PDF(Pubmed)
Abstract：
(1) Background: Lumbar spondylolisthesis affects ~20% of the US population and causes spine-related pain and disability. (2) Methods: This series reports on three patients (two females and one male) aged 68-71 years showing improvements in back pain, quality of life (QOL), and urinary dysfunction following correction of lumbar spondylolistheses using CBP® spinal rehabilitation. Pre-treatment radiographs showed lumbar hyperlordosis (-49.6°, ideal is -40°) and anterolisthesis (14.5 mm, ideal is 0 mm). Pre-treatment patient-reported outcome measures (PROMs) included a numeric rating scale (NRS) for back pain (7.3/10, ideal is 0), urinary urgency (8/10, ideal is 0), and SF-36 physical (PCS) and mental component score (MCS) (29.8 and 46.6, ideal is 46.8 and 52.8). Patients underwent 2-3 CBP® sessions per week to correct lumbar hyperlordosis and lumbar anterolistheses. (3) Results: Post-treatment radiographs showed improvements in lumbar curvature (-42.8°) and anterolisthesis (4.2 mm). Post-treatment PROMs showed improvements in NRS for back pain (1/10), urinary urgency (2.3/10), and SF-36 PCS and MCS (50.2 and 57.7). Long-term follow-up radiographs and PROMs showed maintained improvements. (4) Conclusions: This series documents the first-recorded long-term corrections of lumbar spondylolisthesis and concomitant improvements in back pain, urinary urgency, and QOL using CBP®. This series provides evidence for CBP® as a non-surgical approach to lumbar spinal rehabilitation and the possible impacts of spinal alignment on pain, urinary dysfunction, and QOL.
摘要：
（1）背景：腰椎滑脱影响约20％的美国人口，并导致脊柱相关的疼痛和残疾。（2）方法：本系列报告了三名患者（两名女性和一名男性），年龄在68-71岁之间，显示出背部疼痛的改善，生活质量（QOL），使用CBP®脊柱康复矫正腰椎滑脱术后的排尿功能障碍。治疗前X线片显示腰椎高度前凸（-49.6°，理想的是-40°)和前曲(14.5毫米，理想为0毫米)。治疗前患者报告的结果测量（PROM）包括背痛的数字评定量表（NRS）（7.3/10，理想为0），尿急（8/10，理想为0），和SF-36身体（PCS）和心理成分评分（MCS）（29.8和46.6，理想是46.8和52.8）。患者每周接受2-3次CBP®治疗，以纠正腰椎前凸和腰椎前凸。(3)结果:治疗后X线照片显示腰椎曲度(-42.8°)和前曲(4.2mm)改善。治疗后PROM显示背痛的NRS改善（1/10），尿急（2.3/10），和SF-36PCS和MCS（50.2和57.7）。长期随访X线片和PROM显示持续改善。（4）结论：该系列记录了腰椎滑脱的首次记录的长期矫正和伴随的背痛改善，尿急,和QOL使用CBP®。本系列提供了CBP®作为腰椎康复的非手术方法的证据，以及脊柱对齐对疼痛的可能影响。泌尿功能障碍,和QOL。
