Incidence of spinal instability among patients with discogenic low back pain          with different backgrounds

Takahashi, Makoto; Kuzuyama, Motoki; Inami, Hiroshi; Matsumoto, Yuto; Ueda, Shinji; Miyauchi, Yukio

doi:10.1589/jpts.33.601

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…Microsubluxation leads to pathoantomical changes of facet joints such as facet hypertrophy, capsular contracture and hypertrophy, increase stiffness of spinal segment and subsequent muscular contracture of the spinal segment [ 4 ]. There is an increase incidence of spinal instability among patients with discogenic lower back pain [ 96 ]. The decrease in disc height also leads to buckling of ligamentum flavum into spinal canal secondary to disc generation is a leading cause of ligamentum flavum hypertrophy [ 5 ].…”

Section: Pathogenesis Of Lower Back Painmentioning

confidence: 99%

Narrative Review of Pathophysiology and Endoscopic Management of Basivertebral and Sinuvertebral Neuropathy for Chronic Back Pain

Kim¹,

Wu²,

Jang³

2023

J Korean Neurosurg Soc

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Chronic lower back pain is a leading cause of disability in musculoskeletal system. Degenerative disc disease is one of the main contributing factor of chronic back pain in the aging population in the world. It is postulated that sinuvertebral nerve and basivertebral nerve main mediator of the nociceptive response in degenerative disc disease as a result of neurotization of sinuvertebral and basivertebral nerve. A review in literature is done on the pathoanatomy, pathophysiology and pain generation pathway in degenerative disc disease and chronic back pain and management strategy is discussed in this review to aid understanding of sinuvertebral and basivertebral neuropathy treatment strategies.

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Section: Pathogenesis Of Lower Back Painmentioning

confidence: 99%

Narrative Review of Pathophysiology and Endoscopic Management of Basivertebral and Sinuvertebral Neuropathy for Chronic Back Pain

Kim¹,

Wu²,

Jang³

2023

J Korean Neurosurg Soc

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“…Back pain is one of the most prevalent symptoms in the worldwide population and one of the top drivers of health costs [1]. Back pain can be caused by structural spinal disorders, which are often treated by spinal stabilization.…”

Section: Introductionmentioning

confidence: 99%

Robot-assisted ultrasound reconstruction for spine surgery: from bench-top to pre-clinical study

Davoodi

Cai

et al. 2023

Int J CARS

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Robot-assisted ultrasound (rUS) systems have already been used to provide non-radiative three-dimensional (3D) reconstructions that form the basis for guiding spine surgical procedures. Despite promising studies on this technology, there are few studies that offer insight into the robustness and generality Robot-assisted US reconstruction for Spine Surgery of the approach by verifying performance in various testing scenarios. Therefore, this study aims at providing an assessment of a rUS system, with technical details from experiments starting at the bench-top to the pre-clinical study. Methods: A semi-automatic control strategy was proposed to ensure continuous and smooth robotic scanning. Next, a U-Net based segmentation approach was developed to automatically process the anatomic features and derive a high quality 3D US reconstruction. Experiments were conducted on synthetic phantoms and human cadavers to validate the proposed approach. Results: Average deviations of scanning force were found of 2.84 ± 0.45 N on synthetic phantoms and of 5.64 ± 1.10 N on human cadavers. The anatomic features could be reliably reconstructed at mean accuracy of 1.28 ± 0.87 mm for the synthetic phantoms and of 1.74 ± 0.89 mm for the human cadavers. Conclusion:The results and experiments demonstrate the feasibility of the proposed system in a pre-clinical setting. This work is complementary to previous work, encouraging further exploration of the potential of this technology in in-vivo studies.

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“…Spine disease is a common cause of low back pain, which is a worldwide health problem among ageing adults [1], [2]. Before the conditions become too severe, surgical interventions with a minimal incision could be considered to alleviate the pain and recover neurological functionality.…”

Section: Introductionmentioning

confidence: 99%

Robot-assisted Ultrasound Reconstruction for Minimally Invasive Spine Surgery: from Bench-top to Pre-clinical Study

Li¹

2022

Preprint

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<p>Objective: Robot-assisted ultrasound (US) system could potentially provide a non-radiative three-dimensional (3D) reconstruction for minimally invasive spine surgery. Despite promising studies on this technology, few researchers provide a comprehensive analysis with technical details. The performance is only showcased in one specific experimental setting without offering insight into robustness and generality of the approach by e.g. verifying performance in various testing scenarios. This limitation impedes the translation of this technology toward clinical practice. Therefore, this study provides a comprehensive assessment of the performance of robot-assisted US system. This study provides all essential technical details from experiments starting at the bench-top up to pre-clinical study. Methods: A hybrid control strategy was proposed to ensure continuous and smooth scanning, while a U-Net based US reconstruction framework was utilized to process the anatomic features automatically. Experiments were conducted on two synthetic spine phantoms and two ex-vivo cadavers. Results: The average deviation of scanning force was 2.84 ± 0.45 N on the synthetic phantom and 5.64 ± 1.10 N on the ex-vivo cadaver. The reconstruction yielded a mean 3D representation error of 1.28 ± 0.87 mm and 1.74 ± 0.89 mm for the synthetic and cadaveric experiments, respectively. Conclusion: The experiments indicated the proposed robot-assisted US system is feasible for relatively independent experiment settings, varying from laboratory experiments to pre-clinical studies. Significance: The developed system offers an improved understanding of the potential for this technology and paves the way for deploying the robotic US system towards in-vivo clinical study.</p>

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Incidence of spinal instability among patients with discogenic low back pain with different backgrounds

Cited by 4 publications

References 12 publications

Narrative Review of Pathophysiology and Endoscopic Management of Basivertebral and Sinuvertebral Neuropathy for Chronic Back Pain

Narrative Review of Pathophysiology and Endoscopic Management of Basivertebral and Sinuvertebral Neuropathy for Chronic Back Pain

Robot-assisted ultrasound reconstruction for spine surgery: from bench-top to pre-clinical study

Robot-assisted Ultrasound Reconstruction for Minimally Invasive Spine Surgery: from Bench-top to Pre-clinical Study

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