san francisco spine stabilization program

San francisco spine stabilization program zip#

Each scale is transformed into a 0-100 scale. The Short Form (36) Health Survey (SF-36) is a patient reported questionnaire that includes eight scaled scores.

In the Oswestry Disability Index (ODI), 0 points indicates no disability and 100 points indicates the worst possible disability.ĥ.) Short Form (36) Health Survey (SF-36) In VAS, pain is evaluated on a 100 mm scale, ranging from 0 mm of “no pain” to 100 mm of “the worst pain imaginable.” The Modified Roland Disability Questionnaire for sciatica (MRDQ) has 23 points, with higher scores indicating more disability. A satisfied patient has a satisfaction score of less than 2.5Ģ.) The Modified Roland Disability Questionnaire for Sciatica (MRDQ) The Zurich Claudication Questionnaire (ZCQ) has three subscales: symptom severity with a range of 1 to 5, physical function with a range of 1 to 4, and patient satisfaction with a range of 1 to 4. Questionnaire or Swiss Spinal Stenosis Questionnaire The most commonly used outcome measurements include:ġ.) Zurich Claudication Questionnaire (ZCQ), also called the Brigham Spinal Stenosis There are different outcome scales to evaluate neurological and functional status of patients with neurogenic claudication.

San francisco spine stabilization program zip#

Zip Mis Interspinous Fusion System (Aurora Spine, US) Neurological and Functional Outcome Measurements Interbridge Interspinous Posterior Fixation System (LDR Spine, Zimmer Biomet, US) There are now dynamic or static interspinous process devices, and interspinous process fusion devices. Increasing number of interspinous process devices (IPD) have been introduced as an alternative to standard lumbar spine surgeries. In a study, Guehring et al also showed that IPD devices lower intradiscal pressure. By distracting the spinous processes and restricting extension, the IPD devices unload the facet joints and restore neuroforaminal and central canal size. For these reasons, IPD is especially attractive and suitable for patients with multiple comorbidities, though results are better in those under 70. The IPD procedure is also reversible and allows further surgical treatment if necessary. Usually the hospital stay and rehabilitation are shorter. The IPD surgery is minimally invasive, and the bony structures and soft tissues are left intact. The advantages of IPD compared to standard surgical decompression include the option of local anesthesia as well as the reduced risks of nerve injury, epidural fibrosis, and spinal fluid leakage.

Candidates for IPD are individuals who get relief when they flex (sit and bend forward) and experience worsening of symptoms when their spine is extended (standing and walking). Interspinous process devices (IPD) have been developed to achieve indirect decompression by limiting lumbar extension of the abnormal joint and enlarging the spinal canal and neuroforamen. For severe symptoms, surgical decompression include laminotomy, laminectomy, endoscopic decompression, or other minimally invasive decompressive techniques. Treatments include physical therapy and steroid epidural injections. Often, these symptoms are relieved by forward flexion of the spine.ĭegenerative spine conditions, especially spinal stenosis, are becoming more common with the increasingly aging population. The most significant symptoms include leg pain and numbness. Neurogenic claudication is a complex of symptoms resulting from lumbar spinal stenosis (narrowing of nerve passageways). Spondylolisthesis contributes to further narrowing of the spinal canal and neuroforamen. In the neuroforamen, compression of the exiting nerve root can occur. In the subarticular zone, traversing nerve root is compressed.

These degenerative changes reduce the area of the canal for the passage of the nerves.Ĭall Today to Schedule an Appointment Today The facet joints assume a larger load, leading to facet arthrosis, osteophyte formation, and even facet cysts. The underlying pathologies include thickened lamina, hypertrophied ligamentum flavum, spondylolisthesis (slippage of one vertebra forward over the vertebra below), disc bulge, facet arthrosis and congenital narrowing of the spinal canal.Īs the disc degenerates and dehydrates, the disc space collapses, leading to annular bulging and infolding of the ligamentum flavum. Spinal stenosis is a narrowing of the spinal canal causing compression of neutral structures and/or their blood supply. Stephanie Hsu, BA, James Zucherman Md Interspinous Process Device Introduction