Simplified Chinese version of the core outcome measures index (COMI) for patients with neck pain: cross-cultural adaptation and validation
ConclusionCOMI-neck was shown to have acceptable reliability and validity in patients with non-specific chronic neck pain and could be recommended for patients in mainland China.Level of evidenceDiagnostic: individual cross-sectional studies with consistently applied reference standard and blinding. (Source: European Spine Journal)
Source: European Spine Journal - January 5, 2024 Category: Orthopaedics Source Type: research
Cross-cultural adaptation, validation and establishment of the minimal clinically important change score of the European Portuguese core outcome measures index in patients with lumbar degenerative spine disease
ConclusionThe cross-culturally adapted COMI questionnaire is a valid clinical assessment tool for European Portuguese-speaking patients with degenerative lumbar disease, with an MCIC of 2.1 points. (Source: European Spine Journal)
Source: European Spine Journal - January 5, 2024 Category: Orthopaedics Source Type: research
Accuracy of augmented reality-assisted pedicle screw placement: a systematic review
ConclusionThe results of this study highlight the overall accuracy of ARSN pedicle screw placement. However, further robust prospective studies are needed to accurately compare to conventional methods of pedicle screw placement. (Source: European Spine Journal)
Source: European Spine Journal - January 4, 2024 Category: Orthopaedics Source Type: research
Does intervertebral disc degeneration in adolescent idiopathic scoliosis correlate with patient-reported pain scores? A review of 968 cases
ConclusionWe present a baseline for the rate and severity of DDD in the non-operative AIS cohort. This should assist in decision-making and counselling of patients prior to surgery.Level of evidenceIII. (Source: European Spine Journal)
Source: European Spine Journal - January 4, 2024 Category: Orthopaedics Source Type: research
Iatrogenic vertebral fracture in ankylosed spine during liver transplantation: a case report and biomechanical study using finite element method
ConclusionThe force required to produce a type B fracture in an ankylosed spine is 5 times less than in a healthy spine. These data enable us to propose several points of management to avoid unexpected complications with ankylosed spines during surgical procedures.Level of evidenceIV. (Source: European Spine Journal)
Source: European Spine Journal - January 4, 2024 Category: Orthopaedics Source Type: research
Usefulness of the preoperative thoracic inlet angle in comparison to the T1 slope for predicting cervical kyphosis after laminoplasty
ConclusionThis study demonstrated the clinical utility of the preoperative TIA for predicting the risk of postoperative kyphotic deformity after cervical laminoplasty. These findings suggest the importance of the preoperative assessment of thoracic inlet alignment in cervical spine surgery. (Source: European Spine Journal)
Source: European Spine Journal - January 3, 2024 Category: Orthopaedics Source Type: research
The efficacy of ultrasound-guided erector spinae plane block (ESPB) versus freehand ESPB in postoperative pain management after lumbar spinal fusion surgery: a randomized, non-inferiority trial
ConclusionAccording to our results, the ultrasound-guided approach of ESPB is more effective in POP management and opioid sparing in lumbar spinal fusion surgeries compared to the freehand approach. However, the data from this study are not sufficient to draw robust conclusions, and further randomized controlled trials with larger sample sizes are required to validate our results. (Source: European Spine Journal)
Source: European Spine Journal - January 3, 2024 Category: Orthopaedics Source Type: research
Artificial intelligence-based analysis of associations between learning curve and clinical outcomes in endoscopic and microsurgical lumbar decompression surgery
ConclusionsA median of 72 cases of FED surgeries led to comparable clinical outcomes in the early learning curve phase compared to experienced surgeons. These outcomes seem to be more significantly affected by patient characteristics than the learning curve or the surgical technique. Several study variables, including the learning curve, can be used to predict whether lumbar decompression surgery will result in an increased LOS, OT, or complications. To introduce the provided prediction tools into clinics, the algorithms need to be implemented into open-source software and externally validated through large-scale randomize...
Source: European Spine Journal - December 29, 2023 Category: Orthopaedics Source Type: research
Nomogram for predicting venous thromboembolism after spinal surgery
ConclusionPatients undergoing spinal surgery with elevated D-dimer levels, prolonger surgical, and cervical surgery have higher risk of VTE. The nomogram can provide a theoretical basis for clinicians to prevent VTE. (Source: European Spine Journal)
Source: European Spine Journal - December 28, 2023 Category: Orthopaedics Source Type: research
Moderate sagittal plane deformity patients have similar radiographic and functional outcomes with either anterior or posterior surgery
ConclusionBoth ALIF-ACR and TLIF-Schwab2 achieved similar radiographic and functional outcomes in ASD patients with moderate sagittal plane deformity at 1-year follow-up. However, the safety profiles of the two techniques differed. Further research is required to optimize patient selection for each surgical approach, aiming to minimize perioperative complications and reoperation rates in this challenging patient population. (Source: European Spine Journal)
Source: European Spine Journal - December 27, 2023 Category: Orthopaedics Source Type: research
A neural network model for detection and classification of lumbar spinal stenosis on MRI
ConclusionsThe CNN showed comparable performance to radiologist subspecialists for the detection and classification of LSS. The integration of neural network models in the detection of LSS could bring higher accuracy, efficiency, consistency, and post-hoc interpretability in diagnostic practices. (Source: European Spine Journal)
Source: European Spine Journal - December 27, 2023 Category: Orthopaedics Source Type: research
Influence of instrumentation type on outcomes after surgical management of spondylodiscitis: a systematic review and meta-analysis
ConclusionsThis meta-analysis demonstrates that the choice of instrumentation type in the surgical management of spondylodiscitis resulted in no significant differences in rate of radiographic fusion, screw loosening, or reoperation. Future comparative studies to optimize guidelines for the management of spondylodiscitis are needed. (Source: European Spine Journal)
Source: European Spine Journal - December 26, 2023 Category: Orthopaedics Source Type: research
Abdominal lymphocele following multi-level anterior lumbar interbody fusion (ALIF) managed with a laparoscopic peritoneal window: case report and review of the literature
ConclusionsIn this case report, creation of a peritoneal window minimally invasively via a laparoscope allowing passive drainage of lymphatic fluid into the abdomen was safe and effective for management of an abdominal lymphocele following a multi-level ALIF. (Source: European Spine Journal)
Source: European Spine Journal - December 26, 2023 Category: Orthopaedics Source Type: research
Demonstration of transverse ligament on 3D SPACE MRI in whiplash-associated disorder and nontraumatic conditions
ConclusionHigh-grade morphological changes in the TL can be detected in patients with WAD through the use of 3D SPACE sequences.Clinical relevance statement 3D SPACE MRI could serve as an instrumental tool in the assessment of TL among patients with WAD. Integrating MRI findings with patient history and symptomology could facilitate the identification of potential ligament damage, and may help treatment and follow-up planning. (Source: European Spine Journal)
Source: European Spine Journal - December 23, 2023 Category: Orthopaedics Source Type: research
Percutaneous radiofrequency ablation and endoscopic neurotomy for lumbar facet joint syndrome: are they good enough?
ConclusionThe LBP was significantly relieved shortly after percutaneous radiofrequency ablation. Compared with percutaneous radiofrequency ablation, endoscopic neurotomy seems to have a longer effect. A longer follow-up period is needed to confirm its effectiveness. (Source: European Spine Journal)
Source: European Spine Journal - December 23, 2023 Category: Orthopaedics Source Type: research
