Anterior Bone Loss in Cervical Disc Arthroplasty.
Conclusions: ABL is common (57.1%). It occurs at an early stage (within 3 months) and typically follows a non-progressive natural history with stable radiographic features after the first year. Most ABL cases are mild, but severe ABL occurs in approximately 3% of CDAs. ABL does not affect the patients' clinical outcome or the requirement for revision surgery. Surgeons should thus treat patients undergoing CDA considering ABL. PMID: 30326692 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 19, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Feasibility of Sub-Axial Cervical Laminar Screws, Including C7, in the Indian Population: A Study on 50 Patients Using Computed Tomography-Based Morphometry Measurements.
Authors: Srivastava A, Nanda G, Mahajan R, Nanda A, Batra S, Mishra N, Pandita N, Chhabra HS Abstract Study Design: Observational study of computed tomography (CT) data. Purpose: We performed a CT-based radiographic analysis of sub-axial cervical lamina in the Indian population to assess the feasibility of laminar screws. Overview of Literature: Morphometric studies have been performed for populations of various ethnic groups, but none exist for Indian populations. Methods: Cervical spine CT scans of 50 adults with a minimum slice thickness of
Source: Asian Spine Journal - October 19, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

The Relationship of Facet Joint Orientation and Tropism with Lumbar Disc Herniation and Degenerative Spondylolisthesis in the Lower Lumbar Spine.
This study aimed to clarify the relationship of both facet tropism (FT) and the sagittally aligned facet (SAF) joint with lumbar disc herniation (LDH) and degenerative spondylolisthesis (DS). Overview of Literature: Despite several studies conducted, there is no consensus on the association of the SAF joint and FT with DH and DS. Methods: Between June 2015 and December 2017, magnetic resonance imaging scans of 250 consecutive patients who underwent surgery for LDH and DS were analyzed. The facet angles at all the lower lumbar levels were calculated, and SAF and FT were noted. The relationship between the side of di...
Source: Asian Spine Journal - October 19, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Misdiagnosis of Thoracolumbar Posterior Ligamentous Complex Injuries and Use of Radiographic Parameter Correlations to Improve Detection Accuracy.
Conclusions: The results demonstrated that PLC injuries are frequently misdiagnosed. Correlations between certain radiological parameters associated with PLC injuries can be useful indicators of the presence of such injuries requiring surgery. PMID: 30326695 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 19, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Variations in Practice among Asia-Pacific Surgeons and Recommendations for Managing Cervical Myelopathy: The First Asia-Pacific Spine Society Collaborative Study.
Authors: Cheung JPY, Cheung PWH, Chiu CK, Chan CYW, Kwan MK Abstract Study Design: Surgeon survey. Purpose: To study the various surgical practices of different surgeons in the Asia-Pacific region. Overview of Literature: Given the diversity among Asia-Pacific surgeons, there is no clear consensus on the preferred management strategies for cervical myelopathy. In particular, the role of prophylactic decompression for silent cervical spinal stenosis is under constant debate and should be addressed. Methods: Surgeons from the Asia-Pacific Spine Society participated in an online questionnaire comprising 50...
Source: Asian Spine Journal - October 19, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

A New Search Algorithm for Reducing the Incidence of Missing Cottonoids in the Operating Theater.
Conclusions: This study enumerates RSI risk factors in spinal surgical procedures and describes steps that can be followed to account for any missing cottonoids. The incidence of missing cottonoids can be decreased using a goal-oriented approach and ensuring that surgical teams work in collaboration. PMID: 30326697 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 19, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Effects of Two Different Hip-Knee-Ankle-Foot Orthoses on Postural Stability in Subjects with Spinal Cord Injury: A Pilot Study.
Conclusions: It is noteworthy that meaningful interpretations of results can only be drawn if a larger sample is employed. This pilot study showed no significant data; however, the results indicate that the use of MLRGO is superior to that of IRGO in terms of potential improvement in the mobility and confidence levels of subjects with SCI. PMID: 30326698 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 19, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Early Detection and Analysis of Children with Multidrug-Resistant Tuberculosis of the Spine.
Authors: Arockiaraj J, Robert M, Rose W, Amritanand R, David KS, Krishnan V Abstract Study Design: Retrospective case series. Purpose: The aim of the study is to report the clinical characteristics, early diagnosis, management, and outcome of children with multidrug-resistant (MDR) tubercular spondylodiscitis and to assess the early detection of rifampicin resistance using the Xpert MTB/ RIF assay. Overview of Literature: MDR tuberculosis is on the rise, especially in developing countries. The incidence rate of MDR has been reported as 8.9% in children. Methods: A retrospective study of children aged
Source: Asian Spine Journal - October 19, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

The Inaccuracy of Surface Landmarks for the Anterior Approach to the Cervical Spine in Southern Chinese Patients.
Conclusions: The surface landmarks of the neck were not accurate enough to be used as the sole determinant of vertebral levels or incision sites. Intra-operative fluoroscopy is necessary to accurately locate each of the cervical vertebral levels. PMID: 30322240 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Prevalence of Neck Pain among Athletes: A Systematic Review.
Authors: Noormohammadpour P, Farahbakhsh F, Farahbakhsh F, Rostami M, Kordi R Abstract Many studies have investigated the prevalence of neck pain (NP) and its risk factors in the general population. However, the prevalence of NP among athletes has not yet been systematically investigated. We aimed to systematically review the prevalence of NP in athletes. A comprehensive search was conducted in September 2015 using PubMed, Ovid SP Medline, ISI, and Google Scholar. We included studies in English that reported the prevalence of NP in an athletic population during a defined period of time. We assessed the risk of bias...
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

The Role of Vitamin D in the Pathogenesis of Adolescent Idiopathic Scoliosis.
This study attempts to review the relevant literature on AIS etiology to examine the association of vitamin D and various current theories. Our review suggested that vitamin D deficiency is associated with several current etiological theories of AIS. We postulate that vitamin D deficiency and/or insufficiency affects AIS development by its effect on the regulation of fibrosis, postural control, and BMD. Subclinical deficiency of vitamin K2, a fat-soluble vitamin, is also prevalent in adolescents; therefore, it is possible that the high prevalence of vitamin D deficiency is related to decreased fat intake. Further studies a...
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Age-Related Prevalence of Periodontoid Calcification and Its Associations with Acute Cervical Pain.
Conclusions: Our results cumulatively suggest that periodontoid calcification is an aging-related reaction and that calcification per se does not always cause neck pain. Periodontoid calcification was observed more frequently in patients with pseudogout of the peripheral joints and in those with acute neck pain than in asymptomatic control patients. PMID: 30322243 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Factors Influencing Postoperative Urinary Retention Following Elective Posterior Lumbar Spine Surgery: A Prospective Study.
Authors: Aiyer SN, Kumar A, Shetty AP, Kanna RM, Rajasekaran S Abstract Study Design: Prospective observational study. Purpose: To determine the incidence of postoperative urinary retention (POUR) in patients undergoing elective posterior lumbar spine surgery and identify the risk factors associated with the development of POUR. Overview of Literature: POUR following surgery can lead to detrusor dysfunction, urinary tract infections, prolonged hospital stay, and a higher treatment cost; however, the risk factors for POUR in spine surgery remain unclear. Methods: A prospective, consecutive analysis was c...
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Development of a Modified Disability Questionnaire for Evaluating Disability Caused by Backache in India and Other Developing Countries.
Conclusions: A modified disability questionnaire that was designed by adding two questions related to bending forward and work status and removing questions related to sexual activity and weight lifting or traveling (depending on the occupation) can help evaluate disability caused by back pain in Indian population. PMID: 30322245 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Biomechanical Analysis of Biodegradable Cervical Plates Developed for Anterior Cervical Discectomy and Fusion.
Conclusions: The use of biodegradable plates will enhance spinal fusion in the initial stronger period and prevent adjacent segment degeneration in the later, weaker period. PMID: 30322246 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Cut-off Value for Body Mass Index in Predicting Surgical Success in Patients with Lumbar Spinal Canal Stenosis.
Conclusion: This study showed that the BMI can be considered a parameter for predicting surgical success in patients with LSCS and can be useful in clinical practice. PMID: 30322247 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Novel Hybrid Hydroxyapatite Spacers Ensure Sufficient Bone Bonding in Cervical Laminoplasty.
Conclusions: Hybrid HA spacers contributed to high bone-fusion rates of the spacers and hinges of the laminae, and no complications were associated with their use. Cervical laminoplasty with these spacers is safe and simple, and it yields sufficient fixation strength while ensuring sufficient bone bonding during the immediate postoperative period. PMID: 30322248 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Most Reliable Time in Predicting Residual Kyphosis and Stability: Pediatric Spinal Tuberculosis.
Conclusions: It could tentatively be possible to predict the deformity progress or non-progress and spontaneous correction at the time of initial treatment, but it predictive accuracy was low. Therefore, assessment of the trend of kyphotic change is recommended at the end of chemotherapy. In children with progressive curve change, the deformity assessment should be continued till the maturity. PMID: 30322249 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Evaluation of the Degenerative Changes of the Distal Intervertebral Discs after Internal Fixation Surgery in Adolescent Idiopathic Scoliosis.
Authors: Dehnokhalaji M, Golbakhsh MR, Siavashi B, Talebian P, Javidmehr S, Bozorgmanesh M Abstract Study Design: Retrospective study. Purpose: Lumbar intervertebral disc degeneration is an important cause of low back pain. Overview of Literature: Spinal fusion is often reported to have a good course for adolescent idiopathic scoliosis (AIS). However, many studies have reported that adjacent segment degeneration is accelerated after lumbar spinal fusion. Radiography is a simple method used to evaluate the orientation of the vertebral column. magnetic resonance imaging (MRI) is the method most often used to ...
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Impact of Screw Type on Kyphotic Deformity Correction after Spine Fracture Fixation: Cannulated versus Solid Pedicle Screw.
Conclusions: Solid screws were superior in terms of providing increased correction of the kyphotic angle and height of the fractured vertebra than the cannulated screws; however, no difference was noted between the screws in the maintenance of the superior and inferior angles of the screw with the rod. PMID: 30322251 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

"Post-Decompressive Neuropathy": New-Onset Post-Laminectomy Lower Extremity Neuropathic Pain Different from the Preoperative Complaint.
Conclusions: PDN is a discrete postoperative pain phenomenon that occurred in 77% of the patients who underwent lumbar laminectomy with or without instrumented fusion. Attention must be paid to the constellation and natural history of symptoms unique to PDN to effectively manage a self-limiting postoperative issue. PMID: 30322252 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Segmental Lordosis of the Spondylolytic Vertebrae in Adolescent Lumbar Spondylolysis: Differences between Bilateral L5 and L4 Spondylolysis.
Conclusions: Adolescent patients with bilateral spondylolysis have segmental hyperlordosis of the affected vertebra not only at the L5 level but also at the L4 level. PMID: 30322253 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

A Comparative Analysis of the Metabolic and Coagulative Profiles in Patients with Idiopathic Scoliosis, Congenital Scoliosis and Healthy Controls: A Case-Control Study.
Conclusions: Low serum melatonin levels associated with scoliosis can be a cause or an effect of scoliosis. Moreover, low bone mineral density, high bone turn over, and negative calcium balance appear to play an important role in the progression, if not the onset, of the deformity. PMID: 30322254 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Management of Andersson Lesion in Ankylosing Spondylitis Using the Posterior-Only Approach: A Case Series of 18 Patients.
Conclusions: ALs can be treated using the posterior-only approach with long segment fixation and posterior spinal fusion. This is a safe, simple, and quick procedure that prevents the morbidity of anterior surgery. PMID: 30322255 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

A Computed Tomography Analysis of the Success of Spinal Fusion Using Ultra-Low Dose (0.7 mg per Facet) of Recombinant Human Bone Morphogenetic Protein 2 in Multilevel Adult Degenerative Spinal Deformity Surgery.
Conclusions: To our knowledge, this is the first study to report a CT that defined 92%-98% FF and 100% IBF using the lowest reported dose of RhBMP-2 in multilevel ASD surgery. The use of ultra-low dose RhBMP-2 reduces the RhBMP-2 related complications and healthcare costs. PMID: 30322256 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Functional Recovery Following the Transplantation of Olfactory Ensheathing Cells in Rat Spinal Cord Injury Model.
This study aimed to evaluate the efficacy of different doses of allogenic OEC transplantation in a rat model of SCI. Methods: OECs were cultured from the olfactory mucosa of Albino Wistar rats; these cells were characterized using immunohistochemistry and flow cytometry. Rats were divided into five groups (n=6 rats each). In each group, different dosage (2×105, 5×105, 10×105, and>10×105) of cultured cells were transplanted into experimentally injured spinal cords of rat models. However, in the SCI group, only DMEM (Dulbecco's modified Eagle's medium) was injected. Rats were followed up upto 8...
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Feasibility of Serum Pentosidine Level as a Potential Risk Factor for Osteoporotic Vertebral Compression Fracture.
Conclusions: These results suggest that increased serum pentosidine level could be a potential marker for OVCF. PMID: 30322258 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Anterior Cervical Discectomy and Fusion YouTube Videos as a Source of Patient Education.
Conclusions: The quality of ACDF videos on YouTube is low, with the majority of videos produced by unreliable sources. Therefore, these YouTube videos should not be recommended as patient education tools for ACDF. PMID: 30322259 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Bladder Recovery Patterns in Patients with Complete Cauda Equina Syndrome: A Single-Center Study.
Conclusions: Intactness of PAS was the only significant prognostic variable. Decreased or absent VAC was the most sensitive diagnostic marker of CES. We also proposed a simplified bladder recovery classification for recovery prognosis. PMID: 30322260 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Trends and Costs of External Electrical Bone Stimulators and Grafting Materials in Anterior Lumbar Interbody Fusion.
Authors: D'Oro A, Buser Z, Brodke DS, Park JB, Yoon ST, Youssef JA, Meisel HJ, Radcliff KE, Hsieh P, Wang JC Abstract Study Design: Retrospective review. Purpose: To identify the trends in stimulator use, pair those trends with various grafting materials, and determine the influence of stimulators on the risk of revision surgery. Overview of Literature: A large number of studies has reported beneficial effects of electromagnetic energy in healing long bone fractures. However, there are few clinical studies regarding the use of electrical stimulators in spinal fusion. Methods: We used insurance billing c...
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Biomechanical Study of Posterior Pelvic Fixations in Vertically Unstable Sacral Fractures: An Alternative to Triangular Osteosynthesis.
Conclusions: This study proposes the use of transiliac fixation in addition to an iliosacral screw to stabilize vertically unstable sacral fractures. Our biomechanical data demonstrated the superiority of adding transiliac fixation to withstand vertical displacement forces. PMID: 30322262 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - October 17, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Sensory and Motor Behavior Evidences Supporting the Usefulness of Conditioned Medium from Dental Pulp-Derived Stem Cells in Spinal Cord Injury in Rats.
This study aimed to assess effects of conditioned medium (CM) of dental pulp-derived stem cells loaded in collagen hydrogel on functional recovery following spinal cord injury (SCI). OVERVIEW OF LITERATURE: SCI affects sensory and motor functions, and behavioral recovery is the most essential purpose of therapeutic intervention. Recent studies have reported that CM from dental pulp-derived stem cells has therapeutic benefits. In addition, collagen hydrogel acts as a drug delivery system in SCI experiments. METHODS: Stem cells from human exfoliated deciduous teeth (SHEDs) were cultured, and SHED-CM was harvested and...
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Magnetically Controlled Growing Rods: The Experience of Mechanical Failure from a Single Center Consecutive Series of 28 Children with a Minimum Follow-up of 2 Years.
CONCLUSIONS: Our series is the most comprehensive MCGR series published to date, and we present a mechanical failure rate of 29%. Clinicians should be mindful of the discrepancies between ERC length and radiographic measurements of rod length; other modalities may be more helpful in this regard. PMID: 30213160 [PubMed] (Source: Asian Spine Journal)
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Endoscopic Decompression Can Be Effective for Diagnosing and Treating Tubercular Spondylodiskitis with Early Epidural Spinal Compression: A Retrospective Study of 18 Cases.
CONCLUSIONS: We hereby conclude that endoscopic biopsy and drainage can provide a better diagnosis and decrease pain in a predictable manner. PMID: 30213161 [PubMed] (Source: Asian Spine Journal)
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Short-Term Clinical Evaluation of Enhanced Unilateral Open-Door Laminoplasty Using Titanium Mesh.
CONCLUSIONS: The results of the present study suggest that enhanced ODL using titanium mesh has favorable outcome and safety profile, which can pave the way for a suitable treatment in patients with OPLL. PMID: 30213162 [PubMed] (Source: Asian Spine Journal)
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Validity and Reliability of the Arabic Version of the Copenhagen Neck Functional Disability Scale in Neck Pain Patients.
CONCLUSIONS: The Arabic version of the CNFDS has adequate validity and reliability for the measurement of the disability level in chronic neck pain patients. PMID: 30213163 [PubMed] (Source: Asian Spine Journal)
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Anterolateral Cervical Kyphoplasty for Metastatic Cervical Spine Lesions.
Authors: Sebaaly A, Najjar A, Wang Z, Boubez G, Masucci L, Shedid D Abstract STUDY DESIGN: Retrospective case series. PURPOSE: To evaluate the clinical and radiological efficacy of anterolateral kyphoplasty for cervical spinal metastasis. OVERVIEW OF LITERATURE: Although the spine is the third most common site of tumor metastasis, the cervical spine is the least commonly affected (incidence, 10%-15%). Surgical decompression is highly challenging because of the proximity of neural and vascular elements. Kyphoplasty for cervical spine metastasis has been described in small case reports with promising results....
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Risk Factors for Pseudarthrosis in Minimally-Invasive Transforaminal Lumbar Interbody Fusion.
Authors: Emami A, Faloon M, Sahai N, Dunn CJ, Issa K, Thibaudeau D, Sinha K, Hwang KS Abstract STUDY DESIGN: Retrospective cohort study (level of evidence: 4). PURPOSE: To describe the potential comorbid, operative, and radiographic risk factors for the development of clinically-relevant pseudarthrosis following minimally-invasive transforaminal lumbar interbody fusion (MIS-TLIF). OVERVIEW OF LITERATURE: MIS-TLIF has shown long-term clinical outcomes with decreased perioperative morbidity and earlier return to work, similar to those of open TLIF. However, unsuccessful fusion still remains a concern. The imp...
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Use of Bioelectrical Impedance Analysis for the Measurement of Appendicular Skeletal Muscle Mass/Whole Fat Mass and Its Relevance in Assessing Osteoporosis among Patients with Low Back Pain: A Comparative Analysis Using Dual X-ray Absorptiometry.
Authors: Fujimoto K, Inage K, Eguchi Y, Orita S, Suzuki M, Kubota G, Sainoh T, Sato J, Shiga Y, Abe K, Kanamoto H, Inoue M, Kinoshita H, Norimoto M, Umimura T, Koda M, Furuya T, Akazawa T, Toyoguchi T, Terakado A, Takahashi K, Ohtori S Abstract STUDY DESIGN: Cross-sectional observational study. PURPOSE: To compare measurements of appendicular skeletal muscle mass (ASMM) and whole fat mass (WFM) obtained using dualenergy X-ray absorptiometry (DXA) and bioelectrical impedance analysis (BIA) among patients with low back pain (LBP). Moreover, the study investigated the correlation between BIA-based ASMM and DXA-bas...
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Outcomes and Prognosis of Neurological Decompression and Stabilization for Spinal Metastasis: Is Assessment with the Spinal Instability Neoplastic Score Useful for Predicting Surgical Results?
This study included 44 patients who underwent decompression and stabilization for spinal metastases at Yokosuka Kyosai Hospital between 2008 and 2017. The patients were divided into two groups: stable (SINS ≤12) and unstable (SINS ≥13). Changes in the Frankel score and Eastern Cooperative Oncology Group Performance Status (ECOG-PS) were compared between the two groups, and patient survival was evaluated according to the SINS, Tokuhashi score, and Katagiri score. RESULTS: The stable group (SINS range, 7-12) included 24 patients while the unstable group (SINS range, 13-16) included 20 patients. The Frankel score si...
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Impact of Multidisciplinary Spine Conferences on Surgical Planning and Perioperative Care in Elective Lumbar Spine Surgeries.
We examined the impact of implementing multidisciplinary spine conferences-"spine board" reviews-on the general utilization of elective lumbar spine surgeries in a tertiary medical institute. OVERVIEW OF LITERATURE: A multidisciplinary approach to spine care reportedly improves the appropriate utilization of surgical spine procedures. METHODS: A multidisciplinary spine board was established to review candidates selected for elective lumbar spine surgery. The board comprised representatives from orthopedic spine surgery, neurosurgery, psychology, physical therapy, radiology, pharmacy, primary care, pain ma...
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Radiological and Clinical Outcomes of Balloon Kyphoplasty versus Radiofrequency Kyphoplasty in the Treatment of Vertebral Compression Fractures.
Authors: Winkelmann M, Mavropoulos T, Decker S, Omar M, Krettek C, Müller CW Abstract STUDY DESIGN: Retrospective cohort analysis. PURPOSE: Comparison of balloon kyphoplasty (BKP) and radiofrequency kyphoplasty (RFK) with respect to height restoration of the fractured vertebral bodies and the pain relief experienced after the surgical procedure. OVERVIEW OF LITERATURE: BKP and RFK both offer safe, time-saving, and potent treatment options for vertebral compression fractures, but neither of these methods demonstrated any key advantage over the other yet. METHODS: We performed a retrospective analysi...
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Clinical and Radiological Comparison between Three Different Minimally Invasive Surgical Fusion Techniques for Single-Level Lumbar Isthmic and Degenerative Spondylolisthesis: Minimally Invasive Surgical Posterolateral Fusion versus Minimally Invasive Surgical Transforaminal Lumbar Interbody Fusion versus Midline Lumbar Fusion.
CONCLUSIONS: MIDLF was the least invasive, and there was no significant difference between the three groups in terms of fusion, screw loosening, and clinical outcomes. PMID: 30213170 [PubMed] (Source: Asian Spine Journal)
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Does Recombinant Human Bone Morphogenic Protein 2 Affect Perioperative Blood Loss after Lumbar and Thoracic Spinal Fusion?
CONCLUSIONS: RhBMP-2 appears to reduce both intraoperative and total blood loss during lumbar and thoracic fusions on a per-level fused basis. This total reduction in blood loss was achieved via intraoperative effects because RhBMP-2 had no significant effect on the postoperative drain output. PMID: 30213171 [PubMed] (Source: Asian Spine Journal)
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Minimally Invasive Augmented Fixation for Anatomical Reduction of Grade 2 and Grade 3 Listhesis in Patients with Osteoporosis.
CONCLUSIONS: Augmented fixation is a useful technique for achieving anatomical reduction of listhesis in patients with osteoporosis. PMID: 30213172 [PubMed] (Source: Asian Spine Journal)
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Comparison of Preoperative and Postoperative Parecoxib Administration for Pain Control Following Major Spine Surgery.
CONCLUSIONS: The timing of parecoxib administration, either before or after major spinal surgery, did not affect the safety and analgesic efficacy of pain management. PMID: 30213173 [PubMed] (Source: Asian Spine Journal)
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Zygapophyseal Joint Orientation and Facet Tropism and Their Association with Lumbar Disc Prolapse.
Authors: Mohanty SP, Kanhangad MP, Kamath S, Kamath A Abstract STUDY DESIGN: Cross-sectional study. PURPOSE: To evaluate the association between zygapophyseal joint angle (ZJA), facet tropism (FT), and lumbar intervertebral disc prolapse (IVDP). OVERVIEW OF LITERATURE: Several studies have shown that FT increases the risk of IVDP and have postulated that a more sagittally oriented zygapophyseal joint provides less mechanical resistance to axial torque, thereby exerting excessive rotational strain on the intervertebral disc, resulting in an annular tear. In contrast, other studies have found no definitive as...
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Mechanisms of Cervical Spine Disc Injury under Cyclic Loading.
CONCLUSIONS: Disc displacement was lower at high frequency, thus exhibiting strain rate stiffening and explaining stress accumulation at superior and interior peripheries. Greater stresses and strains at the boundaries explain disc injuries, such as delamination. The greater development of stresses in the innermost annular fiber layer (migrating toward the posterolateral regions) explains disc prolapse. PMID: 30213175 [PubMed] (Source: Asian Spine Journal)
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Prognosis of Single Spinal Metastatic Tumors: Predictive Value of the Spinal Instability Neoplastic Score System for Spinal Adverse Events.
CONCLUSIONS: Among the components of the SINS system, while pain and spinal alignment showed a significant association with VCF occurrence, pain and posterolateral involvement showed association with SCC occurrence. PMID: 30213176 [PubMed] (Source: Asian Spine Journal)
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Efficacy of Virtual Reality in Upper Limb Rehabilitation in Patients with Spinal Cord Injury: A Pilot Randomized Controlled Trial.
CONCLUSIONS: Virtual reality along with conventional therapy produces similar results in upper limb function as does conventional therapy alone. PMID: 30213177 [PubMed] (Source: Asian Spine Journal)
Source: Asian Spine Journal - September 16, 2018 Category: Orthopaedics Tags: Asian Spine J Source Type: research