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Postural instability after lumbar spinal surgery:are there any predictive factors? A case control study

Chinese Neurosurgical Journal 2019年第1期5卷 1-5页

作者： domenico chirchiglia Pasquale chirchiglia domenico Murrone Department of Neurosurgery University of CatanzaroCampus GermanetoVLE Europa88100 CatanzaroItaly Department of Neurosurgery Divenere Hospital70121 BariItaly

Background:The surgical spinal degenerative pathology mainly concerns the herniated intervertebral *** is indicated when the pain becomes chronic and intense,and when motor signs *** results are positive in about 90%of cases,leading to the solution of the ***,an estimated percentage of 4%to 20%reported residual pain and postural instability after the surgical treatment of ***:We have examined a sample of patients,retrospectively registered,undergoing surgical treatment for degenerative lumbar *** of them developed postural *** were subjected to cycles of postural *** gymnastics has proved to be a tool capable of solving unstable post-surgical *** included an exercise of breathing,one or two of muscular distension,one of muscular reinforcement,and one of postural *** used an evaluation form we created in agreement with the physiatrist for postural exercises that was based on some basic parameters such as muscle and respiratory *** each cycle,a score was attributed to the performance of muscular and respiratory exercise to evaluate the function and therefore the degree of instability(1–3=mild,4–7=medium,8–10=severe).Results:Results were satisfactory,with return to normal *** improvement of postural instability has been demonstrated both by the score of the evaluation forms that have highlighted the transition from a state of severe intensity to one of normality and by a clinical aspect,concerning the static and dynamic ***:The postural instability has a multifactorial genesis,and different mechanisms are involved:the vertebral bone structures and the pelvis,the paraspinal muscular structures,and the nerve *** structures are altered after surgery due to predisposing factors,and for the action of conditions acquired as obesity.

关键词： Spine disease Lumbar pain Postural instability

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