A novel approach to evaluation of lumbar bone density using Hounsfield units in volume of interest on computed tomography imaging
CONCLUSIONS: This is the first study to introduce a novel approach using the HU value in the VOI to assess bone health at the lumbar spine. There is a strong correlation between the HU value in the VOI and BMD, and the HU value in the VOI can be used to predict osteoporosis.PMID:38457796 | DOI:10.3171/2024.1.SPINE231137 (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - March 8, 2024 Category: Neurosurgery Authors: Masashi Fujimoto Takahiro Miyazaki Atsushi Yamamoto Munenari Ikezawa Satoru Tanioka Hirofumi Nishikawa Masaki Mizuno Hidenori Suzuki Source Type: research

Differences in the surgical management of degenerative lumbar spondylolisthesis based on self-reported sex: analysis of the CSORN prospective DLS study
CONCLUSIONS: Although it remains unclear who should or should not undergo fusion, in addition to surgical decompression of DLS, female patients undergo fusion at a higher rate than their male counterparts. After matching baseline radiographic factors indicating fusion, this analysis showed that the decision to fuse was not biased by sex differences. Rather, the higher proportion of females undergoing fusion is largely explained by the radiographic and clinical indications for fusion, suggesting that specific clinical and anatomical features of this condition are indeed different between sexes.PMID:38457803 | DOI:10.3171/20...
Source: Journal of Neurosurgery.Spine - March 8, 2024 Category: Neurosurgery Authors: Taryn N Walker Jennifer C Urquhart Parham Rasoulinejad Supriya Singh R Andrew Glennie Charles G Fisher Y Raja Rampersaud Edward Abraham John Street Marcel F Dvorak Scott Paquette Raphaele Charest-Morin Nicolas Dea Nicholas Gelinas-Phaneuf Brian K Kwon Chr Source Type: research

Stronger association of objective physical metrics with baseline patient-reported outcome measures than preoperative standing sagittal parameters for adult spinal deformity patients
CONCLUSIONS: The authors observed that increasing baseline sagittal malalignment is associated with slower WT, and possibly weaker GS, in ASD patients. WT has a stronger relationship to PROMs than standing alignment parameters. Objective physical metrics likely offer added value to standard spinopelvic measurements in ASD evaluation and surgical planning.PMID:38457811 | DOI:10.3171/2024.1.SPINE231030 (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - March 8, 2024 Category: Neurosurgery Authors: Tej D Azad Frank J Schwab Virginie Lafage Alex Soroceanu Robert K Eastlack Renaud Lafage Khaled M Kebaish Robert A Hart Bassel Diebo Michael P Kelly Justin S Smith Alan H Daniels D Kojo Hamilton Munish Gupta Eric O Klineberg Themistocles S Protopsaltis Pe Source Type: research

Shoulder balance in Lenke type 2 adolescent idiopathic scoliosis: correlations among radiological indices, cosmetic indices, and patient-reported outcomes
CONCLUSIONS: Radiological shoulder parameters did not accurately reflect the perceived SB. Anterior photographic indices were reliable for evaluating clinical SB in patients with Lenke type 2 AIS and correlated with PROs. Spine surgeons may benefit from paying more attention to anterior photographic indices when making surgical decisions regarding clinical SB.PMID:38457786 | DOI:10.3171/2024.1.SPINE231010 (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - March 8, 2024 Category: Neurosurgery Authors: Hyung Rae Lee Chang Ju Hwang Sang Yun Seok Geon Jung Kim Jae Hwan Cho Dong-Ho Lee Choon Sung Lee Source Type: research

Are there differences in the reoperation rates for operative adjacent-segment disease between ALIF+PS, PLIF+PS, TLIF+PS, and LLIF+PS? An analysis of a cohort of 5291 patients
CONCLUSIONS: In a large cohort of over 5000 patients with an average follow-up of > 6 years, the authors found no differences in the reoperation rates for symptomatic ASD (operative ASD) between ALIF+PS and PLIF+PS, TLIF+PS, or LLIF+PS.PMID:38457789 | DOI:10.3171/2023.12.SPINE231251 (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - March 8, 2024 Category: Neurosurgery Authors: Ravinder Raj Bains Kathryn E Royse Jacob Fennessy Elizabeth P Norheim Ehsan Tabaraee Jessica E Harris Calvin C Kuo Kern H Guppy Source Type: research

Analysis of tranexamic acid usage in adult spinal deformity patients with relative contraindications: does it increase the risk of complications?
CONCLUSIONS: Administration of intravenous TXA during the correction procedure did not change rates of thromboembolic events, acute MI, or stroke in this cohort of adult spinal deformity surgery patients.PMID:38457792 | DOI:10.3171/2024.1.SPINE231098 (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - March 8, 2024 Category: Neurosurgery Authors: Jeffrey P Mullin Mohamed A R Soliman Justin S Smith Michael P Kelly Thomas J Buell Bassel Diebo Justin K Scheer Breton Line Virginie Lafage Renaud Lafage Eric Klineberg Han Jo Kim Peter G Passias Jeffrey L Gum Khaled Kebaish Robert K Eastlack Alan H Danie Source Type: research

Preoperative diagnosis of mental health disorder and dysphagia following anterior cervical spine surgery
CONCLUSIONS: ACSS is associated with significantly higher postoperative dysphagia in patients diagnosed with an MHD when compared to patients without an established mental health diagnosis. Given the high prevalence of MHDs in patients with spinal pathology, it is important for spine surgeons to take note of the increased incidence of dysphagia faced by this patient population.PMID:38457793 | DOI:10.3171/2024.1.SPINE23774 (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - March 8, 2024 Category: Neurosurgery Authors: Athan G Zavras Rajko S Vucicevic Vincent P Federico Michael T Nolte Nicholas A Shepard Arash J Sayari Matthew W Colman Source Type: research

A novel approach to evaluation of lumbar bone density using Hounsfield units in volume of interest on computed tomography imaging
CONCLUSIONS: This is the first study to introduce a novel approach using the HU value in the VOI to assess bone health at the lumbar spine. There is a strong correlation between the HU value in the VOI and BMD, and the HU value in the VOI can be used to predict osteoporosis.PMID:38457796 | DOI:10.3171/2024.1.SPINE231137 (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - March 8, 2024 Category: Neurosurgery Authors: Masashi Fujimoto Takahiro Miyazaki Atsushi Yamamoto Munenari Ikezawa Satoru Tanioka Hirofumi Nishikawa Masaki Mizuno Hidenori Suzuki Source Type: research

Differences in the surgical management of degenerative lumbar spondylolisthesis based on self-reported sex: analysis of the CSORN prospective DLS study
CONCLUSIONS: Although it remains unclear who should or should not undergo fusion, in addition to surgical decompression of DLS, female patients undergo fusion at a higher rate than their male counterparts. After matching baseline radiographic factors indicating fusion, this analysis showed that the decision to fuse was not biased by sex differences. Rather, the higher proportion of females undergoing fusion is largely explained by the radiographic and clinical indications for fusion, suggesting that specific clinical and anatomical features of this condition are indeed different between sexes.PMID:38457803 | DOI:10.3171/20...
Source: Journal of Neurosurgery.Spine - March 8, 2024 Category: Neurosurgery Authors: Taryn N Walker Jennifer C Urquhart Parham Rasoulinejad Supriya Singh R Andrew Glennie Charles G Fisher Y Raja Rampersaud Edward Abraham John Street Marcel F Dvorak Scott Paquette Raphaele Charest-Morin Nicolas Dea Nicholas Gelinas-Phaneuf Brian K Kwon Chr Source Type: research

Stronger association of objective physical metrics with baseline patient-reported outcome measures than preoperative standing sagittal parameters for adult spinal deformity patients
CONCLUSIONS: The authors observed that increasing baseline sagittal malalignment is associated with slower WT, and possibly weaker GS, in ASD patients. WT has a stronger relationship to PROMs than standing alignment parameters. Objective physical metrics likely offer added value to standard spinopelvic measurements in ASD evaluation and surgical planning.PMID:38457811 | DOI:10.3171/2024.1.SPINE231030 (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - March 8, 2024 Category: Neurosurgery Authors: Tej D Azad Frank J Schwab Virginie Lafage Alex Soroceanu Robert K Eastlack Renaud Lafage Khaled M Kebaish Robert A Hart Bassel Diebo Michael P Kelly Justin S Smith Alan H Daniels D Kojo Hamilton Munish Gupta Eric O Klineberg Themistocles S Protopsaltis Pe Source Type: research

Shoulder balance in Lenke type 2 adolescent idiopathic scoliosis: correlations among radiological indices, cosmetic indices, and patient-reported outcomes
CONCLUSIONS: Radiological shoulder parameters did not accurately reflect the perceived SB. Anterior photographic indices were reliable for evaluating clinical SB in patients with Lenke type 2 AIS and correlated with PROs. Spine surgeons may benefit from paying more attention to anterior photographic indices when making surgical decisions regarding clinical SB.PMID:38457786 | DOI:10.3171/2024.1.SPINE231010 (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - March 8, 2024 Category: Neurosurgery Authors: Hyung Rae Lee Chang Ju Hwang Sang Yun Seok Geon Jung Kim Jae Hwan Cho Dong-Ho Lee Choon Sung Lee Source Type: research

Are there differences in the reoperation rates for operative adjacent-segment disease between ALIF+PS, PLIF+PS, TLIF+PS, and LLIF+PS? An analysis of a cohort of 5291 patients
CONCLUSIONS: In a large cohort of over 5000 patients with an average follow-up of > 6 years, the authors found no differences in the reoperation rates for symptomatic ASD (operative ASD) between ALIF+PS and PLIF+PS, TLIF+PS, or LLIF+PS.PMID:38457789 | DOI:10.3171/2023.12.SPINE231251 (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - March 8, 2024 Category: Neurosurgery Authors: Ravinder Raj Bains Kathryn E Royse Jacob Fennessy Elizabeth P Norheim Ehsan Tabaraee Jessica E Harris Calvin C Kuo Kern H Guppy Source Type: research

Analysis of tranexamic acid usage in adult spinal deformity patients with relative contraindications: does it increase the risk of complications?
CONCLUSIONS: Administration of intravenous TXA during the correction procedure did not change rates of thromboembolic events, acute MI, or stroke in this cohort of adult spinal deformity surgery patients.PMID:38457792 | DOI:10.3171/2024.1.SPINE231098 (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - March 8, 2024 Category: Neurosurgery Authors: Jeffrey P Mullin Mohamed A R Soliman Justin S Smith Michael P Kelly Thomas J Buell Bassel Diebo Justin K Scheer Breton Line Virginie Lafage Renaud Lafage Eric Klineberg Han Jo Kim Peter G Passias Jeffrey L Gum Khaled Kebaish Robert K Eastlack Alan H Danie Source Type: research

Preoperative diagnosis of mental health disorder and dysphagia following anterior cervical spine surgery
CONCLUSIONS: ACSS is associated with significantly higher postoperative dysphagia in patients diagnosed with an MHD when compared to patients without an established mental health diagnosis. Given the high prevalence of MHDs in patients with spinal pathology, it is important for spine surgeons to take note of the increased incidence of dysphagia faced by this patient population.PMID:38457793 | DOI:10.3171/2024.1.SPINE23774 (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - March 8, 2024 Category: Neurosurgery Authors: Athan G Zavras Rajko S Vucicevic Vincent P Federico Michael T Nolte Nicholas A Shepard Arash J Sayari Matthew W Colman Source Type: research

A novel approach to evaluation of lumbar bone density using Hounsfield units in volume of interest on computed tomography imaging
CONCLUSIONS: This is the first study to introduce a novel approach using the HU value in the VOI to assess bone health at the lumbar spine. There is a strong correlation between the HU value in the VOI and BMD, and the HU value in the VOI can be used to predict osteoporosis.PMID:38457796 | DOI:10.3171/2024.1.SPINE231137 (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - March 8, 2024 Category: Neurosurgery Authors: Masashi Fujimoto Takahiro Miyazaki Atsushi Yamamoto Munenari Ikezawa Satoru Tanioka Hirofumi Nishikawa Masaki Mizuno Hidenori Suzuki Source Type: research