New classification 3 columns theory of lumbar degenerative cascade (literature review)
Journal Title: Orthopaedics, Traumatology and Prosthetics - Year 2018, Vol 610, Issue 1
Abstract
Lumbar degeneration is a pathologic condition in the aging spine that changes the bio-mechanic construct of the lumbar mobile segment either single or multi-levels, leading to low back pain syndrome and lead to a deformity/de novo scoliosis. The generally well accepted theory of lumbar degeneration was published by Kirkaldy-Willis, et all (1978), and clearly described the pathologic cascade of lumbar mobile segment, but only involve 2 columns: the anterior column (disc) and middle column (posterior joint/ facet). The posterior column degenerative cascade was published by Christian Ingerslev Baastrup (1933). He described about the pathologic changes on spinous processes of lumbar vertebrae and the soft tissues in between them, which was then known as Baastrup’s disease or Kissing Spine. Lacking off to understand the etiology due to a limitation of studies in histologic and radiographic changes at that time, then this theory was forgotten in the clinical practice until the recent Bristol and Auckland study, which were published in European Spine Journal (2012). Their study describes clearly the pathologic cascade of the posterior column that contributing the lumbar degeneration. Based on this 3 columns theory of lumbar degenerative cascade, then a new classification is designed to describe detail of bio-mechanic change in the anterior, middle and posterior column leading to low back pain syndrome and deformity. The justification of surgical treatment to fix and reconstruct the bio-mechanic changes of the 3 columns of lumbar mobile segment could be based on this new classification.
Authors and Affiliations
Bambang Darwono, Volodymyr Radchenko
Keywords
Related Articles
- EP ID EP570096
- DOI 10.15674/0030-59872018196-104
- Views 199
- Downloads 0
Stress-strain state of proximal femur after joint arthoroplasty with neck defect conditions at the minor trochanter level with different stem types
In the primary hip arthroplasty, the metaphyseal fixation type stems have proved to be very useful, allowing the stability of the fixation and the diaphyseal section of the femur to remain stable for future revision surg...
Hyaluronic acid drugs in the treatment of joint pathology (literature review) [Препарати гіалуронової кислоти в лікуванні патології опорно-рухової системи (огляд літератури)]
On the base of literature review the possibility of hyaluronic acid application in the treatment of patients with arthritis and diseases of joint adjacent tissues was assessed. hyaluronic acid is important component of j...
Histological analysis of vertebral disc herniations in patients with different age groups [Гістологічний аналіз гриж міжхребцевих дисків пацієнтів різних вікових груп]
Studying of degenerative changes in the structure of vertebral discs and peculiarities of microscopic organization in patients with different age groups gives us possibility to connect pathomorphological changes with cli...
Functional spine analysis at surgical treatment of burst fractures of thoracic and lumbar spine [Аналіз функціонального стану хребта за умов хірургічного лікування вибухових переломів грудного та поперекового відділів]
Burst fracture — is traumatic injury under the influence of high-energy axial compression which results multifragmentary vertebrae fracture with penetration of bone fragments into spine canal and paravertebral tissues. O...
Surgical treatment of patients with ankle joint fracture and damage of syndesmosis [Хірургічне лікування пацієнтів із переломами кісточок гомілки та ушкодженням синдесмозу]
Treatment of unstable ankle joint fractures with damage of syndesmosis is one of important problems in modern traumatology practice. Objective: to evaluate the results of surgical treatment of patients with ankle joint f...