How to determine the optimal proximal fusion level for Scheuermann kyphosis
ConclusionPJK is the main cause of postoperative correction loss. Proper fusion-level selection can reduce PJK occurrence. We recommend having the UIV at T2 or above, especially when the C7PL-sacrum distance ≥ 50 mm. (Source: European Spine Journal)
Source: European Spine Journal - November 13, 2023 Category: Orthopaedics Source Type: research
Bone mineral density differences between femurs of scoliotic patients undergoing quantitative computed tomography analysis
ConclusionQCT analysis demonstrated a difference in both areal and volumetric BMD between the two femurs of scoliotic patients, in relation to the side of the scoliotic curve. If these data will be confirmed by larger studies, bilateral femoral DXA acquisition may be proposed for these patients. (Source: European Spine Journal)
Source: European Spine Journal - November 11, 2023 Category: Orthopaedics Source Type: research
Announcement
(Source: European Spine Journal)
Source: European Spine Journal - November 11, 2023 Category: Orthopaedics Source Type: research
Adjacent segment degeneration after single- and double-level cervical total disc replacement: a cohort with an over 12-year follow-up
ConclusionsAfter over 12-year follow-up of CTDR, the occurrence of ASD and HO had temporal synchronization. ASD was not merely a natural progression but with the pathological process such as HO. (Source: European Spine Journal)
Source: European Spine Journal - November 10, 2023 Category: Orthopaedics Source Type: research
Chronic cauda equina syndrome decompression surgery recovery is very & quot;bad & quot;? Based on patient self-assessment
ConclusionCES patients with symptoms lasting > 3 months may recover after surgery. Sexual dysfunction has a high residual rate and should not be ignored during diagnosis and treatment. (Source: European Spine Journal)
Source: European Spine Journal - November 10, 2023 Category: Orthopaedics Source Type: research
Clinical validation of grouping conservative treatments in neck pain for use in a network meta-analysis: a Delphi consensus study
ConclusionWith this consensus we clinically validated two neck pain classifications and grouped conservative treatments into 17 well-defined and clinically relevant nodes. (Source: European Spine Journal)
Source: European Spine Journal - November 9, 2023 Category: Orthopaedics Source Type: research
Clinical outcomes of short rod technique in posterior lumbar interbody fusion surgery: a minimum of 2-year follow-up
ConclusionSRT has been validated as an effective technique with good clinical outcomes, especially for reducing the occurrence of upper ASD in PLIF surgery with a single segment and three segments. The present study provides spinal surgeons with a novel method for performing PLIF surgery. (Source: European Spine Journal)
Source: European Spine Journal - November 7, 2023 Category: Orthopaedics Source Type: research
Diet and risk of low back pain: a Mendelian randomization analysis
ConclusionsThis two-sample MR study found that frequency of alcohol intake was associated with an increased risk of LBP, and intake of processed meat, dried fruit, cereals, and tea was associated with a decreased risk of LBP. Moreover, no causal relationship was found with LBP in the other 13 diets. (Source: European Spine Journal)
Source: European Spine Journal - November 7, 2023 Category: Orthopaedics Source Type: research
Lesson learned in endoscopic endonasal dens resection for C1 –C2 spinal cord decompression
ConclusionsConsidering our experience, EEO represents a valid and safe technique to decompress neural cervical structures. Despite its technical complexity, mainly due to the use of endoscope and the challenging surgical area, with this study we encourage the use of EEO displaying our experience-based surgical tips and tricks. (Source: European Spine Journal)
Source: European Spine Journal - November 7, 2023 Category: Orthopaedics Source Type: research
Evaluating tissue injury in cervical spondylotic myelopathy with spinal cord MRI: a systematic review
ConclusionsSpinal cord MRI methods can potentially facilitate the diagnosis and management of CSM by quantitatively interrogating the structural integrity of CSC. DTI is the most promising MRI method, and other techniques have also shown promise, especially in multimodal configurations. However, this field is in its early stages, and more studies are needed to establish the usefulness of spinal cord MRI in CSM. (Source: European Spine Journal)
Source: European Spine Journal - November 5, 2023 Category: Orthopaedics Source Type: research
Comparison of L1-S1 neuroforaminal dimensions derived from plain film radiography versus computed tomography
ConclusionThis study describes 9585 measurements from L1-S1 of neuroforaminal measurements derived from CT and plain film radiography from a sample of young patients without spinal pathology. Among these patients, plain film measurements of the neuroforamina are larger compared to those derived from CT for all levels from L1-S1. There is poor correlation and reliability between plain film and CT measurements of neuroforaminal dimensions. (Source: European Spine Journal)
Source: European Spine Journal - November 4, 2023 Category: Orthopaedics Source Type: research
A comparison between Boston brace and European braces in the treatment of adolescent idiopathic scoliosis (AIS) patients: a systematic review based on the standardised Scoliosis Research Society (SRS) inclusion criteria for brace treatment
ConclusionBoston brace and European braces were effective in the prevention of surgery. In addition, curve stabilisation was achieved in most studies. Limitation in current literature included lack of studies providing high level of evidence and lack of standardisation in terms of compliance to brace as well as multidisciplinary management of brace wear. (Source: European Spine Journal)
Source: European Spine Journal - November 4, 2023 Category: Orthopaedics Source Type: research
Evidence of spinal stiffening following fusionless bipolar fixation for neuromuscular scoliosis: a shear wave elastography assessment of lumbar annulus fibrosus
ConclusionsThis study shows a significant increase in disc stiffness at the end of growth for NMS patients treated by FBF. These findings are a useful adjunct to CT-scan in assessing stiffness of the spine allowing the avoidance of surgical final fusion at skeletal maturity. (Source: European Spine Journal)
Source: European Spine Journal - November 4, 2023 Category: Orthopaedics Source Type: research
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
