A Single Session of Spinal Decompression with Oscillation and Videofluoroscopy

Richard E. Busch III, Prahlad G. Menon, Sergey Leo Sorin
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Abstract

Background: Computerized spinal decompression using the intervertebral differential dynamics (IDD) therapy protocol has achieved 86–92% positive results in reducing back pain. There are many causes of back pain, and one of the most common is a degenerative disc. The etiology of a degenerative disc is not completely understood, but it can be related to acute injuries, repetitive stress, nutrition, genetic factors, and oxidative stress1. Standard of care may include physical therapy or manipulation to introduce movement to the spinal vertebrae. IDD Therapy® uses a calculated, sinusoidal, logarithmic primary waveform to separate the spinal vertebrae. More recent studies have shown that the addition of a secondary waveform gives a significant increase in efficacy. We observed these effects on the spine during an IDD Therapy® session. Methods: Images of the intervertebral space were taken by videofluoroscopy during the IDD Therapy® session. Results: The expected separation of L5-S1 was achieved. We also noted the separation profile of the vertebrae was uniquely uniform despite the graduated pressures, particularly when the secondary oscillation waveform was introduced. L5-S1 separation was 1 mm in size, and the anterior–posterior correlation was significant (p<0.05). Conclusion: Active oscillatory signaling introduced during the high-tension period of treatment may lead to more compliant muscle re-education and thus enhanced uniform separation of the vertebrae. We believe that IDD Therapy® using Accu-Spina® may achieve 92% positive results because the secondary oscillatory signal induces mechanotransduction of mechanical stimuli into electrochemical activity at the cellular level. Further research will lead to greater confidence and further exploration of mechanotransduction in intradiscal cellular tissues.
单次震荡和视频透视下的脊柱减压
背景:使用椎间盘微分动力学(IDD)治疗方案的计算机脊椎减压在减轻背痛方面取得了86–92%的积极效果。背痛的原因有很多,其中最常见的是椎间盘退行性变。退行性椎间盘的病因尚不完全清楚,但它可能与急性损伤、重复应激、营养、遗传因素和氧化应激有关1。标准护理可以包括物理治疗或操作以将运动引入脊椎。IDD Therapy®使用计算的正弦对数主波形来分离脊椎。最近的研究表明,添加二次波形可以显著提高疗效。我们在IDD治疗®疗程中观察到了这些对脊柱的影响。方法:在IDD Therapy®治疗期间,通过视频荧光镜拍摄椎间隙图像。结果:L5-S1达到了预期的分离效果。我们还注意到,尽管有分级压力,特别是当引入二次振荡波形时,椎骨的分离轮廓是唯一均匀的。L5-S1间距为1mm,前后相关性显著(p<0.05)。结论:在治疗的高紧张期引入主动振荡信号可能会导致更顺从的肌肉再教育,从而增强椎骨的均匀分离。我们相信,使用Accu-Spina®的IDD Therapy®可以获得92%的阳性结果,因为次级振荡信号诱导机械刺激在细胞水平上转化为电化学活性。进一步的研究将使人们对椎间盘内细胞组织的机械转导有更大的信心和进一步的探索。
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