Association of spinal –pelvic parameters with recurrence of lumbar disc herniation after endoscopic surgery: a retrospective case–control study
ConclusionPI < 50.26 and ∆PI-LL < 28.21 were risk factors for recurrence of lumbar disc herniation after spinal endoscopic surgery and had some predictive value for post-operative recurrence. (Source: European Spine Journal)
Source: European Spine Journal - January 18, 2024 Category: Orthopaedics Source Type: research
Usefulness of the spectral shaping dual-source computed tomography imaging technique in posterior corrective fusion for adolescent idiopathic scoliosis
ConclusionSpectral shaping DSCT with a tube-based tin filter allowed a 75% radiation dose reduction while achieving TPS insertion accuracy similar to procedures based on conventional CT without spectral shaping. (Source: European Spine Journal)
Source: European Spine Journal - January 17, 2024 Category: Orthopaedics Source Type: research
Deep learning algorithm for fully automated measurement of sagittal balance in adult spinal deformity
ConclusionThis is the first study evaluating a complete automated DL algorithm for analysis of sagittal balance with high accuracy for all evaluated parameters. The excellent accuracy in the challenging pathology of ASD with long construct instrumentation demonstrates the eligibility and possibility for implementation in clinical routine. (Source: European Spine Journal)
Source: European Spine Journal - January 17, 2024 Category: Orthopaedics Source Type: research
Diagnostic value of cervical spine ZOOM-DWI in cervical spondylotic myelopathy
ConclusionCervical ZOOM-DWI can be applied to diagnose CSM, and spinal ADC value can use as reliable imaging data for diagnosing cervical myelopathy. (Source: European Spine Journal)
Source: European Spine Journal - January 17, 2024 Category: Orthopaedics Source Type: research
Altered central pain processing in patients with degenerative lumbar diseases and its association with low physical activity levels after lumbar spinal surgeries: a retrospective cohort analysis
ConclusionsThis study supports the existence of central sensitization (CS) caused by abnormal central pain modulation in DLDs. Pre-existing CS in these patients may be associated with low PA after lumbar surgeries, and this low-activity lifestyle may predispose patients to multiple adverse health outcomes. Preoperative dynamic quantitative sensory testing may provide information for the identification of at-risk patients. (Source: European Spine Journal)
Source: European Spine Journal - January 17, 2024 Category: Orthopaedics Source Type: research
Patients with a large ossification of the posterior longitudinal ligament have a higher incidence of arteriosclerosis in the carotid artery
ConclusionsPatients with a larger cervical OPLL showed a higher frequency of intima-media thickening in the carotid artery. (Source: European Spine Journal)
Source: European Spine Journal - January 16, 2024 Category: Orthopaedics Source Type: research
Oblique lateral interbody fusion for lumbosacral fractional curve correction in degenerative lumbar scoliosis
ConclusionOLIF at the FC combined with open posterior surgery is an effective combined anterior –posterior correction strategy in DLS. (Source: European Spine Journal)
Source: European Spine Journal - January 16, 2024 Category: Orthopaedics Source Type: research
Cervical split cord malformation (diastematomyelia) with associated Klippel –Feil deformity presenting in adulthood with bimanual synkinesis
ConclusionsThe case serves to highlight the importance of knowledge of this rare congenital condition to surgeons, physicians and radiologists involved in the care of both adult and paediatric patients presenting with spinal pathology. (Source: European Spine Journal)
Source: European Spine Journal - January 16, 2024 Category: Orthopaedics Source Type: research
Three-column osteotomy in long constructs has lower rates of proximal junctional kyphosis and better restoration of lumbar lordosis than anterior column realignment
ConclusionIn patients with long constructs who undergo ACR or TCO, we experienced a 20% rate of PJK. TCO decreased PJK 6.1-times compared to ACR. TCO demonstrated greater improvement of some spinopelvic parameters. (Source: European Spine Journal)
Source: European Spine Journal - January 15, 2024 Category: Orthopaedics Source Type: research
Evolving trends in the surgical, anaesthetic, and intensive care management of acute spinal cord injuries in the UK
ConclusionsBetween 2012 and 2022, there was a paradigm shift in managing acute spinal cord injuries in the UK with earlier surgery and more intraoperative monitoring. Variability in practice persists due to lack of high-quality evidence and consensus guidelines. (Source: European Spine Journal)
Source: European Spine Journal - January 13, 2024 Category: Orthopaedics Source Type: research
Prognostic value of the systemic inflammatory index (SII) and systemic inflammatory response index (SIRI) in patients with traumatic spinal cord injury
ConclusionsIncreased SII was independently associated with a decreased likelihood of improved AIS grade conversion. (Source: European Spine Journal)
Source: European Spine Journal - January 11, 2024 Category: Orthopaedics Source Type: research
A meta-analysis of the implementation of enhanced recovery after surgery pathways in anterior cervical spine surgery for degenerative cervical spine diseases
ConclusionsThe data of this study suggest that the implementation of ERAS protocol decreases LOS, cost and complications rates and improve satisfaction for the patients undergoing anterior cervical spine surgery. To support the practice use of ERAS in anterior cervical spine surgery further, controlled trials will be indispensable. (Source: European Spine Journal)
Source: European Spine Journal - January 11, 2024 Category: Orthopaedics Source Type: research
A comparison of the effects of thoracolumbar interfascial plane (TLIP) block and erector spinae plane (ESP) block in postoperative acute pain in spinal surgery
ConclusionThis study demonstrated the analgesic efficacy of both techniques, revealing that the ESP block provides more effective analgesia in patients undergoing lumbar disk surgery. (Source: European Spine Journal)
Source: European Spine Journal - January 11, 2024 Category: Orthopaedics Source Type: research
C4 constant vertebra: a novel benchmark of physiological cervical sagittal alignment
ConclusionsIn the asymptomatic population, the C4 vertebral body maintains a constant slope angle under physiological conditions. The novel concept of C4 as a constant vertebra would provide a vital benchmark for diagnosing pathological sagittal alignment abnormalities and planning the surgical reconstruction of cervical lordosis. (Source: European Spine Journal)
Source: European Spine Journal - January 10, 2024 Category: Orthopaedics Source Type: research
Connecting the S2 alar-iliac screw head to the satellite rod for surgical correction of degenerative sagittal imbalance
ConclusionConnecting the S2AI screw to the satellite rod is a convenient method comparable to the conventional S2AI connection method in terms of radiological and clinical outcomes. (Source: European Spine Journal)
Source: European Spine Journal - January 9, 2024 Category: Orthopaedics Source Type: research
