The use of lumbar extension in the evaluation and treatment of patients with acute herniated nucleus pulposus: a preliminary report
Many patients with acute herniated nucleus pulposus can be expected to resolve their conditions with conservative management. To date, however, no reliable sign has been described in the literature that can predict which patient will respond. This report shows that the ability to achieve normal lumb...
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| Veröffentlicht in: | Clinical orthopaedics and related research 1986, Vol.202 (202), p.211-218 |
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| container_title | Clinical orthopaedics and related research |
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| creator | KOPP, J. R ALEXANDER, A. H TUROCY, R. H LEVRINI, M. G LICHTMAN, D. M |
| description | Many patients with acute herniated nucleus pulposus can be expected to resolve their conditions with conservative management. To date, however, no reliable sign has been described in the literature that can predict which patient will respond. This report shows that the ability to achieve normal lumbar extension represents such a sign. Of 67 patients who met the criteria for inclusion in the study, 35 patients were treated without operation; 97% were able to achieve normal lumbar extension within three days of admission to the hospital. Thirty-two patients underwent laminotomy and discectomy because they failed to improve with conservative measures. Of these patients, only two (6%) were able to achieve normal lumbar extension preoperatively. Furthermore, some of these patients responded so dramatically to extension therapy that the use of extension exercises as a therapeutic modality is recommended. |
| doi_str_mv | 10.1097/00003086-198601000-00028 |
| format | Article |
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Furthermore, some of these patients responded so dramatically to extension therapy that the use of extension exercises as a therapeutic modality is recommended.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Back Pain - therapy</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Diseases of the spine</subject><subject>Exercise Therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Intervertebral Disc Displacement - diagnostic imaging</subject><subject>Intervertebral Disc Displacement - physiopathology</subject><subject>Intervertebral Disc Displacement - therapy</subject><subject>Lumbar Vertebrae</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Myelography</subject><subject>Physical Exertion</subject><subject>Posture</subject><subject>Retrospective Studies</subject><subject>Tomography, X-Ray Computed</subject><issn>0009-921X</issn><issn>1528-1132</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kEtv1DAUhS1UVKaFn4DkBeouxY8kjtlVFdBKldgUiV10Y99ojBwn-FFgzR_HQ4exZF_7nnNs6yOEcnbNmVbvWR2SDX3D9dAzXk9NnWJ4QXa8E0PDuRRnZFd7utGCf3tFLlL6fgi1nTgn50JL1Wm2I38e90hLQrrO1JdlgkjxV8aQ3BqoCzRXGZ_AF8iHDgRLc0TIC4Z8yGy1X7eJ_nR5T8GUjHSPMTjIaGkoxmNJdCt-W1NJHyjQLaJ3iwsQf9OI2xrza_JyBp_wzbFekq-fPj7e3jUPXz7f3948NEZymZuOsXZSWuGErVST6cSsoZuhrhbAWqWssGKae4EocGolABPays4Iy8U0yEty9XzvFtcfBVMeF5cMeg8B15JG1auuwhXVODwbTVxTijiPW3RL_fDI2XjgP_7nP574j__41-jb4xtlWtCegkfgVX931CEZ8HOEYFw62YZe9K1s5V93-pEf</recordid><startdate>1986</startdate><enddate>1986</enddate><creator>KOPP, J. 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R</creatorcontrib><creatorcontrib>ALEXANDER, A. H</creatorcontrib><creatorcontrib>TUROCY, R. H</creatorcontrib><creatorcontrib>LEVRINI, M. G</creatorcontrib><creatorcontrib>LICHTMAN, D. M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical orthopaedics and related research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KOPP, J. R</au><au>ALEXANDER, A. H</au><au>TUROCY, R. H</au><au>LEVRINI, M. G</au><au>LICHTMAN, D. 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| fulltext | fulltext |
| identifier | ISSN: 0009-921X |
| ispartof | Clinical orthopaedics and related research, 1986, Vol.202 (202), p.211-218 |
| issn | 0009-921X 1528-1132 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_76750972 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Back Pain - therapy Biological and medical sciences Diseases of the osteoarticular system Diseases of the spine Exercise Therapy Female Humans Intervertebral Disc Displacement - diagnostic imaging Intervertebral Disc Displacement - physiopathology Intervertebral Disc Displacement - therapy Lumbar Vertebrae Male Medical sciences Myelography Physical Exertion Posture Retrospective Studies Tomography, X-Ray Computed |
| title | The use of lumbar extension in the evaluation and treatment of patients with acute herniated nucleus pulposus: a preliminary report |
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