A clinicopathological study of low back pain due to middle cluneal nerve entrapment: case series
ConclusionWe present pathological evidence at the MCN compression site of 7 nerves from 6 patients whose LBP was alleviated by MCN neurectomy, indicating that MCN entrapment can elicit LBP. (Source: European Spine Journal)
Source: European Spine Journal - November 4, 2023 Category: Orthopaedics Source Type: research

Prognostic nutritional index and modified frailty index, independent risk factors for recompression in elderly patients with osteoporotic vertebral compression fractures
ConclusionsSpinal BMD, ODI, PNI and mFI independently predict recompression in OVCF patients after PVP treatment. (Source: European Spine Journal)
Source: European Spine Journal - November 3, 2023 Category: Orthopaedics Source Type: research

Depression as a prognostic factor for lumbar spinal stenosis outcomes: a systematic review
ConclusionDepression appears to have small to moderate prognostic value for LSS outcomes, with the strongest evidence for postoperative disability and symptom severity. The prognostic value of depression for LSS outcomes should be further explored using standardized measures in additional cohorts, including patients managing their condition conservatively, who have been neglected in related research. (Source: European Spine Journal)
Source: European Spine Journal - November 2, 2023 Category: Orthopaedics Source Type: research

Correction: Degenerative lumbar spondylolisthesis: review of current classifications and proposal of a novel classification system
(Source: European Spine Journal)
Source: European Spine Journal - November 2, 2023 Category: Orthopaedics Source Type: research

Validating the preoperative Japanese Core Outcome Measures Index for the Neck and comparing quality of life in patients with cervical spondylotic myelopathy and ossification of the posterior longitudinal ligament by the patient-reported outcome measures
ConclusionsThis study validated the preoperative Japanese COMI-Neck in CSM and OPLL patients and identified specific QOL issues associated with each condition. The findings highlight the importance of considering disease-specific QOL and tailoring treatment plans accordingly. Further research should include postoperative assessments and a more diverse population to enhance generalizability. (Source: European Spine Journal)
Source: European Spine Journal - October 27, 2023 Category: Orthopaedics Source Type: research

Postoperative quality of recovery with erector spinae plane block or thoracolumbar interfascial plane block after major spinal surgery: a randomized controlled trial
ConclusionsBoth blocks resulted in similar quality of recovery in the postoperative 24-h period in major spinal surgery and were effective in terms of analgesia. (Source: European Spine Journal)
Source: European Spine Journal - October 27, 2023 Category: Orthopaedics Source Type: research

Simplified S1 vertebral bone quality (vbq) score to assess proximal junctional kyphosis after Lenke 5 adolescent idiopathic scoliosis surgery
ConclusionThis study provided evidence that higher S1 VBQ scores were independently associated with PJK occurrence following corrective surgery for Lenke 5 AIS. Preoperative measurement of the S1 VBQ score on MRI may serve as a valuable tool in planning surgical correction for Lenke 5 AIS. (Source: European Spine Journal)
Source: European Spine Journal - October 27, 2023 Category: Orthopaedics Source Type: research

Correction: Do peri ‑operative parathyroid hormone (PTH) analogues improve bone density and decrease mechanical complications in spinal deformity correction?—a minimum 2‑year radiological study measuring Hounsfield units
(Source: European Spine Journal)
Source: European Spine Journal - October 27, 2023 Category: Orthopaedics Source Type: research

Correction: Beneficial and harmful effects of physical activity on care ‑seeking for low back pain: the AUTBACK study
(Source: European Spine Journal)
Source: European Spine Journal - October 27, 2023 Category: Orthopaedics Source Type: research

Lower preoperative Hounsfield unit values as a risk factor for poor 5-year clinical outcomes after lumbar spine surgery
ConclusionLow preoperative HU values are a risk factor for poor 5-year clinical outcomes after lumbar spine surgery. HU values are not only a valuable tool for analyzing bone mineral density but also may be a valuable poor prognostic factor of postoperative clinical outcomes. (Source: European Spine Journal)
Source: European Spine Journal - October 26, 2023 Category: Orthopaedics Source Type: research

A novel classification that defines the normal cervical spine: an analysis based on 632 asymptomatic Chinese volunteers
ConclusionsThe cervical sagittal profile varied with age and gender. Four clusters were naturally classified based on C2-7 CL and gender. The cervical balance status was addressed by C2-7 CL  =  − 28.65 + 0.57 × TIA. (Source: European Spine Journal)
Source: European Spine Journal - October 25, 2023 Category: Orthopaedics Source Type: research

The effect of a workplace wellness program on disability, function and pain in healthcare providers workers with low back pain –outcomes of 3040 academic health center employees
ConclusionsA high proportion of healthcare providers suffer from LBP as a result of the nature of their work. Disability and functional outcomes measurements and PROMIS results quantitatively assess healthcare providers with LBP. Organizations can develop injury mitigation programs to target employees at high risk of LBP using the risk factors we identify. Completion of the WWP was associated with improvements in disability, HRQOL and functional measures. (Source: European Spine Journal)
Source: European Spine Journal - October 25, 2023 Category: Orthopaedics Source Type: research

Restoring the ideal Roussouly sagittal alignment in Lenke 5 adolescent idiopathic scoliosis patients: a method for decreasing the risk of proximal junctional kyphosis
ConclusionsThe Roussouly classification could serve as a prognostic tool for PJK in Lenke 5 AIS patients. Corrective surgery should restore sagittal alignment with respect to the patient ’s ideal sagittal profile (according to the Roussouly classification based on the PI) to decrease the incidence of PJK in AIS patients. (Source: European Spine Journal)
Source: European Spine Journal - October 24, 2023 Category: Orthopaedics Source Type: research

Growing rods in meningomyelocele lead to increased risk for complications in comparison with fusion; a retrospective study of 30 patients treated for at the University Hospital of Uppsala
ConclusionGrowing systems had more major operations in comparison with fusion surgery and early revision surgery led to higher numbers of major operations per patient; these differences were statistically significant. Definitive fusion at index surgery might be the better option in some MMC patients with a high-risk profile. (Source: European Spine Journal)
Source: European Spine Journal - October 24, 2023 Category: Orthopaedics Source Type: research

Cross-sectional area and fat infiltration of the lumbar spine muscles in patients with back disorders: a deep learning-based big data analysis
ConclusionCSA and FI values of paravertebral muscles vary a lot in accordance with subjects ʼ sex, age and clinical conditions. Given also the large inter-muscle differences in CSA and FI, the choice of muscles needs to be considered with attention by spine surgeons or physiotherapists when investigating changes in lumbar muscle morphology in clinical practice. (Source: European Spine Journal)
Source: European Spine Journal - October 24, 2023 Category: Orthopaedics Source Type: research