BACKGROUND: Low back pain is a major cause of referral to the Spine clinic. In the adult population 50% - 90% may present with low back pain at least once in their life time. Currently, the gold standard for diagnosin...BACKGROUND: Low back pain is a major cause of referral to the Spine clinic. In the adult population 50% - 90% may present with low back pain at least once in their life time. Currently, the gold standard for diagnosing the etiology of low back pain is MRI. The protocol at NOHE is to request MRI for patients whose clinical patterns are indicative for invasive intervention. OBJECTIVE: To determine the pattern of MRI findings in patients with low back pain attending spine clinic at NOHE. METHODS: This is a retrospective study of 60 MRI of adult patients with low back pain with clinical need for invasive intervention. The scan was carried out with A Basda BTI 0.35T MRI System using the standard protocol, with sagital and axial T1 and T2-weighted and STIR. Images were from Onis 2.5 digital co. limited. RESULT: Thirty five (58.3%) were males while 25 (41.7%) were females with majority aged between 40 - 59 years. About 90% of the images had disc prolapse while 73% had disc height reduction. The commonest cause of spinal canal stenosis was disc prolapse, thickened ligamentum flavum, spondylolisthesis and osteophytes. Six (10%) of the patient did not have any lesion on MRI. L4/5 was the commonest affected segment while 90% of abnormal cases had multilevel involvement. CONCLUSION: There is high yield of diagnosis with MRI scan among low back pain patients with clinical need for invasive intervention, hence an excellent navigating tool. L4/L5 disc level remains the commonest culprit.展开更多
目的通过Meta分析系统评价呼吸训练改善非特异性腰痛临床症状的效果。方法对中国知网、万方、维普、中国生物医学文献数据库以及PubMed、Web of Science、Cochrane Library进行检索,检索其自建库到2023年10月发表的关于呼吸训练改善非...目的通过Meta分析系统评价呼吸训练改善非特异性腰痛临床症状的效果。方法对中国知网、万方、维普、中国生物医学文献数据库以及PubMed、Web of Science、Cochrane Library进行检索,检索其自建库到2023年10月发表的关于呼吸训练改善非特异性腰痛临床症状的随机对照试验。由2名专业人员进行文献筛选、质量评价、数据提取等工作。采用Revman 5.4软件对纳入文献进行Meta分析并绘制漏斗图。采用Stata 18.0软件进行Egger检验,判断是否存在发表偏倚。结果本文共纳入15项随机对照试验,涉及850例非特异性腰痛患者。Meta分析结果显示,与常规腰痛康复训练组相比,呼吸训练组患者疼痛视觉模拟评分显著降低[MD=-0.89,95%CI(-1.19~-0.59),P<0.001]、功能障碍指数显著降低[MD=-0.70,95%CI(-0.85~-0.55),P<0.001]、日本骨科协会下背痛评分两组比较差异无统计学意义[MD=-0.37,95%CI(-1.05~0.32),P=0.30]。依据病程、单次干预时间、每日干预频次、总干预周期对疼痛视觉模拟评分进行亚组分析,提示不同病程、单次干预时间、总干预周期可能是其异质性的来源。结论呼吸训练能够提高非特异性腰痛患者的核心稳定性,较单一常规腰痛康复训练,可以更好地改善非特异性腰痛患者的疼痛和功能障碍。展开更多
文摘BACKGROUND: Low back pain is a major cause of referral to the Spine clinic. In the adult population 50% - 90% may present with low back pain at least once in their life time. Currently, the gold standard for diagnosing the etiology of low back pain is MRI. The protocol at NOHE is to request MRI for patients whose clinical patterns are indicative for invasive intervention. OBJECTIVE: To determine the pattern of MRI findings in patients with low back pain attending spine clinic at NOHE. METHODS: This is a retrospective study of 60 MRI of adult patients with low back pain with clinical need for invasive intervention. The scan was carried out with A Basda BTI 0.35T MRI System using the standard protocol, with sagital and axial T1 and T2-weighted and STIR. Images were from Onis 2.5 digital co. limited. RESULT: Thirty five (58.3%) were males while 25 (41.7%) were females with majority aged between 40 - 59 years. About 90% of the images had disc prolapse while 73% had disc height reduction. The commonest cause of spinal canal stenosis was disc prolapse, thickened ligamentum flavum, spondylolisthesis and osteophytes. Six (10%) of the patient did not have any lesion on MRI. L4/5 was the commonest affected segment while 90% of abnormal cases had multilevel involvement. CONCLUSION: There is high yield of diagnosis with MRI scan among low back pain patients with clinical need for invasive intervention, hence an excellent navigating tool. L4/L5 disc level remains the commonest culprit.
