CT-based analysis of sagittal and coronal lumbar endplate morphology: multivariate analysis of factors associated with endplate depth
ConclusionEndplate depths tend to be larger toward the caudal level, particularly in the superior endplate. Surgeons should thoroughly evaluate the preoperative CT image because various endplate morphologies require attention to cage shape when performing lumbar interbody fusion, especially in patients who are older, are female, have low BMI, and have large PI.Level of evidence IDiagnostic: individual cross-sectional studies with consistently applied reference standard and blinding. (Source: European Spine Journal)
Source: European Spine Journal - March 15, 2023 Category: Orthopaedics Source Type: research
Long-term patient-related quality of life outcomes and ICD-10 symptom rating (ISR) of patients with pyogenic vertebral osteomyelitis: What is the psychological impact of this life-threatening disease?
ConclusionEven almost seven years on average after completed treatment of VO, patients report impaired QoL. Assessment of psychological disorders should be implemented in clinical practice and future prospective studies. (Source: European Spine Journal)
Source: European Spine Journal - March 15, 2023 Category: Orthopaedics Source Type: research
Is navigation beneficial for transforaminal endoscopic lumbar foraminotomy? A preliminary comparison study with fluoroscopic guidance
ConclusionO-TELF showed similarly favorable clinical and radiologic outcomes to C-TELF in lumbar foraminal stenosis, including complication rate. Compared to C-TELF, O-TELF has an advantage of not wearing a lead apron since the operator is not exposed to radiation. However, the operation time was longer with O-TELF due to O-arm setting time. Because there are pros and cons, the choice of surgical method depends on the surgeon ’s preference. (Source: European Spine Journal)
Source: European Spine Journal - March 15, 2023 Category: Orthopaedics Source Type: research
Lateral versus posterior approaches to treat degenerative lumbar pathologies –systematic review and meta-analysis of recent literature
ConclusionLateral approaches can promote significant radiological correction and similar clinical improvement while reducing surgical blood loss and postoperative complications. (Source: European Spine Journal)
Source: European Spine Journal - March 14, 2023 Category: Orthopaedics Source Type: research
Adjacent segment mobility after ACDF considering fusion status at the implant insertion site
ConclusionThe mobility of the adjacent segment below the implant insertion site was significantly increased at 12 months post-ACDF surgery. The range of this compensatory hypermobility was significantly greater in patients with complete fusion at the ACDF site than in cases of pseudoarthrosis. Implant subsidence was not associated with mobility changes in the segments directly above or directly below the site of ACDF surgery. (Source: European Spine Journal)
Source: European Spine Journal - March 14, 2023 Category: Orthopaedics Source Type: research
Factors associated with incomplete clinical improvement in patients undergoing transforaminal endoscopic lumbar discectomy for lumbar disc herniation
ConclusionsWe identified independent risk factors associated with incomplete clinical improvement following TELD, including overweight, significant preoperative disability or weakness and history of previous surgery. Advanced age, disc degeneration, vacuum phenomenon, and spondylolisthesis were also possible risk factors. Recognizing these risk factors would help decide whether patients are good candidates for TELD, and optimize the surgical planning preoperatively to achieve good surgical results. (Source: European Spine Journal)
Source: European Spine Journal - March 14, 2023 Category: Orthopaedics Source Type: research
Treatment of acute traumatic central cord syndrome: a score-based approach based on the literature
ConclusionsAn individualised approach to each ATCCS patient, considering their unique characteristics will lead to the best outcomes, and the use of a simple scoring system, can aid clinicians in choosing the best treatment for ATCCS patients. (Source: European Spine Journal)
Source: European Spine Journal - March 13, 2023 Category: Orthopaedics Source Type: research
A prospective study to identify preoperative serum parameters for spinal implant infection detected by sonication fluid culture
ConclusionMarkers of systemic inflammation (serum protein level) and patient history should be employed to stratify preoperative risk of CLGSII and decide the best treatment strategy. (Source: European Spine Journal)
Source: European Spine Journal - March 10, 2023 Category: Orthopaedics Source Type: research
Age-related changes in cervical sagittal alignment: based on 625 Chinese asymptomatic subjects
ConclusionThis work explored in detail the normal reference values of cervical sagittal alignment including cranial arch and caudal arch under different age groups. Age-related changes in cervical alignment depended on the increase in the cranial and caudal arches in different proportions with age. (Source: European Spine Journal)
Source: European Spine Journal - March 10, 2023 Category: Orthopaedics Source Type: research
MRI image features with an evident relation to low back pain: a narrative review
ConclusionOur research suggests that type I Modic changes, disc degeneration, endplate defects, disc herniation, spinal canal stenosis, nerve compression, and muscle fat infiltration have the highest probability to be related to LBP. These can be used to improve clinical decision-making for patients with LBP based on MRI. (Source: European Spine Journal)
Source: European Spine Journal - March 9, 2023 Category: Orthopaedics Source Type: research
Changes in psoas and posterior paraspinal muscle morphology after standalone lateral lumbar interbody fusion: a quantitative MRI-based analysis
ConclusionOur study demonstrated that SA-LLIF did not alter psoas muscle morphology, underlining its minimally invasive nature. However, FI of PPM significantly increased over time despite the lack of direct tissue damage to posterior structures, suggesting a pain-mediated response and/or the result of segmental immobilization. (Source: European Spine Journal)
Source: European Spine Journal - March 8, 2023 Category: Orthopaedics Source Type: research
Prognostic MRI parameters in acute traumatic cervical spinal cord injury
ConclusionAccording to the findings of our study, the spinal length lesion, canal diameter at the level of spinal cord compression and intramedullary hematoma documented by the preoperative MRI study were associated with the prognosis of patients with cSCI. (Source: European Spine Journal)
Source: European Spine Journal - March 8, 2023 Category: Orthopaedics Source Type: research
Age-based exclusion is common and multifactorial in spinal RCTs: a systematic review and quantitative analysis
In conclusion, age-based exclusion is ubiquitous, multifactorial, and happens on a supratrial level. Eliminating age-based exclusion involves more than an arbitra ry lifting of explicitly stated upper age cut-offs. Instead, recommendations include increasing input from geriatricians and ethics committees, establishing updated or new models of cares, and creating new protocols to facilitate further research. (Source: European Spine Journal)
Source: European Spine Journal - March 7, 2023 Category: Orthopaedics Source Type: research
MRI-based vertebral bone quality score compared to quantitative computed tomography bone mineral density in patients undergoing cervical spinal surgery
ConclusionOur results indicate that cervical VBQ scores may be insufficient in the estimation of BMDs, which might limit their clinical application. Additional studies are recommended to determine the utility of VBQ and QCT BMD to evaluate their potential use as bone status markers. (Source: European Spine Journal)
Source: European Spine Journal - March 7, 2023 Category: Orthopaedics Source Type: research
Prevalence, diagnosis, and impact on clinical outcomes of dural ossification in the thoracic ossification of the ligamentum flavum: a systematic review
ConclusionThe prevalence of DO in TOLF treated surgically was 27%. Eight diagnostic measures have been put forward to predict the DO in TOLF. DO did not affect the neurological recovery of TOLF treated with laminectomy but was associated with high risk of complications. (Source: European Spine Journal)
Source: European Spine Journal - March 6, 2023 Category: Orthopaedics Source Type: research
