Response to: Determination of Any Correlation between Sagittal Spinopelvic Configuration and Progressive Collapse of Acute Osteoporotic Compression Spine Fractures: A Retrospective Radiological Analysis.
Authors: Smorgick Y, Geftler A, Goldstein S, Mirovsky Y, Blecher R, Anekstein Y PMID: 33108844 [PubMed] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 29, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Cervical Angina: A Literature Review on Its Diagnosis, Mechanism, and Management.
Authors: Feng F, Chen X, Shen H Abstract Cervical angina has been defined as chest pain that resembles true cardiac angina but originates from the disorders of the cervical spine. Thus, physicians and spine surgeons alike should raise awareness of this unusual condition for diagnosis and treatment. Particularly when neurologic signs and symptoms are present, there should be a strong suspicion for cervical angina in any patient with inadequately explained noncardiac chest pain. Cervical angina can be diagnosed according to negative cardiac workups, positive neurologic examination, and cervical radiographic findings ...
Source: Asian Spine Journal - October 29, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Composite Grip Strength as a Marker of Outcome in Patients Surgically Treated for Degenerative Cervical Myelopathy.
Conclusions: Composite grip strength analysis is an objective method for assessing the impact of degenerative cervical myelopathy on grip strength and monitoring the postoperative improvement. Decompressive surgery resulted in global improvement in all the parameters of composite grip strength. PMID: 33108846 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 29, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Magnetic Resonance Spectroscopic Analysis of Multifidus Muscle Lipid Contents and Association with Nociceptive Pain in Chronic Low Back Pain.
This study aimed to analyze the differences in the lipid contents in chronic low back pain (CLBP) patients with nociceptive pain (NocP) and neuropathic pain (NeP) using magnetic resonance spectroscopy (MRS) of the multifidus muscle (Mm). Overview of Literature: Early identification of the pain characteristics with CLBP is important because specific treatment approaches are required, depending on NocP and NeP. Methods: The participants were 50 patients with CLBP (23 men and 27 women; mean age, 63.1±17.8 years; range, 41-79 years). We compared the Visual Analog Scale (VAS) scores, intramyocellular lipids (IMCL...
Source: Asian Spine Journal - October 29, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Asymptomatic Construct Failure after Metastatic Spine Tumor Surgery: A New Entity or a Continuum with Symptomatic Failure?
Authors: Kumar N, Patel R, Tan BWL, Tan JH, Pandita N, Sonawane D, Lopez KG, Wai KL, Hey HWD, Kumar A, Liu G Abstract Study Design: Retrospective cohort study. Purpose: To study the incidence, onset, underlying mechanism, clinical course, and factors leading to asymptomatic construct failure (AsCF) after metastatic spinal tumor surgery (MSTS). Overview of Literature: The reported incidence rates for implant and/or construct failure after MSTS are low (1.9%-16%) and based on clinical presentations and revisions required for symptomatic failures (SFs). AsCF after MSTS has not been reported. Methods: We co...
Source: Asian Spine Journal - October 29, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Symptomatic Construct Failure after Metastatic Spine Tumor Surgery.
Authors: Kumar N, Patel R, Tan JH, Song J, Pandita N, Hey DHW, Lau LL, Liu G, Thambiah J, Wong HK Abstract Study Design: Retrospective cohort study. Purpose: To evaluate the incidence and presentation of symptomatic failures (SFs) after metastatic spine tumor surgery (MSTS). To identify the associated risk factors. To categorize SFs based on the management in these patients. Overview of Literature: Few studies have reported on the incidence (1.9%-16%) and risk factors of SF after MSTS. It is unclear whether all SFs, occurring in MSTS-patients, result in revision surgery. Methods: We conducted a retrospe...
Source: Asian Spine Journal - October 29, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

A Comparison Study of Four Cervical Disk Arthroplasty Devices Using Finite Element Models.
Conclusions: While all artificial disks were useful in restoring the index level motion, the Secure-C and Mobi-C translating abilities allowed for lower intradiscal pressures at the adjacent segments and may be the driving mechanism for minimizing adjacent segment degenerative arthritic changes. The facet joint integrity should also be considered in the clinical decision-making process for CDA selection. PMID: 33108850 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 29, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Risk Factors for 30- and 90-Day Readmission due to Intestinal Bowel Obstruction after Posterior Lumbar Fusion.
Conclusions: Of the several preoperative risk factors identified for readmission with IBO after PLF surgery, drug abuse had the strongest association and was likely to be the most clinically relevant factor. Physicians and care teams should understand the risks of opioid-based pain management regimens, attempt to manage pain with a multimodal approach, and minimize the opioid use. PMID: 33108851 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 29, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Neuropathic Pain after Adolescent Idiopathic Scoliosis Correction Surgery.
Conclusions: Chronic neuropathic pain was uncommon in AIS patients who had undergone PSF surgery. Higher opioid consumption will increase the possibility of developing chronic neuropathic pain. PMID: 33108852 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 29, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Evaluation of the Association between Neck Pain and the Trapezius Muscles in Patients with Cervical Myelopathy Using Motor Evoked Potential: A Retrospective Study.
Authors: Ito S, Sakai Y, Harada A, Ando K, Kobayashi K, Nakashima H, Machino M, Kambara S, Inoue T, Hida T, Ito K, Ishiguro N, Imagama S Abstract Study Design: Retrospective study. Purpose: We aimed to use motor evoked potentials (MEPs) to examine the association of electrophysiological assessment of the trapezius muscle with neck pain. Overview of Literature: Previous reports on the association of neck pain with the trapezius muscle have focused on surface electromyograms and muscle oxygenation; however, to our knowledge, none of these studies included detailed data on MEPs. Methods: The study included...
Source: Asian Spine Journal - October 20, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Role of Biochemical Nutritional Parameters as Predictors of Postoperative Morbidity in Major Spine Surgeries.
Conclusions: The magnitude of the decrease in nutritional status due to surgery with respect to albumin and prealbumin levels is a significant (p
Source: Asian Spine Journal - October 20, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Effectiveness of Neurodynamic Mobilization versus Conventional Therapy on Spasticity Reduction and Upper Limb Function in Tetraplegic Patients.
Conclusions: These results suggest that neurodynamic mobilization of the median nerve may be effective for upper limb spasticity control and upper limb functional improvement in tetraplegic patients. PMID: 33059433 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 20, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Can Conventional Magnetic Resonance Imaging Substitute Three-Dimensional Magnetic Resonance Imaging in the Diagnosis of Lumbar Foraminal Stenosis?
Authors: Hasib MM, Yamada K, Hoshino M, Yamada E, Tamai K, Takahashi S, Suzuki A, Toyoda H, Terai H, Nakamura H Abstract Study Design: Retrospective radiological comparative design. Purpose: To investigate whether conventional magnetic resonance imaging (MRI) could substitute three-dimensional (3D)-MRI for the calculation of the foraminal stenotic ratio (FSR) and clarification of which patients can be assessed more accurately using 3D-MRI. Overview of Literature: Previous studies have indicated that 3D-MRI is useful for diagnosing lumbar foraminal stenosis. The FSR obtained using 3D-MRI, described as the ra...
Source: Asian Spine Journal - October 20, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Is Older Age a Contraindication for Single-Level Transforaminal Lumbar Interbody Fusion?
This study's primary objective was to compare the clinico-radiological outcomes and incidence of perioperative complications of transforaminal lumbar interbody fusion (TLIF) at lower lumbar levels for elderly and younger patients. The secondary objective was to evaluate the effect of age on clinical outcomes and patient satisfaction in the two groups. Overview of Literature: The lumbar interbody fusion surgery in elder age has been reported to produce a higher complication rate and suboptimal results. Literature evaluating efficacy and safety of TLIF in elderly population is scanty. The effect of age on clinical outcom...
Source: Asian Spine Journal - October 20, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Contraindication of Minimally Invasive Lateral Interbody Fusion for Percutaneous Reduction of Degenerative Spondylolisthesis: A New Radiographic Indicator of Bony Lateral Recess Stenosis Using I Line.
Conclusions: In DS cases that are classified as grade 2 or greater, the risk of aggravated bony lateral recess stenosis due to corrective surgery is high; therefore, indirect decompression by LIF/PPS is, in principle, contraindicated. PMID: 33059436 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 20, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

The Influence of Restrictive Pulmonary Dysfunction on Osteoporotic Thoracic Vertebral Fractures.
Conclusions: The results suggest that osteoporotic thoracic vertebral fracture burden could be affected by restrictive pulmonary dysfunction. PMID: 33059437 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 20, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Long versus Short Segment Instrumentation in Osteoporotic Thoracolumbar Vertebral Fracture.
This study aimed to compare clinical and radiological data and rate of mechanical complications in elderly patients treated with short segment (SSS) or long segment stabilization (LSS) for thoracolumbar junction osteoporotic vertebral fractures (OVFs). Overview of Literature: A fervent debate is now focused on the treatment of OVF using SSS or LSS. High rate of complications is associated with pedicle screw fixation because of poor bone quality. Methods: Patients over 65 years old with a T-score of
Source: Asian Spine Journal - October 20, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Stand-Alone Anterior Cervical Discectomy and Fusion Using an Additive Manufactured Individualized Bioactive Porous Titanium Implant without Bone Graft: Results of a Prospective Clinical Trial.
Authors: Fujibayashi S, Takemoto M, Nakamura T, Matsushita T, Kokubo T, Sasaki K, Mori S, Matsuda S Abstract The purpose of this study was to introduce our patient-specific bioactive porous titanium implant manufactured using selective laser melting (SLM) and to establish the efficacy and safety of the implant for stand-alone anterior cervical discectomy and fusion (ACDF) based on a prospective clinical trial. We designed a customized ACDF implant using patient-specific data and manufactured the implant using SLM. We produced a bioactive surface through a specific chemical and thermal treatment. Using this implant,...
Source: Asian Spine Journal - September 23, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

The Influence of Posture on Instability Evaluation Using Flexion-Extension X-Ray Imaging in Lumbar Spondylolisthesis.
Authors: Inoue D, Shigematsu H, Nakagawa Y, Takeshima T, Tanaka Y Abstract Study Design: Prospective clinical study. Purpose: To determine the optimal posture for instability evaluation using flexion-extension X-ray imaging in patients with lumbar spondylolisthesis. Overview of Literature: Currently, flexion-extension X-ray imaging is the most practical approach for the evaluation of lumbar instability. In flexion-extension X-ray imaging, achievement of the greatest segmental motion with flexion-extension movement is necessary. However, to our knowledge, currently, there is no standardized posture for deter...
Source: Asian Spine Journal - September 23, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Postoperative Loss of Lumbar Lordosis Affects Clinical Outcomes in Patients with Pseudoarthrosis after Posterior Lumbar Interbody Fusion Using Cortical Bone Trajectory Screw Fixation.
This study aimed to investigate relationships between clinical outcomes and radiographic parameters in patients with pseudoarthrosis after posterior lumbar interbody fusion (PLIF). Overview of Literature: In some patients with pseudoarthrosis after PLIF, clinical symptoms improve following surgery, although pseudoarthrosis can often be one of the complications. However, there are no previous reports describing differences between patients with pseudoarthrosis after PLIF who have obtained better clinical outcomes and those who have not. Methods: Twenty-seven patients who were diagnosed with pseudoarthrosis after sin...
Source: Asian Spine Journal - September 23, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Functional Outcomes in Spinal Tuberculosis: A Review of the Literature.
Authors: Yong LN, Ahmedy F, Yin KN, Engkasan JP Abstract Spinal tuberculosis often leads to neurological deficit and subsequent deterioration in functional outcomes. This review assesses the recent evidence on functional outcomes in spinal tuberculosis, highlighting functional recovery, assessment tools for functional measures, and associative factors for functional recovery. Using PubMed, a literature search was done using the terms "spinal tuberculosis," "tuberculous spondylitis," "tuberculous spondylodiscitis," and "functional outcome" for original articles published betwe...
Source: Asian Spine Journal - September 23, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

The Effect of Body Mass Index on Long-Term Patient-Reported Outcome Scores after Anterior Cervical Discectomy and Fusion in an Asian Population: A 2-Year Study.
Conclusions: Irrespective of the BMI, all patients exhibited similar satisfactory outcomes following ACDF. The results support surgery in all subgroups of patients with symptomatic nerve compression in the cervical spine. PMID: 32951406 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - September 23, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Accuracy of Thoracolumbar Pedicle Screw Insertion Based on Routine Use of Intraoperative Imaging and Navigation.
Conclusions: The routine use of 3D navigation and intraoperative CT imaging resulted in consistently accurate pedicle screw placement. This improved the safety of spinal instrumentation and helped in avoiding revision surgery for malpositioned screws. PMID: 32951407 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - September 23, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Subaxial Vertebral Artery Rotational Occlusion Syndrome: An Overview of Clinical Aspects, Diagnostic Work-Up, and Surgical Management.
Authors: Luzzi S, Gragnaniello C, Marasco S, Lucifero AG, Del Maestro M, Bellantoni G, Galzio R Abstract Extrinsic compression of the subaxial vertebral artery (VA) may cause rotational occlusion syndrome (ROS) and contribute to vertebrobasilar insufficiency potentially leading to symptoms and in severe cases, to posterior circulation strokes. The present literature review aimed to report the main clinical findings, diagnostic work-up, and surgical management of the subaxial VA-ROS, the diagnosis of which can be difficult and is often underestimated. An illustrative case is also presented. A thorough literature sea...
Source: Asian Spine Journal - September 10, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Does Percutaneous Lumbosacral Pedicle Screw Instrumentation Prevent Long-Term Adjacent Segment Disease after Lumbar Fusion?
Conclusions: ASD rates in patients who underwent percutaneous PS placement were lower than those previously published after open PS placement, possibly related to greater preservation of the posterior stabilizing elements of the lumbar spine. PMID: 32872750 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - September 4, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Therapeutic Effect of Mirogabalin on Peripheral Neuropathic Pain due to Lumbar Spine Disease.
This study aims to evaluate the effectiveness of mirogabalin in treatment of peripheral neuropathic pain due to lumbar spine disease. Overview of Literature: Mirogabalin is a novel selective ligand for the α2δ subunit of voltage-gated Ca channels. Methods: Between April and December 2019, we used mirogabalin to treat 60 consecutive patients (mean age, 67.6 years) with leg symptoms due to lumbar disease. The treatment outcome after 8 weeks of mirogabalin therapy was evaluated by comparing the preand post-administration Numerical Rating Scale (NRS) for leg symptoms and sleep disturbance, the NRS and Rolan...
Source: Asian Spine Journal - September 4, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Wound Infiltration with Levobupivacaine, Ketorolac, and Adrenaline for Postoperative Pain Control after Spinal Fusion Surgery.
This study enrolled patients in from a single center who underwent primary spinal fusion procedure and divided them into two groups (group-control study). Purpose: Good local infiltration can reduce postoperative analgesic requirements and enable expedited discharge. Administration of a combination of levobupivacaine (200 mg/100 mL, 0.9% N-Saline), ketorolac (30 mg), and adrenaline (0.5 mg) as a wound infiltrate is recommended at an optimum combination. Overview of Literature: There is currently no consensus on the optimum intraoperative local infiltration of spinal surgery patients undergoing operative fusion. ...
Source: Asian Spine Journal - September 4, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Psychological Distress Associated with PatientReported Outcomes in Preoperative Patients with Lumbar Spinal Stenosis.
Authors: Kitano T, Kawakami M, Ishimoto Y, Teraguchi M, Fukui D, Matsuoka T, Nakagawa Y Abstract Study Design: Cross-sectional study. Purpose: The purpose of this study was to investigate the effects of psychotic symptoms such as anxiety and fear in patients undergoing lumbar spinal canal stenosis. Overview of Literature: Recently, patients with spinal disorders have not only been evaluated objectively for their disease, but also for patient-reported outcomes (PROs) including pain, physical function, and quality of life (PROs). Since depression has been previously associated with surgical outcomes, several ...
Source: Asian Spine Journal - September 4, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Treatment of Thoracolumbar Spinal Fracture Accompanied by Diffuse Idiopathic Skeletal Hyperostosis Using Transdiscal Screws for Diffuse Idiopathic Skeletal Hyperostosis: Preliminary Results.
Authors: Ikuma H, Takao S, Inoue Y, Hirose T, Matsukawa K, Kawasaki K Abstract Study Design: This retrospective case series enrolled 13 patients who underwent posterior fixation with both transdiscal screws for diffuse idiopathic skeletal hyperostosis (TSDs) and pedicle screws (PSs) to treat spinal injury accompanied by diffuse idiopathic skeletal hyperostosis (DISH). Purpose: To describe the usefulness, feasibility, and biomechanics of TSD. Overview of Literature: Vertebral bodies accompanied by DISH generally have lower bone mineral density than normal vertebral bodies because of the stress shielding effe...
Source: Asian Spine Journal - September 4, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Influence of Epidural Ropivacaine with or without Dexmedetomidine on Postoperative Analgesia and Patient Satisfaction after Thoraco-Lumbar Spine Instrumentation: A Randomized, Comparative, and Double-Blind Study.
Authors: Qureshi F, Meena SC, Kumar V, Jain K, Chauhan R, Luthra A Abstract Study Design: This was a prospective, randomized, and double-blind study. Purpose: Thoraco-lumbar spine surgery is associated with severe postoperative pain and can cause chronic pain. We aimed to compare the impact of epidural ropivacaine with and without dexmedetomidine on postoperative analgesia after thoracolumbar spine instrumentation wherein an epidural catheter was placed by the surgeon intraoperatively. Overview of Literature: Very few studies have reported the use of epidural dexmedetomidine in spine surgeries. When used vi...
Source: Asian Spine Journal - September 4, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Impact of Spinal Correction Surgeries with Osteotomy and Pelvic Fixation in Patients with Kyphosis Due to Osteoporotic Vertebral Fractures.
Authors: Hasegawa T, Ushirozako H, Yamato Y, Yoshida G, Yasuda T, Banno T, Arima H, Oe S, Yamada T, Ide K, Watanabe Y, Matsuyama Y Abstract Study Design: Combination of retrospective and prospective study. Purpose: We aimed to compare the clinical outcomes between local fixation surgery and spinopelvic fixation surgery for the treatment of kyphosis secondary to osteoporotic vertebral fractures with spinopelvic malalignment. Overview of Literature: The clinical characteristics of patients with rigid kyphosis due to osteoporotic vertebral fracture differ from that of middle-aged patients with vertebral fractu...
Source: Asian Spine Journal - September 4, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Evaluation of Diagnostic Accuracy of Magnetic Resonance Imaging in Posterior Ligamentum Complex Injury of Thoracolumbar Spine.
Conclusions: The sensitivity and specificity of MRI for diagnosing injury of the PLC in this study were lower than those previously reported in the literature. The integrity of the PLC as determined by MRI should not be used in isolation to determine treatment. PMID: 32872757 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - September 4, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Relationship between Skeletal Muscle Mass, Bone Mineral Density, and Trabecular Bone Score in Osteoporotic Vertebral Compression Fractures.
Authors: Tokeshi S, Eguchi Y, Suzuki M, Yamanaka H, Tamai H, Orita S, Inage K, Shiga Y, Hagiwara S, Nakamura J, Akazawa T, Takahashi H, Ohtori S Abstract Study Design: A retrospective observational study was performed. Purpose: We investigated the relationships between skeletal muscle mass, bone mineral density (BMD), and trabecular bone score (TBS) in patients with osteoporotic vertebral compression fractures (VCFs). Overview of Literature: The TBS has attracted attention as a measurement of trabecular bone microarchitecture. It is derived from data obtained using dual-energy X-ray absorptiometry (DXA) and...
Source: Asian Spine Journal - September 4, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Diffusion Tensor Imaging of the Spinal Canal in Quantitative Assessment of Patients with Lumbar Spinal Canal Stenosis.
Authors: Norimoto M, Eguchi Y, Kanamoto H, Oikawa Y, Matsumoto K, Masuda Y, Furuya T, Orita S, Inage K, Maki S, Shiga Y, Kinoshita H, Abe K, Inoue M, Umimura T, Sato T, Sato M, Suzuki M, Enomoto K, Ohtori S Abstract Study Design: Retrospective observational study. Purpose: Lumbar spinal stenosis (LSS) has traditionally been evaluated morphologically, there is a paucity of literature on quantitative assessment of LSS. The purpose of this study was to investigate whether intraspinal diffusion tensor imaging (DTI) parameters such as apparent diffusion coefficient (ADC) and fractional anisotropy (FA) are useful for...
Source: Asian Spine Journal - September 4, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Determinants of Postoperative Spinal Height Change among Adult Spinal Deformity Patients with Long Construct Circumferential Fusion.
Authors: Rentenberger C, Okano I, Salzmann SN, Shirahata T, Reisener MJ, Shue J, Sama AA, Cammisa FP, Girardi FP, Hughes AP Abstract Study Design: Retrospective clinical study. Purpose: To describe postoperative height changes and identify the predictive factors of spinal height (SH) changes among patients with adult spinal deformity (ASD) who underwent circumferential lumbar fusion with instrumentation. Overview of Literature: Postoperative height changes remain an important issue after spinal fusion surgery that affects the overall satisfaction with surgery. Previous studies of postoperative height change...
Source: Asian Spine Journal - September 4, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Impact of Patient Counseling and Socioeconomic Factors on Initiation of Rehabilitation Program in Spinal Cord Injury Patients Presenting to a Tertiary Spine Unit in India.
This study aimed to investigate the impact of education, financial income, occupation, and patient counseling on the timing of enrolment in a spinal cord injury (SCI) rehabilitation program. Overview of Literature: A rehabilitation program following SCI is essential to improve functional outcomes. Socioeconomic factors can affect the timing of enrolment to a rehabilitation program. Literature on the effects of socioeconomic factors among patients with SCI in the Indian scenario is limited. Methods: A prospective, consecutive analysis of patients with SCI was performed with 1-year follow-up. Assessment of the timing...
Source: Asian Spine Journal - September 4, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Ultrasound-Guided Lumbar Spine Injection for Axial and Radicular Pain: A Single Institution Early Experience.
Authors: Tay M, Sian SCSH, Eow CZ, Ho KLK, Ong JH, Sirisena D Abstract Study Design: Clinical audit via retrospective review of a database. Purpose: To report an early experience using ultrasound-guided lumbar spinal injection for axial and radicular pain in an Asian multiethnic cohort. Overview of Literature: Ultrasound-guided spine injection therapy is a comparatively new technique in the management of axial and radicular pain from degenerative lumbar spinal conditions, which may be a reasonable alternative to conventional fluoroscopic or computed tomography-guided injection. Methods: A retrospective ...
Source: Asian Spine Journal - September 4, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

In the Extraordinary Times of Coronavirus Disease 2019: Clinical Strategies for Performing Spinal Surgery.
We present the comprehensive considerations at the National University Hospital, Singapore from the surgeon's and anesthetist's perspectives in the performance of spinal surgery in COVID-19 patients. These are based on national guidelines and overarching principles of protection for the healthcare workers (HCWs) and efficiency in surgical planning. The workflow begins with the emergency department screening that has been adapted to the local epidemiology of COVID-19 in order to identify suspected/confirmed cases. If patient history cannot be obtained, demographic, clinical, and imaging data are used. Designated orthopedic ...
Source: Asian Spine Journal - September 4, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Expectations of Lumbar Surgery Outcomes among Opioid Users Compared with Non-Users.
Conclusions: Patient expectations of lumbar surgery are associated with diverse demographic and clinical variables. A lower dose and shorter duration of opioid use were associated with expecting more items and expecting more complete improvement compared with non-users. In addition, lower opioid users had greater overall expectations compared with higher users. PMID: 32810977 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - August 21, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Assessment of Great Vessels for Anterior Access of L5/S1 Using Patient Positioning.
CONCLUSIONS: The bare window of L5/S1 disk space was present within this population group, and it was found to be mobile and changed significantly with patient positioning. Therefore, the spine surgeon or the access surgeon must consider the increased potential vascular risk during disk access in lateral decubitus anterior lumbar interbody spinal fusion surgery. PMID: 32791768 [PubMed] (Source: Asian Spine Journal)
Source: Asian Spine Journal - August 15, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Treatment Strategy for Metastatic Spinal Tumors: A Narrative Review.
Authors: Chang SY, Mok S, Park SC, Kim H, Chang BS Abstract Metastatic spinal tumors are common, and their rising incidence can be attributed to the expanding aging population and increased survival rates among cancer patients. The decision-making process in the treatment of spinal metastasis requires a multidisciplinary approach that includes medical and radiation oncology, surgery, and rehabilitation. Various decision-making systems have been proposed in the literature in order to estimate survival and suggest appropriate treatment options for patients experiencing spinal metastasis. However, recent advances in t...
Source: Asian Spine Journal - August 15, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Letter to the Editor: Tele-rehabilitation of Back Pain Patients in Coronavirus Disease 2019 Pandemic.
Authors: Vaish H PMID: 32791770 [PubMed] (Source: Asian Spine Journal)
Source: Asian Spine Journal - August 15, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Coexistence of Neck and Shoulder Disability: Results of a Population-Based Cross-Sectional Study on Normative Scores and Multifactorial Risk Factors for Neck and Shoulder Problems.
Authors: Koller J, Bismarck C, Krebs S, Hitzl W, Mayer M, Koller H Abstract Study Design: Cross-sectional population-based study. Purpose: The study objective was to evaluate the coexistence of neck- and shoulder-disability, to establish normative scores for Neck Disability Index (NDI), Visual Analog Scale (VAS)-neck, VAS-arm, Quick Disability of Shoulder and Hand (Quick-DASH), and modified Constant score (mConstant score), and to determine the influence of psychological distress (Hospital Anxiety and Depression Scale [HADS]) on the disability measures. The authors also investigated the distribution of dysphagi...
Source: Asian Spine Journal - July 29, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Risk Factors for Loosening of S2 Alar Iliac Screw: Surgical Outcomes of Adult Spinal Deformity.
Authors: Iijima Y, Kotani T, Sakuma T, Nakayama K, Akazawa T, Kishida S, Muramatsu Y, Sasaki Y, Ueno K, Asada T, Sato K, Minami S, Ohtori S Abstract Study Design: Retrospective study. Purpose: To determine the risk factors for S2 alar iliac (S2AI) screw loosening and its association with lumbosacral fusion in patients with adult spinal deformity (ASD). Overview of Literature: S2AI screws have been widely used for ASD surgery in recent years. However, no studies have analyzed the risk factors for loosening of S2AI screws and its association with lumbosacral fusion. Methods: Cases of 50 patients with ASD ...
Source: Asian Spine Journal - July 29, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Spinal Epidural Abscess: A Review of Presentation, Management, and Medicolegal Implications.
Authors: Sharfman ZT, Gelfand Y, Shah P, Holtzman AJ, Mendelis JR, Kinon MD, Krystal JD, Brook A, Yassari R, Kramer DC Abstract Spinal epidural abscess (SEA) is a rare condition associated with significant morbidity and mortality. Despite advances in diagnostic medicine, early recognition of SEAs remains elusive. The vague presentation of the disease, coupled with its numerous risk factors, the diagnostic requirement for obtaining advanced imaging, and the necessity of specialized care constitute extraordinary challenges to both diagnosis and treatment of SEA. Once diagnosed, SEAs require urgent or emergent medical...
Source: Asian Spine Journal - July 29, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Response to: Letter to the Editor, "Sarcopenia and Back Muscle Degeneration as Risk Factors for Back Pain: A Comparative Study".
Response to: Letter to the Editor, "Sarcopenia and Back Muscle Degeneration as Risk Factors for Back Pain: A Comparative Study". Asian Spine J. 2020 Jul 24;: Authors: Kim WJ, Kim KJ, Song DG, Lee JS, Park KY, Lee JW, Chang SH, Choy WS PMID: 32703921 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - July 28, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Ability of Spine Specialists to Identify Psychosocial Risk Factors as Obstacles to Recovery in Patients with Low Back Pain-Related Disorders.
Conclusions: The ability of spine specialists to identify yellow flags is poor and can be improved by asking patients to complete a simple screening questionnaire. PMID: 32703922 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - July 28, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Letter to the Editor, "Sarcopenia and Back Muscle Degeneration as Risk Factors for Back Pain: A Comparative Study".
Letter to the Editor, "Sarcopenia and Back Muscle Degeneration as Risk Factors for Back Pain: A Comparative Study". Asian Spine J. 2020 Jul 24;: Authors: Vaish H PMID: 32703923 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - July 28, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Implant-Associated Infection of Long-Segment Spinal Instrumentation: A Retrospective Analysis of 46 Consecutive Patients.
Conclusions: Implant-associated infections of long-segment spinal instrumentations are associated with high complication and mortality rates. Late infections are associated with implant removal. Treatment should be interdisciplinary including orthopedic surgeons and clinical infectiologists. PMID: 32703924 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - July 28, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Comparison of Clinical Outcomes of Different Rates of Infusion in Caudal Epidural Steroid Injection: A Randomized Controlled Trial.
Conclusions: Although there were no significant differences between injection rates in the short-term clinical improvement outcomes, the fast injection rate group experienced more pain at the injection site, suggesting that the use of the slow injection rate may be considered. PMID: 32703925 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - July 28, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research