Magnetic resonance spectroscopy (MRS) identification of chemically painful lumbar discs leads to improved 6-, 12-, and 24-month outcomes for discogenic low back pain surgeries
ConclusionMore successful, sustained outcomes were obtained when surgically treating chemically painful discs identified by NOCISCAN-LS post-processed disc MRS exams. Results suggest that NOCISCAN-LS provides a valuable new diagnostic tool to help clinicians better select treatment levels. (Source: European Spine Journal)
Source: European Spine Journal - April 4, 2023 Category: Orthopaedics Source Type: research
Growth pattern of lumbar maturity stage at L1 to L5 during adolescent growth spurt
ConclusionThe lumbar maturity stage progresses from L5 toward L1, and the apophyseal and epiphyseal stages would replace the cartilaginous stage at approximately 14 years of age or after APHV. (Source: European Spine Journal)
Source: European Spine Journal - April 4, 2023 Category: Orthopaedics Source Type: research
Comparison of coagulation profile and thromboembolic events among patients undergoing spinal surgery before and after COVID-19 pandemic
ConclusionThe rate of thromboembolic events seems to be increased during the COVID-19 pandemic. These findings urge more stringent monitoring of the patients ’ coagulation parameters during the COVID-19 outbreak. (Source: European Spine Journal)
Source: European Spine Journal - April 4, 2023 Category: Orthopaedics Source Type: research
Central sensitization as a predictive factor for the surgical outcome in patients with lumbar spinal stenosis: a multicenter prospective study
ConclusionsPreoperative CS evaluated by CSI had a significantly worse impact on surgical outcomes, including neurological symptoms, disability, and QOL, especially related to LBP and psychological factors. CSI can be used clinically as a patient-reported measure for predicting postoperative outcomes in patients with LSS. (Source: European Spine Journal)
Source: European Spine Journal - April 3, 2023 Category: Orthopaedics Source Type: research
Preoperative cross-sectional area of psoas muscle correlates with short-term functional outcomes after posterior lumbar surgery
ConclusionDecreased psoas cross-sectional area on preoperative MRI correlated with functional outcomes after posterior lumbar surgery. NTPA was highly reliable, especially at L3/4. (Source: European Spine Journal)
Source: European Spine Journal - April 3, 2023 Category: Orthopaedics Source Type: research
Intermittent pedicle screw application provides better kyphosis restoration in adolescent idiopathic scoliosis for Lenke type 1 and type 2 curves
ConclusionIt was considered that better thoracic kyphosis restoration could be achieved with the less lordotic effect of IPSC in Lenke type 1 curves. Although the current situation had a significant impact on radiological outcomes, its effect on SRS-22 scores was limited. (Source: European Spine Journal)
Source: European Spine Journal - April 3, 2023 Category: Orthopaedics Source Type: research
The effectiveness and safety of annulus closure device implantation in lumbar discectomy for patients with lumbar disc herniation: a systematic review and meta-analysis
ConclusionDiscectomy either with or without ACD implantation is considered to achieve similar clinical outcomes. Whereas, the ACD implantation in LLD is associated with lower re-herniation and reoperation rate but prolonged surgical time for LDH patients. Researches on cost-effectiveness and effect of ACD implantation in different discectomy are needed in the future. (Source: European Spine Journal)
Source: European Spine Journal - April 3, 2023 Category: Orthopaedics Source Type: research
Comparison of full-endoscopic and tubular-based microscopic decompression in patients with lumbar spinal stenosis: a randomized controlled trial
ConclusionThis study suggests that full-endoscopic decompression is an alternative treatment for patients with lumbar spinal stenosis because it provides non-inferior clinical efficacy and safety compared with tubular-based microscopic surgery. In addition, it offers advantages in terms of less invasive surgery.Trial registration number (TRN): TCTR20191217001. (Source: European Spine Journal)
Source: European Spine Journal - April 3, 2023 Category: Orthopaedics Source Type: research
Understanding the burden of chronic back pain: a spatial microsimulation of chronic back pain at small area level across England
ConclusionCBP prevalence varies at ward-level across England. At ward-level, physical inactivity is strongly positively correlated with CBP. This relationship is largely explained by geographic variation in confounders (the proportion of residents that are: over 60, in low-skilled jobs, female, pregnant, obese, smokers, white or black, disabled). Policies to increase PA by 30 min weekly MVPA will likely result in a significant reduction in CBP prevalence. To maximise their impact, policies could be tailored to areas of high prevalence, which are identified by this study. (Source: European Spine Journal)
Source: European Spine Journal - April 2, 2023 Category: Orthopaedics Source Type: research
Utility of clinicoradiological, microbiological, histopathological, and molecular methods in the diagnosis of spinal tuberculosis
ConclusionNo single diagnostic modality can ascertain the diagnosis, and it is desirable to have a combination of diagnostic batteries for better results. A combination of Gene Xpert and histopathology aids in early and reliable diagnosis of STB. (Source: European Spine Journal)
Source: European Spine Journal - April 1, 2023 Category: Orthopaedics Source Type: research
Robotic assistance in lumbar fusion surgery: trends and patterns from 2016 –2019
ConclusionRobotic-assisted lumbar fusion is on the rise. Patients who had private insurance, were diagnosed with spondylolisthesis, and who had lumbar fusion via the anterior approach were more likely to undergo lumbar fusion using robotic assistance. (Source: European Spine Journal)
Source: European Spine Journal - March 31, 2023 Category: Orthopaedics Source Type: research
Sagittal realignment: surgical restoration of the global alignment and proportion score parameters: a subgroup analysis. What are the consequences of failing to realign?
ConclusionsRPV was the most underperformed modifiable parameter. Severe pelvic retroversion and severe positive malalignment influenced the occurrence of mechanical complications. Severe positive malalignment affected PROMs improvement. (Source: European Spine Journal)
Source: European Spine Journal - March 31, 2023 Category: Orthopaedics Source Type: research
A novel less invasive endoscopic-assisted procedure for complete reduction of low-and high-grade isthmic spondylolisthesis performed by anterior and posterior combined approach
ConclusionST provides a complete reduction in the slippage in LGS and HGS. The huge anterior release as well as the partial reduction in the slippage by the endoscopic-assisted anterior procedure, because of the cage is acting as a “guide rail”, facilitate the final posterior reduction, always complete in our series, minimizing mechanical stresses and neurological risks.ClinicalTrials.gov Identifier: NCT03644407. (Source: European Spine Journal)
Source: European Spine Journal - March 31, 2023 Category: Orthopaedics Source Type: research
ISSLS PRIZE in Clinical Science 2023: comparison of degenerative MRI features of the intervertebral disc between those with and without chronic low back pain. An exploratory study of two large female populations using automated annotation
ConclusionsWe confirmed age and disc level are significant in determining imaging differences between asymptomatic and symptomatic populations and should not be ignored. Automated analysis, by rapidly combining and comparing data from existing groups with MRIs and information on LBP, provides a way in which epidemiological and ‘big data’ analysis could be advanced without the expense of collecting new groups.Level of evidence IDiagnostic: individual cross-sectional studies with consistently applied reference standard and blinding. (Source: European Spine Journal)
Source: European Spine Journal - March 30, 2023 Category: Orthopaedics Source Type: research
Comparative effectiveness of different pedicle screw density patterns in spinal deformity correction of small and flexible operative adolescent idiopathic scoliosis: inverse probability of treatment weighting analysis
ConclusionThe limited pedicle screw pattern (VLD and LD) in relatively flexible AIS spinal deformity correction results in similar coronal and sagittal radiological outcomes while reducing operative time, estimated blood loss, and implant cost compared to the high-density pedicle screw instrumentation. (Source: European Spine Journal)
Source: European Spine Journal - March 30, 2023 Category: Orthopaedics Source Type: research
