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

Frontal correction assessment in severe adolescent idiopathic scoliosis surgery using halo gravity traction before to posterior vertebral arthrodesis: a multicenter retrospective observational study
ConclusionHGT preparation in the management of correction of AIS with a Cobb angle greater than 90 ° is a technique providing a greater frontal correction gain with similar complication rate than PSF correction alone. We recommend a minimum halo duration of 4 weeks. (Source: European Spine Journal)
Source: European Spine Journal - December 23, 2023 Category: Orthopaedics Source Type: research

Letter to the Editor concerning “Minimally invasive fusion surgery for patients with degenerative spondylolisthesis and severe lumbar spinal stenosis: a comparative study between MIDLIF and TLIF” by Pedro Santos Silva et al. (Eur Spine J [2023]: doi:10.1007/s00586-023–07847-6)
(Source: European Spine Journal)
Source: European Spine Journal - December 21, 2023 Category: Orthopaedics Source Type: research

Letter to the Editor concerning “Minimally invasive fusion surgery for patients with degenerative spondylolisthesis and severe lumbar spinal stenosis: a comparative study between MIDLIF and TLIF” by Pedro Santos Silva, et al. (Eur Spine J [2023]; DOI: 10.1007/s00586-023–07847-6)
(Source: European Spine Journal)
Source: European Spine Journal - December 21, 2023 Category: Orthopaedics Source Type: research

Identifying clusters of objective functional impairment in patients with degenerative lumbar spinal disease using unsupervised learning
ConclusionsUnsupervised learning techniques identified three distinct clusters of patients with OFI that may represent a more holistic clinical classification of patients with OFI than test-time stratifications alone, by accounting for individual patient characteristics. (Source: European Spine Journal)
Source: European Spine Journal - December 21, 2023 Category: Orthopaedics Source Type: research

Causations between obesity, diabetes, lifestyle factors and  the risk of low back pain
ConclusionOur findings indicate a potential causal link between obesity, smoking, and coffee intake in the genesis of LBP, suggesting that mitigating these factors could contribute to LBP prevention. (Source: European Spine Journal)
Source: European Spine Journal - December 20, 2023 Category: Orthopaedics Source Type: research

Comparison of the patient-derived modified Japanese Orthopaedic Association scale and the European myelopathy score
ConclusionThe P-mJOA and the EMS had similar mean scores, and intra-rater agreement was high, whereas severity levels only demonstrated fair agreement. The EMS has a lower sensitivity for detecting severe myelopathy but shows an increasing agreement with the P-mJOA for milder disease severity. A larger interval to define severe myelopathy with the EMS is recommended. (Source: European Spine Journal)
Source: European Spine Journal - December 19, 2023 Category: Orthopaedics Source Type: research

Comparative outcomes of awake spine surgery under spinal versus general anesthesia: a comprehensive systematic review and meta-analysis
ConclusionsPatients undergoing awake spine surgery under SA had significantly shorter operations and hospital stays, and fewer rates of postoperative nausea and urinary retention as compared to GA. In summary, awake spine surgery offers a valid alternative to GA and added benefits in terms of postsurgical complications, while being associated with relatively low morbidity. (Source: European Spine Journal)
Source: European Spine Journal - December 19, 2023 Category: Orthopaedics Source Type: research

Feature-based multimodal registration framework for vertebral pose estimation
ConclusionThe proposed method is a fast and accurate registration method that can provide 3D information about the vertebral body. This 3D information is useful to improve accuracy during various clinical diagnoses. (Source: European Spine Journal)
Source: European Spine Journal - December 17, 2023 Category: Orthopaedics Source Type: research

Relationships between lumbar lordosis correction and the change in global tilt (GT) in adult spinal deformity
ConclusionSurgical correction of LL could contribute to the restoration of global sagittal morphology following ASD surgery. These models were established to predict the changes in sagittal parameters, in particular △GT, determined by △LL, which has not been previously done and may help to customize a more precise correction plan for ASD patients. (Source: European Spine Journal)
Source: European Spine Journal - December 16, 2023 Category: Orthopaedics Source Type: research

Announcement
(Source: European Spine Journal)
Source: European Spine Journal - December 16, 2023 Category: Orthopaedics Source Type: research

Greater pelvic obliquity in adolescent idiopathic scoliosis combined with hip dysplasia
ConclusionsThe incidence of hip dysplasia is higher in the AIS population. In adolescents with combined AIS and hip dysplasia, pelvic obliquity is greater, potentially contributing to the increased prevalence of low back pain. (Source: European Spine Journal)
Source: European Spine Journal - December 15, 2023 Category: Orthopaedics Source Type: research