Abstract
Evaluation of a patient with back symptoms such as pain or neuropathy can be challenging. In this chapter we outline features of the patient’ s history, physical examination, and diagnostic imaging studies used to evaluate the symptoms. Several common spinal disorders are outlined, and a review of diagnostic and radiologic tests follows.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Grieve GP. The masqueraders. In: Boyling JD, Palastanga N, eds. Grieve’s Modern Manual Therapy, 2nd edit. Edinburgh: Churchill Livingstone, 1994, p. 481.
Hinnant DW. Psychological evaluation and testing. In: Tollison CD, ed. Handbook of Pain Management, 2nd edit. Baltimore: Williams & Wilkins, 1994, p. 18.
Jull GA. Examination of the lumbar spine. In: Grieve GP, ed. Modern Manual Therapy. Edinburgh: Churchill Livingstone, 1986, p. 547.
Magee DJ. Orthopedic Physical Assessment. Philadelphia: WB Saunders, 1992.
Atkinson JH, Slater MA, Patterson TL. Prevalence, onset and risk of psychiatric disorders in men with chronic low back pain: a controlled study. Pain 1991; 45: 111–121.
Liang MH, Komaroff AL. Roentgenograms in primary care patients with acute low back pain: a cost-effectiveness analysis. Arch Intern Med 1982; 142: 1108–1112.
Blumenthal SL, Gill K. Can lumbar spine radiographs accurately determine fusion in postoperative patients? Correlation of routine radiographs with a second look at lumbar fusions. Spine 1993; 18: 1186–1189.
Herzog RJ, Marcotte, P. Imaging corner assessment of spinal fusion, critical evaluation of imaging techniques. Spine 1996; 21: 1114–1118.
Jones MA. Clinical reasoning process in manipulative therapy. In: Boyling JD, Palastagna N, eds. Grieve’ s Modern Manual Therapy, 2nd edit. Edinburgh: Churchill Livingstone, 1994, p. 471.
Cyriax J. Textbook of Orthopaedic Medicine-Diagnosis of Soft Tissue Lesions, 8th edit. London: Baillieré Tindall, 1982.
Chipps EM, Clanin NJ, Campbell VG. Neurological Disorders. St. Louis: Mosby, 1992.
Haerer AF, ed. DeJong’s The Neurological Examination, 5th edit. Philadelphia: Lippincott, 1992.
Seidel HM, Benedict GW, Ball JW, Dains JE. Mosby’s Guide to Physical Examination, 3rd edit. St. Louis: Mosby-Year Book, 1995.
Hilibrand AS, Rand N. Degenerative lumbar stenosis: diagnosis and management. J Am Acad Orthop Surg 1999; 7: 239–249.
Waddell G. The back pain revolution. Edinburgh: Churchill Livingstone, 1998; 1–438.
Skovron ML. Epidemiology of low back pain. Clin Rheumatol 1992; 6: 559–573.
Yang K, King A. Mechanism of facet load transmission as a hypothesis for low back pain. Spine 1984; 9: 557–565.
Meyerding HW. Spondylolisthesis. Surg Gynecol Obstet 1932; 54: 371–379.
Avimadje M, Goupille P, Jeannou J, Gouthiere C, Valat JP. Can an anomolous lumbo-sacral or lumbo-iliac articulation cause low back pain? A retrospective study of 12 cases. Rev Rhum Engl Ed 1999; 66: 35–39.
Schulman LL, Addesso V, Staron RB, McGregor CC, Shane E. Insufficiency fractures of the sacrum: a cause of low back pain after transplantation. Review. J Heart Lung Transplant 1997; 16: 1081–1085.
Asazuma T, Toyama Y, Suzuki N, Fujimura Y, Hirabayshi K. Ependymomas of the spinal cord and cauda equina: an analysis of 26 cases and review of the literature. Review. Spinal Cord 1999; 37: 753–759.
Alatakis S, Malham GM, Thien C. Spinal leptomemingeal metastasis from cerebral glioblastoma multiforme presenting with radicu-lar pain: case report and literature review. Review. Surg Neurol 2001;56:33–37;discussion 37–38.
Melton LJ 3rd. Epidemiology of spinal ostoeporosis. Spine 1997; 22 (24 Suppl): 2S - 11S.
Papaioannou A, Watts NB, Kendler DL, Yuen CK, Adachi JD, Ferko N. Diagnosis and management of vertebral fractures in elderly adults. Am J Med 2002; 113: 220–228.
World Health Organization. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. WHO Technical report series, No. 843. Geneva WHO, 1994.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2004 Springer Science+Business Media New York
About this chapter
Cite this chapter
Dean, L.M. (2004). Clinical Evaluation of the Spine Patient. In: McGraw, J.K. (eds) Interventional Radiology of the Spine. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-418-4_5
Download citation
DOI: https://doi.org/10.1007/978-1-59259-418-4_5
Publisher Name: Humana Press, Totowa, NJ
Print ISBN: 978-1-61737-419-7
Online ISBN: 978-1-59259-418-4
eBook Packages: Springer Book Archive