Shujie Tang

Jinan University (Guangzhou, China), Shengcheng, Guangdong, China

Are you Shujie Tang?

Claim your profile

Publications (10)10.51 Total impact

  • Shujie Tang · Xiuling Qian · Yingjie Zhang · Yuanmei Liu
    [Show abstract] [Hide abstract]
    ABSTRACT: The therapeutic effect of Tuina combined with core stability exercises on low back pain resulted from lumbar degenerative instability is unclear. This article aims to evaluate whether core stability exercises can improve the effect of Tuina in this regard.
    No preview · Article · Jan 2016
  • Yingjie Zhang · Shujie Tang · Guangmin Chen · Yuanmei Liu
    [Show abstract] [Hide abstract]
    ABSTRACT: To determine the effect of Chinese massage combined with core stability exercises on nonspecific low back pain. In the prospective study, ninety-two participants with nonspecific low back pain were divided into experimental and control group at random, and 46 in each. The experimental group were treated using Chinese massage combined with core stability exercises, while the control group were treated using Chinese massage alone. The two groups were evaluated using visual analog scale and Oswestry disability index at baseline, immediately after two and eight weeks. In addition, the recurrence rate of nonspecific low back pain was evaluated one year after the last intervention. Two weeks after treatment, both VAS and ODI scores decreased significantly in two groups (p<0.05), when compared with the values before treatment, but no difference between the two groups (p>0.05). Eight weeks later, the VAS and ODI scores decreased significantly in both groups (p<0.05); at the same time, both VAS and ODI scores were significantly lower (p<0.05) in the experimental group than those in the control group. At the final follow-up, five cases recurred in the experimental group and nineteen cases in the control group, the control group has a significantly higher recurrence rate (p<0.05). Core stability exercises can improve the therapeutic effect of Chinese massage in treating nonspecific low back pain. Copyright © 2014 Elsevier Ltd. All rights reserved.
    No preview · Article · Jan 2015 · Complementary Therapies in Medicine
  • Shujie Tang · Hongjie Liu · Yingjie Zhang
    [Show abstract] [Hide abstract]
    ABSTRACT: Spinous process deviation is a common variation in lumbar spine, and some authors suggest that spinous process deviation may lead to imbalance between muscles on either side of the spinous process. We assume that spinous process deviation may be correlated to the disc degeneration in lumbosacral segment; however, no studies have been published in this regard. A total of 465 outpatients with lumbar degenerative diseases were reviewed retrospectively, and the included patients were divided into three groups of L4 deviation, L5 deviation, and no deviation. The deviation angle of L4 and L5 spinous process was measured on computed tomography using Image J, the degeneration of the corresponding disc was evaluated on magnetic resonance imaging using the Modified Pfirrmann Grading System, and the correlation between spinous process deviation and lumbar disc degeneration was studied. A total of 118 cases were included in the present study, and there were 69 cases in the no deviation group, 30 in the L4 deviation group, and 19 in the L5 deviation group. No significant difference in the grade of disc degeneration between the no deviation group and L4 (P > 0.05) or L5 deviation group (P > 0.05) was noted. In the L4 and L5 deviation groups, there was no significant correlation between the deviation angle of spinous process and grade of corresponding intervertebral disc degeneration (P > 0.05). The deviation of spinous process does not correlate to the degeneration of intervertebral disc in lumbosacral segments. Copyright © 2014 Elsevier Inc. All rights reserved.
    No preview · Article · Oct 2014 · Journal of Surgical Research
  • Shujie Tang · Brandon J Rebholz
    [Show abstract] [Hide abstract]
    ABSTRACT: Microdiscectomy is a common surgical procedure used to treat lumbar disc herniation. Following microdiscectomy, the space of the excised nucleus pulposus is replaced by fibrocartilaginous granulation tissue. This results in alterations of both the material properties of the intervertebral disc and the biomechanics of the lumbar motion segments, potentially contributing to adjacent segmental disc degeneration. To our knowledge, there is no published study in the English literature investigating this potential effect.
    No preview · Article · Sep 2012 · Journal of Surgical Research
  • Source
    Shujie Tang
    [Show abstract] [Hide abstract]
    ABSTRACT: To determine whether transforaminal lumbar interbody fusion aggravate adjacent segmental degeneration more adversely than anterior lumbar interbody fusion. A normal finite element model, an anterior lumbar interbody fusion model and a transforaminal lumbar interbody fusion model of L3-5 were developed. 800 N compressive loading plus 10 Nm moments simulating flexion, extension, lateral bending and axial rotation were imposed on L3 superior endplate. The intradiscal pressure, intersegmental rotation and tresca stress in L3-4 were investigated. Under all loading directions, the values of three parameters in transforaminal lumbar interbody fusion model were the highest and those in normal model were the lowest, and the values in the ALIF model were higher than the normal model while lower than the TLIF model. In the ALIF and normal models, the values of the three parameters on left lateral bending and axial rotation were equal to those on right lateral bending and axial rotation. However, in the TILF model, the values on right lateral bending and axial rotation were larger than those on left lateral bending and axial rotation. Transforaminal lumbar interbody fusion aggravates adjacent segmental degeneration more adversely than anterior lumbar interbody fusion.
    Preview · Article · May 2012 · Turkish neurosurgery
  • Source
    Shujie Tang · Weiguo Xu · Brandon J Rebholz
    [Show abstract] [Hide abstract]
    ABSTRACT: Our goal was to investigate the long-term results of anterior lumbar interbody fusion combined with percutaneous pedicle screw fixation for degenerative lumbar instability. Forty-seven patients that had undergone anterior lumbar interbody fusion combined with percutaneous pedicle screw fixation for degenerative lumbar instability at Tianjin Hospital between May 2003 and January 2007 were reviewed retrospectively. Radiographic results including the fusion rate, disc space height, segmental lordosis and whole lumbar lordosis were analyzed, and clinical outcomes were assessed using the Japanese Orthopaedic Association score. In 47 patients, no surgery-related neurological deficit or wound breakdown was observed and 45 patients obtained a solid fusion. The mean JOA score increased significantly (p < 0.05) from 9.4 before surgery to 24.6 six months after surgery and 26.1 at final follow-up. The disc space height, segmental lordosis and whole lumbar lordosis increased significantly from pre-operative values to both six months postoperatively (p < 0.05) and at the final follow up (p < 0.05). Radiographic evidence of adjacent segmental degeneration was found in 14 patients (29.8%) and symptomatic adjacent segmental disease developed in 1 patient (2.1%). Anterior lumbar interbody fusion combined with percutaneous pedicle screws fixation in patients with degenerative lumbar instability results in good clinical and radiographic outcomes at long-term follow-up.
    Preview · Article · Mar 2012 · Turkish neurosurgery
  • Source
    Shujie Tang · Xueying Meng
    [Show abstract] [Hide abstract]
    ABSTRACT: The restoration of disc space height of fused segment is essential in anterior lumbar interbody fusion, while the disc space height in many cases decreased postoperatively, which may adversely aggravate the adjacent segmental degeneration. However, no literature available focused on the issue. MATERIAL and A normal healthy finite element model of L3-5 and four anterior lumbar interbody fusion models with different disc space height of fused segment were developed. 800 N compressive loading plus 10 Nm moments simulating flexion, extension, lateral bending and axial rotation were imposed on L3 superior endplate. The intradiscal pressure, the intersegmental rotation, the tresca stress and contact force of facet joints in L3-4 were investigated. Anterior lumbar interbody fusion with severely decreased disc space height presented with the highest values of the four parameters, and the normal healthy model presented with the lowest values except, under extension, the contact force of facet joints in normal healthy model is higher than that in normal anterior lumbar interbody fusion model. With disc space height decrease, the values of parameters in each anterior lumbar interbody fusion model increase gradually. Anterior lumbar interbody fusion with decreased disc space height aggravate the adjacent segmental degeneration more adversely.
    Preview · Article · Jul 2011 · Turkish neurosurgery
  • Shujie Tang · Brandon J Rebholz

    No preview · Article · Jun 2011 · Journal of Orthopaedic Science
  • Shujie Tang · Brandon J Rebholz
    [Show abstract] [Hide abstract]
    ABSTRACT: The increase in the number of anterior lumbar interbody fusions being performed carries with it the potential for the long-term complication of adjacent segmental degeneration. While its exact mechanism remains uncertain, adjacent segment degeneration has become much more widespread. Using a nonlinear, three-dimensional finite element model to analyze and compare the biomechanical influence of anterior lumbar interbody fusion and lumbar disc degeneration on the superior adjacent intervertebral disc, we attempt to determine if anterior lumbar interbody fusion aggravates adjacent segment degeneration. A normal three-dimensional non-linear finite element model of L3-5 has been developed. Three different grades of disc degeneration models (mild, moderate, severe) and one anterior lumbar interbody fusion model were developed by changing either the geometry or associated material properties of the L4-5 segment. The 800 N pre-compressive loading plus 10 Nm moments simulating flexion, extension, lateral bending and axial rotation in five steps was imposed on the L3 superior endplate of all models. The intradiscal pressure, intersegmental rotation range and Tresca stress of the annulus fibrosus in the L3-4 segment were investigated. The intradiscal pressure, intersegmental rotation range and Tresca stress of the L3-4 segment in the fusion model are higher than in the normal model and different degeneration models under all motion directions. The intradiscal pressures in the three degenerative models are higher than in the normal model in flexion, extension and lateral bending, whereas in axial rotation, the value of the mild degeneration model is lower. The intersegmental rotation ranges in the three degenerative models are higher than in the normal model in flexion and extension. The values for the mild degeneration model in lateral bending and all the degeneration models in axial rotation are lower than in the normal model. The Tresca stresses are higher in the three degenerative models than in the normal model. Anterior lumbar interbody fusion has more adverse biomechanical influence than disc degeneration on the adjacent upper disc and may aggravate the adjacent upper segmental degeneration.
    No preview · Article · Feb 2011 · Journal of Orthopaedic Science
  • Shujie Tang

    No preview · Article · Nov 2010 · Journal of Neurosurgery Pediatrics

Publication Stats

43 Citations
10.51 Total Impact Points

Institutions

  • 2011-2016
    • Jinan University (Guangzhou, China)
      • School of Medicine
      Shengcheng, Guangdong, China
  • 2010-2011
    • Medical College of Wisconsin
      • Department of Orthopaedic Surgery
      Milwaukee, Wisconsin, United States