Scientific basis for the treatment of low back pain
Disc degeneration causes back pain because the function of the disc as a load transferring structure is abnormal, producing abnormal patterns of load which cause pain. Fusion has been unpredictable because it only fortuitously addresses loading. A fusion may be in such a position that it takes load...
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| Veröffentlicht in: | Annals of the Royal College of Surgeons of England 2007-10, Vol.89 (7), p.677-681 |
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| container_title | Annals of the Royal College of Surgeons of England |
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| creator | Mulholland, R C |
| description | Disc degeneration causes back pain because the function of the disc as a load transferring structure is abnormal, producing abnormal patterns of load which cause pain. Fusion has been unpredictable because it only fortuitously addresses loading. A fusion may be in such a position that it takes load from the disc, and this may be reflected in the way the fusion models, demonstrating a weight bearing pattern, but this is unpredictable. Recognition that we are dealing with a problem of load transfer allows us to design any surgical implant to solve this problem, without stopping movement. |
| doi_str_mv | 10.1308/003588407X205549 |
| format | Article |
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Fusion has been unpredictable because it only fortuitously addresses loading. A fusion may be in such a position that it takes load from the disc, and this may be reflected in the way the fusion models, demonstrating a weight bearing pattern, but this is unpredictable. 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| identifier | ISSN: 0035-8843 |
| ispartof | Annals of the Royal College of Surgeons of England, 2007-10, Vol.89 (7), p.677-681 |
| issn | 0035-8843 1478-7083 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Artificial Organs Back pain Humans Hunterian Lecture Intervertebral Disc Load Low Back Pain - etiology Low Back Pain - therapy Mechanics Patients Prosthesis Design Spinal Diseases - complications Spinal Fusion - methods Stress measurement Stress, Mechanical Studies Surgeons Surgery Vertebrae |
| title | Scientific basis for the treatment of low back pain |
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