Validation of the AO Spine CROST (Clinician Reported Outcome Spine Trauma) in the clinical setting
ConclusionsThe AO Spine CROST showed moderate validity in a true clinical setting including patients from the daily clinical practice. (Source: European Spine Journal)
Source: European Spine Journal - February 17, 2024 Category: Orthopaedics Source Type: research

Deep learning algorithm for automatically measuring Cobb angle in patients with idiopathic scoliosis
ConclusionsThe authors believe the model will be useful in clinical practice by relieving clinicians of the burden of having to manually compute the Cobb angle. Further studies are needed to enhance the accuracy and versatility of this deep learning model. (Source: European Spine Journal)
Source: European Spine Journal - February 17, 2024 Category: Orthopaedics Source Type: research

Assessing the predictive power of the GAP score on mechanical complications: a comprehensive systematic review and meta-analysis
ConclusionThe GAP score offers predictive value for the risk of mechanical complications. (Source: European Spine Journal)
Source: European Spine Journal - February 17, 2024 Category: Orthopaedics Source Type: research

Heterotopic ossification, osteolysis and implant failure following cervical total disc replacement with the M6-C ™ artificial disc
ConclusionWe report a lower reoperation rate for failed M6-C ™ implants than previously published, but confirmed that osteolysis and heterotopic ossification are common following CTDR with the M6-C™ and may be asymptomatic. Therefore, we strongly recommend ongoing clinical and radiographic monitoring after CTDR with the M6-C™, particularly for male pati ents implanted at the C5/6 level. (Source: European Spine Journal)
Source: European Spine Journal - February 16, 2024 Category: Orthopaedics Source Type: research

Obesity increases the odds of intervertebral disc herniation and spinal stenosis; an MRI study of 1634 low back pain patients
ConclusionsWhile an increase in BMI was associated with only a slight increase in DD, it was a stronger predictor for DH and SS, particularly in the upper lumbar discs, suggesting weight loss could be a useful strategy for helping prevent disorders associated with these pathologies. (Source: European Spine Journal)
Source: European Spine Journal - February 16, 2024 Category: Orthopaedics Source Type: research

The effect of diabetes mellitus on lumbar disc degeneration: an MRI-based study
ConclusionsProlonged uncontrolled hyperglycaemia may contribute to lumbar disc degeneration, fatty infiltration of the paraspinal muscles in the lower lumbar segments, and increased incidence of endplate cartilage pathological changes in patients with degenerative disc disease. (Source: European Spine Journal)
Source: European Spine Journal - February 15, 2024 Category: Orthopaedics Source Type: research

Comparison of the predictive values of MRI-based vertebral bone quality scores for the determination of osteoporosis in different diseases
ConclusionThis study is the first to evaluate the effectiveness of VBQs scores in assessing osteoporosis post-fracture. Only non-fractured patients ’ bone quality is fully susceptible to VBQT1 scores. While VBQT1 scores may not correlate with fragility fractures, VBQT2 scores present a viable alternative. (Source: European Spine Journal)
Source: European Spine Journal - February 14, 2024 Category: Orthopaedics Source Type: research

Factors associated with increased length of stay and risk of complications in 336 patients submitted to spine surgery. The role of a validated capture system (SAVES v2) as a first-line tool to properly face the problem
ConclusionConsidering that the rate of AEs and SCs in spinal surgery is still high despite the improvement of technical skills, we suggest the use of SAVES V2 capture system as a first-line tool to face the problem. (Source: European Spine Journal)
Source: European Spine Journal - February 14, 2024 Category: Orthopaedics Source Type: research

Announcement
(Source: European Spine Journal)
Source: European Spine Journal - February 14, 2024 Category: Orthopaedics Source Type: research

Comparison of the clinical outcomes of VBE-TLIF versus MIS-TLIF for single-level degenerative lumbar diseases
ConclusionsBoth VBE-TLIF and MIS-TLIF are safe and effective surgical procedures for patients with lumbar diseases, but VBE-TLIF technique is a preferred surgical procedure with merits of reduced surgical trauma and quicker recovery. (Source: European Spine Journal)
Source: European Spine Journal - February 13, 2024 Category: Orthopaedics Source Type: research

Subgroup characteristics in care workers with low back pain: cluster analysis-based severity of central sensitivity syndromes and low back pain
ConclusionOur findings suggested that the severe LBP and severe CSS subgroups had common and different characteristics concerning psychological factors and work status, including interference with work. Our results may help to improve the management of care workers with LBP. (Source: European Spine Journal)
Source: European Spine Journal - February 12, 2024 Category: Orthopaedics Source Type: research

Is the interspinous process device safe and effective in elderly patients with lumbar degeneration? A systematic review and meta-analysis of randomized controlled trials
ConclusionsThis systematic review and meta-analysis indicated no superiority in the clinical outcome for IPD compared with decompression surgery. However, more clinical studies are warranted to determine the efficacy and safety of IPD. (Source: European Spine Journal)
Source: European Spine Journal - February 12, 2024 Category: Orthopaedics Source Type: research

How frequently MRI modifies thoracolumbar fractures ’ classification or decision-making? A systematic review and meta-analysis
ConclusionsMRI can significantly change the thoracolumbar classification and decision-making, primarily due to upgrading type A to type B fractures and changing from conservative to surgery, respectively. These findings suggest that MRI could change decision-making sufficiently to justify its use for TLFs. Type A subtypes, indeterminate PLC status, and spine regions might help to predict a change in TLFs ’ classification. However, more studies are needed to confirm the association of these variables with changes in treatment decisions to set the indications of MRI in neurologically intact patients with TLFs. An interacti...
Source: European Spine Journal - February 12, 2024 Category: Orthopaedics Source Type: research

Predicting and analysing of the unfavourable outcomes of early applicated percutaneous endoscopic interlaminar discectomy for lumbar disc herniation: development and validation based nomogram
ConclusionThis nomogram model has good predictive performance and clinical practicability, which could provide a certain basis for predicting unfavourable outcomes of early applicated PEID for LDH. (Source: European Spine Journal)
Source: European Spine Journal - February 11, 2024 Category: Orthopaedics Source Type: research

Preoperative geriatric nutritional risk index is useful factor for predicting postoperative delirium among elderly patients with degenerative lumbar diseases
ConclusionOur study indicated that lower GNRI correlated significantly with POD after TLIF. Performing GNRI evaluation prior to TLIF may be an effective approach of predicting the risk for POD among elderly patients with degenerative lumbar diseases. (Source: European Spine Journal)
Source: European Spine Journal - February 11, 2024 Category: Orthopaedics Source Type: research