The utility of dynamic flexion-extension radiographs in the initial evaluation of the degenerative lumbar spine.

The utility of dynamic flexion-extension radiographs in the initial evaluation of the degenerative lumbar spine. Research Abstract Details 

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The utility of dynamic flexion-extension radiographs in the initial evaluation of the degenerative lumbar spine. Abstract Text:

Qusai M Hammouri,Andrew H Haims,Andrew K Simpson,Ahmad Alqaqa,Jonathan N Grauer,

STUDY DESIGN: Retrospective radiographic review. OBJECTIVE: To assess the utility of lateral dynamic flexion-extension radiographs in the initial evaluation of the degenerative lumbar spine. SUMMARY OF BACKGROUND DATA: Most surgeons obtain standing anteroposterior (AP) and lateral radiographs in the initial evaluation of patients presenting with lumbar complaints. The potential role of dynamic films in this population has not been established. METHODS: Of a 390 radiograph series, 342 met inclusion criteria and were reviewed. After assessment of the AP and lateral radiographs, dynamic films were evaluated to determine if additional information was obtained. RESULTS: Only 2 of the 342 radiographic series had new findings seen on dynamic films not appreciated on the AP and lateral films (a L3-L4 anterolisthesis of 3 mm with flexion and a L5-S1 retrolisthesis of 4 mm with extension). Fifteen additional radiographic series were noted to have a change in the amount of anterolisthesis or retrolisthesis on the dynamic films (changes ranged from 2 to 5 mm). CONCLUSION: In the population studied, dynamic radiographs did not significantly alter the initial course of clinical management beyond standing AP and lateral lumbar images.

The utility of dynamic flexion-extension radiographs in the initial evaluation of the degenerative lumbar spine. Publishing Authors By Initials

QM Hammouri,AH Haims,AK Simpson,A Alqaqa,JN Grauer,

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The utility of dynamic flexion-extension radiographs in the initial evaluation of the degenerative lumbar spine. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Spine

VOLUME: 32

Page Numbers: 2361-4

Journal Abbreviation: Spine

ISSN: 1528-1159

DAY: 1

MONTH: Oct

YEAR: 2007

The utility of dynamic flexion-extension radiographs in the initial evaluation of the degenerative lumbar spine. Information

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LANGUAGE: eng

NlmUniqueID: 7610646

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AFFILIATION: Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven CT 06520-8071, USA.

Country: United States

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MEDLINETA: Spine

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