Journal of Spine

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.

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.

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.

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.

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.