division of Neurosurgery A,
Viale del Policlinico 155, 00161 Rome
Italy
Editorial
Detection of Spinal Microinstability: A Real Clinical and Forensic Problem
Author(s): Alessandro Landi, Fabrizio Gregori, Cristina Mancarella and Roberto DelfiniAlessandro Landi, Fabrizio Gregori, Cristina Mancarella and Roberto Delfini
The concept of vertebral instability has evolved in the last years, given the last scientific evidences on the degenerative cascade. Another concept has been developed in a parallel way to the one of the vertebral instability: it is the concept of microinstability, intended as biomechanical dysfunction of the motor spinal unit, responsible of symptoms but not showed by dynamic X-Rays. The introduction of the concept of microinstability has increased the diagnostic capacities towards low back pain and, subsequently, the therapeutic choices, but has increased the number of medico-legal issues related to the diagnostic and therapeutic pathway of this condition.
Many issues related to microinstability have to be explained, to guarantee to the patients the best treatment available and, at the same time, to uphold the surgeon to perform the treatment in a safe condition.
.. Read More»
DOI:
10.4172/2165-7939.1000e119
Journal of Spine received 2022 citations as per Google Scholar report