Back


History and Examination


History

  1. pain: where(leg Vs back),rad,when,type,nocte,agg,rel,
    how long,cough, sneeze
  2. other: stiffness,deformity,numb,weak,bladder,bowel
    scoliosis(when,how,who,progress,pain,neuro,growth,
    menarche,FHx,Rx,prev.XR)
  3. function: walking,limp,supports,dist,stairs,socks,toes,transp
  4. past history: treatment,injury,surgery,similar episodes

Exam Standing

  1. look: shoes,sticks,spine,scars,waist,hair,defomity,(scoliosis
    kyphosis,kyphos,lordosis hypokyphosis)
    scoliosis(balance,shoulders,rib prom.loin,creases)
  2. feel: LLD,Trendel,pelvic obliquity,steps
  3. move: spine flexion:2 pts 10 cm apart move 5 cm.
    spine ext.:including wall test
    lateral flexion, rotation & rib excursion
    scoliosis; list & mobility

Exam Supine

  1. look: asym,wasting,deformity,scars,atrophy,
  2. feel: pulses
  3. move: X-SLR,SLR,Lasaugue,bowstring
  4. power & nerovascular(sens,power tone,coord,reflex,anal)
  5. SIJ,hip &knee

Exam Side

  1. fem stretch
  2. glut med test

Exam Prone

  1. look: bony tendernes steps ,soft tissue
  2. feel: glut.
  3. move: ir,er,ext.
  4. power

Waddel (3/5)

  1. tenderness: superficial or non anatomic
  2. simulation tests: axial load & pelvic rotation
  3. distraction tests: SLR seated
  4. regional distrbance
  5. over reaction
Any individual sign counts as a positive sign for that type
3 or more of the 5 types is clinically significant


Special Tests

Tension signs
SLR (N= ~80 deg)

Crossed straight leg raise:
pain reproduced by SLR on uninvolved side = evidence of space ocupying lesion eg disc

Lasegue test-
at pt where pt feels pain in SLR, lower the leg slightly, then DF the foot to stretch nerve

Bowstring-
after Lasegue maneuvre press in popliteal fossa to stretch nerve

Femoral stretch
flex pt knee and lift hip into extension, pain in front of thigh+back

Tests to increase intra thecal pressure

Valsalva
ask pt to bear down - if pain in back or legs produced there is probable pathology either causing intrathecal pressure or involving the theca itself

Milgram Test
pt supine, lift both legs straight 2 above table + hold position for as long as possible- if pt can hold position for 30 sec intrathecal pathology can be ruled out

Tests for SI jt

Pelvic rock test
compress pelvis to midline- +ve if pain in SI jt

Gaenslens sign
supine, pt draws both knees up to chest, then shift pt to side of couch so one buttock extends over edge. Allow unsupported leg to drop over edge while opposite leg remains drawn up to chest- +ve if pain in SI jt

Faber test (Flexion, abduction external rotation)
supine, place foot of involved side on opposite knee ( fig 4 position). To stress SI jt press down on knee with one hand and press down on opposite ASIS with the other hand


Kyphosis


Posteriorly directed sagittal plane curvature of the spine (lordosis is anteriorly directed)

Incidence

0.4 - 0.8%
Males ~ Females

Classification

Mobile:
  1. Postural - usually seen in
    adolescents
    women after childbirth
    ligament laxity
  2. Weakness of trunk muscles
    neuromuscular dystrophies
    poliomyelitis
  3. Compensatory
    eg secondary to hip deformity (FFD) and lumbar lordosis
Fixed:
  1. Scheuermann's disease
  2. Congenital
    failure of segmentation
    failure of formation
    mixed
  3. Neuromuscular
    UMN
    MN
    polio
    spinal muscular atrophy
    myelomeningocoele
  4. Post traumatic
    acute / chronic
  5. Inflammatory
    infection
    TB
    pyogenic infection
    noninfective
    Ankylosing spondylitis
    RA
  6. Metabolic
    Osteoporosis
    senile or juvenile
    Osteogenesis imperfecta
  7. Osteochondrodystrophies
    Achondroplasia
    mucopolysaccharidoses
  8. Tumour
    benign
    malignant
    primary or secondary
  9. Post surgery eg laminectomy or irradiation

Angular Kyphosis (Kyphos)

a kyphos is always fixed
Congenital (missing or fused vertebrae)
TB
Secondary to fracture
Calves disease (vertebra plana)

Age of onset

children: congenital
adolescents: postural or Schuermanns
young adults: ankylosing spondylitis
elderly: osteoporosis, Pagets, Pathological

Measurement of Kyphosis and Lordosis

Cobb technique:
standing lat XR
selection of end vertebrae based on the max tilted vertebrae

Flexibility
determined on a hyperextension XR taken supine with a firm bolster under apex of deformity
Normal kyphosis = 20-45 deg in thoracic spine
T1-T5 not well seen on normal lat film- if kyphosis greater than 33 deg T5-T12 this is suspicious of abnormal kyphosis and warrants better quality films of the upper T-spine


Congenital Kyphosis

due to congenitally anomalous vertebrae
2 types:
1. failure of formation of all or part of the vertebral body
2. failure of segmentation of the vertebral bodies anteriorly unsegmented bar
in both progressive deformity occurs due to nongrowth anteriorly and persistent growth posteriorly

Paraplegia:
can result from progressive Kyphotic deformity esp in the T- spine
assoc with type 1, not type 2 deformities
may occur as early as birth or later

Treatment

no effect from orthoses
Surgery
- ideally early detection and early posterior fusion (less than 55 deg curve, pt less than 5yo)
fusion can be done as early as 6/12, best results if done less than 3 yo
need to protect fusion with cast for ~ 1 yr to allow it to consolidate
more severe deformity- ie pts over 5 yo with kyphosis greater than 55 deg will require anterior release and fusion as well as posterior fusion ( post fusion done 1 more level above and below the anterior fusion)


Scheuermann's disease

Scheuermann was a Danish radiologist

Definition

excessive thoracic kyphosis ( Cobb angle greater than 45 deg ) with wedging of 5 deg or more of at least 3 adjacent apical vertebrae and vertebral end plate irregularities
20 - 45o of kyphosis is normal in the 15 - 20 year old
SRS has defined less than 20o as abnormal (Hypo-kyphosis)

Incidence

Affects nearly 10% of the population with reports of between 0.4 and 8% of the general population
Only 1% ever seek medical attention during their youth
Male ~ Female

Aetiology

The aetiology of Scheuermann's disease remains unknown
There is however a strong family tendency and enchondral ossification of the vertebral bodies appears to be the abnormal factor contributing to wedging of the bodies
? osteochondritis of the vertebral epiphysis as the epiphyseal plate is irregularly ossified with growth arrest of the anterior vertebral bodies
? traumatic infraction of the end plates in children who out grow their bone strength during the growth spurt
Tightness of the anterior longitudinal ligament of the spine may contribute
? Collagen weakness of vertebral end-plates with a decrease in the collagen to proteoglycan ratio in the matrix of the end-plate

Clinically

Starts at about puberty
Become increasingly round shouldered
Seldom painful unless severe deformity develops and usually subsides once growth ceases
May complain of back ache or fatigue especially as they get older (adolescent more likely to complain of thoracic pain and the adult lumbar pain due to compensatory increased lordosis)
Patients with Scheuermann's are generally taller than average
Smooth thoracic kyphosis develops and a mild or moderate scoliosis is evident in about one third of patients
Thoracolumbar Schuermanns: frequently painful and cosmetically unacceptable as the thoracolumbar spine is normally straight
Lumbar Scheuermann's more common in male patients who are competitive athletes and in individuals from rural communities suggesting it is an injury affecting vertebral growth
Most adults who have pain have evidence of moderate or advanced spondylosis on radiographs
X-Rays
The bodies of several adjacent vertebral bodies are wedged and have irregular end-plates (at least 3 vertebrae with wedging of 5o or more, Sorensen)
Schmorl's nodes may be evident (disc herniation through the vertebral end plate)
Epiphyseal plates appear fragmented especially anteriorly
Lateral X-Rays over a bolster at the apex of the curve indicates the structural nature of the curve
Lumbar Scheuermann's is characterised by irregularity of the vertebral end plates, the presence of Schmorls nodes and narrowing of the intervertebral discs without wedging of the vertebral bodies

Treatment

Analgesics and anti-inflammatories are useful for painful periods and in patients developing degenerative changes
Work modification and postural exercises are indicated
With kyphosis up to 45 degrees, back strengthening and postural education
Bracing
Milwaukee if significant deformity (greater than 45degrees)and still growing, nearly always results in success (not if curve excessive from the outset of bracing, eg greater than 70% or vertebral wedging)
Usually within 4-6 wks the deformity corrects in the brace if it is flexible - need to maintain correction
Full time bracing for 12 - 18 months then weaning for another yr- monitor during weaning- if any loss of correction resort ot full time brace for further 6 mths
exercise program with bracing to strenghten extensors
Av correction with brace is 40% of curve
Surgery
rare in Schuermanns
indications: Kyphosis greater than 60o in an adult
greater than 75o in an adolescent (bracing not useful )
unacceptable cosmesis
If the kyphosis does not correct to less than 50o on a lateral radiograph over a bolster then combined anterior release and fusion and posterior fusion will be necessary. If does correct to less than 50 deg post fusion sufficient alone.
For fractures a kyphus angle of less than 30o is unlikely to progress
Prognosis:
Sorensen: good prognosis for thoracic Scheuermann's, moderately good or the thoraco-lumbar region and relatively poor in the lumbar region
Skeletally immature patients Risser 4 or lower, posterior fusion alone is adequate and is followed by little loss of correction.
In Risser 5 patients combined anterior and posterior surgery is recommended
if the resultant deformity remains less than 60o most patients will have very little long term difficulties


Senile kyphosis

Aetiology

Disc degeneration and osteoporotic wedging of the vertebrae
Pagets may develop increased kyphosis due to bone softening
Pathological fractures (osteoporotic or neoplastic)

Clinically

Usually slowly progressive and not painful
More often seen in osteoporotic females
May complain of lumbo-sacral pain due to compensatory lumbar lordosis in order to stand upright
X-Rays
Intervertebral discs may indent the soft vertebral bodies which become biconcave

Treatment

Symptomatic with rest and analgesics, walking stick etc to unload the spine
Radiotherapy for malignancy
Calcitonin for Pagets


Lordosis

Aetiology

1.Hip flexion contracture
2.Weak abdominal muscles (muscular dystrophies)
3.Weak hip extensor muscles (myopathies)
4.Horizontal sacrum (sacrum arcuatum)
5.Increased ligamentous laxity
6.Secondary to thoracic kyphosis
7.Spondylolisthesis L5/S1


Spondylolysis and Spondylolisthesis

Spondylolysis:
presence of a defect in the pars interarticularis

Spondylolisthesis:
Greek - 'spondl' means spine and olisthesis means a downward slipping
Forward shift of one vertebrae on another (usually at L4/5 or L5/S1)

Incidence

Spondylosis +/- spondylolisthesis is ~ 4.4% at 6 yo compared to ~ 6% in adulthood
Male : Female
2:1
Spondylolisthesis does not exist at birth

Aetiology

There is a genetic tendency for stress # of the pars to occur in the first yrs of upright posture
occurs in children after they are able to walk but rarely after they are 5 years old
There is seldom a history of severe injury
Shear stresses are greatest on the pars interarticularis when the spine is extended
incidence in gymnasts - due to repetitive hyperextension

family members of affected individuals
certain Eskimo tribes
sacral spina bifida and sacralisation of the 5th lumbar vertebrae
patients with thoraco-lumbar Scheuermann's disease and thought to be
associated with the compensatory increase in lumbar lordosis

Classification (spondylolysis)

  1. Congenital (or Dysplastic) (Males less than Females)(20%)
    a congenital inadequacy of the facet jts and disc complex resulting
    in displacement without a defect or elongation in the pars
    rare- problem in high freq of nerve root compression due to intact
    lamina being pulled against the dural sac
  2. Isthmic
    may be pars defect (spondylytic)
    pars elongation

    (effectively a stress fracture) (Males greater than Females)(50%)
  3. Degenerative (Males less than Females)(25%)
  4. Traumatic
  5. Pathologic
    due to tumours or other processes causing bone weakness
(5%)

Clinically

Symptoms are relatively uncommon in children and rarely severe enough in adolescents to seek medical attention
Adolescents or adults usually present with back ache or deformity

Look
Increased lumbar lordosis or protruding abdomen
general alignment / posture
position of sacrum- vertical or horizontal

Feel
A step can often be felt in the spinous processes of the lumbar vertebrae
tenderness
muscle spasm

Move
may be normal in the young or reduced in a degenerate spine
80% of symptomatic patients have tight hamstrings

May be an incidental finding on X-Ray done for other reasons
Girls are more prone to severe displacement, an earlier increase in deformity and more clinical symptoms than boys
The actual incidence of spondylolisthesis is lower in girls but a proportionately higher number of girls need surgical stabilisation
Scoliosis is found in 23 - 48% of patients with symptomatic spondylolisthesis but only 13% of those that have spondylolysis and the scoliosis is more often mobile and the spondylolisthesis more often dysplastic

X-Rays
Forward shift of a vertebrae on the one below
Reduced disc height
Oblique films (Scotty dog)
Measure % of slip (gd 1less than 25%, gd 2 less than 50%, gd 3 less than 75%, gd 4 less than 100%)
angle of sagittal rotation of slip angle -line drawn up post surface of sacrum, another line along post body of vertebra slipping forward- angle bw these lines is the slip angle
CT scans should be done with reverse obliquity of the gantry
Bone scan useful to identify if spondylolysis is of recent onset or not and those where there is an established non union from those where an attempt at healing is proceeding
Myelograms or MRI may be indicated if there is a neurological deficit

Pathology

Degenerative spondylolisthesis results from erosion of the superior articular process, the vertebrae slides forward on the one below
foramenal stenosis (usually at L4/5 with L5 root compression)
Spina bifida occulta occurs more frequently in patients with a pars interarticularis defect than in patients without a defect

Treatment

Rest and analgesics for acute episodes of pain
Depends on age of pt, type of defect, level of slip, degree of slip and slip angle
most important- symptoms
Spondylolysis without slip
if asymptomatic- no active treatment- monitor to see whether slip develops
avoid lifting/ strenuous vocation
symptomatic
activity modification, bracing if lesion acutely aquired
if chronic - treat nonsurgically for 6 mths - if still symptomatic then surgical management
surgery- L5-S1- fuse - alar transverse
above L5- S1stabilise with Scott technique- wiring of the TP to the SP bilaterally, pars defect is debrided back to healthy bone and grafted

Gd 1
no need for fusion unless chronic pain despite conservative treatment
Gd 2
in younger children ( less than 12) likely to progress - fuse even if no symptoms
in adolescents/adults
risk of progression much less
asymptomatic - monitor periodically
symptomatic
fusion L5-S1 for Gd 1+2
Gd 3+4
in children and adolescents - poor prognosis
fuse usually L4- S1- posterolat alar- transverse

Severe spondylolisthesis with lumbo-sacral Kyphosis ( ie severe sagittal rotation). These pts have signif deformity- vertical sacrum with absence of buttock contour, shortening of the waistline.
severe lumbar lordosis = compensatory deformity
reduction of these is controversial - risk of neurol damage
technique- combined post decompression and ant reduction
may need vertebrectomy
most pts do well with in- situ fusion
Nerve decompression reserved for those with compression

If the slip is greater than 25% it is said that there is a greater risk of back injury during contact sports etc which therefore should be avoided
Operation if symptoms prevent work etc or there is evidence of progression of the deformity

Prognosis

Development of a pars interarticularis defect with or without spondylolisthesis does not cause pain in most patients
A child with spondylolysis or spondylolisthesis can be permitted to enjoy a normal childhood and adolescence without restriction of activities and without fear of progressive olisthesis or disabling pain
Forceful reduction under anaesthesia has been associated with a 33% neurologic injury rate when done by the world's best spine experts
Unilateral defects are more likely to heal than bilateral ones
Can slip after solid fusion and is related to a high slip angle, a severe degree of displacement or poor quality of the fusion
50 - 100% slips treated operatively: 76% improved post operatively compared to only 30% of the patients who did not have an operation


Disc degeneration and prolapse

The intervertebral disc has blood supply up to the age of 8 years
Nutrition after this time is by imbibition and requires movement of the spinal column

Aetiology

Disc degeneration
Trauma may lead to annular tear and prolapse of nuclear material
Kirkaldy-Willis: all spines degenerate, present treatment for symptomatic relief only and suggests three stages of degeneration
  1. Dysfunction (15 - 45 years) characterised by circumferential and radial tears in the annulus with localised facet joint synovitis
  2. Instability (35 - 70 years) characterised by internal disc disruption, disc resorption, degeneration of facet joints with capsular laxity, subluxation and joint erosion
  3. Stabilisation (greater than 60 years) progressive development of hypertrophic bone about the disc and facet joints leading to segmental stiffening or ankylosis
Disc herniation is a complication of stage 1 & 2

Conditions associated with an increased incidence of back problems are;
Scheuermann's disease
Transitional lumbar / sacral vertebrae
Spondylolisthesis

Incidence

Male : Female
2:1
80% of population affected at some stage in their lives
Back problems account for 2% of GP presentations
70 / 100,000 require surgery

Classification

Contained protrusion
Non-contained herniations
  1. Sub ligamentous or sub annular extrusion
  2. Trans ligamentous extrusion
  3. Sequestered fragment
  4. Intradural (rare)

Clinically

Criteria for diagnosis of herniated nucleus pulposus
  1. Leg pain (including buttock pain) greater than back pain
  2. Dermatomal paraesthesia
  3. Root tension signs (SLR, bowstring, crossover)
  4. Root dysfunction (weakness, wasting, sensory or reflex)
  5. correlative imaging study
Usually aged 20 - 40 years
First severe attack may be precipitated by a minor episode of backache (the annular tear)
Develops severe back pain while lifting or stooping (the prolapse) which results in pain in the back, buttock and the lower limb
Backache and sciatica are exaggerated by coughing or straining
Cauda equina compression may rarely occur
Symptoms usually subside in a few days or weeks and while present there is usually a list or scoliosis which may be towards the side of the lesion (if the prolapse is in the axilla of the root) or away from it (if it is lateral to the root)
There is usually loss of the lumbar lordosis and para-vertebral muscle spasm
SLR or femoral stretch will be restricted and other nerve root tension signs may be evident such as a positive bow-string sign or a crossed SLR sign
Patient may display neurological abnormality (sensory, motor or reflex)
Root irritation is characterised by myotomal pain and muscle tenderness
Root compression: characterised by dysfunction of the nerve with weakness +/- sensory changes
Cervical myelopathy due to degeneration or disc pathology may cause a myelopathic state with lower leg signs and symptoms (urgency of micturition is a classical feature of cord pathology)

Non organic physical signs: (Waddell : Spine 1980)

  1. Superficial and non anatomic tenderness
  2. Simulated test pain eg during slight axial loading or rotation
  3. Alteration in severity or presence of pain if distracted (SLR particularly)
  4. Regional disturbances that do not follow anatomical distributions either of a sensory or motor type
  5. Over-reaction is the most important non organic physical sign but also the one most influenced by the subjective impressions of the observer
The presence of non organic signs even in the presence of definite pathology may identify those patients requiring formal psychosocial assessment before surgery

Imaging

X-Rays List or scoliosis may be evident
Exclude bony pathology
(Macnab) Traction spur 2 - 3mm from the distal border of the anterior and lateral surfaces of the vertebral bodies at the point of attachment of the outermost anular fibres denotes segmental instability.
Knuttson's sign of gas in the disc (disc vacuum sign)

Myelography (preoperative investigation)
confirm level of pathology usually with CT scan
accuracy in diagnosis of lumbar disc herniation ~ 60 %
not the imaging of choice alone
Water soluble non ionic contrast medium used (eg metrizamide or iopamidol)

CT advantages over myelography
better visualisation of lateral lesions
lower radiation dose
no adverse reactions
differentiate bw bony and soft tissue compression
disadvantages
cuts only at lower 3 levels- may miss pathology at higher level
ref: Jackson etal Spine 14: 1356- 1367, 1989
for lumbar disc herniations
CT discography: 87% accuracy
contrast CT sensitivity 78%, specificity 76%, acccuracy 77%
plain CT: sensitivity 71%, specificity 76%, accuracy 74%
myelography: accuracy 58%

Suspect sequestered fragment if defect is seen cephalad or caudad to the disc space and extends over more than three CT cuts

MRI accuracy as good or better than CT myelography ie ~ 77% or better
is the imaging of choice for HNP
Advantages

good definition of normal and abnormal structures
no radiation
images in any plane
shows disc degeneration (increased signal intensity on T2 image)

Gadolinium-DTPA (diethylenetriamine pentaacetic acid)
useful in evaluation of the postoperative spine
has a 96% agreement with surgery in distinguishing epidural fibrosis from recurrent disc herniation- epidural scar has a blood supply and enhances after injection of Gd-DTPA, where disk herniation does not enhance

Discography
described by Lindblom , 1948
determines
1. morphology of the disc
2. pt response to injection
normal MRI does not rule out disc degeneration ( Kornberg, Spine 14: 1368, 1989 )
Colhoun etal JBJS 70B: 267-271, 1988
89% of pts in whom discography had demonstrated disc disease and provoked symptoms had significant and sustained benefit from operation
Walsh etal JBJS 72A: 1081-1088, 1990
in 10 asymptomatic volunteers with discography at 3 lumbar levels there were no cases of provocation of pain - ie specificity 100%

Discography useful to identify painful levels when contemplating spinal fusion

Other investigations
Differential Epidural
pt grades pain 1-10 during procedure using varying concentrations of LA- those not helped by a full spinal are unlikely to be helped by surgery
Nerve root block
Facet jt injection
no benefit in treatment of chronic LBP
Psychological Testing

MMPI:
those with scores greater than 75 for hysteria and hypochondriasis have poor prognosis
Pain diagrams
Zung depression scale combined with Modified Somatic Perception Questionairre best discriminator in a comparison of 8 psychometric tests ( Greenough and Fraser)

Pathology

Disc degeneration associated with individuals who lift heavy objects, smoke cigarettes and drive (18% greater mean disc degeneration scores in the lumbar spines of smokers compared to non smokers in discordant twin study)
Earliest changes are biochemical and trauma may be superimposed
The first morphological change probably is damage to the cartilage end plate
Circumferential tears develop in the annulus which lead to development of radial tears and may result in prolapse of nuclear material (95% of disc ruptures occur at the L4/5 and L5/S1 levels)
Lumbar entrapment syndromes:
Sub articular entrapment
Foraminal encroachment
Pedicular kinking
Extra-foraminal entrapment
Spinal stenosis
Disc ruptures
Adhesive radiculitis

Treatment

Treatment options (following a period of conservative treatment):
  1. Reduce disc volume (chemonucleolysis)
  2. Relocate disc material
  3. Remove disc material (discectomy)
Always think root, not disc

Nonoperative
Rest and analgesia (unload the spine and commence NSAIDs) 70 - 90% recover
No real place for the use of muscle relaxants, oral corticosteroids or antidepressants in the management of acute back pain
Physiotherapy good for pain relief but no proven benefit, traction reults in decreased intra discal pressure but often have recurrent pain on removal of traction
Exercise to strengthen abdominal and extensor muscles of benefit once over acute attack and back education shown to be of benefit (back education reults in 70% subjective improvement in symptoms)
Epidural injection of local anaesthetic and steroid (Celestone chronodose after informed consent), may also use foraminal steroids, results in 60 - 85% success in short term and 30 - 40% in the long term (6 months)
greater than 90% of pts conservatively treated will do well

Chymopapain:
Proteolytic enzyme from papaya latex
Does not affect annular collagen but disrupts proteoglycan structure (hydrolysis of cementing protein of the high molecular weight glycosaminoglycans) decreasing the water binding capacity with a reduced disc pressure and volume
Indications
Should have adequate trial of conservative treatment first and need to fulfil selection criteria (ie: leg pain greater than back pain, +ve tension signs, correlative imaging)
Contraindications to the use of Chymopapain;

Absolute:
Sensitivity: of pts in 1.5% and anaphylaxis reported in 0.5% of cases
Rapidly progressive neurological deficit
Possibility of spinal cord tumour
Not if bulge seen on greater than 3 CT cuts or fragment occupies greater than 50% canal diameter (suggests sequested fragment)
Relative:Severe spinal stenosis
Pregnancy
Previous treatment with Chymopapain (? sensitivity)
Severe arachnoiditis
Technique
Test dose of 0.3ml and if no reaction after 10 mins give the remaining 1.2ml of the therapeutic dose which gives a total of 3,000 units of the enzyme (should be administered with antibiotics)
Results of Chymopapain
Gogan and Fraser Chymopapain - a 10 yr double blind study
80% of chymopapain pts regarded injection as successful vs 34% of saline pts
20% of chymo pts required surgery vs 47% of saline pts
Complications
May get increased back pain after injection
Anti-inflammatory medication, walking and swimming are the best modalities used during convalescence

Surgery
Radicular pain
Indications for surgery
  1. Cauda equina compression (bladder or bowel involvement)
  2. Failure of conservative treatment (generally at least 6/52)
    and at least 3 of the criteria for diagnosis of disc herniation, with correlative imaging
  3. Increasing neurological defects
Results:90-95% success in relief of leg pain
~ 80% success relief of back pain
results same for conventional discectomy as for microdiscectomy
Long term results after discectomy not significantly different than those after no surgical treatment
Chronic LBP ( for symptomatic disc degeneration)
rationale- that immobilisation of the offending motion segment will alleviate the pain
indications
chronic and disabling LBP +/- leg pain severe enough to prevent work or other physical activities
failure of conservative treatment (incl exercise program)
pain present min 6/12
pathology well localised on investigation (MRI, discography)
realistic pt expectations
contraindications
no definite pathology to explain symptoms, multiple level degeneration where symptoms cannot be localised, major psychological stress
results - overall ~ 66% pts have satisfactory outcome from fusion
Complicationsof surgery:
  1. Neurological damage
  2. Wound infections
  3. Discitis
  4. CSF fistula
  5. Haematoma
  6. Great vessel injury
  7. Pulmonary embolus
  8. Late stenosis, instability or secondary scaring or arachnoiditis
The results of all forms of treatment needs to be compared with the natural history of the disease and the most important criterion for success remains the proper selection of patients

Prognosis

Weber, Spine 1983
controlled trial: showed statistically significant better results in the surgically treated group at one year follow up compared to the conservative group
After four years the operated patients still showed better results but the difference was no longer statistically significant and only minor changes were evident after that time up to 10 years
After 1st episode 90% improve and do not relapse
2nd episode 90% improve and 50% relapse
3rd episode 90% improve and 100% relapse
50 - 60% of back pains recover in one week and 90% in 3 months, the 10% who recover slowest account for 80% of the costs to the community
within 1 wk:
nearly 60% will return to work
2 wks:
70% return to work- of the remainder 25% will be off work at 6 mths
6 wks:
80% return to work- of the remainder 45% will be off work at 6 mths
6 mths:
92% return to work- of the remaining 8%- only 35% will return to work in next 6 mths


Spinal fusion

Indications: (Crock)
  1. Treatment of failed spinal operations
  2. Treatment of certain disc lesions
    1. internal disc disruption - frequently
    2. isolated disc resorption- occasionally
    3. nucleus pulposis calcification- rarely
    4. disc herniation - rarely
  3. Management of selected cases of spondylolisthesis
  4. Treatment of certain cases of spinal infection
  5. Correction of selected spinal deformities
  6. Treatment of vertebral body tumours
In the treatment of low back pain is rarely indicated, practically every back pain due to degenerative disc disease will settle to a tolerable level if the stress is taken off the spine by weight loss, strengthening of the abdominal muscles, the tempora
Stability of the spine has been defined as the ability of the spine under physiological loads, to prevent initial or additional neurological damage, severe intractable pain and gross deformity


Spinal Stenosis

Narrowing of the spinal canal, nerve root canal or intervertebral foramen

Classification

Congenital:
Associated with achondroplasia and hypochondroplasia or idiopathic
Developmental or congenital stenosis by itself is rare as usually there are symptoms in combination with degeneration or other pathology
Aquired:
Degenerative:Often superimposed on a congenitally narrow spinal canal and may be central or peripheral (lateral recess and nerve root canals)
Spondylolisthetc:
Due to guillotine effect of one vertebrae moving forward on another
Miscellaneous:
Pagets disease, spina tumours, infection or TB

Aetiology

Pain likely to be a vascular phenomenon due to claudicant nature of symptoms
Possibly a vascular steal or due to venous congestion and stasis

Clinically

Most commonly affects the third, fourth and fifth motion segments of the lumbar spine and symptoms usually do not develop until the seventh decade (Mgreater thanF)
Aching, heaviness, numbness, burning, and paraesthesia in the thighs and legs on standing or after walking for 5 - 10 minutes
Back pain often aggravated by standing or walking and leg pain of variable distribution which may be unilateral or bilateral and usually not present at rest

Relieved by sitting, squatting or flexing the spine but symptoms change with changes in position and pain increases with extension of the lumbar spine
Restless legs: uncontrolled leg movements experienced especially at night in bed

Symptoms are often unilateral and a neurological deficit may develop with activity and a lack of clinical signs is not uncommon
Root tension signs are usually negative
Disturbance of bladder function, frequency, nocturia or incontinence after walking

Differentiation of vascular claudication:

  1. Pain is maximal in thighs more than the calves
  2. Associated with paraesthesia and weakness after walking
  3. Stopping and keeping the back extended will not relieve the pain
  4. Walking with back flexed increases the walking distance(eg pushing shopping trolley)

Investigations:
Bloods eg Elecs, CBP & ESR to exclude other pathology and may include serum electrophoresis and acid phosphatase or PSA
Plain X-Rays: short pedicles, narrow inter-pedicular distance, degenerative changes, spondylolisthesis, end plate sclerosis etc

Myelography:
Use a water soluble non ionic contrast medium and done as a day case in private institutions (cost ~ $280 - $300)
Metrizamide only one approved for use but a number are being used (often Iopamidol)

Complications;Headaches 20 - 30% and a few are severe and require blood patch (10ml autologous blood injected in the extradural space)
30% have nausea and seizures may occur if contrast gets around the base of skull or brain
Anaphylaxis is a rare complication and are associated with allergies when contrasts used IV (less so in CSF)
Myelography in the presence of a complete block may precipitate local oedema and inflammation with neurological deterioration (be ready to operate)
MRI may be indicated, good definition of soft tissue elements of the spine and a myelogram like picture of the CSF column. Root canals can also be visualised
CT / Myelography is still probably the gold standard

Pathology

Minimal cross sectional area is normally at the level of the facet joints and is least at the level of L3/4
The narrowest A-P diameter is usually from the posterior vertebral wall to the upper border of the spinous process. Verbiest defined less than 10mm as absolute stenosis and less than 12mm as relative stenosis
In the cervical spine less than 13mm AP diameter or less than 0.8 times the AP diameter of the adjacent vertebral body is defined a spinal stenosis
Canal area of 180 m3 +/- 50 m3 is normal in the lumbar spine, less than 100 m3 is spinal canal stenosis and 100 - 130 m3 is early or relative canal stenosis
The interpedicular distance should be 16 mm and the lateral canal usually measures 5 mm diameter and less than 2 mm indicates stenosis
Developmental stenosis or degenerative disease in association with vascular problems (venous hypertension or ischaemia), inflammation of neural elements and irritation of cauda equina, nerve roots, sinu-vertebral nerve and posterior primary rami
Central canal stenosis may be exaggerated by hypertrophy (realy just bunching up) of ligamentum flavum, hypertrophy and osteophyte formation of the facet joints, annular bulging of the disc and thickening of the lamina
Lateral recess stenosis can result from loss of disc height and over-riding facets, osteophyte formation of the facet joints, hypertrophy of ligamentum flavum / capsule of the joint (probably not true hypertrophy but bunching up) and posterior annular bulge
Impingement may also be caused by extradural arachnoid cysts or perineural cysts

Treatment

Posturing
Analgesics and anti-inflammatories
Steroid epidural may give improvement but usually not long lasting
Quality of life remains the key determinant in deciding when to proceed with additional assessment that is aimed at the consideration of surgical intervention
Decompression good for relieving leg pain but may not improve the back pain and in fact may increase instability problems with the occasional need for associated spinal fusion (particularly if major component of symptoms is back pain or if degen spondylolisthesis with stenosis - best results if fuse as well as decompress
Use prophylactic antibiotics

Prognosis

Central canal stenosis decompression: 65 - 85% good outcome
Nerve root decompression: 62% complete success and 24% partial success (Crock S1 decompression)
Degenerative spondylolisthesis pre-operatively have 40 - 65% risk of further slipping and 65% good result post operation (further slipping not associated with poor prognosis


Neoplastic disease

Compartments:
Extradural
mets greater than primary
intradural/ extramedullary
primary greater than mets
intradural/ intramedullary
primary greater thangreater than mets

Extradural Tumours

Primary:
far less common than metastatic tumours and account for less than 10% of all primary bone tumours
benign
nonaggressive
haemangioma (A)
osteochondroma
monostotic fibrous dysplasia
EG
locally aggressive
ABC (P)
osteoid osteoma (P)
osteoblastoma (P)
GCT (A)
possible premalignant lesions ie can undergo sarcomatous change
neurofibromatosis (~ 10%)
Pagets (1%/ yr)
diaphyseal aclasia
enchondroma

Malignant
solitary plasmacytoma
chordoma
lymphoma
Ewings
osteosarcoma
chondrosarcoma
haemangiosarcoma

Secondary
spine is the most common site for skeletal mets
vertebral body 4-7 x greater than pedicle - but greater vol of bone must be destroyed before XR changes visible
primary sites
thyroid, lung, breast, kidney, prostate, lymphoma, myeloma
Between 30 and 50% of the vertebral body must be destroyed before any changes can be recognised on X-Ray
More than 70% of patients who die from malignant disease have evidence of spinal mets and post elements are involved only 1/6 as often as the vertebral body

Intradural Tumours

v rare

Intradural Extramedullary

Neurofibroma/ Schwannoma
Meningioma
Others
AVM
lipoma
epidermoid/ dermoid/ teratoma
haemangioblastoma
mets
eg lymphoma

Intradural Intramedullary

ependymoma
astrocytoma
others
AVM
syrinx
schwannoma

Clinically

Symptoms:
pain at rest and at night, local or radicular, painful scoliosis in young, may be from pathol #
sphincteric disturbance - late
cauda equina syndrome, myelopathy

Signs:
sensory
extramedullary Brown- Sequard
intramedullary
suspended dissociated
sacral sparing suggests intramedullary lesion
motor
UMN below level of lesion, LMN at level of lesion

Investigations:
search for primary
blood screens
serum immunoelectrophoresis
CXR
urinalysis
plain XR
CT
bone scan
MRI

Staging

prior to biopsy
biopsy FNAB
trans pedicular core bx
open - rare

Treatment

Extradural benign primary tumours
symptomatic surgical resection
intralesional curettage- high rate of recurrence ~20%
ABC- embolisation with polyvinyl alcohol foam
GCT- attempt en bloc excision as more aggressive

Malignant primary tumours
prognosis dependent on tumour type
The single most important ffactor in determining the prognosis is the ability to obtain a complete excision at the initial surgery
may have to sacrifice function to achieve this goal esp in sacral lesion
chemo and radio therapy as for extremity tumours

Metastatic Tumours
Commencement of high dose dexamethasone immediately after verification of the diagnosis of spinal cord compression is widely accepted
Radiotherapy for radio-sensitive tumours in clinically stable patients but improvement may take 5 - 6 days and may therefore require surgery early if deteriorate despite radiotherapy
Surgery reserved for cases where the diagnosis is in doubt
previous radiation exposure
radio-resistant tumours
neurologic deterioration during or despite radiation
the presence of spinal instability
bone compression of neural structures
85% of the tumours are anterior, therefore, the majority of decompression procedures should also be anterior as there is a positive correlation between the location of the extradural metastatic deposit and the response to surgical treatment
Anterior approach yielded favourable results and 70 - 80% of patients regained or maintained ambulation
The success rate for ventrally located tumours decompressed by the anterior approach was 80% cf only 39% with laminectomy
Can use PMMA if life expectancy less than 1 year
The source of the primary tumour cannot be identified in 9% of cases of spinal metastases

Harrington Classification

  1. No neurological loss or bone involvement
  2. Bone involvement without collapse or neurology
  3. Neurological loss without significant bone involvement
  4. Vertebral collapse with mechanical back pain but no significant neurological loss
  5. Collapse and neurological loss

I & II: Chemotherapy +/- radiotherapy
III: Radiation therapy and steroids
IV & V: Surgery


Spinal Infections

History

earliest evidence in Egyptian mummies
Hippocrates described vertebral destruction due to infection ~ 400 BC
Pott - classic description of tuberculous spondylitis - 1779

Definitions

Vertebral osteomyelitis
when bacterial = pyogenic osteomyelitis
when tuberculous = tuberculous spondylitis ( = Potts disease)
Discitis
correctly used to describe primary disc infections - is also used to encompass any infectious process involving the disc

Pyogenic osteomyelitis

Incidence

2-4% of all osteomyelitis
~ 70 % of cases are over 50 yo
any level can be affected - most common lumbar, least common cervical

Aetiology

S. aureus in over 50%
gram neg organisms are becoming more common
E. coli in urinary and enteric infections
Pseudomonas esp in IV drug users, immune compromised
Multiple organism infection is rare

Pathology

Thought to be a secondary manifestation of infection elsewhere
Mechanisms of spread -
Venous - advocated by Batson ( Ann. Surg. 112: 138, 1940)
Arterial - advocated by Wiley and Trueta ( JBJS 41B: 796, 1959)
The arterial theory is current as -
high pressures are needed to fill Batsons plexus which has only small branches to the vertebral bodies
rich arterial supply to vertebral bodies - correlates with most common site of infection
NB: change of blood supply to the spine with age
during infancy and childhood there is an end arterial supply to the disc - this regresses in the first 3 decades
This explains why in the child the most common infection is discitis and in the adult is anterior metaphyseal infection beginning near the end plate

Clinically

may be acute or chronic
General
signs of sepsis - fever, malaise, anorexia, wght loss
Local localised spinal pain - unrelieved by rest, worse with motion
may have referred pain
tenderness to deep palpation or spinal percussion
reduced motion
hip contracture due to psoas abscess
deformity - esp angular kyphosis - in chronic cases
Neurological
signs seen in ~ 15%
due to pressure
abscess, spinal instability from bone destruction
septic thrombosis of spinal artery

Investigation

Bloods:
WCC, ESR, CRP
Blood cultures esp in temp spike

Radiology
Plain films
early are normal
1-3 wks see bone destruction
later - healing with schlerosis
NB if TB see soft tissue calcification, less schlerotic response
CT (+/- contrast)useful in diagnosis - see bony destruction, abscesses
also useful in treatment - biopsy
MRI:
useful in diagnosis
assessment of neural structures and soft tissue abscesses
Bone scan
good for showing early disease when plain films normal

Diagnosis:
based on combination of the above - need the organism and its sensitivity

Differential

Acute
malignant deposits
other infection: eg discitis, TB
Retroperitoneal pathology eg renal stones
Chronic
here the main problem is deformity
thus TB, EG, old trauma ie causes of angular kyphos

Treatment

Rest
IV antibiotics as per sensitivities - ? how long - min 6 wks IV + 6 wks oral
indications for surgical intervention
  1. failure of adequate surgical treatment
  2. to obtain tissue for culture if needle biopsy fails
  3. drainage of abscess
  4. neural compromise
  5. gross bony destruction with instability
Surgery is anterior ( posterior surgery may further destabilise the spine)
with adequate debridement and antibiotics bone grafts used for stabilisation do well with over 90% fusion
with anterior surgery need post op immobilisation or supplementary stabilisation


Tuberculous Spondylitis

Incidence

still a problem in 3rd World
until recent AIDS epidemic a rare disease in the first world
M greater than F
most common level L1

Aetiology

Mycobacterium tuberculosis

Pathology/ Pathophysiology

usually a secondary infection - primary lesion in lung, GIT or GUT
rarely spine involved in direct spread from other structures
The infection begins in the paradiscal vertebra. Infection tends to spread across the periphery of the disc to involve the metaphyses of the vertebrae above and below. It is typical to see more than one vertebra involved ( av ~ 3)

The ant and post longitudinal ligs and periosteum are stripped up, arteries thrombose and bone dies as well being directly destroyed by the granulomatous process
The disc, being relatively avascular is relatively spared and destroyed late in the disease

Thus progression:
granuloma formation
pus production +/- abscess formation
bone loss, death +/- collapse
neurological involvement may be seen in active disease or healed disease
Active disease:pressure from pus, granuloma, bony sequestra, disc material, bony collapse
Can get TB meningitis or meningomyelitis
Healed disease: due to internal bony bridge or fibrous tissue constriction

Clinically

depends on stage of disease
General:
fever, malaise, wght loss
evidence of TB elsewhere

Local:
pain
rest pain, worse with motion
muscle spasm
deformity
sinus

Neurological

Investigation
Bloods:
WCC, ESR, CRP
Mantoux:
Radiology:
CXR
plain films
CT
MRI
Biopsy:
Z-N staining of material
high yield in active disease, poorer in healed disease

Diagnosis
combination of the above
DDx other infection, neoplasia
Healed TB can resemble congenital fusions

Treatment

triple therapy:
Streptomycin: initial 2-3 mths
Isoniazid: 9 mths
Rifampicin: 9 mths

commence antibiotics ~ 1 wk prior to surgery
indications for nonsurgical treatment aloneare pts with early disease with minimal bone involvement and medical contraindications to operation
Surgery is indicated in all others - esp in the paraplegia of active disease
Surgery - recommended is the Hong-Kong operation- consists of excision of the disease focus and strut grafting

advantages
adequate material for analysis
prevention of progression of abscess
relieve pressure on neural tissue
graft under compression - fusion almost sure- thus late kyphosis prevented

Prognosis

good prognosis for recovery in neurological compromise of active disease
poor prognosis in paraplegia of healed disease probably due to causes - ie fibrosis constricting cord, or impingement of cord on hard bony bridge arising from multilevel disease
Severe kyphotic deformity may result if a larger no of levels are involved

Discitis

Discitis may be:
  1. Iatrogenic: following surgery or disc cannulation
  2. Childhood: Note that spontaneously occuring spinal infections in adults involving the discs are due to osteomyelitis of the vertebral body - probably beginning in the end plate


Childhood Discitis

Menelaus M.B. Discitis JBJS 46B: 16-23, 1964
Wenger etal The spectrum of intervertebral disc space infection in children JBJS 60A:100-108, 1978

Definition

a benign disease of unknown aetiology characterised by back pain, disc space narrowing, and resolution of symptoms with rest

Incidence

rare
av age 3 yo

Aetiology

unknown

Clinically

pain, difficulty walking or sitting
may be assoc with fever, malaise
may be preceded by URTI etc
reduced motion, muscle spasm, abnormal posture

Investigation
Bloods
ESR usually up
WCC usually normal
Blood cultures - +ve in ~ 50% - after 6 wks of onset of symptoms organisms do not appear to isolated from blood cultures - due to rapid destruction of bacteria once the end plates are breached
Radiology
- early normal
later disc narrowing, progressive end plate lesions with erosion into the vertebral body
latest - fusion rare, usually very little residual disc narrowing
CT
MRI

Treatment

Rest - until no pain or limitation of motion, and until ESR normal
antibiotics- indicated if febrile, +ve blood cultures, +ve biopsy, IV until pt comfortable, then oral for 3 more wks

Prognosis
good- spontaneous recovery is almost the rule


Discitis after disc violation

Fraser, Osti, Vernon-Roberts Iatrogenic discitis: The role of prophylactic antibiotics in prevention and treatment Spine 14: 1025-1032, 1989
Osti, Fraser, Vernon-Roberts Discitis after discography: the role of prophylactic antibiotics JBJS 72B: 271-274, 1990
Lyndholm and Pylkkanen Discitis following removal of intervertebral disc Spine 7: 618-622, 1982

Incidence

seen in discectomy, discography, chemonucleolysis, percutaneous nucleotomy, lumbar puncture
after open discectomy: 0-2.8%
chemonucleolysis: up to 2%
discography: 2.7% without and .7% with stilleted needles
0% if contrast mixed with antibiottic

Aetiology

bacterial contamination

Pathology

  1. bacteria introduced into disc
  2. progressive thinning of end plate with immature granulation tissue forming on the vertebral side of the end plate at 1 wk
  3. by 3 wks the end plates are breached and nuclear material herniates into the vertebral body - at this stage bacteria are destroyed in a florid vascular response
  4. by 6 wks new bone is forming , disc material is replaced by granulation tissue

Clinically

fever - usually not
pain - severe, disabling, present at rest
muscle spasm, posture abnormal

Investigation
Bloods:
ESR up
WCC usually normal
cultures usually negative

radiology:
plain films initially normal
disc narrowing at ~ 2-3 wks
end plate erosions at ~ 6 wks

bone scan
CT
MRI

Treatment

Prophylaxis
sterile technique
antibiotics

Antibiotics are unable to arrest the progression of discitis once the condition is established - however once the end plate is penetrated, antibiotics may have a role in prevention of vertebral osteomyelitis
rest
support- may need to be for 6-8 mths
anterior clearance and fusion if symptoms demand

Prognosis

is a slowly resolving process in the majority discitis following open discectomy follows a more refractory course with most pts having disabling symptoms after 5 yrs