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- 1. 小児および青年のアスリートにおける脊椎分離症および脊椎すべり症：臨床症状、画像診断、および診断 spondylolysis and spondylolisthesis in child and adolescent athletes clinical presentation imaging and diagnosis
- 2. 小児および思春期のアスリートにおける脊椎分離症および脊椎すべり症：マネージメント spondylolysis and spondylolisthesis in child and adolescent athletes management
- 3. 亜急性および慢性腰痛：外科治療 subacute and chronic low back pain surgical treatment
- 4. 小児および思春期における腰痛：原因の概要 back pain in children and adolescents overview of causes
- 5. 腰痛の運動療法 exercise based therapy for low back pain
- Lumbar lordosis.
- Been E1, Kalichman L2.Author information 1Physical Therapy Department, Zefat Academic College, Safed, Israel; Department of Anatomy and Anthropology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Electronic address: firstname.lastname@example.orgDepartment of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.AbstractLumbar lordosis is a key postural component that has interested both clinicians and researchers for many years. Despite its wide use in assessing postural abnormalities, there remain many unanswered questions regarding lumbar lordosis measurements. Therefore, in this article we reviewed different factors associated with the lordosis angle based on existing literature and determined normal values of lordosis. We reviewed more than 120 articles that measure and describe the different factors associated with the lumbar lordosis angle. Because of a variety of factors influencing the evaluation of lumbar lordosis such as how to position the patient and the number of vertebrae included in the calculation, we recommend establishing a uniform method of evaluating the lordosis angle. Based on our review, it seems that the optimal position for radiologic measurement of lordosis is standing with arms supported while shoulders are flexed at a 30° angle. There is evidence that many factors, such as age, gender, body mass index, ethnicity, and sport, may affect the lordosis angle, making it difficult to determine uniform normal values. Normal lordosis should be determined based on the specific characteristics of each individual; we therefore presented normal lordosis values for different groups/populations. There is also evidence that the lumbar lordosis angle is positively and significantly associated with spondylolysis and isthmic spondylolisthesis. However, no association has been found with other spinal degenerative features. Inconclusive evidence exists for association between lordosis and low back pain. Additional studies are needed to evaluate these associations. The optimal lordotic range remains unknown and may be related to a variety of individual factors such as weight, activity, muscular strength, and flexibility of the spine and lower extremities.
- The spine journal : official journal of the North American Spine Society.Spine J.2014 Jan 1;14(1):87-97. doi: 10.1016/j.spinee.2013.07.464. Epub 2013 Oct 2.
- Lumbar lordosis is a key postural component that has interested both clinicians and researchers for many years. Despite its wide use in assessing postural abnormalities, there remain many unanswered questions regarding lumbar lordosis measurements. Therefore, in this article we reviewed different fa
- PMID 24095099
- Spondylolysis of C-2 in children 3 years of age or younger: clinical presentation, radiographic findings, management, and outcomes with a minimum 12-month follow-up.
- Gressot LV, Vadivelu S, Hwang SW, Fulkerson DH, Luerssen TG, Jea A.Author information Division of Pediatric Neurosurgery, Texas Children's Hospital, and Department of Neurosurgery, Baylor College of Medicine, Houston, Texas;AbstractObject Cervical spondylolysis is a rare condition that results from a pars interarticularis defect. The C-6 level is the most frequently involved site in the cervical spine. Its clinical presentations range from incidental radiographic findings to neck pain and, rarely, neurological deficits. Although 150 patients with subaxial cervical spondylolysis have been reported, a mere 24 adult and pediatric patients with C-2 spondylolysis have been described. The long-term outcomes of very young children with bilateral C-2 spondylolysis are of great interest, yet only a few longitudinal studies exist. Methods The authors retrospectively reviewed 5 cases of bilateral C-2 spondylolysis at Texas Children's Hospital and Riley Children's Hospital; these were combined with 5 other cases in the literature, yielding a total of 10 patients. Data regarding the patients' age, sex, C2-3 angulation and displacement, associated spine anomalies, neurological deficits, treatment, and most recent follow-up were recorded. Results The patients' ages ranged from 3 to 36 months (mean 12.9 months). There were 6 boys and 4 girls. The C2-3 angulation, displacement, and width of pars defect were measured when available. The mean C2-3 angulation was 9.5° (range 1-34°), the mean C2-3 displacement was 4.78 mm (range 1.1-10.8 mm), and the mean width of the pars defect was 4.16 mm (range 0.9-7 mm). One patient developed myelopathy and spinal cord injury. All 10 of the patients were treated initially with conservative therapy: 3 with close observation alone, 1 with a rigid cervical collar, 4 with a Minerva jacket, 1 with a sternal-occipital-mandibular immobilizer, and 1 with a halo vest. Three patients ultimately underwent surgery for internal fixation due to progressive instability or development of neurological symptoms. All patients were neurologically intact at the last follow-up (mean 44.3 months, range 14-120 months). Conclusions Based on the literature and the authors' own experience, they conclude that most very young children with C-2 spondylolysis remain neurologically intact and maintain stability in long-term follow-up despite the bony defect. This defect is often an asymptomatic incidental finding and may be managed conservatively. More aggressive therapy including surgery is indicated for those patients with a neurological deficit from spinal cord compromise secondary to stenosis and local C-2 kyphosis, progressive deformity, or worsening C2-3 instability.
- Journal of neurosurgery. Pediatrics.J Neurosurg Pediatr.2013 Dec 20. [Epub ahead of print]
- Object Cervical spondylolysis is a rare condition that results from a pars interarticularis defect. The C-6 level is the most frequently involved site in the cervical spine. Its clinical presentations range from incidental radiographic findings to neck pain and, rarely, neurological deficits. Althou
- PMID 24359209
- Prevalence of neuropathic pain in cases with chronic pain related to spinal disorders.
- Yamashita T, Takahashi K, Yonenobu K, Kikuchi SI.Author information Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, 060-8543, Japan, email@example.com.AbstractBACKGROUND: The incidence and characteristics of neuropathic pain associated with spinal disorders have not yet been fully clarified. The purpose of this study was to investigate the prevalence of neuropathic pain and the degree of deterioration of quality of life (QOL) in patients with chronic pain associated with spinal disorders who visited orthopedic outpatient clinics.
- Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association.J Orthop Sci.2013 Dec 5. [Epub ahead of print]
- BACKGROUND: The incidence and characteristics of neuropathic pain associated with spinal disorders have not yet been fully clarified. The purpose of this study was to investigate the prevalence of neuropathic pain and the degree of deterioration of quality of life (QOL) in patients with chronic pain
- PMID 24306580
- 兼子 秀人,村上 元庸,西澤 和也
- 整形外科 = Orthopedic surgery 64(10), 1047-1051, 2013-09
- NAID 40019789445
- 腰痛治療の最前線 (特集 生活の質(QOL : Quality of life)を高める医療最前線 : 難治な病気に光明が見えた!)
- 西良 浩一
- 四国医学雑誌 = Shikoku acta medica 69(1・2), 7-16, 2013-04-25
- NAID 40019735691
- 有馬 秀幸,長谷川 智彦,大和 雄 [他]
- 静岡整形外科医学雑誌 6(1), 19-22, 2013
- NAID 40019734723
- Rehabilitation  The most notable non-surgical rehabilitation procedure done with an individual with spondylolysis is Physical Therapy. Therapy usually ranges from 3 to 6 months depending on the status of the injury. The main ...
- The most common cause of low back pain in adolescent athletes that can be seen on X-ray is a stress fracture in one of the bones (vertebrae) that make up the spinal column. Technically, this condition is called spondylolysis (spon ...
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