Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1994-6-3
pubmed:abstractText
Clinical instability of the spine is an intensely controversial subject, and its diagnosis, especially in the aging, is difficult. Yet success in its management rests on accurate diagnosis. Because both clinical presentation and radiographic manifestations are nonspecific, the diagnosis of clinical instability lies in understanding the biomechanics involved, in recognizing the relevant radiographic manifestations, and, most importantly, in correlating those observations with the patient's clinical history and physical examination. Stabilization is the treatment of choice for clinical instability. Strengthening of the dynamic stabilizers, especially early in the course of the disease, may prevent or alleviate the incapacitating symptoms of instability, and further research into this area should be undertaken. Static stabilization by bracing has not proved effective, and spinal fusion carries a high risk of complication. Fusion should be reserved for patients whose diagnosis is clear and whose symptoms are recalcitrant to conservative management. Further understanding of clinical spinal instability in the aging will require more precise definition of terms and better standardization of criteria for its diagnosis, management, and research.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0038-4348
pubmed:author
pubmed:issnType
Print
pubmed:volume
87
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
S26-35
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed:year
1994
pubmed:articleTitle
The aging spine: clinical instability.
pubmed:affiliation
Department of Orthopaedics, University of Florida, Gainesville 32610-0246.
pubmed:publicationType
Journal Article