Can hydroxyapatite charged collagen sponge help reduce perioperative blood loss in adolescent idiopathic scoliosis surgery? Preliminary results in 68 patients
ConclusionWith 27% reduction in drain volume, hydroxyapatite charged collagen sponge can be considered as a blood salving strategy in AIS surgery. The role of the biomaterial in fusion rate still needs to be further assessed. (Source: European Spine Journal)
Source: European Spine Journal - January 19, 2023 Category: Orthopaedics Source Type: research
Diagnostic value of curved planar reformation of MRI for lumbosacral nerve roots in the localization of nerve roots for adult lumbar degenerative scoliosis
ConclusionsThe clinical diagnostic value of MRI-CPR was better than 2D MRI in the determination of the responsible nerve root. Moreover, MRI-CPR sequence images can clearly show the route of lumbosacral nerve roots and their relationship with adjacent tissues. Therefore, MRI-CPR can be an important complement to conventional 2D MRI in the diagnosis of responsible nerve roots in patients with ALDS. (Source: European Spine Journal)
Source: European Spine Journal - January 17, 2023 Category: Orthopaedics Source Type: research
Effects of a microgravity SkinSuit on lumbar geometry and kinematics
ConclusionThe MkVI SkinSuit restores lumbar mobility and lordosis following 4 h of wearing during hyper buoyancy flotation in a healthy control population and may be an effective countermeasure for post space flight lumbar disc herniation. (Source: European Spine Journal)
Source: European Spine Journal - January 16, 2023 Category: Orthopaedics Source Type: research
Combined flexion and compression negatively impact the mechanical integrity of the annulus fibrosus
ConclusionThe current findings suggest that the mechanical properties of the interlamellar and intralamellar matrices are sensitive to flexion, creating an environment that promotes an increased potential for damage to occur. (Source: European Spine Journal)
Source: European Spine Journal - January 12, 2023 Category: Orthopaedics Source Type: research
Facet joint violation after open and percutaneous posterior instrumentation: a comparative study
ConclusionFJV is more likely to occur in percutaneously placed pedicle screws. Additionally, higher grade FJV ’s occur after percutaneous instrumentation. However, in the thoracic spine we didn’t find a significant difference between open and percutaneous technique. Our results suggest a precise consideration concerning surgical technique according to the fractured vertebrae in the light of the individu al anatomic structures in the preop CT. (Source: European Spine Journal)
Source: European Spine Journal - January 12, 2023 Category: Orthopaedics Source Type: research
Performance assessment and external validation of specific thresholds of total psoas muscle cross-sectional area as predictors of mortality in oncologic spine surgery for spinal metastases
ConclusionPatients with LMM had higher rates of 90-day and 12-month mortality in our study, but this was not independent of other parameters such as performance status, hypoalbuminemia, or primary cancer type. (Source: European Spine Journal)
Source: European Spine Journal - January 11, 2023 Category: Orthopaedics Source Type: research
A scoping review of the methods used to capture dysphagia after anterior cervical discectomy and fusion: the need for a paradigm shift
ConclusionsThis scoping review of the literature highlights that nearly half of the ACDF dysphagia literature relies on unvalidated patient-reported outcome measures. The current understanding of the mechanism, timeline, and presentation of dysphagia post-ACDF are likely limited due to the metrics that are most commonly reported in the literature. (Source: European Spine Journal)
Source: European Spine Journal - January 10, 2023 Category: Orthopaedics Source Type: research
Halo-pelvic traction in the treatment of severe scoliosis: a meta-analysis
ConclusionsPreoperative halo-pelvic traction achieved significant improvements in spinal deformity and pulmonary functions, with minor and curable complications. Thus, it is an effective and safe solution before surgery and may be the optimal choice for severe scoliosis. In light of the heterogeneity and limitations, future researches are needed to better determine the long-term efficacy on comprehensive assessment and to explore the appropriate traction system. (Source: European Spine Journal)
Source: European Spine Journal - January 9, 2023 Category: Orthopaedics Source Type: research
Risk factors of early complications after thoracic and lumbar spinal deformity surgery: a systematic review and meta-analysis
ConclusionThese data may contribute to development of a systematic approach aimed at improving quality-of-life and reducing complications in high-risk patients. (Source: European Spine Journal)
Source: European Spine Journal - January 7, 2023 Category: Orthopaedics Source Type: research
Complications after early versus late mobilization after an incidental durotomy: a systematic review and meta-analysis
ConclusionsAlthough early mobilization after repaired incidental dural tears in open lumbar and thoracic spinal surgery has a similar major complication/ reoperation rates compared to late mobilization, it significantly decreases the risk of minor complications and length of hospitalization. (Source: European Spine Journal)
Source: European Spine Journal - January 7, 2023 Category: Orthopaedics Source Type: research
Cross-cultural adaptation and validation of the Traditional Chinese version of the Core Outcome Measures Index in patients with low back pain
ConclusionThe Traditional Chinese COMI represents a practical and reliable tool for the assessment of Traditional Chinese-speaking patients with back problems. (Source: European Spine Journal)
Source: European Spine Journal - January 7, 2023 Category: Orthopaedics Source Type: research
Decompression alone versus decompression with fusion in patients with lumbar spinal stenosis with degenerative spondylolisthesis: a systematic review and meta-analysis
ConclusionBased on the current literature, there is high-quality evidence of no difference in functionality after decompression alone compared to decompression with fusion in patients with degenerative lumbar spondylolisthesis at 2 years of follow-up. Further studies should focus on long-term comparative outcomes, health economic evaluations, and identifying those patients that may benefit more from decompression with fusion instead of decompression alone. This review was registered at Prospero (CRD42021291603). (Source: European Spine Journal)
Source: European Spine Journal - January 6, 2023 Category: Orthopaedics Source Type: research
Is unilateral pedicle screw fixation as effective as bilateral pedicle screw fixation in transforaminal lumbar interbody fusion: a meta-analysis of randomized controlled trials
ConclusionAccording to the findings of this meta-analysis, UPSF is just as effective as BPSF in TLIF and may reduce blood loss and operation time. Nevertheless, UPSF may result in more cage migration than BPSF. (Source: European Spine Journal)
Source: European Spine Journal - January 4, 2023 Category: Orthopaedics Source Type: research
Thoracogenic scoliosis: coronal deformity progression in paediatric patients
ConclusionIn this series, children that developed THS with a convexity contralateral to the side of LT had more severe and progressive coronal spine deformity.Level of evidence:III (Source: European Spine Journal)
Source: European Spine Journal - January 3, 2023 Category: Orthopaedics Source Type: research
Myelopathy disability index: establishing criteria for mild, moderate and severe impairment in patients with degenerative cervical myelopathy
ConclusionMDI values between 0 and 4 correspond to mild DCM, between 5 and 7 would be moderate DCM and from 8 to 30 indicate severe DCM. (Source: European Spine Journal)
Source: European Spine Journal - January 3, 2023 Category: Orthopaedics Source Type: research
