Detailed MRI evaluation of the spine: a 2-year follow-up study of young individuals reporting different training doses
ConclusionThis study suggests that disc degeneration is manifested earlier in individuals reporting a higher training dose. Over a 2-year period, however, the degeneration process did not accelerate further. Also, a significant difference in the vertebral signal, at baseline and follow-up as well as over time, could be seen between groups of individuals reporting high versus low-to-normal training dose. (Source: European Spine Journal)
Source: European Spine Journal - October 10, 2023 Category: Orthopaedics Source Type: research
Predicting vertebral compression fracture prior to spinal SBRT using radiomics from planning CT
ConclusionThe developed predictive model based on radiomics features extracted from pre-treatment planning CT images can accurately predict the likelihood of VCF prior to spinal SBRT. This model has significant implications for treatment planning and preventive measures for patients undergoing spinal SBRT. Future research can focus on improving model performance by incorporating new data and external validation using independent data sets. (Source: European Spine Journal)
Source: European Spine Journal - October 9, 2023 Category: Orthopaedics Source Type: research
Polymethyl methacrylate augmentation and proximal junctional kyphosis in adult spinal deformity patients
ConclusionsIn thoracolumbar fusions for adult spinal deformity, PMMA vertebroplasty was not associated with reduced PJK development, which was most highly associated with poor bone quality. Preoperative screening and management for osteoporosis is critical in achieving an optimal outcome for these complex operations.Level of evidence4, retrospective non-randomized case review. (Source: European Spine Journal)
Source: European Spine Journal - October 9, 2023 Category: Orthopaedics Source Type: research
Predictors for spinal deformity following resection of intramedullary tumor via posterior approach: a systematic review and meta-analysis
ConclusionThis study highlights the importance of considering age, preoperative spinal deformity, and thoracolumbar junction involvement as predictors of postoperative spinal deformity following surgical resection for IMSCT. These findings may provide guidance for the management of these patients, including the development of preoperative planning strategies and the selection of the most appropriate surgical approach for high-risk patients. (Source: European Spine Journal)
Source: European Spine Journal - October 7, 2023 Category: Orthopaedics Source Type: research
The value of 3D T2-weighted SPACE sequence in the differential diagnosis of spinal arteriovenous fistula and acute transverse myelitis
ConclusionThe CEAC is a new and useful clue for the diagnosis of thoracolumbar SAVF. And T2-SPACE sequence can more intuitively observe the lesions of SAVF, has good differential diagnostic value for SAVF and ATM patients. (Source: European Spine Journal)
Source: European Spine Journal - October 7, 2023 Category: Orthopaedics Source Type: research
Treatment of a symptomatic cervical cerebrospinal fluid fistula after full endoscopic cervical foraminotomy with CT-guided epidural fibrin patch
We present the case of a 47-year-old female patient with a suspected CSF fistula after endoscopic decompression for C7 foraminal stenosis. She was readmitted 8 days after surgery with dysesthesia in both upper extremities, orthostatic headache and neck pain, which worsened during mobilization. A CSF leak was suspected on spinal magnetic resonance imaging. A computer tomography (CT)-guided epidural blood patch was performed with short-term relief. A secon d CT-guided epidural fibrin patch was executed and the patient improved thereafter and was discharged at home without sensorimotor deficits or sequelae. We investigated ...
Source: European Spine Journal - October 7, 2023 Category: Orthopaedics Source Type: research
The burden of scoliosis: a nationwide database study on demographics, incidence, and surgical rates
ConclusionsOur findings reveal a significant increase in the average incidence of scoliosis diagnosis, rising from 107 per 100,000 individuals in 2015 to 161 per 100,000 in 2022. Scoliosis now impacts an estimated 1.2% of children and adolescents in Turkey. The risk is 1.45 times higher in females than in males. (Source: European Spine Journal)
Source: European Spine Journal - October 6, 2023 Category: Orthopaedics Source Type: research
Preoperative conservative treatment is insufficiently described in clinical trials of lumbar fusion: a scoping review
ConclusionAlthough roughly two-thirds of trials reported that patients failed conservative care prior to receiving a lumbar fusion, few studies named the conservative intervention provided and no studies provided any details regarding dosing or recency of care. This lack of information creates ambiguity in the surgical decision-making process, setting the as sumption that all patients received adequate conservative care prior to surgery. Details about pre-surgical conservative care should be disclosed to allow for appropriate clinical application, decision-making, and interpretation of treatment effects. (Source: European Spine Journal)
Source: European Spine Journal - October 6, 2023 Category: Orthopaedics Source Type: research
Association of polymorphism in leptin receptor gene with susceptibility of adolescent idiopathic scoliosis
ConclusionTheLEPR rs2767485 was associated with the genetic susceptibility of AIS andLEP rs2167270 with low BMI. These data can contribute to the identification of genetic biomarkers to improve the diagnosis and treatment. (Source: European Spine Journal)
Source: European Spine Journal - October 6, 2023 Category: Orthopaedics Source Type: research
Comparative efficacy of ultrasound guidance and fluoroscopy or computed tomography guidance in spinal nerve injections: a systematic review and meta-analysis
ConclusionUS-guided spinal nerve injections remained effective and reduced adverse events compared with conventional FL- or CT-guided spinal nerve injections. Further RCTs are required to verify our results.Study registrationOpen Science Forum (Available from:https://osf.io/vt92w/). (Source: European Spine Journal)
Source: European Spine Journal - October 6, 2023 Category: Orthopaedics Source Type: research
Differences in imaging and clinical characteristics are associated with higher rates of decompression-fusion versus decompression-alone in women compared to men for lumbar degenerative spondylolisthesis
ConclusionsThere were differences in imaging characteristics between men and women, and women were more likely to undergo fusion. Differences in fusion within groups indicate that decisions for fusion were based on composite assessments of clinical and imaging characteristics that varied between men and women. (Source: European Spine Journal)
Source: European Spine Journal - October 5, 2023 Category: Orthopaedics Source Type: research
Mobile technologies for rehabilitation in non-specific spinal disorders: a systematic review of the efficacy and potential for implementation in low- and middle-income countries
ConclusionmHealth interventions can be used and integrated into the conventional treatment of non-specific spinal disorders in rehabilitation. They have demonstrated efficacy and could be implemented in LMICs with minor adaptations to overcome language barriers and the absolute necessity of the internet. (Source: European Spine Journal)
Source: European Spine Journal - October 4, 2023 Category: Orthopaedics Source Type: research
Performance evaluation of a deep learning-based cascaded HRNet model for automatic measurement of X-ray imaging parameters of lumbar sagittal curvature
ConclusionThe cascaded HRNet model based on deep learning algorithm could accurately identify the sagittal curvature-related landmarks on lateral lumbar DR images and automatically measure the relevant parameters, which is of great significance in clinical application. (Source: European Spine Journal)
Source: European Spine Journal - October 3, 2023 Category: Orthopaedics Source Type: research
The correlation between altmetric score and traditional measures of article impact for studies pertaining to spine trauma
ConclusionThe lack of overlap between these types of metrics suggests that AAS or similar alternative metrics should be used to measure an article ’s social impact. The social impact of an article should likewise be a factor in determining an article’s overall impact along with its academic impact as measured by bibliometrics. (Source: European Spine Journal)
Source: European Spine Journal - October 2, 2023 Category: Orthopaedics Source Type: research
Clinical significance of relative pelvic version measurement as a predictor of low back pain after total hip arthroplasty
ConclusionAmong the GAP score, a moderate-to-severe pelvic retroversion was significantly associated with LBP post-THA. The RPV measurement may be a useful predictor of THA outcome, which may influence patient satisfaction. (Source: European Spine Journal)
Source: European Spine Journal - October 1, 2023 Category: Orthopaedics Source Type: research
