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
Effect of revision sacroiliac joint fusion on unresolved pain and disability: a retrospective cohort study
ConclusionOur study demonstrates patients undergoing revision surgery have moderate improvement in low back pain, however, few have complete resolution of their symptoms. Specific patient factors, such as chronic opiate use and female sex may decrease the expected improvement in patient-reported outcomes following surgery. Failure to obtain relief may be due to incorrect indications, lack of biologic fusion and/or presence of co-pathologies. Further clinical examination and consistent long-term follow-up, clarify the role revision surgery plays in long-term patient outcomes. (Source: European Spine Journal)
Source: European Spine Journal - January 9, 2024 Category: Orthopaedics Source Type: research
Is neck pain treatable with surgery?
ConclusionsThis study provides an in-depth discussion of neck pain and its various presentations, as well as providing insight into treatment strategies and diagnostic pearls that may prevent mistreatment of cervical spine pathology. (Source: European Spine Journal)
Source: European Spine Journal - January 8, 2024 Category: Orthopaedics Source Type: research
A deep neural network for MRI spinal inflammation in axial spondyloarthritis
ConclusionThe developed deep neural network showed similar sensitivity and specificity to a radiologist with four years of experience. The results indicated that the network can provide a reliable and straightforward way of interpreting spinal MRI. The use of this deep neural network has the potential to expand the use of spinal MRI in managing axSpA. (Source: European Spine Journal)
Source: European Spine Journal - January 8, 2024 Category: Orthopaedics Source Type: research
Correction: Adjacent segment degeneration after single ‑ and double‑level cervical total disc replacement: a cohort with an over 12‑year follow‑up
(Source: European Spine Journal)
Source: European Spine Journal - January 8, 2024 Category: Orthopaedics Source Type: research
The effect of visual feedback-based clinical monitoring application in patients with chronic low back pain: a randomized controlled trial
ConclusionThe results confirmed the additional contribution of telerehabilitation ’s graphics-based visual feedback in pain, pain catastrophizing, disability, quality of life, and exercise participation. Since the importance of continuity in long-term rehabilitation in patients with CLBP is comprehended, feedback to increase patient motivation can be added to telerehabilitation applications. (Source: European Spine Journal)
Source: European Spine Journal - January 6, 2024 Category: Orthopaedics Source Type: research
Bilateral vertebral body tethering: identifying key factors associated with successful outcomes
ConclusionThese data indicate that double major deformities can be successfully treated with VBT, particularly for those who exhibit TLP. (Source: European Spine Journal)
Source: European Spine Journal - January 5, 2024 Category: Orthopaedics Source Type: research
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
