Reply to the letter to the editor of L. Russo et al. concerning “Relationship between sagittal spinal curves geometry and isokinetic trunk muscle strength in adults” by W. Elsayed, A. Farrag, Q. Muaidi, N. Almulhim (2018) Eur Spine J 27:2014–2022
(Source: European Spine Journal)
Source: European Spine Journal - November 14, 2018 Category: Orthopaedics Source Type: research

Answer to the Letter to the Editor of Changyu Pan et al. concerning “Global tilt: a single parameter incorporating spinal and pelvic sagittal parameters and least affected by patient positioning” by Obeid I et al. (Eur Spine J; [2016] 25:3644–3649)
(Source: European Spine Journal)
Source: European Spine Journal - November 13, 2018 Category: Orthopaedics Source Type: research

Letter to the Editor concerning “Global tilt: a single parameter incorporating spinal and pelvic sagittal parameters and least affected by patient positioning” by Obeid I et al. [Eur Spine J; (2016) 25: 3644–3649]
(Source: European Spine Journal)
Source: European Spine Journal - November 13, 2018 Category: Orthopaedics Source Type: research

Anterior controllable antedisplacement fusion as a choice for 28 patients of cervical ossification of the posterior longitudinal ligament with dura ossification: the risk of cerebrospinal fluid leakage compared with anterior cervical corpectomy and fusion
AbstractPurposeTo compare the incidence rate of cerebrospinal fluid (CSF) leakage between anterior controllable antedisplacement fusion (ACAF) and anterior cervical corpectomy and fusion (ACCF) in the treatment of ossification of the posterior longitudinal ligament (OPLL) with dura ossification (DO).MethodsIn the period from June 2015 to June 2017, ACAF and ACCF were performed on patients with OPLL with DO. Double-layer sign was observed on axial bone window of CT images. The operation duration, blood loss, and hospital stay were measured. Radiologic assessment included occupying rate, type and extent of OPLL, decompressio...
Source: European Spine Journal - November 10, 2018 Category: Orthopaedics Source Type: research

Bone marrow washout for multilevel vertebroplasty in multiple myeloma spinal involvement. Technical note.
ConclusionsMultilevel vertebroplasty in MM patients with diffuse spinal involvement carries the advantages of reducing pain, avoid repeated surgeries and faster return to oncological regimen. Cardiovascular complications, including pulmonary embolism, are rare but can have fatal consequences. It is mainly due to bone marrow mobilization during cement injection and the risk increases with the amount of cement injected and the number of treated levels. Despite multilevel treatment at the same stage, we did not observe any significant complication in our series. Further studies are needed to confirm the preliminary results of...
Source: European Spine Journal - November 7, 2018 Category: Orthopaedics Source Type: research

Clinical outcomes of locking stand-alone cage versus anterior plate construct in two-level anterior cervical discectomy and fusion: a systematic review and meta-analysis
AbstractBackgroundTwo-level cervical degenerative disc disease (cDDD) can be effectively treated by anterior cervical discectomy and fusion (ACDF) similarly to single-level cDDD. Traditionally an anterior plate construct (APC) approach has been utilized, but ACDF without plate with a locking stand-alone cage (LSC) approach has emerged as an alternative option. The aim of this study was to compare the clinical outcome of LSC and APC in contiguous two-level ACDF used to treat cDDD the current literature.MethodsSearches of seven electronic databases from inception to March 2018 were conducted following preferred reporting ite...
Source: European Spine Journal - November 2, 2018 Category: Orthopaedics Source Type: research

Expert ’s Comment concerning Grand Rounds case entitled “Cryosurgery in the excision of a giant local recurrent sacral chordoma: a case report and literature review” by V. Pipola et al. (Eur Spine J; https://doi.org/10.1007/s00586-017-5438-3)
(Source: European Spine Journal)
Source: European Spine Journal - November 2, 2018 Category: Orthopaedics Source Type: research

Multi- versus single-level anterior cervical discectomy and fusion: comparing sagittal alignment, early adjacent segment degeneration, and clinical outcomes
AbstractPurposeThe purpose of this study was to compare the rates of adjacent segment degeneration (ASD), sagittal alignment parameters, and patient-reported outcomes in patients who underwent multi-level versus single-level anterior cervical discectomy and fusion (ACDF).MethodsA retrospective cohort analysis was performed on consecutive patients who underwent an ACDF. Pre- and post-operative radiographic assessment included ASD, change in C2 –C7 lordosis, T1 angle, levels fused, sagittal vertical axis (SVA), fusion mass lordosis, proximal and distal adjacent segment lordosis. Patient-reported outcomes were obtained....
Source: European Spine Journal - November 1, 2018 Category: Orthopaedics Source Type: research

Cost of low back pain: results from a national register study in Sweden
ConclusionsLBP has an apparent impact on the overall resource use and work loss. The results indicate that there is a high short-term cost increase at the beginning of an LBP episode, but also that the costs decrease in the long term after the LBP symptoms have come to clinical attention.Graphical abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - November 1, 2018 Category: Orthopaedics Source Type: research

Revision adult spinal deformity surgery: Does the number of previous operations have a negative impact on outcome?
AbstractPurposeTo study the effect of the number of previous operations on the outcome of revision adult spinal deformity (ASD) surgery.MethodsOne hundred and thirty-seven consecutive patients who underwent revision ASD surgery were classified as follows: those who had one previous operation (group 1), had two previous operations (group 2) and had three or more previous operations (group 3). Perioperative complications and additional surgeries were reviewed. Back pain, leg pain, ODI scores and radiographic measurements were obtained.ResultsPreoperatively, the patients in group 3 had worse ODI (60.0 vs. 48.1 and 47.9,p 
Source: European Spine Journal - October 31, 2018 Category: Orthopaedics Source Type: research

Quasi-automatic 3D reconstruction of the full spine from low-dose biplanar X-rays based on statistical inferences and image analysis
ConclusionThe proposed method allows fast and accurate 3D reconstruction of the spine for wide clinical applications and represents a significant step towards full automatization of 3D reconstruction of the spine. Moreover, it is to the best of our knowledge the first method including also the cervical spine.Graphical abstractThese slides can be retrieved under electronic supplementary material. (Source: European Spine Journal)
Source: European Spine Journal - October 31, 2018 Category: Orthopaedics Source Type: research

Comparative tomographic study of the S2-alar-iliac screw versus the iliac screw
ConclusionThe trajectory of the S2-alar-iliac screws studied via computed tomography was greater in terms of bone thickness and deeper relative to the skin compared with the iliac screws. The S2-alar-iliac technique may have desirable clinical advantages in terms of the diameter of the screws and reduced protrusion when used in adults.Graphical abstractThese slides can be retrieved from Electronic supplementary material. (Source: European Spine Journal)
Source: European Spine Journal - October 31, 2018 Category: Orthopaedics Source Type: research

Expert ’s comment concerning Grand Rounds case entitled “Double crush syndrome caused by cervical spondylosis and vertebral artery loop” by Young Joon Rho et al. (Eur Spine J; 2017: doi:10.1007/s00586-017-5064-0)
(Source: European Spine Journal)
Source: European Spine Journal - October 31, 2018 Category: Orthopaedics Source Type: research

Correction to: Triplanar correction of adolescent idiopathic scoliosis by asymmetrically shaped and simultaneously applied rods associated with direct vertebral rotation: clinical and radiological analysis of 36 patients
Unfortunately, the affiliation of the author group has been incorrectly published in original version. The complete correct affiliation of all authors should read as follows. (Source: European Spine Journal)
Source: European Spine Journal - October 31, 2018 Category: Orthopaedics Source Type: research

Correction to: Spino-pelvic balance and surgical treatment of L5 –S1 isthmic spondylolisthesis
Unfortunately, the affiliation of the author group has been incorrectly published in original version. The complete correct affiliation of all authors should read as follows. (Source: European Spine Journal)
Source: European Spine Journal - October 31, 2018 Category: Orthopaedics Source Type: research

Correction to: Surgical correction of double major adolescent idiopathic scoliosis
Unfortunately, the affiliation of the author group has been incorrectly published in original version. The complete correct affiliation of all authors should read as follows. (Source: European Spine Journal)
Source: European Spine Journal - October 31, 2018 Category: Orthopaedics Source Type: research

Anatomic evaluation of retroperitoneal organs for lateral approach surgery: a prospective imaging study using computed tomography in the lateral decubitus position
ConclusionsWe observed anterior migration in L-CT in all retroperitoneal organs. However, a considerable percentage of kidney and that of descending colon remain obstruent while performing LIF. We discuss that the preoperative imaging evaluation is beneficial, and gentle and meticulous surgical detachment is essential for safe and reliable lateral approach surgery, especially in the case that the descending colon extends outside zone P in S-CT.Graphical abstractThese slides can be retrieved under electronic supplementary material. (Source: European Spine Journal)
Source: European Spine Journal - October 30, 2018 Category: Orthopaedics Source Type: research

Announcements
(Source: European Spine Journal)
Source: European Spine Journal - October 29, 2018 Category: Orthopaedics Source Type: research

Does surgical site infection influence neurological outcome and survival in patients undergoing surgery for metastatic spinal cord compression?
ConclusionSurgical site infection increased the morbidity with considerably longer hospital stay and requirement for additional procedures. Although there was no difference in neurological outcome, the infected group of patients had a significantly shorter survival.Graphical abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - October 27, 2018 Category: Orthopaedics Source Type: research

Short-term results of intrathecal injection of low-dose bupivacaine in outpatients with chronic low back and lower extremity pain
AbstractPurposeTo investigate the safety and efficacy of intrathecal injection as an alternative to epidural injection for analgesia.MethodsSeventy consecutive outpatients with chronic low back and lower extremity pain received lumbar intrathecal injection of low-dose isobaric bupivacaine using a 25-gauge pencil-point needle. The patients received 0.5, 1.0, and 1.5  mg of bupivacaine at 1-week intervals to determine the optimal dose. Thereafter, they received two more weekly injections with the optimal dose. The safety and efficacy of the treatment were assessed over a 1-year period.ResultsNo serious adverse events we...
Source: European Spine Journal - October 26, 2018 Category: Orthopaedics Source Type: research

Maintaining endotracheal tube cuff pressure at 20  mmHg during anterior cervical spine surgery to prevent dysphagia: a double-blind randomized controlled trial
ConclusionsAnterior cervical spine surgery is accompanied by a high incidence of postoperative dysphagia, lasting until at least 2  months after surgery in over a third of our patients. Adjusting ETT cuff pressure to 20 mmHg after retractor placement, as compared to controls, did not lower the risk for both short- and long-term dysphagia.Netherlands National Trial Registry Number: NTR 3542.Graphical abstractThese slides can be retrieved under electronic supplementary material. (Source: European Spine Journal)
Source: European Spine Journal - October 25, 2018 Category: Orthopaedics Source Type: research

Unilateral sacroiliitis: differentiating infective and inflammatory etiology by magnetic resonance imaging and tissue studies
ConclusionMRI had high sensitivity (71%) and 100% specificity in diagnosing inflammatory sacroiliitis while it had low specificity, but 100% sensitivity for diagnosing infective sacroiliitis. Hence, patients diagnosed as inflammatory sacroiliitis in MRI are unlikely to benefit from further tissue studies while percutaneous biopsy is recommended in patients diagnosed in MRI as infective sacroiliitis.Graphical abstract (Source: European Spine Journal)
Source: European Spine Journal - October 23, 2018 Category: Orthopaedics Source Type: research

Anatomy of the dens and its implications for fracture treatment: an anatomical and radiological study
AbstractPurposeThe most common injuries to the upper cervical spine are fractures of the dens axis. Therefore, the purpose of our study was to answer three questions, namely (1) whether the size of the dens is adequate at all levels to accommodate two screws, (2) what the angle of the posterior tilt of the dens is in a healthy individual and (3) compare the measured variables between the sexes.MethodsThe cohort comprised 50 males and 50 females CT examination of the craniocervical junction. We measured the five diameters of the dens and posterior dens angulation angle (PDAA) and screw insertion angle (SIA). The same dimens...
Source: European Spine Journal - October 22, 2018 Category: Orthopaedics Source Type: research

Hounsfield units as predictor for cage subsidence and loss of reduction: following posterior-anterior stabilization in thoracolumbar spine fractures
ConclusionBQ, estimated with HU, had significant effects on cage subsidence and loss of reduction. We recommend measuring HU before surgery and applying additional treatment strategies, such as polymethylmethacrylate augmentation of endplates or anterior plates, for patients with HU  
Source: European Spine Journal - October 19, 2018 Category: Orthopaedics Source Type: research

Spondylotic traumatic central cord syndrome: a hidden discoligamentous injury?
ConclusionsOur findings challenge the traditional concept of spondylotic TCCS as an incomplete cervical spinal cord injury without discoligamentous injury and emphasize the importance of MRI as well as the radiologist ’s level of experience for the assessment of segmental instability in these patients.Graphical abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - October 19, 2018 Category: Orthopaedics Source Type: research

Staged surgery for tandem cervical and lumbar spinal stenosis: Which should be treated first?
ConclusionFirst-stage surgery for the cervical stenosis significantly lowers the need of the second-stage surgery. In contrast, if lumbar stenosis was treated first, a dramatic exacerbation of the symptoms related to the cervical stenosis can occur soon. Therefore, treatment of cervical stenosis first seems to be more appropriate.Graphical abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - October 17, 2018 Category: Orthopaedics Source Type: research

Comments to the Letter to the Editor of S. Shahsavari et al. concerning “Predicting medical complications in spine surgery: evaluation of a novel online risk calculator” by M. F. Kasparek et al. (Eur Spine J: doi:10.1007/s00586-018-5707-9) and the reply to the Letter to the Editor of S. Shahsavari et al. concerning “Predicting medical complications in spine surger y: evaluation of a novel online risk calculator” by M. F. Kasparek et al. (Eur Spine J: doi:10.1007/s00586-018-5707-9)
(Source: European Spine Journal)
Source: European Spine Journal - October 16, 2018 Category: Orthopaedics Source Type: research

Relation of lumbar sympathetic chain to the open corridor of retroperitoneal oblique approach to lumbar spine: an MRI study
ConclusionLSC moves away from psoas muscle and becomes closer to aorta in L4 –5 disc level.Graphical abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - October 16, 2018 Category: Orthopaedics Source Type: research

Non-neurologic adverse events after complex adult spinal deformity surgery: results from the prospective, multicenter Scoli-RISK-1 study
ConclusionsThe incidence of non-neurologic adverse events for patients undergoing corrective surgeries for ASD was 67.6%. Previous spinal surgery was the only independent risk factor predicting the occurrence of non-neurologic adverse events. These findings complement the earlier report of neurologic complications after ASD surgeries from the Scoli-RISK-1 study.Graphical abstract These slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - October 16, 2018 Category: Orthopaedics Source Type: research

Clinical course and prognostic models for the conservative management of cervical radiculopathy: a prospective cohort study
ConclusionsThe clinical course of cervical radiculopathy appears to be long, with most of the reduction in symptoms occurring within the first 6  months. All prognostic models showed an adequate predictive performance with modest diagnostic accuracy and explained variance.Graphical abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - October 16, 2018 Category: Orthopaedics Source Type: research

Leptin and the intervertebral disc: a biochemical link exists between obesity, intervertebral disc degeneration and low back pain —an in vitro study in a bovine model
ConclusionsLeptin can initiate processes involved in IVD degeneration. This effect is potentiated in an environment of existing degeneration and inflammation. Hence, a biochemical mechanism may underlie the link between obesity, intervertebral disc degeneration and low back pain.Graphical abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - October 15, 2018 Category: Orthopaedics Source Type: research

Expert ’s comment concerning Grand Rounds case entitled “Paget’s disease of the lumbar spine: decompressive surgery following 17 years of bisphosphonate treatment” by A. Hofmann, S. Opitz, C. E. Heyde, N. H. von der Höh (Eur Spine J; 2018. https://doi.org/10.1007/s00586-018-5751-5)
(Source: European Spine Journal)
Source: European Spine Journal - October 15, 2018 Category: Orthopaedics Source Type: research

Correction to: Can spinal surgery in England be saved from litigation: a review of 978 clinical negligence claims against the NHS
Unfortunately, the first author name was incorrectly published in the original publication. The complete correct name is given as below. (Source: European Spine Journal)
Source: European Spine Journal - October 15, 2018 Category: Orthopaedics Source Type: research

Smartphone app in self-management of chronic low back pain: a randomized controlled trial
AbstractBackgroundMobile health(mHealth) is emerging as the most convenient way to deliver rehabilitation services remotely, and collect outcomes in real time, thus contributing to disease management by transferring care from hospital to home. It facilitates accessibility to healthcare, enhances patients ’ understanding of their condition, and their willingness to engage in self-management, giving way to high-quality care to the satisfaction of both patients and healthcare professionals.PurposeThe purpose of this study was to examine the effect of using a smartphone app (calledSnapcare) on pain and function in patien...
Source: European Spine Journal - October 15, 2018 Category: Orthopaedics Source Type: research

Reply to the Letter to the Editor of S. Birch et al. concerning “Clinical practice guidelines for the management of nonspecific low back pain in primary care: an updated overview” by Oliveira CB, Maher CG, Pinto RZ, Traeger AC, Lin CWC, Chenot JF, van Tulder M, Koes BW (2018) Eur Spine J; https://doi.org/10.1007/s00586-018-5673-2
(Source: European Spine Journal)
Source: European Spine Journal - October 15, 2018 Category: Orthopaedics Source Type: research

Predicting the need for surgical intervention in patients with spondylodiscitis: the Brighton Spondylodiscitis Score (BSDS)
ConclusionsA new scoring system has been developed which can help guide clinicians as to when surgical intervention may be required. Further prospective analyses are required to validate this proposed scoring system.Graphical abstract These slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - October 13, 2018 Category: Orthopaedics Source Type: research

Reply to the Letter to the Editor of S. Shahsavari et al. concerning “Predicting medical complications in spine surgery: evaluation of a novel online risk calculator” by M. F. Kasparek et al. (Eur Spine J: doi: 10.1007/s00586-018-5707-9)
(Source: European Spine Journal)
Source: European Spine Journal - October 11, 2018 Category: Orthopaedics Source Type: research

Role of closed drain after multi-level posterior spinal surgery in adults: a randomised open-label superiority trial
AbstractPurposeTo explore the role of closed suction drain in multi-level posterior spinal surgery.MethodsWe performed prospective, open-label, randomised control, superiority trial with parallel design and 1:1 allocation. A total of 161 patients undergoing posterior spinal surgery involving more than one motion segment at a dedicated spine surgery department were randomly allocated into “drain” or “no-drain” groups, based on which surgical drain was employed at the end of surgery. After excluding six cases with intraoperative dural tear, the data of 80 patients in “drain” and 75 patient...
Source: European Spine Journal - October 11, 2018 Category: Orthopaedics Source Type: research

The use of CT Hounsfield unit values to identify the undiagnosed spinal osteoporosis in patients with lumbar degenerative diseases
AbstractPurposesOur purpose was to use computed tomography (CT) Hounsfield unit (HU) values to identify the undiagnosed spinal osteoporosis in patients with lumbar degenerative diseases.MethodsA total of 334 patients with lumbar degenerative diseases were retrospectively reviewed and divided into two groups according to the degree of lumbar degenerative changes in preoperative lumbar CT images. Patients who had at least three vertebrae with severe degeneration at L1 –L4 were placed in the degenerative group, and others were placed in the control group. HU value of trabecular bone in middle axial CT image of vertebral...
Source: European Spine Journal - October 10, 2018 Category: Orthopaedics Source Type: research

Endplate lesions in the lumbar spine: a novel MRI-based classification scheme and epidemiology in low back pain patients
AbstractPurposeThe aims of the study were to introduce a classification scheme for endplate lesions based on T2-weighted magnetic resonance imaging and to detect possible associations between endplate lesions and other variables such as age, sex, disc degeneration and Modic changes in a large population.MethodsMRI images of 996 low back pain patients were collected. All intervertebral spaces were classified as “normal”, “wavy/irregular”, “notched”, “Schmorl’s node” and “fracture”. The associations between endplate lesions and age, sex, disc degeneration and ...
Source: European Spine Journal - October 10, 2018 Category: Orthopaedics Source Type: research

Answer to the Letter to the Editor of LJ Castro-Alves et al. concerning “Comparative study of the efficacy of transdermal buprenorphine patches and prolonged-release tramadol tablets for postoperative pain control after spinal fusion surgery: a prospective, randomized controlled non-inferiority trial” by HJ Kim et al. (2017) Eur Spine J;26:2961–2968
(Source: European Spine Journal)
Source: European Spine Journal - October 10, 2018 Category: Orthopaedics Source Type: research

Axial loading during MRI reveals deviant characteristics within posterior IVD regions between low back pain patients and controls
AbstractPurposeTo investigate differences in functional intervertebral disk (IVD) characteristics between low back pain (LBP) patients and controls using T2-mapping with axial loading during MRI (alMRI).MethodsIn total, 120 IVDs in 24 LBP patients (mean age 39  years, range 25–69) were examined with T2-mapping without loading of the spine (uMRI) and with alMRI (DynaWell® loading device) and compared with 60 IVDs in 12 controls (mean age 38  years, range 25–63). The IVD T2-value was acquired after 20-min loading in five regions of interests (ROI), ROI1-5 from anterior to posterior. T2-values were c...
Source: European Spine Journal - October 9, 2018 Category: Orthopaedics Source Type: research

Impact of lumbar hypolordosis on the incidence of symptomatic postoperative spinal epidural hematoma after decompression surgery for lumbar spinal canal stenosis
This study aimed to identify risk factors including radiographic parameters for symptomatic PSEH after posterior decompression surgery for lumbar spinal canal stenosis (LSS).MethodsWe retrospectively reviewed 1007 consecutive patients who underwent lumbar decompression surgery for lumbar spinal canal stenosis (LSS) at our institution. We identified 35 cases of symptomatic PSEH, defined by clinical symptoms and MRI findings, and selected 3 or 4 age- and sex-matched control subjects for each PSEH subject (124 controls). We compared radiographic parameters and previously reported risk factors between PSEH and control subjects...
Source: European Spine Journal - October 9, 2018 Category: Orthopaedics Source Type: research

Letter to the Editor concerning “Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview” by Oliveira CB, Maher CG, Pinto RZ, Traeger AC, Lin CWC, Chenot JF, van Tulder M, Koes BW (2018) Eur Spine J. https://doi.org/10.1007/s00586-018-5673-2
(Source: European Spine Journal)
Source: European Spine Journal - October 8, 2018 Category: Orthopaedics Source Type: research

Letter to the Editor concerning “Predicting medical complications in spine surgery: evaluation of a novel online risk calculator” by M. F. Kasparek et al. (Eur Spine J: DOI 10.1007/s00586-018-5707-9)
(Source: European Spine Journal)
Source: European Spine Journal - October 8, 2018 Category: Orthopaedics Source Type: research

Letter to Editor concerning “Comparative study of the efficacy of transdermal buprenorphine patches and prolonged-release tramadol tablets for postoperative pain control after spinal fusion surgery: a prospective, randomized controlled non-inferiority trial” by Kim HJ, Ahn HS, Nam Y, Chang BS, Lee CK, Yeom JS (2017) Eur Sp ine J 26:2961–2968
(Source: European Spine Journal)
Source: European Spine Journal - October 6, 2018 Category: Orthopaedics Source Type: research

Rescue Nuss procedure for inferior vena cava compression syndrome following posterior scoliosis surgery in Marfan syndrome
ConclusionThe problem of congenital stenosis of the inferior vena cava in Marfan syndrome has not yet been investigated. In the case of simultaneously existing funnel chest and scoliosis in Marfan syndrome, an interdisciplinary discussion is required to decide whether a repair of the funnel chest should be performed first in order to prevent a clinically relevant compression syndrome. For the detection of a preoperatively relevant stenosis of the inferior vena cava, an MRI or thoracic/abdominal CT should be used preoperatively. (Source: European Spine Journal)
Source: European Spine Journal - October 5, 2018 Category: Orthopaedics Source Type: research

Announcements
(Source: European Spine Journal)
Source: European Spine Journal - October 4, 2018 Category: Orthopaedics Source Type: research

Abstracts for 32 GEER- Spanish Spine Society Congress in Avila, Spain, June 2018
(Source: European Spine Journal)
Source: European Spine Journal - October 3, 2018 Category: Orthopaedics Source Type: research