Diário da Espinha

Background: The purpose of this study is to present the X-axis posture improvements in the spine in a young male with adolescent idiopathic scoliosis with occasional complaints of low back pain who was treated with posture correction.

Case presentation: A 15-year-old male presented to the clinic with occasional low back pain. They brought full spine radiographs, (AP and lateral view). Radiographs revealed a cervical kyphosis, forward head, left head tilt, straightening of thoracic kyphosis and lumbar lordosis, and a Cobb angle of 29º with left convexity in the lumbar spine. The patient was treated with ASPINE Systems®; integrating spinal manipulation, corrective exercises and spinal multidimensional traction.

Results: Re-evaluation after 60 sessions during 20 weeks showed improvements in radiographical assessments. The head tilt angle disappeared, deviation of the lower rib cage was aligned to the body’s midline and there was a reduction of the Cobb angle by 17º degrees.

Conclusion: A sizable study using more cases utilizing these protocols and procudures should be conducted to create greater medical awareness of more scoliosis treatment options.

Scoliosis is a complex spinal deformity that affects millions of individuals worldwide. Accurate classification of scoliosis is crucial for determining appropriate treatment strategies. The Lenke classification system is widely used to categorize scoliosis based on curve type, magnitude, and flexibility. However, generating comprehensive and accurate Lenke classification reports can be time-consuming and subjective. To address these challenges, researchers have proposed a novel method that leverages dual attention to space and context for automated scoliosis Lenke classification report generation. This article aims to explore this innovative approach and its potential to enhance the efficiency and reliability of scoliosis classification.

As the global population ages, understanding the factors contributing to musculoskeletal health in the elderly becomes increasingly important. Incidental non-traumatic vertebral body fractures of the lower thoracic spine are common in this population and are associated with significant morbidity and mortality. Recent research has shed light on the role of fatty degeneration of the autochthonous muscles, which are the deep spinal muscles, in the development of these fractures. This article aims to explore the association between incidental non-traumatic vertebral body fractures of the lower thoracic spine and fatty degeneration of the autochthonous muscles in elderly patients.

Cervical spine surgery is a complex procedure that carries potential risks for neurological damage due to the proximity of critical neural structures. To mitigate these risks, Intraoperative Neuromonitoring (IONM) has emerged as an invaluable tool. IONM involves real-time monitoring and assessment of neurological functions during surgery, providing surgeons with crucial information to make informed decisions and minimize postoperative complications. This article explores the indications and benefits of IONM in cervical spine surgery, highlights common issues and challenges associated with its implementation, and discusses recent advancements in the field.

Background: The lumbar spine and pelvis can be aligned in a variety of different ways. It has been demonstrated that certain lumbar morphological characteristics can affect the likelihood of developing speci ic illnesses, such as Lumbar Disc Herniation (LDH) or spondylolysis. This study's main objective was to look at the sagittal pro iles of young individuals having lumbar disc herniation surgery. Checking if a straightforward discectomy altered the sagittal features following surgery was a secondary objective.

Methods: The study comprised 16 young patients with lumbar disc herniation surgery (mean age 18.3 and 3.2 SD). Erect sagittal radiographs of the entire spine were taken prior to surgery. According to Roussouly, two experienced spinal surgeons classi ied the sagittal features. Additionally, a whole spine erect radiograph was taken three months following surgery and prospective changes in sagittal spinopelvic pro iles were assessed.

Results: The patients in the study exhibited a strong low lumbar lordosis dominance, with more than 75% of the patients having Roussouly sagittal pro iles type 1 and type 2. Examining the erect radiographs revealed that the post-operative sagittal pro ile had undergone only small, insigni icant modi ications.

Conclusion: In conclusion, this study shows that, when young patients with LDH are compared to a normal population cohort, the sagittal spinal alignment, as de ined by Roussouly, is skewed and does not appear to be changed or altered by the disc herniation condition or the surgical intervention in and of itself. The Roussouly type 1 or 2 spinal sagittal pro ile was present in the vast majority of the young LDH patients who presented for surgery, suggesting that this may be thought of as a separate risk factor for the development of LDH in this cohort.

Purpose: To present the results of a patient with low back pain, MRI confirmed disc herniation/extrusion, who underwent -Rx extension therapies with ASPINE Systems®.

Case Presentation: A 28-year-old male suffered from low back pain due to lumbar disc herniation. MRI studies revealed a hypo-lordosis with confirmed lumbar disc herniation and extrusion at the L5-S1 level. Decrease in global and segmental lumbar range of motion suggested vertebral fixations; several orthopedic and neurological tests were positive.

Results: After 42 -Rx extension treatments over a period of 12 weeks there was a reduction of a lumbar disc herniation and extrusion verified with MRI and improvements in the patient’s symptoms.

Conclusion: A patient with lumbar disc herniation/extrusion was successfully treated with ASPINE Systems® integrating spinal manipulation, strengthening spine muscles, and spinal multidimensional traction all in lumbar -Rx extension. Additional research is recommended in the treatment of lumbar disc herniation with extension therapies.