Responsiveness of Commonly Used Patient- Reported Outcome Instruments in Lumbar Microdiscectomy.
Conclusions: ODI, RMDQ, SF-12 PCS, and SF-12 MCS demonstrated adequate responsiveness in a homogenous cohort of patients who underwent lumbar micro-discectomy. ODI and RMDQ are equally responsive and, thus, are interchangeable instruments for region specific outcomes. Both the SF-12 PCS and SF-12 MCS can assess the quality of life following lumbar micro-discectomy. PMID: 31154699 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - June 5, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Functional Outcome after Endoscopic Lumbar Discectomy by Destandau's Technique: A Prospective Study of 614 Patients.
Conclusions: ELD provides a safe, effective, and minimal access corridor for lumbar discectomy. The technique also allows early postoperative mobilization and faster return-to-work. PMID: 31154700 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - June 5, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Thoracic Posture and Mobility in Mechanical Neck Pain Population: A Review of the Literature.
Authors: Joshi S, Balthillaya G, Neelapala YVR Abstract Neck pain is a common condition with several proposed biomechanical contributing factors. Thoracic spine dysfunction is hypothesized as one of the predisposing factors, which necessitates the need to explore the contribution of thoracic posture and mobility toward neck pain. Accordingly, the present work aimed to review the existing literature investigating the presence of thoracic spine dysfunction in individuals with neck pain. A literature search was conducted in the three electronic databases of PubMed, CINAHL, and Web of Science. Studies published between...
Source: Asian Spine Journal - June 5, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Effect of Indirect Neural Decompression with Oblique Lateral Interbody Fusion Was Influenced by Preoperative Lumbar Lordosis in Adult Spinal Deformity Surgery.
Authors: Beng TB, Kotani Y, Sia U, Gonchar I Abstract Study Design: Retrospective clinical study on the indirect decompressive effect of oblique lateral interbody fusion (OLIF) for adult spinal deformity. Purpose: To evaluate the effect of interbody distraction by OLIF for the treatment of adult spinal deformity. Overview of Literature: Adult spinal deformity with symptomatic stenosis has been addressed conventionally using a direct posterior decompression approach with fusion. However, stenotic symptoms can also be alleviated indirectly through restoration of intervertebral and foraminal heights and correc...
Source: Asian Spine Journal - June 5, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Surgical Results of Patients with Myelopathy due to Ossification of the Ligamentum Flavum with Ossification of the Posterior Longitudinal Ligament or a Vertebral Fracture at the Same Level of the Thoracic Spine: A Retrospective Comparative Study.
Conclusions: Thoracic myelopathy due to OLF+VF occurs primarily in older females, who also exhibit worse preoperative and postoperative neurological status, and worse walking ability, than patients with thoracic myelopathy due to OLF or OLF+OPLL. PMID: 31154703 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - June 5, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Factors Affecting Postoperative Sagittal Alignment after Lateral Lumbar Interbody Fusion in Adult Spinal Deformity: Posterior Osteotomy, Anterior Longitudinal Ligament Rupture, and Endplate Injury.
Authors: Nakashima H, Kanemura T, Satake K, Ishikawa Y, Ouchida J, Segi N, Yamaguchi H, Imagama S Abstract Study Design: Prospective cohort study. Purpose: To identify factors that affect sagittal alignment correction in lateral lumbar interbody fusion (LIF) surgery for adult spinal deformity (ASD) and to investigate the degree of correction in each condition. Overview of Literature: LIF is a useful procedure for ASD, but the degree of correction can be affected by posterior osteotomy, intraoperative endplate injury, or anterior longitudinal ligament (ALL) rupture. Methods: Radiographical data for 30 pa...
Source: Asian Spine Journal - June 5, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Feasibility and Safety of Outpatient Lumbar Microscopic Discectomy in a Developing Country.
Conclusions: Outpatient MLD can be safely performed with success, even in the setting of a developing country, if the prerequisites of appropriate patient selection, arduous adherence to outpatient surgery protocol, competent surgical/anesthetic team, and infrastructure needed for conduction of microsurgery are met. PMID: 31154705 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - June 5, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Pullout Strength Predictor: A Machine Learning Approach.
Conclusions: This model can be used clinically for understanding the failure of pedicle screw pullout and pre-surgical planning for spine surgeon. PMID: 31154706 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - June 5, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Frailty Syndrome and the Use of Frailty Indices as a Preoperative Risk Stratification Tool in Spine Surgery: A Review.
Authors: Simcox T, Antoku D, Jain N, Acosta F, Hah R Abstract This comprehensive narrative literature review aims to extract studies related to frailty indices and their use in elective spine procedures, as limited studies regarding frailty exist in the spine literature. Most studies are retrospective analyses of prospectively collected databases. Evidence suggests a positive correlation between frailty level and mortality rate, postoperative complication rate, length of stay, and the possibility of discharge to a skilled nursing facility; these correlations have been illustrated across various spine procedures. Th...
Source: Asian Spine Journal - June 5, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Precautions for Combined Anterior and Posterior Long-Level Fusion for Adult Spinal Deformity: Perioperative Surgical Complications Related to the Anterior Procedure (Oblique Lumbar Interbody Fusion).
Conclusions: OLIF yielded more than expected endplate injuries from treatment modalities for ASD along with sagittal imbalance. Therefore, surgeons should be cautious about endplate injury during OLIF procedures. It is difficult to accomplish lordosis correction via OLIF alone; therefore, surgeons should not attempt this impractical correction goal and insert an immoderate cage. PMID: 31154755 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - June 5, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Ten-Year Results of Reconstruction for Rheumatoid Cervical Spine Lesions and Occurrence Factor of Subaxial Subluxation.
Conclusions: Patients with rheumatoid cervical lesions who undergo atlantoaxial or occipitocervical fixation using C1-C2 transarticular or pedicle screws carry a risk of SAS for up to 10 years postoperatively, which may require reoperation. PMID: 31079426 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - May 14, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Characteristics of Low Back Pain due to Superior Cluneal Nerve Entrapment Neuropathy.
Authors: Miki K, Kim K, Isu T, Matsumoto J, Kokubo R, Isobe M, Inoue T Abstract Study Design: Retrospective analysis. Purpose: The present study aimed to investigate the features of low back pain (LBP) due to superior cluneal nerve (SCN) entrapment neuropathy (SCN-EN) using the Roland Morris Disability Questionnaire (RMDQ), and to analyze the differences between LBP due to SCN-EN and lumbar spinal canal stenosis (LSS). Overview of Literature: The SCN is derived from the cutaneous branches of the dorsal rami of T11-L5 and passes through the thoracolumbar fascia. LBP due to SCN-EN is exacerbated by various ty...
Source: Asian Spine Journal - May 14, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Investigation of Comorbidity, Trauma History, and Osteoporotic Fractures in the Postmenopausal Population: A Nationwide, Observational, and Cross-Sectional Study of Korean Orthopedic Outpatient Clinics.
Conclusions: Postmenopausal women are liable to have osteoporotic fractures due to the high prevalence of osteoporosis, a history of falling, and the comorbidity with diseases that restrict ambulation. A better understanding of postmenopausal women in the orthopedic outpatient settings is important to the management of osteoporotic fractures. PMID: 31079428 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - May 14, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Autogenic Rib Graft for Atlantoaxial and Occipitocervical Fixation in Pediatric Patients.
Conclusions: Autogenic rib grafts have advantages of potential bone regeneration, high fusion rate, and low donor-site morbidity. In addition, a screw-rod construct provides better bony fusion in pediatric patients with OCF and atlantoaxial fixation. PMID: 31079429 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - May 14, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

C2 Fractures in the Elderly: Single-Center Evaluation of Risk Factors for Mortality.
Conclusions: The CCI was a useful tool for predicting mortality at 1 year in the patient cohort. Other variables, including common laboratory markers, can also be used for risk stratification, to initiate timely multidisciplinary management, and prognostic counseling for patients and family members. PMID: 31079430 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - May 14, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Posterior Dural Shifts Following Spinous Process-Splitting Multi-Level Intervertebral Lumbar Laminectomies.
We examined 37 patients who underwent spinous process-splitting laminectomies in at least two intervertebral levels, including at the L5/S level. We defined the distance between the vertebral bodies and the anterior edge of the dural sac in the magnetic resonance images at the L5 vertebral level as the anterior dural space (ADS) and detected the difference (d-ADS) between preoperative ADS (pre-ADS) and postoperative ADS (post-ADS). We assessed the relationship between ADS or d-ADS, and preoperative parameters, including age, sex, lumbar lordosis, focal lordosis (FL), and number of decompression levels. Results: Post-AD...
Source: Asian Spine Journal - May 14, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Comparison of Transforming Growth Factor-Beta1 and Lovastatin on Differentiating Mesenchymal Stem Cells toward Nucleus Pulposus-like Phenotype: An In Vitro Cell Culture Study.
Conclusions: This study demonstrates a promising role of lovastatin in inducing human MSCs into NP-like cells. However, further optimization of cell density before lovastatin treatment, treatment duration, and combination with TGF-β1 are warranted to attain better stimulatory effects. PMID: 31079432 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - May 14, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Hooks at the Upper Instrumented Vertebra Can Adjust Postoperative Shoulder Balance in Patients with Adolescent Idiopathic Scoliosis: 5 Years or More of Follow-up.
This study aims to investigate postoperative shoulder imbalance (PSI) ≥5 years postoperatively in patients who underwent posterior spinal fusion using hooks at the upper instrumented vertebra (UIV) for Lenke type 1 adolescent idiopathic scoliosis (AIS). Overview of Literature: Studies have reported PSI due to excessive correction of the main thoracic curve. Methods: We examined 56 patients with AIS who underwent a posterior spinal fusion with hooks at the UIV from 2004 to 2010. Of these, we enrolled 14 patients who underwent surgery, at least, 5 years ago. X-rays and Scoliosis Research Society-22 (SRS-22) questi...
Source: Asian Spine Journal - May 14, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Mid-length Pedicle Screws in Posterior Instrumentation of Scoliosis.
Authors: Balikci T, Kıyak G, Heydar AM, Bawaneh MK, Bezer M Abstract Study Design: Prospective analysis of collected data. Purpose: We determine the need for the use of mid-length pedicle screws (screws with 2.5-mm long increments) during posterior spinal instrumentation. Overview of Literature: Many biomechanical studies have been performed showing that increasing the pedicle screw insertion depth provides an improved resistance to pullout, cyclic loading, and derotational forces, but no intermediate length screws were used. Methods: We prospectively evaluated 120 patients who received posterior segme...
Source: Asian Spine Journal - May 14, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Effects of Weekly Teriparatide Administration for Vertebral Stability and Bony Union in Patients with Acute Osteoporotic Vertebral Fractures.
Conclusions: Once-weekly TPTD administration may facilitate early bony union after acute OVF accompanied by severe osteoporosis. PMID: 31000686 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - April 20, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Evaluation of Challenges in Diagnosis of Spontaneous Subacute Pyogenic Spondylodiscitis in Immunocompetent Patients: Experiences from a Tertiary Care Center.
Conclusions: Diagnosing subacute spondylodiscitis in a patient presenting with subacute low backache poses a diagnostic challenge. Clinical and radiologic picture are deceiving, and bacteriologic results often are negative, further complicating the picture. A detailed medical history along with clinical, radiologic, and biochemical parameters prevents missing the diagnosis. Serial serum Creactive protein and alkaline phosphatases were more reliable blood parameters in cases of subacute presentation. PMID: 30966724 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - April 12, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Quantitative Predictive Imaging Biomarkers of Lumbar Intervertebral Disc Degeneration.
We examined 59 healthy controls and 59 patients with back pain by MRI using T2 relaxometry and diffusion tensor imaging (DTI). Each group was divided into three age subgroups: A (50 years, n=21). We obtained FA values for AF and NP and T2 values for NP for each intervertebral disc. Furthermore, we calculated the FA (AF/NP) ratios. Results: We categorized 590 intervertebral discs from 118 participants, 566 of which were analyzed with T2 relaxometry and DTI. The T2 values were as follows: subgroup A, 55.8±4.4 ms; B, 48.5±6.9 ms; C, 45.8±8.7 ms (p120 ms, 90-100 ms, and 70 ms, respectively (p
Source: Asian Spine Journal - April 12, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Investigation of the Neuropathic Pain Caused by Syringomyelia Associated with Chiari I Malformation.
Conclusions: This study showed a correlation between the morphological features of the syringes and the occurrence of neuropathic pain in patients with syringomyelia associated with Chiari I malformation. PMID: 30966726 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - April 12, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Biportal Endoscopic Spinal Surgery for Lumbar Spinal Stenosis.
Authors: Kim JE, Choi DJ, Park EJJ, Lee HJ, Hwang JH, Kim MC, Oh JS Abstract Biportal endoscopic spinal surgery (BESS) is a minimally invasive spinal surgery, which is basically similar to microscopic spinal surgery in terms of the use of floating technique and technically similar to conventional percutaneous endoscopic spinal surgery in terms of the use of endoscopic or arthroscopic instruments. Using two independent portals (viewing and working) and maintaining a certain distance from the bony and neural structures allow closer access to the target lesion through a panoramic view by free handling of the scope and...
Source: Asian Spine Journal - April 10, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Obtaining Pentosidine Levels as an Adjunct to Determine a Patient's Candidacy for Vertebral Stabilization for a Vertebral Compression Fracture.
Authors: Viswanath O, Orhurhu V, Urits I Abstract PMID: 30959589 [PubMed] (Source: Asian Spine Journal)
Source: Asian Spine Journal - April 10, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Response to: Obtaining Pentosidine Levels as an Adjunct to Determine a Patient's Candidacy for Vertebral Stabilization for a Vertebral Compression Fracture.
Authors: Choi YS Abstract PMID: 30959590 [PubMed] (Source: Asian Spine Journal)
Source: Asian Spine Journal - April 10, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Apical Vertebral Column Resection with Sagittal Rotation and Controlled Anterior Opening and Posterior Closing Maneuver for the Treatment of Severe Post-Tubercular Kyphosis: Case Series and Literature Review.
Conclusions: Single stage simultaneous anterior column lengthening and posterior column shortening is an effective method for surgical correction of severe PTK. PMID: 30962411 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - April 10, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Locking Stand-Alone Cage Constructs for the Treatment of Cervical Spine Degenerative Disease.
Conclusions: ACDF with zero-profile stand-alone cervical devices is an excellent option for cervical degenerative disc disease of one, two, and three levels, with similar results reported when using ACDF with either cage or plate. PMID: 30962412 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - April 10, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Prevention of Adjacent Segmental Disease after Fusion in Degenerative Spinal Disorder: Correlation between Segmental Lumbar Lordosis Ratio and Pelvic Incidence-Lumbar Lordosis Mismatch for a Minimum 5-Year Follow-up.
Authors: Kim WJ, Ma CH, Kim SH, Min YS, Lee JW, Chang SH, Park KH, Park KY, Song DG, Choy WS Abstract Study Design: Retrospective study. Purpose: Associations among risk factors related to adjacent segmental disease (ASD) remain unclear. We evaluated the risk factors and segmental lordosis ratio to prevent ASD developing after lumbar spinal fusion. Overview of Literature: Risk factors related to ASD development are age, sex, obesity, pre-existing degeneration, number of fusion segments, and decreased postoperative lumbar lordosis (LL). However, the associations among these factors are still unclear and shou...
Source: Asian Spine Journal - April 10, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

What Should an Ideal Adult Spinal Deformity Classification System Consist of?: Review of the Factors Affecting Outcomes of Adult Spinal Deformity Management.
Authors: Naresh-Babu J, Viswanadha AK, Ito M, Park JB Abstract This literature review aims to determine potential clinical factors or comorbidities besides radiological parameters that affect the outcome of adult spinal deformity (ASD) management and review existing classifications associated with ASD. ASD is a multifactorial disease that comprises pathologies like radiological spine deformity, coexistence of spinal canal stenosis, radiculopathy, and multiple comorbidities. The available classification systems of ASD are predominantly based on radiological parameters and do not consider related clinical conditions....
Source: Asian Spine Journal - April 10, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Minimum 2-Year Experience with Magnetically Controlled Growing Rods for the Treatment of Early-Onset Scoliosis: A Systematic Review.
Authors: Wu AM, Cheung JPY, Cheung KMC, Lin JL, Jin HM, Chen D, Wang XY, Zhao J, Kwan KYH Abstract Magnetically controlled growing rods have been used to treat early-onset scoliosis for the last 9 years; however, few studies have been published, with only short-term follow-up. The aim of the present study is to systematically review the outcomes of magnetically controlled growing rods in the treatment of early-onset scoliosis with a minimum of 2-year follow-up. Studies were included if patients with early-onset scoliosis (scoliosis diagnosed before 10 years of age) underwent implantation of magnetically controlled ...
Source: Asian Spine Journal - March 28, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Percutaneous Stenoscopic Lumbar Decompression with Paramedian Approach for Foraminal/Extraforaminal Lesions.
Authors: Nam HGW, Kim HS, Lee DK, Park CK, Lim KT Abstract The lumbar foramen is affected by different degenerative diseases, including extraforaminal disc herniation, foraminal stenosis (FS), and degenerative or spondylolytic spondylolisthesis. The purpose of this study was to describe percutaneous stenoscopic lumbar decompression with a paramedian approach (para-PSLD) for foraminal/extraforaminal lesions. All operative procedures were performed using a complete uniportal endoscopic instrument system. The para-PSLD can be easily applied to patients with FS and narrow disc space or facet joint hypertrophy. The anat...
Source: Asian Spine Journal - March 28, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

The Spectrum of Clinical and Urodynamic Findings in Patients with Spinal Tuberculosis Exhibiting Lower Urinary Tract Symptoms, before and after Spinal Surgical Intervention with Antitubercular Treatment: A Prospective Study.
Conclusions: Patients with spinal TB exhibiting LUTS can display a spectrum of clinical presentations and variable UDS findings. As two patients exhibited new onset poor compliance with bilateral hydronephrosis in one of them, this study concludes that a close follow-up for upper tracts in these patients is required despite successful spinal surgery. PMID: 30909676 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - March 28, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Local Sagittal Alignment of the Lumbar Spine and Range of Motion in 627 Asymptomatic Subjects: Age-Related Changes and Sex-Based Differences.
Conclusions: We established the standard value and age-related changes in the lumbar alignment and ROM in each age decade in asymptomatic subjects. These data will be useful and provide the normal values for comparison in clinical practice to identify sexbased differences and age-related changes. PMID: 30909677 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - March 28, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

The Role of Percutaneous Transforaminal Endoscopic Surgery in Lateral Recess Stenosis in Elderly Patients.
Authors: Kapetanakis S, Gkantsinikoudis N, Thomaidis T, Charitoudis G, Theodosiadis P Abstract Study Design: Prospective clinical study. Purpose: To investigate the effect of percutaneous transforaminal endoscopic surgery (PTES) for lateral recess stenosis (LRS)(LRS) in elderly patients and to assess patients' health-related quality of life (HRQoL). Overview of Literature: PTES is an increasingly used surgical approach, primarily employed for lumbar disc herniation treatment. However, indications for PTES have been increasing in recent years. PTES has been recommended as a beneficial alternative to open dec...
Source: Asian Spine Journal - March 28, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Sagittal Balance Correction Following Lumbar Interbody Fusion: A Comparison of the Three Approaches.
The objective of this study was to compare three widely used interbody fusion approaches in regard to their ability to correct sagittal balance, including pelvic parameters. Overview of Literature: Restoration of sagittal balance in lumbar spine surgery is associated with better postoperative outcomes. Various interbody fusion techniques can help to correct sagittal balance, with no clear consensus on which technique offers the best correction. Methods: The charts and imaging of patients who have undergone surgery through either open transforaminal lumbar interbody fusion (TLIF), minimally invasive TLIF (MIS TLIF),...
Source: Asian Spine Journal - March 28, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Multifidus Muscles Lipid Content Is Associated with Intervertebral Disc Degeneration: A Quantitative Magnetic Resonance Imaging Study.
Authors: Ogon I, Takebayashi T, Takashima H, Morita T, Oshigiri T, Terashima Y, Yoshimoto M, Yamashita T Abstract Study Design: Cross-sectional study. Purpose: To determine the association between fatty degeneration of the multifidus muscle (Mm) and intervertebral disc degeneration (IVDD) using quantitative magnetic resonance imaging (MRI). Overview of Literature: Few studies have reported on quantitative MRI analysis of the relation between the Mm and IVDD. Methods: The subjects with chronic low back pain comprised 45 patients (19 males, 26 females; mean age, 63.8±2.0 years; range, 41-79 years)....
Source: Asian Spine Journal - March 15, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Congenital Osseous Anomalies of the Cervical Spine: Occurrence, Morphological Characteristics, Embryological Basis and Clinical Significance: A Computed Tomography Based Study.
Conclusions: We found that 33.1% of CT scans had at least one congenital anomaly. Some anomalies, such as abnormal facet complex and arch anomalies, have to be differentiated from fractures in a trauma patient. Other anomalies, like PP, have to be looked for during preoperative planning to avoid complications during surgery. Therefore, knowledge of these anomalies is important as different anomalies have different clinical courses and management. PMID: 30866614 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - March 15, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Severe C8 or T1 Symptoms after Cervical Laminoplasty and Related Factors: Are Tere Any Differences between C3-C6 Laminoplasty and C3-C7 Laminoplasty?
Conclusions: The incidence of C8 or T1 symptoms in C3-C6 LP was higher than that in C3-C7 LP. C8 or T1 symptoms would be caused by the posterior fila radicularia and spinal cord impingement on the intact lower end of the lamina. PMID: 30866615 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - March 15, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Prospective Evaluation of Radiculitis following Bone Morphogenetic Protein-2 Use for Transforaminal Interbody Arthrodesis in Spine Surgery.
Conclusions: In this prospective observational trial, the use of BMP in TLIF did not lead to significant postoperative radiculitis, as measured by VAS leg and SBI scores. Back pain and other functional outcome scores also improved, and no differences existed between the BMP and control groups. The careful use of BMP in TLIF appears to be both safe and effective. PMID: 30866616 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - March 15, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Unplanned Second-Stage Decompression for Neurological Deterioration Caused by Central Canal Stenosis after Indirect Lumbar Decompression Surgery.
This study aimed to identify risk factors for unplanned second-stage decompression for postoperative neurological deficit after indirect decompression using lateral lumbar interbody fusion (LLIF) with posterior fixation. Overview of Literature: Indirect lumbar decompression with LLIF has been used as a minimally invasive alternative to direct decompression to treat degenerative lumbar diseases requiring neural decompression. However, evidence on the prevalence of neurological deficits caused by spinal canal stenosis after indirect decompression is limited. Methods: This study included 158 patients (mean age, 71.13&...
Source: Asian Spine Journal - March 15, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Cross-Cultural Adaptation, Validity, and Reliability Study of the Turkish Version of the Back Pain Functional Scale.
Conclusions: These data indicate the validity and reliability of the Turkish version of the BPFS. PMID: 30866618 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - March 15, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Factors Impacting Mortality in Geriatric Patients with Acute Spine Fractures: A 12-Year Study of 613 Patients in Singapore.
Authors: Soon EL, Leong AZ, Chiew J, Kaliya-Perumal AK, Yu CS, Oh JY Abstract Study Design: Retrospective database analysis. Purpose: To identify risk factors that predict mortality following acute spine fractures in geriatric patients of Singapore. Overview of Literature: Acute geriatric spinal fractures contribute significantly to local healthcare costs and hospital admissions. However, geriatric mortality following acute spine fractures is scarcely assessed in the Asian population. Methods: Electronic records of 3,010 patients who presented to our hospital's emergency department and who were subseque...
Source: Asian Spine Journal - March 15, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Pyogenic Vertebral Column Osteomyelitis in Adults: Analysis of Risk Factors for 30-Day and 1-Year Mortality in a Single Center Cohort Study.
Conclusions: Although the mFI correlated with 30-day mortality in univariate analysis, it was not a significant predictor in multivariate analysis. An increase in age and the number of levels involved elevated the 1-year mortality risk. PMID: 30866620 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - March 15, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Effects of Graded Exercises Integrated with Education on Physical Fitness, Exercise SelfEfficacy, and Activity Levels in People with Spinal Cord Injury: A Quasi-Experimental Study Protocol.
Conclusions: An intervention that combines exercise training and education may be warranted to enhance the physical fitness, ESE, and PA levels in SCI patients. This trial was registered with ClinicalTrials.gov (NCT03420170). PMID: 30866621 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - March 15, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Etiology of Adolescent Idiopathic Scoliosis: A Literature Review.
Authors: Kikanloo SR, Tarpada SP, Cho W Abstract Adolescent idiopathic scoliosis (AIS) is the peripubertal development of spinal curvature of a minimum of 10°. AIS is thought to be attributable to genetic factors, nutrition, early exposure to toxins, and hormonal dysregulation. Recent literature suggests these factors may compound to determine both disease onset and severity. Currently, treatment is limited to observation, bracing, and surgical intervention. Intervention is presently determined by severity and risk of curve progression. As they emerge, new therapies may target specific etiologies of AIS. PM...
Source: Asian Spine Journal - February 14, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Comparison of Surgical Outcomes of the Posterior and Combined Approaches for Repair of Cervical Fractures in Ankylosing Spondylitis.
Conclusions: Both P and C provided good clinical results. P surgery had lower EBL, lower postoperative complication rate, and shorter length of stay than C surgery; none of these differences were statistically significant. PMID: 30744306 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - February 14, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

The Prevalence of Asymptomatic Cervical and Lumbar Facet Arthropathy: A Computed Tomography Study.
Authors: Kim JH, Sharan A, Cho W, Emam M, Hagen M, Kim SY Abstract Study Design: Case control study. Purpose: To determine the prevalence and degree of asymptomatic cervical and lumbar facet joint arthritis. We retrospectively reviewed 500 computed tomography (CT) scans of cervical facet joints obtained from 50 subjects. Moreover, 500 lumbar facet joints obtained from an additional 50 subjects were reviewed. Overview of Literature: Numerous reports in the literature indicate that joint arthritis is a major source of axial neck and low back pain. However, the diagnostic value of this condition, based on dege...
Source: Asian Spine Journal - February 14, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Zygapophyseal Joint Orientation and Facet Tropism and Their Association with Lumbar Disc Prolapse.
Authors: Rustagi T, Chhabra HS, Das K Abstract PMID: 30703859 [PubMed] (Source: Asian Spine Journal)
Source: Asian Spine Journal - February 2, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Response to: Zygapophyseal Joint Orientation and Facet Tropism and Their Association with Lumbar Disc Prolapse.
Authors: Kanhangad MP Abstract PMID: 30703860 [PubMed] (Source: Asian Spine Journal)
Source: Asian Spine Journal - February 2, 2019 Category: Orthopaedics Tags: Asian Spine J Source Type: research