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Blandin C, Boisson M, Lefèvre-Colau MM, Rannou F, Nguyen C. Correspondence to Abed Rabbo et al.: "Letter to the editor concerning: Pelvic 1 parameters and sagittal alignment in people with chronic low back pain and active discopathy (Modic 1 changes): A case-control study". Ann Phys Rehabil Med 2020; 64:101426. [PMID: 32805458 DOI: 10.1016/j.rehab.2020.07.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Accepted: 07/12/2020] [Indexed: 11/25/2022]
Affiliation(s)
- Camille Blandin
- Service de Rééducation et de Réadaptation de l'Appareil Locomoteur et des Pathologies du Rachis, AP-HP, Centre-Université de Paris, Hôpital Cochin, 27, Rue du Faubourg Saint-Jacques, 75014 Paris, France
| | - Margaux Boisson
- Service de Rééducation et de Réadaptation de l'Appareil Locomoteur et des Pathologies du Rachis, AP-HP, Centre-Université de Paris, Hôpital Cochin, 27, Rue du Faubourg Saint-Jacques, 75014 Paris, France
| | - Marie-Martine Lefèvre-Colau
- Service de Rééducation et de Réadaptation de l'Appareil Locomoteur et des Pathologies du Rachis, AP-HP, Centre-Université de Paris, Hôpital Cochin, 27, Rue du Faubourg Saint-Jacques, 75014 Paris, France; Université de Paris, Faculté de Santé, UFR de Médecine de l'Université de Paris, 75006 Paris, France; INSERM UMRS-1153, Centre de Recherche Épidémiologie et Statistique Paris Sorbonne Cité (CRESS), ECaMO Team, 75006 Paris, France; Institut federatif de recherche sur le handicap, 75013 Paris, France
| | - François Rannou
- Service de Rééducation et de Réadaptation de l'Appareil Locomoteur et des Pathologies du Rachis, AP-HP, Centre-Université de Paris, Hôpital Cochin, 27, Rue du Faubourg Saint-Jacques, 75014 Paris, France; Université de Paris, Faculté de Santé, UFR de Médecine de l'Université de Paris, 75006 Paris, France; INSERM UMRS-1124, Toxicité Environnementale, Cibles Thérapeutiques, Signalisation Cellulaire et Biomarqueurs (T3S), Campus Saint-Germain-des-Prés, 75006 Paris, France
| | - Christelle Nguyen
- Service de Rééducation et de Réadaptation de l'Appareil Locomoteur et des Pathologies du Rachis, AP-HP, Centre-Université de Paris, Hôpital Cochin, 27, Rue du Faubourg Saint-Jacques, 75014 Paris, France; Université de Paris, Faculté de Santé, UFR de Médecine de l'Université de Paris, 75006 Paris, France; INSERM UMRS-1124, Toxicité Environnementale, Cibles Thérapeutiques, Signalisation Cellulaire et Biomarqueurs (T3S), Campus Saint-Germain-des-Prés, 75006 Paris, France.
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Abed Rabbo F, Kouyoumdjian P, Coste N, Coll G, Sakka L, Dupeyron A. Pelvic parameters and sagittal alignment in people with chronic low back pain and active discopathy (Modic 1 changes): A case-control study. Ann Phys Rehabil Med 2020; 64:101400. [PMID: 32535168 DOI: 10.1016/j.rehab.2020.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Revised: 05/04/2020] [Accepted: 05/05/2020] [Indexed: 11/17/2022]
Affiliation(s)
- Francis Abed Rabbo
- Service de Neurochirurgie B. Centre Hospitalo-Universitaire (CHU) de Clermont Ferrand, Clermont-Ferrand, France; Département d'Anatomie, UFR de Médecine et des Professions Paramédicales, Université Clermont-Auvergne, Clermont-Ferrand, France.
| | - Pascal Kouyoumdjian
- Service de chirurgie Orthopédique et de la Colonne Vertébrale, Centre Hospitalo-Universitaire de Nîmes, Nîmes, France
| | - Nicolas Coste
- Service de Médecine physique et réadaptation. Centre Hospitalo-Universitaire (CHU) de Clermont-Ferrand, INRA, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Guillaume Coll
- Service de Neurochirurgie B. Centre Hospitalo-Universitaire (CHU) de Clermont Ferrand, Clermont-Ferrand, France
| | - Laurent Sakka
- Service de Neurochirurgie B. Centre Hospitalo-Universitaire (CHU) de Clermont Ferrand, Clermont-Ferrand, France; Département d'Anatomie, UFR de Médecine et des Professions Paramédicales, Université Clermont-Auvergne, Clermont-Ferrand, France
| | - Arnaud Dupeyron
- Service de Médecine Physique & de Réadaptation, CHU Nîmes, Université de Montpellier, Montpellier France
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Blandin C, Boisson M, Segretin F, Teboul-Coré S, Lassalle L, Feydy A, Lefèvre-Colau MM, Rannou F, Nguyen C. Pelvic parameters and sagittal alignment in people with chronic low back pain and active discopathy (Modic 1 changes): A case-control study. Ann Phys Rehabil Med 2020; 64:101364. [PMID: 32145410 DOI: 10.1016/j.rehab.2020.02.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Revised: 02/02/2020] [Accepted: 02/05/2020] [Indexed: 02/09/2023]
Affiliation(s)
- Camille Blandin
- AP-HP, Centre-Université de Paris, service de Rééducation et de Réadaptation de l'Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, 75014 Paris, France
| | - Margaux Boisson
- AP-HP, Centre-Université de Paris, service de Rééducation et de Réadaptation de l'Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, 75014 Paris, France
| | - François Segretin
- AP-HP, Centre-Université de Paris, service de Rééducation et de Réadaptation de l'Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, 75014 Paris, France
| | - Stéphanie Teboul-Coré
- AP-HP, Centre-Université de Paris, service de Rééducation et de Réadaptation de l'Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, 75014 Paris, France
| | - Louis Lassalle
- Université de Paris, Faculté de Santé, UFR Médecine de Paris Centre, Sorbonne Paris Cité, 75006 Paris, France; AP-HP, centre université de Paris, Service de Radiologie B, Hôpital Cochin, 75014 Paris, France
| | - Antoine Feydy
- Université de Paris, Faculté de Santé, UFR Médecine de Paris Centre, Sorbonne Paris Cité, 75006 Paris, France; Inserm UMRS-1153, Centre de Recherche Épidémiologie et Statistique Paris Sorbonne Cité (CRESS), ECaMO Team, 75006 Paris, France; AP-HP, centre université de Paris, Service de Radiologie B, Hôpital Cochin, 75014 Paris, France
| | - Marie-Martine Lefèvre-Colau
- AP-HP, Centre-Université de Paris, service de Rééducation et de Réadaptation de l'Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, 75014 Paris, France; Université de Paris, Faculté de Santé, UFR Médecine de Paris Centre, Sorbonne Paris Cité, 75006 Paris, France; Inserm UMRS-1153, Centre de Recherche Épidémiologie et Statistique Paris Sorbonne Cité (CRESS), ECaMO Team, 75006 Paris, France; Institut Fédératif de Recherche sur le Handicap, 75013 Paris, France
| | - François Rannou
- AP-HP, Centre-Université de Paris, service de Rééducation et de Réadaptation de l'Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, 75014 Paris, France; Université de Paris, Faculté de Santé, UFR Médecine de Paris Centre, Sorbonne Paris Cité, 75006 Paris, France; Inserm UMRS-1124, Toxicité Environnementale, Cibles Thérapeutiques, Signalisation Cellulaire et Biomarqueurs (T3S), Centre Universitaire des Saints-Pères, 75006 Paris, France
| | - Christelle Nguyen
- AP-HP, Centre-Université de Paris, service de Rééducation et de Réadaptation de l'Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, 75014 Paris, France; Université de Paris, Faculté de Santé, UFR Médecine de Paris Centre, Sorbonne Paris Cité, 75006 Paris, France; Inserm UMRS-1124, Toxicité Environnementale, Cibles Thérapeutiques, Signalisation Cellulaire et Biomarqueurs (T3S), Centre Universitaire des Saints-Pères, 75006 Paris, France.
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The Effect of Zoledronic Acid on Serum Biomarkers among Patients with Chronic Low Back Pain and Modic Changes in Lumbar Magnetic Resonance Imaging. Diagnostics (Basel) 2019; 9:diagnostics9040212. [PMID: 31817123 PMCID: PMC6963270 DOI: 10.3390/diagnostics9040212] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2019] [Revised: 11/28/2019] [Accepted: 12/02/2019] [Indexed: 11/16/2022] Open
Abstract
The aim of the current study was to compare changes in serum biomarkers, including inflammatory mediators, signaling molecules, growth factors and markers of bone turnover after a single intravenous infusion of 5 mg zoledronic acid (ZA, a long-acting bisphosphonate; n = 20) or placebo (n = 20) among patients with Modic changes (MC) and chronic low back pain in a randomized controlled design. The MCs were classified into M1, predominating M1, predominating M2, and M2. We measured the serum concentrations of 39 biomarkers at baseline, and one month and one year after treatment. After Benjamini–Hochberg (B–H) correction, we observed significant differences in three biomarkers over one year: Interferon-γ-inducible protein (IP-10) had risen in the ZA group (p = 0.005), whereas alkaline phosphatase (AFOS) and intact procollagen I N-terminal propeptide (iPINP) had significantly decreased in the ZA group, but had not changed in the placebo group (p < 0.001 for both). Change in iPINP correlated with change in the volume of all MC and M1 lesions. ZA downregulated bone turnover markers as expected and, surprisingly, increased the chemokine IP-10 relative to placebo treatment. This adds to our knowledge of the effects of ZA on MC and the biomarkers that signal this process.
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Ahmed-Yahia S, Decousser JW, Flouzat-Lachaniette CH, Dervin G, Roubineau F, Audureau E, Hourdille A, Royer G, Eymard F, Chevalier X. Is the discopathy associated with Modic changes an infectious process? Results from a prospective monocenter study. PLoS One 2019; 14:e0221030. [PMID: 31415619 PMCID: PMC6695213 DOI: 10.1371/journal.pone.0221030] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2019] [Accepted: 07/29/2019] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND The local infectious origin and the putative role of Cutibacterium acnes (CA) of a particular subtype of discopathy (Modic 1) are still debated. PURPOSE To establish the association of CA in intervertebral disc (IVD) and Modic 1 discopathy in patients with low back pain. METHODS The prevalence of bacteria in IVD samples obtained by anterior approach in patient with chronic low back pain harboring Modic type 1, 2 or no Modic changes was compared to that measured in IVD samples obtained by posterior approach for sciatica. From 45 patients included in the study, 77 discs samples were obtained: 58 by anterior approach (32 Modic 1/2 changes, 26 without Modic change) and 19 by posterior approach. Conventional microbial cultures, universal 16S rRNA molecular detection and a CA specific PCR were performed. RESULTS 12 /77 (15.6%) disc samples were culture positive. Among the 10 CA positive cultures, 5 out of 58 (8.6%) were identified from specimens obtained by anterior approach and 5/19 (26.3%) from posterior approach (p = 0.046). Moreover, the percentage of CA culture positive sample was statistically no different between the patient with or without Modic changes. The CA prevalence was lower through molecular, culture-free approaches: the universal 16S rRNA PCR was positive for 6 specimens, including one CA positive sample and the CA specific PCR was positive for one specimen obtained by posterior approach. CONCLUSIONS In spine surgery the prevalence of CA in culture was significantly higher in IVD samples collected through a posterior approach compared to an anterior approach, suggesting a contamination process. This study did not support the CA related local infectious origin of Modic 1 discopathy.
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Affiliation(s)
- Salim Ahmed-Yahia
- Rheumatology Departement, University Hospital Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France
| | - Jean-Winoc Decousser
- Department of Bacteriology and Infection Control, University Hospital Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France
- EA 7380 Dynamyc Université Paris-Est Créteil (UPEC), Ecole nationale vétérinaire d’Alfort (EnvA), Faculté de Médecine de Créteil, Créteil, France
- * E-mail:
| | | | - Guillaume Dervin
- Rheumatology Departement, University Hospital Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France
| | - François Roubineau
- Orthopaedic Departement, University Hospital Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France
| | - Etienne Audureau
- Public Health Departement, University Hospital Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France
| | - Alexia Hourdille
- Rheumatology Departement, University Hospital Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France
| | - Guilhem Royer
- Department of Bacteriology and Infection Control, University Hospital Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France
| | - Florent Eymard
- Rheumatology Departement, University Hospital Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France
| | - Xavier Chevalier
- Rheumatology Departement, University Hospital Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France
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Serum biomarkers in people with chronic low back pain and Modic 1 changes: a case-control study. Sci Rep 2019; 9:10005. [PMID: 31292506 PMCID: PMC6620434 DOI: 10.1038/s41598-019-46508-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2019] [Accepted: 06/29/2019] [Indexed: 01/30/2023] Open
Abstract
We aimed to compare serum biomarkers of inflammation, redox status and cartilage degradation between chronic low back pain (cLBP) patients with and without Modic 1 changes. We used a convenience sample of patients recruited from a single center, case-control study, conducted in a tertiary care center. From December, 2014 to May, 2016, 2,292 patients were consecutively screened, 34 met inclusion criteria and were prospectively enrolled in the present study. Cases (n = 13) were defined as patients with Modic 1 changes detected on MRI and controls (n = 21) as cLBP patients without (Modic 0). To assess serum biomarkers of inflammation, redox status and cartilage degradation, fasting serum samples were collected in a standardized manner and analyzed by immunoassays and spectrophotometry. Mean (95% CI) age was 44.1 (40.0–48.1) years and mean LBP duration was 72.5 (53.0–91.9) months. Serum biomarkers of inflammation (IL-1β, IL-6, IL-8 and TNF-α), redox status (total thiols, advanced oxidation protein products and carbonyl groups) and cartilage degradation (Coll2-1 and Coll2-1NO2) did not differ between cLBP patients with and without Modic 1 changes. In summary, we did not find any differences in serum biomarkers between cLBP patients with and without Modic 1 changes. Interpretation is limited by convenience sampling and small sample size.
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