Foot drop as the initial symptom caused by thoracic disc herniation
ConclusionFoot drop can be the initial symptom caused by thoracic disc herniation at the T11 –L1 level, especially for the calcified disc herniation. A satisfactory recovery rate can be achieved by surgical decompression with fixation. (Source: European Spine Journal)
Source: European Spine Journal - May 22, 2022 Category: Orthopaedics Source Type: research

Surgeon specialty effect on early outcomes of elective posterior spinal fusion for adolescent idiopathic scoliosis: a propensity-matched analysis of 965 patients
ConclusionsThis retrospective study found significant differences in early perioperative outcomes of patients undergoing PSF for AIS by neurosurgeons and orthopedic surgeons. Further studies are recommended to corroborate this finding which may trigger changes in the educational curriculum for neurosurgery residents. (Source: European Spine Journal)
Source: European Spine Journal - May 21, 2022 Category: Orthopaedics Source Type: research

Anemia was associated with multilevel lumbar disc degeneration in patients with low back pain: a single-center retrospective study
ConclusionDespite the young age of this cohort, MLDD is common among patients with low back pain. A significant independent association exists between age, HT, anemia and multilevel disc degeneration in the lumbar region. (Source: European Spine Journal)
Source: European Spine Journal - May 21, 2022 Category: Orthopaedics Source Type: research

Post-operative L5 radiculopathy after L5-S1 hyperlordotic anterior lumbar interbody fusion (HL-ALIF) is related to a greater increase of lordosis and smaller post-operative posterior disc height: results from a cohort study
ConclusionsPost-operative root problems were observed in 17.9% of patients undergoing HL-ALIF for adult spine deformity. L5 radiculopathy was associated with larger sagittal angular corrections and smaller post-operative posterior disc height. One patient (2.6%) needed L5 root decompression. At 12  months of follow-up, results were equivalent between groups.Level of evidence IDiagnostic: individual cross-sectional studies with the consistently applied reference standard and blinding. (Source: European Spine Journal)
Source: European Spine Journal - May 21, 2022 Category: Orthopaedics Source Type: research

A deep learning framework for vertebral morphometry and Cobb angle measurement with external validation
ConclusionThe obtained results are within the range of values, obtained by existing DL approaches without external validation. The results therefore confirm the scalability of the proposed DL framework from the perspective of application to external data, and time and computational resource consumption required for framework training. (Source: European Spine Journal)
Source: European Spine Journal - May 21, 2022 Category: Orthopaedics Source Type: research

Thoracogenic scoliosis: a retrospective review of 129 pediatric patients with a mean follow-up of 10  years
ConclusionAlthough post-thoracotomy scoliosis is not associated with significant rotation, the risk of curve progression  >  45° is relatively high. Regular follow-up is required as scoliosis may develop several years after LT with or without LPR. (Source: European Spine Journal)
Source: European Spine Journal - May 20, 2022 Category: Orthopaedics Source Type: research

3D printing applications in spine surgery: an evidence-based assessment toward personalized patient care
ConclusionsDespite promising preliminary results, the applications of 3D printing are so recent that the available data regarding these new technologies in spine surgery remains scarce, especially data related to long-term outcomes. (Source: European Spine Journal)
Source: European Spine Journal - May 19, 2022 Category: Orthopaedics Source Type: research

Single-position prone transpsoas fusion for the treatment of lumbar adjacent segment disease: early experience of twenty-four cases across three tertiary medical centers
ConclusionSingle-position prone transpsoas lumbar interbody fusion is a clinically reproducible minimally invasive technique that can effectively treat lumbar adjacent segment disease. (Source: European Spine Journal)
Source: European Spine Journal - May 19, 2022 Category: Orthopaedics Source Type: research

A novel use of cone beam CT: flexion and extension weight-bearing imaging to assess spinal stability
ConclusionCBCT can be used to image the lumbar and cervical spine in physiological weight-bearing positions and at different extremes of spinal motion. This novel application of an existing technology can be used to aid surgical decision making to assess spinal stability and to investigate occult back and leg pain. Its use should be limited to specific clinical indications, given the relatively high radiation dose. (Source: European Spine Journal)
Source: European Spine Journal - May 19, 2022 Category: Orthopaedics Source Type: research

Association of pain-related threat beliefs and disability with postural control and trunk motion in individuals with low back pain: a systematic review and meta-analysis
ConclusionMotor behaviors are influenced by several factors, and therefore, the relatively weak associations observed between reduced lumbar ROM with higher pain-related threat beliefs and perceived disability, and postural control with disability are to be expected. This could aid clinicians in the assessment and planning rehabilitation interventions.Level of Evidence IDiagnostic: individual cross-sectional studies with the consistently applied reference standard and blinding. (Source: European Spine Journal)
Source: European Spine Journal - May 18, 2022 Category: Orthopaedics Source Type: research

Accelerated anterior vertebral growth resulting in kyphosis correction following posterior spinal instrumented fusion
ConclusionsRestitution of posterior column integrity through stabilization can mitigate the compressive stresses across anterior column. Over a period of time, forces restraining the growth of anterior vertebral apophysis are alleviated, and the vertebra can potentially re-grow to near-normal dimensions in pediatric population. This phenomenon could be well-demonstrated in our patient during follow-up.Level of evidence IDiagnostic: individual cross-sectional studies with the consistently applied reference standard and blinding. (Source: European Spine Journal)
Source: European Spine Journal - May 14, 2022 Category: Orthopaedics Source Type: research

Answer to the Letter to the Editor of V. Kumar et al. concerning & quot;Laminectomy alone versus laminectomy with fusion for degenerative cervical myelopathy: a long-term study of a national cohort & quot; by E. de Dios et al. (Eur Spine J [2022];31(2):334 –345)
(Source: European Spine Journal)
Source: European Spine Journal - May 14, 2022 Category: Orthopaedics Source Type: research

Lateral decubitus single position anterior –posterior (AP) fusion shows equivalent results to minimally invasive transforaminal lumbar interbody fusion at one-year follow-up
ConclusionsL-SPS improves perioperative outcomes and does not compromise clinical or radiographic results at 1-year follow-up compared with MIS TLIF. There may be decreased rates of early mechanical failure with L-SPS. (Source: European Spine Journal)
Source: European Spine Journal - May 13, 2022 Category: Orthopaedics Source Type: research

A systematic review with meta-analysis of the diagnostic test accuracy of pedicle screw electrical stimulation
ConclusionElectrical stimulation of the pedicle screw can be used as an adequate diagnostic capability at the lumbar level with a threshold of 8  mA. However, thoracic stimulation is currently not reliable, with very low sensitivity and diagnostic validity at 6 mA or higher. (Source: European Spine Journal)
Source: European Spine Journal - May 13, 2022 Category: Orthopaedics Source Type: research

What is success of treatment? Expected outcome scores in cervical radiculopathy patients were much higher than the previously reported cut-off values for success
ConclusionsThe expected improvement after treatment of cervical radiculopathy was much higher than the previously reported cut-off values for success. Patients with cervical radiculopathy had higher expectations to surgical treatment. (Source: European Spine Journal)
Source: European Spine Journal - May 13, 2022 Category: Orthopaedics Source Type: research