Diagnostic value and clinical significance of magnetic resonance imaging with the FS-PD-TSE sequence in diagnosing lumbar cartilaginous endplate failure
AbstractPurposeThe aims were to use magnetic resonance imaging (MRI) to compare the efficacy of fat-suppressed proton-density turbo-spin-echo (FS-PD-TSE) images and T1-weighted (T1WIs) and T2-weighted images (T2WIs) in identifying cartilaginous endplate failure (CEF), and to propose a modified Rajasekaran classification based on the FS-PD-TSE sequence.MethodsThirty-one lumbar disc herniation (LDH) cases were enrolled. Totally, 155 discs and 310 endplates were evaluated by MRI with T1W, T2W, and FS-PD-TSE sequences. Disc degeneration (DD), LDH grades, and the total endplate score (TEPS) of CEF were evaluated. Chi-square, Sp...
Source: European Spine Journal - February 15, 2020 Category: Orthopaedics Source Type: research

Drug sensitivity patterns in Xpert-positive spinal tuberculosis: an observational study of 252 patients
ConclusionThe Xpert MTB/RIF assay is an efficient technique for the rapid diagnosis of spinal TB and suspected MDR-TB; however, it is recommended to do culture and DST in all patients with spinal TB to guide the selection of appropriate second-line drugs when required. In cases of non-availability of culture and DST, it is suggested to use data from large series such as this to plan the best empirical ATT regimen.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - February 13, 2020 Category: Orthopaedics Source Type: research

Effect of postoperative hypoalbuminemia and supplement of human serum albumin on the development of surgical site infection following spinal fusion surgery: a retrospective study
ConclusionsThe present study suggests that postoperative hypoalbuminemia is not associated with the development of SSI after spinal surgery. However, the supplement of HSA following spinal surgery will increase the rate of SSI.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - February 11, 2020 Category: Orthopaedics Source Type: research

Multiple variants in collagen genes are associated with the susceptibility to lumbar disc herniation in the Chinese population
ConclusionsVariants in genes forCOL1A1,COL9A3 andCOL2A1 significantly influence the risk of LDH. Large and well-designed studies are needed to confirm and explain these conclusions.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - February 11, 2020 Category: Orthopaedics Source Type: research

Revision surgery for non-union in adult spinal deformity
AbstractAs adult spinal deformity surgery is performed more and more, the spine surgeon is faced with the challenge to treat pseudoarthrosis. The presentation may vary, from asymptomatic patients, who should be observed in most of the cases, to patients with acute episode of broken rods, and or chronic pain with often trunk imbalance. In some instances, patients will present with neurologic symptoms. The evaluation of such patients must start with a good understanding of why the surgery failed first place. Poor host, smoking, lack of anterior column support, poor sagittal balance, lack of fusion, poor construct. Often a co...
Source: European Spine Journal - February 11, 2020 Category: Orthopaedics Source Type: research

Use of monoexponential diffusion-weighted imaging and diffusion kurtosis imaging and dynamic contrast-enhanced-MRI for the differentiation of spinal tumors
ConclusionsMonoexponential DWI, DKI, and DCE-MRI have potential value in the differentiation of spinal malignant from non-malignant tumors lacking typical imaging signs, and there is a certain correlation between the parameters of the three models.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - February 10, 2020 Category: Orthopaedics Source Type: research

Clinical, radiological, and patient-reported outcomes 13  years after pedicle screw fixation with balloon-assisted endplate reduction and cement injection
ConclusionResults from this study suggest that, 13  years after pedicle screw fixation with BAER and cement injection for traumatic thoracolumbar burst fractures, functional performance, pain and radiological outcomes of the current cohort were stable or had slightly improved.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - February 8, 2020 Category: Orthopaedics Source Type: research

Reliability of a radiation-free, noninvasive and computer-assisted assessment of the spine in children with cerebral palsy
ConclusionsSM can be used to generate reliable values for functional analysis of the spine in children with CP. Furthermore, significant posture differences can be demonstrated by therapeutic interventions, especially in the spine inclination (Inc) and spine length (SL).Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - February 8, 2020 Category: Orthopaedics Source Type: research

Lumbar artery pseudoaneurysm: a rare case of delayed onset incomplete cauda equina syndrome following transforaminal lumbar interbody fusion
ConclusionThis case presentation shows the necessity of diagnosing epidural haematomas due to vascular aneurysm in patients with post-operative radiculopathy and neurodeficit and the effectiveness of endovascular embolisation in treating such a threatening condition. (Source: European Spine Journal)
Source: European Spine Journal - February 7, 2020 Category: Orthopaedics Source Type: research

Correction to: Interplay between low plasma RANKL and VDR -FokI polymorphism in lumbar disc herniation independently from age, body mass, and environmental factors: a case –control study in the Italian population
Under the headline “Correlation of RANKL concentrations and VDR-FokI polymorphism on disc herniation” in the description text for Table 2, the term “allelic frequency” was used erroneously for “genotypic frequency” (Source: European Spine Journal)
Source: European Spine Journal - February 7, 2020 Category: Orthopaedics Source Type: research

Announcements
(Source: European Spine Journal)
Source: European Spine Journal - February 6, 2020 Category: Orthopaedics Source Type: research

Systemic changes associated with quality of life after surgical treatment of kyphotic deformity in patients with ankylosing spondylitis: a systematic review
ConclusionsIn addition to skeletal changes after spinal osteotomy for treatment of kyphotic deformity in advanced-stage AS patients, many other changes were reported. Spine surgeons should pay more attention to these life quality-related changes and be aware of potential risks when performing surgery for advanced-stage AS patients.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - February 4, 2020 Category: Orthopaedics Source Type: research

Revision surgery in proximal junctional kyphosis
ConclusionsThe goal of adult spine deformity surgery is to optimize patient outcomes and mitigate postoperative complications whenever possible. Due to the multifactorial nature of this complication, further research is required to enhance our understanding and eradicate the pathology. Patient optimization is the principal guideline in not only PJK prevention, but overall postoperative complication prevention.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - February 3, 2020 Category: Orthopaedics Source Type: research

Craniovertebral junction fixation in children less than 5  years
ConclusionHigh fusion rates with good outcomes are achievable using semi-rigid fixation in the under 5-year-olds. Full thickness, autologous calvarial bone graft secured with wire cables and halo external orthosis offers a safe and effective alternative technique when traditional screw instrumentation is not feasible.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - February 3, 2020 Category: Orthopaedics Source Type: research

Correction to: Staged surgery for tandem cervical and lumbar spinal stenosis: Which should be treated first?
The authors would like to acknowledge the following funding information that was missing in. (Source: European Spine Journal)
Source: European Spine Journal - February 3, 2020 Category: Orthopaedics Source Type: research

Comparative effectiveness of PEEK rods versus titanium alloy rods in cervical fusion in a new sheep model
AbstractBackgroundPedicle screw and rod instrumentation based on titanium can produce satisfying strength and stiffness for spinal fusion. However, excessive stiffness produced by titanium rods may cause stress shielding. Thus, polyetheretherketone (PEEK) rods with a low modulus of elasticity were introduced as substitutes for titanium rods. The purpose of this paper is to compare the effectiveness of PEEK rods versus titanium alloy rods in anterior spinal fusion with a new sheep model.MethodsSheep models of anterior –posterior cervical fusion were innovatively adopted in our study. Twenty-four sheep were randomly di...
Source: European Spine Journal - February 1, 2020 Category: Orthopaedics Source Type: research

Letter to the Editor concerning “Bacteria: back pain, leg pain and Modic sign—a surgical multicentre comparative study” by Fritzell P, et al. (Eur Spine J [2019]; doi:10.1007/s00586-019-06164-1)
(Source: European Spine Journal)
Source: European Spine Journal - February 1, 2020 Category: Orthopaedics Source Type: research

Correlation analysis between postoperative hip pain and spino-pelvic/hip parameters in adult scoliosis patients after long-segment spinal fusion
AbstractPurposeTo explore the correlations between postoperative hip pain and spino-pelvic/hip parameters in adult scoliosis patients after long-segment spinal fusion.MethodsWe retrospectively identified adult scoliosis patients who underwent long-segment spinal fusions between December 2009 and August 2015. The patients were divided into a pain group (PG) and a control group (CG) based on whether hip pain was reported at the end of follow-up. There were 34 cases in the PG and 42 in the CG. The visual analogue scale was employed to assess the postoperative hip pain in PG patients. Two sets of parameters were recorded: one ...
Source: European Spine Journal - January 31, 2020 Category: Orthopaedics Source Type: research

Thoracic kyphosis and pelvic anteversion in patients with adult spinal deformity increase while walking: analyses of dynamic alignment change using a three-dimensional gait motion analysis system
ConclusionDecrease of thoracic kyphosis and pelvic retroversion has been recognized as a compensation for ASD on standing radiograph. Our 3D gait motion analysis to determine spinal balance found thoracic kyphosis and pelvic anteversion increased significantly in patients with ASD after continuous walking to the limit of their endurance until they were fatigued, indicating a failure of compensation for ASD.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - January 31, 2020 Category: Orthopaedics Source Type: research

Answer to the Letter to the Editor of Soundararajan DCR et al. concerning “Bacteria: back pain, leg pain and Modic sign—A surgical multicentre comparative study” by Fritzell P, et al. (Eur Spine J [2019]; doi:10.1007/s00586-019-06164-1)
(Source: European Spine Journal)
Source: European Spine Journal - January 30, 2020 Category: Orthopaedics Source Type: research

Editorial
(Source: European Spine Journal)
Source: European Spine Journal - January 30, 2020 Category: Orthopaedics Source Type: research

Epidemiology and management of atlas fractures
ConclusionsAtlas fractures occurred mainly in elderly people and in the majority of the cases were associated with other injuries of the head and spine. Most atlas fractures were treated conservatively. However, surgical treatment has become a safe and valid option in unstable fracture patterns involving the anterior and posterior arch (type 3) or those involving the articular surfaces (type 4).Level of evidenceIV (Retrospective cohort study).Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - January 30, 2020 Category: Orthopaedics Source Type: research

Long-term clinical outcome of the Charit é III total lumbar disc replacement
ConclusionsRevision of a failed TDR is clinically beneficial in about half of the patients. No clear benefits for additional TDR removal as compared to posterolateral instrumented fusion alone could be identified. Particularly, when considering the substantial risks and complications, great caution is warranted with removal of the TDR.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - January 29, 2020 Category: Orthopaedics Source Type: research

Segmental coupling effects during correction of three-dimensional lumbar deformity using lateral lumbar interbody fusion
AbstractPurposeLateral lumbar interbody fusion (LLIF) has been performed to correct spinal deformity associated with lumbar degenerative disease. Although its usefulness has been studied, there are no reports of quantitative evaluation in three dimensions. Our purpose is to quantitate 3D deformity of the patients with lumbar degenerative disease and correction of the deformity by LLIF using patient-specific 3D CT models.MethodsWe measured the disc height and 3D alignment of the lumbar spine in 28 patients with degenerative disease undergoing LLIF using patient-specific 3D CT models created preoperatively and 3  months...
Source: European Spine Journal - January 29, 2020 Category: Orthopaedics Source Type: research

Revision after spinal stenosis surgery
ConclusionsAfter this literature review and analysis of post-operative stenosis, it seems important to provide some advice to avoid revision surgeries more or less induced by the surgery. It looks interesting when performing simple decompression without fusion in the lumbar spine to analyse the risk of instability induced by the decompression and facet resection but also by a global balance analysis. Regarding pre-operative stenosis in a previously operated area, different causes may be evocated, like screw or cage malpositionning but also insufficient decompression which is a common cause. Intraoperatively, the use of neu...
Source: European Spine Journal - January 29, 2020 Category: Orthopaedics Source Type: research

Magnetic resonance tomography for the early detection of occult fractures of the spinal column in patients with ankylosing spondylitis
ConclusionConsidering the high percentage of our patient population with occult fractures, we recommend supplementing the basic diagnostic procedures with an MRI of the entire spinal column in patients with painful spinal column findings after minor trauma and for those with persistent pain without trauma.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - January 29, 2020 Category: Orthopaedics Source Type: research

Prone single-position extreme lateral interbody fusion (Pro-XLIF): preliminary results
ConclusionsProne single-position XLIF is feasible and safe. In this preliminary report, the results are comparable to the standard technique.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - January 28, 2020 Category: Orthopaedics Source Type: research

Revision surgery in distal junctional kyphosis
ConclusionThe proposed strategy of treatment includes restoration of normal sagittal alignment, choice of a distal fixation point stable in the sagittal, coronal and transverse planes, balancing the fusion mass over the distal fixation point and providing solid fixation at the distal end of the construct.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - January 28, 2020 Category: Orthopaedics Source Type: research

Preoperative SRS pain score is the primary predictor of postoperative pain after surgery for adolescent idiopathic scoliosis: an observational retrospective study of pain outcomes from a registry of 1744 patients with a mean follow-up of 3.4  years
AbstractBackgroundTraditionally, adolescent idiopathic scoliosis (AIS) has not been associated with back pain, but the increasing literature has linked varying factors between pain and AIS and suggested that it is likely underreported.PurposeOur objective was to investigate factors associated with post-op pain in AIS.MethodsA prospectively collected multicenter registry was retrospectively queried. Pediatric patients with AIS having undergone a fusion with at least 2  years of follow-up were divided into two groups: (1) patients with a postoperative SRS pain score ≤ 3 or patients having a reported com...
Source: European Spine Journal - January 28, 2020 Category: Orthopaedics Source Type: research

Clinical results and functional outcomes after three-column osteotomy at L5 or the sacrum in adult spinal deformity
AbstractPurposeThree-column osteotomies at L5 or the sacrum (LS3COs) are technically challenging, yet they may be needed to treat lumbosacral kyphotic deformities. We investigated radiographic and clinical outcomes after LS3CO.MethodsWe analyzed 25 consecutive patients (mean age 56  years) who underwent LS3CO with minimum 2-year follow-up. Standing radiographs and health-related quality-of-life scores were evaluated. A new radiographic parameter [“lumbosacral angle” (LSA)] was introduced to evaluate sagittal alignment distal to the S1 segment.ResultsFrom preoperatively to the final follow-up, significant i...
Source: European Spine Journal - January 28, 2020 Category: Orthopaedics Source Type: research

Multiple-rod constructs in adult spinal deformity surgery for pelvic-fixated long instrumentations: an integral matched cohort analysis
AbstractPurposeMultiple-rod constructs (Multi-Rod: extra rods for additional pillar support) are occasionally used in adult spinal deformity (ASD) surgery. We aimed to compare and analyze the general outcome of multi-rod constructs with a matched two-rod cohort, to better understand the differences and the similitudes.MethodsThis is a retrospective matched cohort study including patients with ASD that underwent surgical correction with long posterior instrumentation (more than five levels), pelvic fixation and a minimum 1-year follow-up. Matching was considered with demographical data, preoperative radiographical parameter...
Source: European Spine Journal - January 28, 2020 Category: Orthopaedics Source Type: research

Expert ’s comment concerning Grand Rounds case entitled “Vertebral body fracture after anterior cervical discectomy and fusion with zero-profile anchored cages in adjacent levels: a cautionary tale” by Mattei TA, Teles AR, Dinh DH ( Eur Spine J [2016] doi:10.1007/s00586-015-4358-39)
(Source: European Spine Journal)
Source: European Spine Journal - January 28, 2020 Category: Orthopaedics Source Type: research

Correction to: Evaluation of a new sagittal classification system in adolescent idiopathic scoliosis
Unfortunately, the names of the members of the Texas Children ’s Hospital Spine Study Group have not been mentioned in the published article. (Source: European Spine Journal)
Source: European Spine Journal - January 28, 2020 Category: Orthopaedics Source Type: research

Patients with degenerative cervical myelopathy have signs of blood spinal cord barrier disruption, and its magnitude correlates with myelopathy severity: a prospective comparative cohort study
ConclusionIn this study, we detected an increased permeability and disruption of the BSCB in DCM patients. The severity of BSCB disruption and the diffusion of Ig are related to the clinical status in our patient cohort. Having documented this particular pathomechanism in patients with DCM, we suggest that this diagnostic tool cloud be an important addition to surgical decision making in the future.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - January 25, 2020 Category: Orthopaedics Source Type: research

Impact of adult spinal deformity corrective surgery in patients with the symptoms of gastroesophageal reflux disease: a 5-year follow-up report
AbstractPurposeGastroesophageal reflux disease (GERD) is reported as one of the symptoms of adult spinal deformity (ASD). Little is known about the mid- to long-term improvement in GERD symptoms after ASD surgery. Therefore, this retrospective study from prospectively collected database aimed to investigate GERD symptoms in patients for a minimum of 2  years after ASD corrective surgery.MethodsRecords from 230 patients (mean age: 64  years) who underwent ASD surgery were examined using the frequency scale for the symptoms of GERD (FSSG) questionnaires for the diagnosis of GERD. FSSG scores and radiographic parame...
Source: European Spine Journal - January 25, 2020 Category: Orthopaedics Source Type: research

Age-related changes to the craniocervical ligaments in asymptomatic subjects: a prospective MR study
AbstractPurposeThe craniocervical junction (CCJ) is a complex of bony and ligamentous structure stabilizing CCJ. Nearly one-third of all traumatic injuries to the cervical spine involve the CCJ. Only little literature is available on this topic, and most of the studies are focused on anatomy, biomechanics or ligamentous injury in whiplash-associated disorders. We conducted a prospective study to investigate age-related changes in the craniocervical ligaments.MethodsWe included asymptomatic volunteers between 16 and 99  years old who had no history of whiplash or other cervical trauma. Volunteers underwent a three-dime...
Source: European Spine Journal - January 24, 2020 Category: Orthopaedics Source Type: research

Occult thoracic disco-ligamentous Chance fracture in computed tomography: a case report
We report on a 46-year-old woman who was involved in a road traffic accident. Neurological examination demonstrated paraplegia, while initial CT showed bilateral pneumothorax and hemothorax, rib fractures, a C2 vertebral body fracture with C2 –C3 dislocation and active arterial bleeding at the sacral level. Given the fact that her neurological status did not particularly correspond with what we observed on CT scan, MRI was obtained due to the suspicion that a much more severe occult injury could be present. MRI showed a complete ruptur e of the posterior ligamentous complex along with the intervertebral disk and the ...
Source: European Spine Journal - January 23, 2020 Category: Orthopaedics Source Type: research

Editorial
(Source: European Spine Journal)
Source: European Spine Journal - January 22, 2020 Category: Orthopaedics Source Type: research

Revision surgery for tumors of the thoracic and lumbar spine: causes, prevention, and treatment strategy
ConclusionsThe aim of this study is to evaluate the most frequent complications that can lead to revision in spine tumor patients, to provide suggestions on how to prevent these events and to offer reasonable strategies to properly plan and perform a revision surgery.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - January 20, 2020 Category: Orthopaedics Source Type: research

Assessment of bone quality at the lumbar and sacral spine using CT scans: a retrospective feasibility study in 50 comparing CT and DXA data
ConclusionsHU measurements in CT scans have proven to be a feasible tool to additionally assess bone quality at the lumbar and sacral spine with good sensitivity, when compared with the gold standard DXA.Level of evidenceIII.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - January 18, 2020 Category: Orthopaedics Source Type: research

Utilization of distal radius and ulna classification scheme in predicting growth peak and curve progression in idiopathic scoliosis girls undergoing bracing treatment
ConclusionsBoth distal radius and ulna scores correlate with the longitudinal growth potential, and thus, the DRU scoring scheme is an alternative predictor for growth potential and curve progression in girls with IS.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - January 16, 2020 Category: Orthopaedics Source Type: research

Subjective recovery from pregnancy-related pelvic girdle pain the first 6  weeks after delivery: a prospective longitudinal cohort study
ConclusionsThe prognosis following PGP in pregnancy is good and the majority of women recovered substantially from severe and moderate pregnancy-related PGP within 6  weeks after delivery. For many women, a subjective substantial recovery occurred within 2 weeks after delivery. Predictors for a poor recovery were multiparity, PGP the year before pregnancy and a high pain intensity during pregnancy.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - January 16, 2020 Category: Orthopaedics Source Type: research

Is there cervical spine muscle weakness in patients with Hirayama disease? A morphological study about cross-sectional areas of muscles on MRI
ConclusionsIn this pioneering study, HD patients had decreased size in most cervical spine muscles and a mismatch between CSAs of superficial flexor and that of superficial extensors. These results indicate generalized weakness and incongruence of cervical spine muscles, which may predispose cervical spine of HD patients to a less stable situation.Graphic abstract These slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - January 16, 2020 Category: Orthopaedics Source Type: research

Strap stabilization for proximal junctional kyphosis prevention in instrumented posterior spinal fusion
ConclusionsMersilene tape at UIV  + 1 level decreases the risk of PJK following PIF for ASD.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - January 14, 2020 Category: Orthopaedics Source Type: research

Relationship between cervical and global sagittal balance in patients with dropped head syndrome
ConclusionC2 –C7 A exhibited correlations with cervical balance and also with global balance. There should be various type of thoraco-lumbar alignment in DHS.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - January 14, 2020 Category: Orthopaedics Source Type: research

Correction to: Association of vitamin D receptor gene polymorphisms with disc degeneration
Unfortunately, the following reference was missed out in the original publication. (Source: European Spine Journal)
Source: European Spine Journal - January 14, 2020 Category: Orthopaedics Source Type: research

Analysis of pelvic compensation for dynamic sagittal imbalance using motion analysis
ConclusionsHigher BMI, height, and weight are risk factors for progressive worsening of dynamic sagittal imbalance.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - January 14, 2020 Category: Orthopaedics Source Type: research

Defining and measuring imaging appropriateness in low back pain studies: a scoping review
ConclusionGreater clarity is needed on how we define and measure imaging appropriateness for LBP, which also accounts for the problem of failing to image when indicated. An internationally agreed methodology for imaging appropriateness studies would ultimately lead to an improvement in the care delivered to patients.Graphic abstract These slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - January 14, 2020 Category: Orthopaedics Source Type: research

Cervical muscle diseases are associated with indefinite and various symptoms in the whole body
AbstractPurposePatients with various and indefinite symptoms in the whole body occasionally have coincident with stiffness or tenderness of the cervical muscles. This prospective case series examined the effect of local modulation of the cervical muscles in patients with cervical disorders reporting indefinite whole-body symptoms.MethodsA total of 1863 hospitalized patients with cervical disorders accompanying three or more indefinite whole-body symptoms, who were resistant to outpatient care, were enrolled in this study for 12  years. All patients underwent daily physical therapies to the cervical muscles during hosp...
Source: European Spine Journal - January 14, 2020 Category: Orthopaedics Source Type: research

Revision strategies for failed adult spinal deformity surgery
ConclusionRevision surgery in long fusions for adult spinal deformity is a challenging field. Surgical strategy should always be planned carefully. A successful treatment is a direct consequence of a correct preoperative diagnosis, and surgery should address the primary cause of failure. All the above-mentioned surgical techniques and clinical skills should be part of surgeon ’s expertise when managing these patients.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - January 11, 2020 Category: Orthopaedics Source Type: research