Low-intensity pulsed ultrasound is effective for progressive-stage lumbar spondylolysis with MRI high-signal change
Purpose This study aimed to investigate the treatment effects of low-intensity pulsed ultrasound (LIPUS) on progressive-stage spondylolysis. Spondylolysis is a stress fracture of the pars interarticularis. Based on the results of computed tomography, spondylolysis was classified into three categorie...
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| Veröffentlicht in: | European spine journal 2017-12, Vol.26 (12), p.3122-3128 |
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| creator | Arima, Hideyuki Suzuki, Yoshiji Togawa, Daisuke Mihara, Yuki Murata, Hideyuki Matsuyama, Yukihiro |
| description | Purpose
This study aimed to investigate the treatment effects of low-intensity pulsed ultrasound (LIPUS) on progressive-stage spondylolysis. Spondylolysis is a stress fracture of the pars interarticularis. Based on the results of computed tomography, spondylolysis was classified into three categories: early, progressive, and terminal. Bone healing was prolonged or not obtained in progressive-stage spondylolysis. The progression of spondylolysis to nonunion has been associated with an increased incidence of spondylolisthesis. To prevent these clinical conditions, achieving bony healing of the spondylolysis site should be the goal of treatment.
Methods
15 consecutive pediatric patients with progressive-stage spondylolysis (defects) with MRI high-signal change were analyzed. Nine patients were treated conservative treatment including avoidance of any sport activity and the use of a brace during treatment (conventional). Six patients were treated using LIPUS everyday during treatment in addition to conservative treatment. Approximately every 1.5 months, bone healing was evaluated via CT. Cases that retained defects after 4.5 months were defined as nonunion.
Results
Two patients dropped out during the study period. A total of 13 patients (mean 14.6 ± 2.5 years) from the database met with 19 interarticularis defects. The bone union rate in LIPUS group was significantly higher than that in conventional group (66.7 vs. 10.0%,
p
= 0.020). The treatment period to bone union was 3.8 months and 2.7 ± 0.3 months in conventional and LIPUS groups.
Conclusions
This study revealed that LIPUS treatment might be effective for bone union in patients with progressive-stage spondylolysis with MRI high-signal change.
Level of evidence
4. |
| doi_str_mv | 10.1007/s00586-017-5081-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1886346137</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1886346137</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-4b29421696dd7c0282862809ab6da94f8ca26224afd44f1f77de7adff3c199b73</originalsourceid><addsrcrecordid>eNp1kV1rFDEUhoMo7Vr7A7yRgDfeRPO1-biU4kdhRSj1OmQmyWzK7GTNmWnZ_nqzbBURvAohz_ueQx6EXjP6nlGqPwCla6MIZZqsqWHk8RlaMSk4oVbw52hFraREaWbP0UuAO0rZ2lJ1hs65EZYJQ1cINuWB5GmOE-T5gPfLCDHgZZyrh7JMAWfAMaXYz_k-4lQq3tcy1AjQ7gRmP0Q8LrvOVwz7MoXDWMYDtNBDnrf428013uZhSyAPkx9xv_XTEF-hF8m3OZdP5wX68fnT7dVXsvn-5frq44b0QvOZyI5byZmyKgTdU264UdxQ6zsVvJXJ9J4rzqVPQcrEktYhah9SEj2zttPiAr079baVfy4RZrfL0Mdx9FMsCzhmjBJSMXFE3_6D3pWltpUbZZXVa9qgRrET1dcCUGNy-5p3vh4co-5oxJ2MuGbEHY24x5Z589S8dLsY_iR-K2gAPwHQntrv1L9G_7f1F1F_mKg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1969750373</pqid></control><display><type>article</type><title>Low-intensity pulsed ultrasound is effective for progressive-stage lumbar spondylolysis with MRI high-signal change</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Arima, Hideyuki ; Suzuki, Yoshiji ; Togawa, Daisuke ; Mihara, Yuki ; Murata, Hideyuki ; Matsuyama, Yukihiro</creator><creatorcontrib>Arima, Hideyuki ; Suzuki, Yoshiji ; Togawa, Daisuke ; Mihara, Yuki ; Murata, Hideyuki ; Matsuyama, Yukihiro</creatorcontrib><description>Purpose
This study aimed to investigate the treatment effects of low-intensity pulsed ultrasound (LIPUS) on progressive-stage spondylolysis. Spondylolysis is a stress fracture of the pars interarticularis. Based on the results of computed tomography, spondylolysis was classified into three categories: early, progressive, and terminal. Bone healing was prolonged or not obtained in progressive-stage spondylolysis. The progression of spondylolysis to nonunion has been associated with an increased incidence of spondylolisthesis. To prevent these clinical conditions, achieving bony healing of the spondylolysis site should be the goal of treatment.
Methods
15 consecutive pediatric patients with progressive-stage spondylolysis (defects) with MRI high-signal change were analyzed. Nine patients were treated conservative treatment including avoidance of any sport activity and the use of a brace during treatment (conventional). Six patients were treated using LIPUS everyday during treatment in addition to conservative treatment. Approximately every 1.5 months, bone healing was evaluated via CT. Cases that retained defects after 4.5 months were defined as nonunion.
Results
Two patients dropped out during the study period. A total of 13 patients (mean 14.6 ± 2.5 years) from the database met with 19 interarticularis defects. The bone union rate in LIPUS group was significantly higher than that in conventional group (66.7 vs. 10.0%,
p
= 0.020). The treatment period to bone union was 3.8 months and 2.7 ± 0.3 months in conventional and LIPUS groups.
Conclusions
This study revealed that LIPUS treatment might be effective for bone union in patients with progressive-stage spondylolysis with MRI high-signal change.
Level of evidence
4.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-017-5081-z</identifier><identifier>PMID: 28391380</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Bone healing ; Child ; Computed tomography ; Defects ; Humans ; Lumbar Vertebrae - diagnostic imaging ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Medicine ; Medicine & Public Health ; Neurosurgery ; Nonunion ; Original Article ; Spondylolisthesis ; Spondylolysis - diagnostic imaging ; Spondylolysis - therapy ; Surgical Orthopedics ; Ultrasonic imaging ; Ultrasonic Therapy - methods ; Ultrasound</subject><ispartof>European spine journal, 2017-12, Vol.26 (12), p.3122-3128</ispartof><rights>Springer-Verlag Berlin Heidelberg 2017</rights><rights>European Spine Journal is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-4b29421696dd7c0282862809ab6da94f8ca26224afd44f1f77de7adff3c199b73</citedby><cites>FETCH-LOGICAL-c372t-4b29421696dd7c0282862809ab6da94f8ca26224afd44f1f77de7adff3c199b73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-017-5081-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-017-5081-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28391380$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arima, Hideyuki</creatorcontrib><creatorcontrib>Suzuki, Yoshiji</creatorcontrib><creatorcontrib>Togawa, Daisuke</creatorcontrib><creatorcontrib>Mihara, Yuki</creatorcontrib><creatorcontrib>Murata, Hideyuki</creatorcontrib><creatorcontrib>Matsuyama, Yukihiro</creatorcontrib><title>Low-intensity pulsed ultrasound is effective for progressive-stage lumbar spondylolysis with MRI high-signal change</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
This study aimed to investigate the treatment effects of low-intensity pulsed ultrasound (LIPUS) on progressive-stage spondylolysis. Spondylolysis is a stress fracture of the pars interarticularis. Based on the results of computed tomography, spondylolysis was classified into three categories: early, progressive, and terminal. Bone healing was prolonged or not obtained in progressive-stage spondylolysis. The progression of spondylolysis to nonunion has been associated with an increased incidence of spondylolisthesis. To prevent these clinical conditions, achieving bony healing of the spondylolysis site should be the goal of treatment.
Methods
15 consecutive pediatric patients with progressive-stage spondylolysis (defects) with MRI high-signal change were analyzed. Nine patients were treated conservative treatment including avoidance of any sport activity and the use of a brace during treatment (conventional). Six patients were treated using LIPUS everyday during treatment in addition to conservative treatment. Approximately every 1.5 months, bone healing was evaluated via CT. Cases that retained defects after 4.5 months were defined as nonunion.
Results
Two patients dropped out during the study period. A total of 13 patients (mean 14.6 ± 2.5 years) from the database met with 19 interarticularis defects. The bone union rate in LIPUS group was significantly higher than that in conventional group (66.7 vs. 10.0%,
p
= 0.020). The treatment period to bone union was 3.8 months and 2.7 ± 0.3 months in conventional and LIPUS groups.
Conclusions
This study revealed that LIPUS treatment might be effective for bone union in patients with progressive-stage spondylolysis with MRI high-signal change.
Level of evidence
4.</description><subject>Adolescent</subject><subject>Bone healing</subject><subject>Child</subject><subject>Computed tomography</subject><subject>Defects</subject><subject>Humans</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosurgery</subject><subject>Nonunion</subject><subject>Original Article</subject><subject>Spondylolisthesis</subject><subject>Spondylolysis - diagnostic imaging</subject><subject>Spondylolysis - therapy</subject><subject>Surgical Orthopedics</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonic Therapy - methods</subject><subject>Ultrasound</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kV1rFDEUhoMo7Vr7A7yRgDfeRPO1-biU4kdhRSj1OmQmyWzK7GTNmWnZ_nqzbBURvAohz_ueQx6EXjP6nlGqPwCla6MIZZqsqWHk8RlaMSk4oVbw52hFraREaWbP0UuAO0rZ2lJ1hs65EZYJQ1cINuWB5GmOE-T5gPfLCDHgZZyrh7JMAWfAMaXYz_k-4lQq3tcy1AjQ7gRmP0Q8LrvOVwz7MoXDWMYDtNBDnrf428013uZhSyAPkx9xv_XTEF-hF8m3OZdP5wX68fnT7dVXsvn-5frq44b0QvOZyI5byZmyKgTdU264UdxQ6zsVvJXJ9J4rzqVPQcrEktYhah9SEj2zttPiAr079baVfy4RZrfL0Mdx9FMsCzhmjBJSMXFE3_6D3pWltpUbZZXVa9qgRrET1dcCUGNy-5p3vh4co-5oxJ2MuGbEHY24x5Z589S8dLsY_iR-K2gAPwHQntrv1L9G_7f1F1F_mKg</recordid><startdate>20171201</startdate><enddate>20171201</enddate><creator>Arima, Hideyuki</creator><creator>Suzuki, Yoshiji</creator><creator>Togawa, Daisuke</creator><creator>Mihara, Yuki</creator><creator>Murata, Hideyuki</creator><creator>Matsuyama, Yukihiro</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20171201</creationdate><title>Low-intensity pulsed ultrasound is effective for progressive-stage lumbar spondylolysis with MRI high-signal change</title><author>Arima, Hideyuki ; Suzuki, Yoshiji ; Togawa, Daisuke ; Mihara, Yuki ; Murata, Hideyuki ; Matsuyama, Yukihiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-4b29421696dd7c0282862809ab6da94f8ca26224afd44f1f77de7adff3c199b73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Bone healing</topic><topic>Child</topic><topic>Computed tomography</topic><topic>Defects</topic><topic>Humans</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosurgery</topic><topic>Nonunion</topic><topic>Original Article</topic><topic>Spondylolisthesis</topic><topic>Spondylolysis - diagnostic imaging</topic><topic>Spondylolysis - therapy</topic><topic>Surgical Orthopedics</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonic Therapy - methods</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arima, Hideyuki</creatorcontrib><creatorcontrib>Suzuki, Yoshiji</creatorcontrib><creatorcontrib>Togawa, Daisuke</creatorcontrib><creatorcontrib>Mihara, Yuki</creatorcontrib><creatorcontrib>Murata, Hideyuki</creatorcontrib><creatorcontrib>Matsuyama, Yukihiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arima, Hideyuki</au><au>Suzuki, Yoshiji</au><au>Togawa, Daisuke</au><au>Mihara, Yuki</au><au>Murata, Hideyuki</au><au>Matsuyama, Yukihiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low-intensity pulsed ultrasound is effective for progressive-stage lumbar spondylolysis with MRI high-signal change</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2017-12-01</date><risdate>2017</risdate><volume>26</volume><issue>12</issue><spage>3122</spage><epage>3128</epage><pages>3122-3128</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
This study aimed to investigate the treatment effects of low-intensity pulsed ultrasound (LIPUS) on progressive-stage spondylolysis. Spondylolysis is a stress fracture of the pars interarticularis. Based on the results of computed tomography, spondylolysis was classified into three categories: early, progressive, and terminal. Bone healing was prolonged or not obtained in progressive-stage spondylolysis. The progression of spondylolysis to nonunion has been associated with an increased incidence of spondylolisthesis. To prevent these clinical conditions, achieving bony healing of the spondylolysis site should be the goal of treatment.
Methods
15 consecutive pediatric patients with progressive-stage spondylolysis (defects) with MRI high-signal change were analyzed. Nine patients were treated conservative treatment including avoidance of any sport activity and the use of a brace during treatment (conventional). Six patients were treated using LIPUS everyday during treatment in addition to conservative treatment. Approximately every 1.5 months, bone healing was evaluated via CT. Cases that retained defects after 4.5 months were defined as nonunion.
Results
Two patients dropped out during the study period. A total of 13 patients (mean 14.6 ± 2.5 years) from the database met with 19 interarticularis defects. The bone union rate in LIPUS group was significantly higher than that in conventional group (66.7 vs. 10.0%,
p
= 0.020). The treatment period to bone union was 3.8 months and 2.7 ± 0.3 months in conventional and LIPUS groups.
Conclusions
This study revealed that LIPUS treatment might be effective for bone union in patients with progressive-stage spondylolysis with MRI high-signal change.
Level of evidence
4.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28391380</pmid><doi>10.1007/s00586-017-5081-z</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Bone healing Child Computed tomography Defects Humans Lumbar Vertebrae - diagnostic imaging Magnetic resonance imaging Magnetic Resonance Imaging - methods Medicine Medicine & Public Health Neurosurgery Nonunion Original Article Spondylolisthesis Spondylolysis - diagnostic imaging Spondylolysis - therapy Surgical Orthopedics Ultrasonic imaging Ultrasonic Therapy - methods Ultrasound |
| title | Low-intensity pulsed ultrasound is effective for progressive-stage lumbar spondylolysis with MRI high-signal change |
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