomes. Several techniques are currently in use, often involving complex procedure and/or costly devices.
View Article and Find Full Text PDFWorld J Orthop
January 2025
Department of Orthopedics, The Third Medical Center, General Hospital of the Chinese People's Liberation Army, Beijing 100039, China.
Lumbar intervertebral disc degeneration is thought to be the main cause of low back pain, although the mechanisms by which it occurs and leads to pain remain unclear. In healthy adult discs, vessels and nerves are present only in the outer layer of the annulus fibrosus and in the bony endplate. Animal models, and histological and biomechanical studies have shown that annulus tear or endplate injury is the initiating factor for painful disc degeneration.
View Article and Find Full Text PDFWorld J Orthop
January 2025
Department of Orthopeadics, Featured Medical Center of Chinese People's Armed Police Forces, Tianjin 300000, China.
In healthy intervertebral discs (IVDs), nerves and blood vessels are present only in the outer annulus fibrosus, while in degenerative IVDs, a large amount of nerve and blood vessel tissue grows inward. Evidence supports that neurogenic inflammation produced by neuropeptides such as substance P and calcitonin gene related peptide released by the nociceptive nerve fibers innervating the IVDs plays a crucial role in the process of IVD degeneration. Recently, non-neuronal cells, including IVD cells and infiltrating immune cells, have emerged as important players in neurogenic inflammation.
View Article and Find Full Text PDFMod Rheumatol Case Rep
January 2025
Department of Orthopaedic Surgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Traditionally, patients with rheumatic diseases, such as rheumatoid arthritis (RA), were considered off-limits for joint-sparing surgery. In the present study, we report bilateral knee joints of psoriatic arthritis coexisting with osteoarthritis, with good, albeit short-term, results. 62-year-old woman was treated for psoriatic arthritis with a biologic (adalimumab).
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