Analysis of the Change Patterns of Sagittal Alignment Values After Selective Thoracic Fusion in Lenke 1 Adolescent Idiopathic Scoliosis According to Preoperative Thoracic Kyphosis Status
The objective of this study was to demonstrate the different change patterns in reciprocal sagittal alignment values after selective thoracic fusion (STF) in Lenke type 1 adolescent idiopathic scoliosis (AIS) according to preoperative thoracic kyphosis (TK). Summary of Background Data: Several studies have found significant increase in TK after STF, while other studies have reported decrease in TK postoperatively. Similar inconclusive results on changes in lumbar lordosis (LL) have been reported, showing LL increase, decrease, or no change. Materials and Methods: Ninety-three patients presenting with Lenke type 1 AIS...
Source: Journal of Spinal Disorders and Techniques - August 1, 2020 Category: Surgery Tags: PRIMARY RESEARCH Source Type: research

Is it Suitable to Fix the Occipito-C2 Angle and the Posterior Occipitocervical Angle in a Normal Range During Occipitocervical Fusion?
The objective of this study was (1) to measure the occipito-C2 angle (OC2A) and the posterior occipitocervical angle (POCA) in a normal population, and (2) to observe the effects of OC2A and POCA selection on postoperative clinical efficacy and lower cervical curvature after occipitocervical fusion (OCF) in patients with basilar invagination (BI) and atlantoaxial fracture and dislocation (AAFD). Summary of Background Data: OC2A has received special attention with respect to the clinical efficacy during OCF. However, none of studies have focused on the relationship between OC2A and POCA and have assessed their impact on ...
Source: Journal of Spinal Disorders and Techniques - August 1, 2020 Category: Surgery Tags: PRIMARY RESEARCH Source Type: research

Predictors and Clinical Importance of Postoperative Coronal Malalignment After Surgery to Correct Adult Spinal Deformity
Conclusion: Postoperative coronal malalignment had no significant association with the clinical outcome as evaluated by the Oswestry Disability Index and Roland-Morris Disability Questionnaire but was significantly associated with the frequency of rod fracture. Level of Evidence: Level III. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - August 1, 2020 Category: Surgery Tags: PRIMARY RESEARCH Source Type: research

Physician Decision-making in Return to Play After Cervical Spine Injury: A Descriptive Analysis of Survey Data
Conclusions: There is poor consensus among spine surgeons for return to play following cervical spine injury. These results support the concept that given the gravity of cervical spine injuries, a more standardized approach to decision-making regarding return to play after cervical spine injury is necessary. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - August 1, 2020 Category: Surgery Tags: PRIMARY RESEARCH Source Type: research

A Long-Term Follow-up, Multicenter, Comparative Study of the Radiologic, and Clinical Results Between a CaO-SiO2-P2O5-B2O3 Bioactive Glass Ceramics (BGS-7) Intervertebral Spacer and Titanium Cage in 1-Level Posterior Lumbar Interbody Fusion
Study Design: This is a prospective, stratified randomized, multicenter, 4-year follow-up study. Objective: The authors aimed to evaluate the long-term clinical efficacy and safety of CaO-SiO2-P2O5-B2O3 glass ceramics (BGS-7) spacers in 1-level posterior lumbar interbody fusion (PLIF) at a 4-year follow-up. Summary of Background Data: According to 1-year follow-up results, BGS-7 spacer showed similar fusion rates and clinical outcomes compared with titanium cage. A long-term follow-up study beyond 2 years is necessary to investigate the status of intervertebral bone graft volumes. Moreover, longer follow-up is mand...
Source: Journal of Spinal Disorders and Techniques - August 1, 2020 Category: Surgery Tags: PRIMARY RESEARCH Source Type: research

Retrospective Review of Revision Surgery After Image-guided Instrumented Spinal Surgery Compared With Traditional Instrumented Spinal Surgery
Conclusion: Although not reaching statistical significance, these data suggest there may be an advantage offered by image-guided screw placement in instrumented spinal surgery. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - August 1, 2020 Category: Surgery Tags: PRIMARY RESEARCH Source Type: research

PROMIS PF in the Evaluation of Postoperative Outcomes in Workers’ Compensation Patients Following Anterior Cervical Discectomy and Fusion
Conclusions: In our study, WC patients had worse baseline physical function as indicated by lower preoperative PROMIS PF scores and reported lower PROMIS PF scores postoperatively. However, there were no significant differences when comparing the postoperative change from baseline between the cohorts. Both cohorts experienced significant postoperative improvements from baseline. This study established that PROMIS PF is an effective tool to evaluate recovery of WC patients following ACDF. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - August 1, 2020 Category: Surgery Tags: PRIMARY RESEARCH Source Type: research

Diabetes Does Not Increase Complications, Length of Stay, or Hospital Costs After Minimally Invasive Transforaminal Lumbar Interbody Fusion
Conclusions: In this investigation, diabetes was not associated with postoperative complication rates, inpatient length of stay, or direct hospital costs after primary, single-level MIS TLIF. The reduced extent of operative exposure and tissue trauma in MIS TLIF may mitigate the risk of complications in diabetic patients, possibly preventing extensions in hospital stay length and associated hospital costs. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - August 1, 2020 Category: Surgery Tags: PRIMARY RESEARCH Source Type: research

A Novel Reconstruction Using a Combined Anterior and Posterior Approach After Axis Tumor Spondylectomy
Study Design: This was a retrospective study. Objective: To describe a novel reconstruction strategy using a T-shaped titanium mesh cage with posterior cervical screw-rod fixation after total spondylectomy of axis tumors. Summary of Background Data: Instability of the upper cervical spine because of tumors in axis (C2) often results in devastating complications. Surgical resection and reconstruction after spondylectomy of C2 remain a technical challenge because of the intricate anatomies, vital adjacent tissues, and the unique spinal biomechanics in this special region. Materials and Methods: The novel reconstru...
Source: Journal of Spinal Disorders and Techniques - August 1, 2020 Category: Surgery Tags: PRIMARY RESEARCH Source Type: research

Are the Outcomes of Minimally Invasive Transforaminal/Posterior Lumbar Fusion Influenced by the Patient’s Age or BMI?
Conclusion: MILIF appears to be safe and effective, independent of age or weight in the treatment of degenerative lumbar disorder. Level of Evidence: Level II. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - August 1, 2020 Category: Surgery Tags: PRIMARY RESEARCH Source Type: research

Worker’s Compensation Terminology
Injuries to the spine comprise a high percentage of workplace injuries. Spine surgeons’ evaluation of injured workers requires attention to facts specific to worker’s compensation claims including whether the injury occurred in the scope of employment, whether a work incident was causally related to the injury, and whether the injury contributed to a significant degree to the patient’s overall medical condition. An injured worker’s compensation is subject to state-specific guidelines and is largely dependent on the degree of disability and whether the disability is temporary or permanent. Here, we r...
Source: Journal of Spinal Disorders and Techniques - August 1, 2020 Category: Surgery Tags: THE BUSINESS OF MEDICINE Source Type: research

A Comparison of Complications and Clinical and Radiologic Outcome Between the Mini-open Prepsoas and Mini-open Transpsoas Approaches for Lumbar Interbody Fusion: A Meta-Analysis
Conclusions: The prepsoas had fewer complications than the transpsoas approach. Furthermore, the prepsoas approach showed superior restoration of segmental lordosis, whereas foraminal height restoration was superior with the transpsoas approach. This could be explained by the differences in location of the interbody device placement in relation to the center of rotation of the spine between the 2 surgical techniques. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - August 1, 2020 Category: Surgery Tags: SYSTEMATIC REVIEW Source Type: research

Interlaminar Endoscopic Lumbar Discectomy Using a New 8.4-mm Endoscope and Nerve Root Retractor
Study Design: Surgical technique. Objective: Using an 8.4-mm endoscope and endoscopic nerve root retractor, the interlaminar endoscopic lumbar discectomy (IELD) technique is introduced for lumbosacral levels. Summary of Background Data: Although spine surgeons are familiar with IELD, this technique is only used for L5–S1 disk herniations and requires a wide interlaminar space. Methods: Using an 8.4 mm-endoscope, high-speed drill, and endoscopic Kerrison punches, a nerve-root retractor facilitated the simultaneous medial retraction of the nerve root and removal of the disk fragment by the instrument&...
Source: Journal of Spinal Disorders and Techniques - August 1, 2020 Category: Surgery Tags: SURGICAL TECHNIQUE Source Type: research

Update on Spinal Cord Injury Management
The management of acute spinal cord injury requires a multidisciplinary approach to maximize patient outcomes and potential. Treatment of this injury involves both surgical and medical intervention. Medical intervention in acute spinal cord injury is aimed at decreasing the neurotoxic environment that occurs as part of the secondary injury. New neuroregenerative therapies are being developed. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - August 1, 2020 Category: Surgery Tags: NARRATIVE REVIEW Source Type: research

Pulsed Electromagnetic Field Stimulation Is a Practical Adjunctive Therapy for Fusion in Spine Surgery
No abstract available (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - August 1, 2020 Category: Surgery Tags: CONTROVERSIES IN SPINE SURGERY Source Type: research

The Impact of Comorbidity Burden on Postoperative PROMIS Physical Function Following Minimally Invasive Transforaminal Lumbar Interbody Fusion
Conclusions: In this investigation, the authors compared the clinical recovery of patients with varying comorbidities undergoing an MIS TLIF using PROMIS PF. Regardless of comorbidity, patients reported similar preoperative PROMIS PF scores and had similar improvements throughout the 1-year follow-up. This study established that PROMIS PF is an effective tool to evaluate the recovery of patients with differing comorbidities after MIS TLIF. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - June 24, 2020 Category: Surgery Tags: Primary Research Source Type: research

Reduction in Traumatic Spine Injuries in the Thoracic and Lumbar Spine With Percutaneous Versus Open Dorsal Stabilization
Conclusions: Percutaneous dorsal stabilization seems to be a good alternative to the traditional open surgical approach. The fracture’s reduction is similar, whereas severe complications are reduced and the operation time is not prolonged. Level of Evidence: Level III—retrospective cohort study. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - June 24, 2020 Category: Surgery Tags: Primary Research Source Type: research

MagnetOs, Vitoss, and Novabone in a Multi-endpoint Study of Posterolateral Fusion: A True Fusion or Not?
This study was a multi-endpoint analysis of bone graft substitutes implanted as a standalone graft in a clinically relevant Ovine model of instrumented posterolateral spinal fusion (PLF). Objective: The objective of this study was to obtain high-quality evidence on the efficacy of commercial bone graft substitutes compared with autograft in instrumented PLF using a state-of-the-art model with a complete range of assessment techniques. Summary of Background Data: Preclinical and clinical data on the quality of spinal fusions obtained with bone graft substitutes are often limited. Calcium phosphates with submicron topo...
Source: Journal of Spinal Disorders and Techniques - June 24, 2020 Category: Surgery Tags: Primary Research Source Type: research

Posterior Vertebral Column Resection Combined With Bone Cement Augmentation of Pedicle Screw Fixation for Treatment of Severe Vertebral Compression Fractures With Kyphotic Deformity: A Retrospective Case Series
The objective of this study was to investigate the clinical efficacy of posterior vertebral column resection (PVCR) combined with bone cement augmentation of pedicle screw fixation in the treatment of severe vertebral compression fractures with kyphotic deformity. Summary of Background Data: The data of patients with a severe vertebral compression fracture and kyphotic deformity treated at our university between October 2013 and October 2017 were retrospectively reviewed. Materials and Methods: All patients underwent PVCR combined with bone cement augmentation of pedicle screw fixation and anterior column reconstruct...
Source: Journal of Spinal Disorders and Techniques - June 24, 2020 Category: Surgery Tags: Primary Research Source Type: research

The Effect of Preoperative Symptom Duration on Postoperative Outcomes After Minimally Invasive Transforaminal Lumbar Interbody Fusion
This study aims to examine whether the time spanning from symptom onset to surgical intervention has an effect on postoperative clinical improvement in patients undergoing minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). Summary of Background Data: Evidence is limited regarding the influence of preoperative symptom duration on patient-reported outcomes (PROs). Methods: Patients undergoing a primary, single-level minimally invasive transforaminal lumbar interbody fusion were retrospectively reviewed and stratified according to preoperative symptom duration ( (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - June 24, 2020 Category: Surgery Tags: Primary Research Source Type: research

A Useful Model for Predicting Intraoperative Blood Loss in Metastatic Spine Tumor Surgery
Conclusions: This study presented a relatively reliable method to predict the amount of intraoperative blood loss in metastatic spine tumor surgery, which may help surgeons address blood loss–related issues in preoperative planning. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - June 24, 2020 Category: Surgery Tags: Primary Research Source Type: research

Risk Factors for Cement Leakage and Adjacent Vertebral Fractures in Kyphoplasty for Osteoporotic Vertebral Fractures
Purpose: Cement leakage and adjacent vertebral fractures are not uncommon after percutaneous augmentation. However, conclusive identification of risk factors for postprocedural complications remains elusive. The anticipation of leakage and successive fractures through the identification of risk factors will help physicians better inform patients of potential complications and establish procedural refinements key to risk reduction. The aim of this retrospective study was to summarize available reports of the risk factors for cement leak and adjacent vertebral fracture in or after kyphoplasty for osteoporotic vertebral com...
Source: Journal of Spinal Disorders and Techniques - June 24, 2020 Category: Surgery Tags: Primary Research Source Type: research

The Effect of Footprint Mismatch on Heterotopic Ossification After Cervical Disk Replacement
The objective of this study was to analyze risk factors of heterotopic ossification (HO) after cervical disk replacement (CDR) and evaluate the effect of footprint mismatch on HO. Summary of Background Data: Incidence of HO after CDR is high, but the exact related factors have not been fully elucidated. Materials and Methods: Radiographic data of patients who had undergone CDR with Prestige LP or Discover prosthesis in Tongji Hospital from July 2012 to December 2015 were reviewed. HO was graded according to McAfee classification and classified according to Jin morphologic classification. Footprint matching degree was...
Source: Journal of Spinal Disorders and Techniques - June 24, 2020 Category: Surgery Tags: Primary Research Source Type: research

Does Pedicle Screw Fixation Assisted by O-Arm Navigation Perform Better Than Fluoroscopy-guided Technique in Thoracolumbar Fractures in Percutaneous Surgery?: A Retrospective Cohort Study
Study Design: A retrospective cohort study. Objective: To evaluate the effect of O-arm navigation in percutaneous surgeries for thoracolumbar fracture in comparison to the use of conventional fluoroscopic technique. Summary of Background Data: O-arm navigation is a progressive surgical tool, with extensive research papers reporting its effects. Whereas, there were not many papers describing its accuracy and facet impingement rate when compared with fluoroscopy-guided technique in percutaneous surgeries, especially at varying fracture levels. Materials and Methods: We conducted a retrospective comparative study o...
Source: Journal of Spinal Disorders and Techniques - June 24, 2020 Category: Surgery Tags: Primary Research Source Type: research

Disproportionate Case Reduction After Ban of Elective Surgeries During the SARS-CoV-2 Pandemic
Conclusion: The disproportionate effect of case reduction needs to be considered while calculating resources released by regulatory limitation of “elective surgeries” on a (inter-)national level. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - June 24, 2020 Category: Surgery Tags: The Business of Medicine Source Type: research

Outcomes of Expandable Interbody Devices in Lumbar Fusion: A Systematic Review and Meta-analysis
Conclusion: There is no clear evidence for the use of expandable interbody devices over static devices. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - June 24, 2020 Category: Surgery Tags: Systematic Review Source Type: research

Idiopathic Spinal Cord Herniation Associated With a Thoracic Disc Herniation: Case Report, Surgical Video, and Literature Review
Conclusions: Although ISCH is a rare clinical condition that causes myelopathy, patients managed with surgery generally, though not universally, have a favorable neurological outcome. The associated surgical technique video demonstrates the dural sling technique for the treatment of this rare disorder. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - June 24, 2020 Category: Surgery Tags: Surgical Technique Source Type: research

Wearable Technology in Spine Surgery
Although patient-reported outcome measures (PROMs) provide valuable insight into the effectiveness of spine surgery, there still remain limitations on measuring outcomes in this manner. Among other deficiencies, PROMs do not always correlate with more objective measures of surgery success. Wearable technology, such as pedometers, tri-axis accelerometer, or wearable cameras, may allow physicians to track patient progress following spine surgery more objectively. Recently, there has been an emphasis on using wearable devices to measure physical activity and limb and spine function. Wearable devices could play an important ro...
Source: Journal of Spinal Disorders and Techniques - June 24, 2020 Category: Surgery Tags: Narrative Review Source Type: research

Do the Benefits of Routine Perioperative Chemoprophylaxis for Prevention of Thrombotic Events in Multilevel Posterior Surgery of the Cervical or Thoracic Spinal Cord Outweigh the Risks?
No abstract available (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - June 24, 2020 Category: Surgery Tags: Controversies in Spine Surgery Source Type: research

Complications Following Minimally Invasive Transforaminal Lumbar Interbody Fusion: Incidence, Independent Risk Factors, and Clinical Impact
Conclusions: The present study provides the incidence of complications following MIS TLIF, as well as risk factors that are predictive of complications that may arise following the procedure. Independent variables for increased complication rates included extended operative duration, obesity, and diabetes status. The identification of these factors may be clinically useful to spine surgeons in terms of preoperative discussion and planning. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - May 28, 2020 Category: Surgery Tags: Primary Research Source Type: research

Sagittally Balanced Degenerative Spondylolisthesis Patients With Increased Sacral Slope and Greater Lumbar Lordosis Experience Less Back Pain After Short-Segment Lumbar Fusion Surgery
Study Design: A retrospective review of prospectively collected registry data. Objectives: (1) Examine functional outcomes of patients with postoperative sacral slope (SS) (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - May 28, 2020 Category: Surgery Tags: Primary Research Source Type: research

Trends in Anterior Lumbar Interbody Fusion in the United States: A MarketScan Study From 2007 to 2014
Conclusions: For the first time in our knowledge, we identified national trends in ALIF utilization, outcomes, and cost using a large administrative database. Our study reaffirms prior work that has demonstrated low rates of complications, mortality, and readmission following ALIF. Level of Evidence: Level III. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - May 28, 2020 Category: Surgery Tags: Primary Research Source Type: research

Consensus on Risk Factors and Prevention in SSI in Spine Surgery
In July of 2018, the Second International Consensus Meeting (ICM) on Musculoskeletal Infection convened in Philadelphia, PA to discuss issues regarding infection in orthopedic patients and to provide consensus recommendations on these issues to practicing orthopedic surgeons. During this meeting, attending delegates divided into subspecialty groups to discuss topics specifics to their respective fields, which included the spine. At the spine subspecialty group meeting, delegates discussed and voted upon the recommendations for 63 questions regarding the prevention, diagnosis, and treatment of infection in spinal surgery. O...
Source: Journal of Spinal Disorders and Techniques - May 28, 2020 Category: Surgery Tags: Primary Research Source Type: research

Consensus on Wound Care of SSI in Spine Surgery
In July of 2018, the Second International Consensus Meeting on Musculoskeletal Infection convened in Philadelphia, PA to discuss issues regarding infection in orthopedic patients and to provide consensus recommendations on these issues to practicing orthopedic surgeons. During this meeting, attending delegates divided into subspecialty groups to discuss topics specifics to their respective fields, which included the spine. At the spine subspecialty group meeting, delegates discussed and voted upon the recommendations for 63 questions regarding the prevention, diagnosis, and treatment of infection in spinal surgery. Of the ...
Source: Journal of Spinal Disorders and Techniques - May 28, 2020 Category: Surgery Tags: Primary Research Source Type: research

Role of Imaging, Tissue Sampling, and Biomarkers for Diagnosis of SSI in Spine Surgery
In July 2018, the Second International Consensus Meeting on Musculoskeletal Infection convened in Philadelphia, PA to discuss issues regarding infection in orthopedic patients and to provide consensus recommendations on these issues to practicing orthopedic surgeons. During this meeting, attending delegates divided into subspecialty groups to discuss topics specifics to their respective fields, which included the spine. At the spine subspecialty group meeting, delegates discussed and voted upon the recommendations for 63 questions regarding the prevention, diagnosis, and treatment of infection in spinal surgery. Of the 63 ...
Source: Journal of Spinal Disorders and Techniques - May 28, 2020 Category: Surgery Tags: Primary Research Source Type: research

General Principles in the Consensus of SSI Management After Spine Surgery
In July of 2018, the Second International Consensus Meeting (ICM) on Musculoskeletal Infection convened in Philadelphia, PA was held to discuss issues regarding infection in orthopedic patients and to provide consensus recommendations on these issues to practicing orthopedic surgeons. During this meeting, attending delegates divided into subspecialty groups to discuss topics specifics to their respective fields, which included the spine. At the spine subspecialty group meeting, delegates discussed and voted upon the recommendations for 63 questions regarding the prevention, diagnosis, and treatment of infection in spinal s...
Source: Journal of Spinal Disorders and Techniques - May 28, 2020 Category: Surgery Tags: Primary Research Source Type: research

Patients With Poor Baseline Mental Health May Experience Significant Improvements in Pain and Disability After Minimally Invasive Transforaminal Lumbar Interbody Fusion: A 5-Year Follow-up Study
Study Design: A retrospective study using prospectively collected registry data. Objective: Examine the influence of preoperative mental health on outcomes after Minimally Invasive Transforaminal Lumbar Interbody Fusion (MIS-TLIF). Summary of Background Data: Prior studies investigating the relationship between mental health and outcomes after lumbar spine surgery included small cohorts with short follow-up and heterogenous fusion techniques. The effect of MIS-TLIF on mental health also remains unclear. Methods: Prospectively collected registry data of 226 patients who underwent single-level MIS-TLIF at a single...
Source: Journal of Spinal Disorders and Techniques - May 28, 2020 Category: Surgery Tags: Primary Research Source Type: research

Do Equivalence Trials Display Superiority Over the Traditional Comparative Study Methods in Orthopedic Surgery?
This article provides a brief overview of superiority and equivalence trials, highlights the differences between the 2, and their relevance to orthopedic surgery. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - May 28, 2020 Category: Surgery Tags: Research Methodology Source Type: research

Mid-Term to Long-Term Outcomes After Total Cervical Disk Arthroplasty Compared With Anterior Diskectomy and Fusion: A Systematic Review and Meta-analysis of Randomized Controlled Trials
Conclusions: This meta-analysis provides evidence suggesting that CDA was superior to ACDF in terms of NDI score, SF-36 HSPC score, and low rate of secondary surgical procedures. Furthermore, no significant differences existed between the CDA group and the ACDF group in the neck pain visual analog scale score, arm pain visual analog scale score, the rate of neurological success, adjacent segment degeneration, and adverse events. Level of Evidence: Level 1. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - May 28, 2020 Category: Surgery Tags: Systematic Review Source Type: research

Ultrasound-guided Syringosubarachnoid Shunt Insertion for Cervicothoracic Syringomyelia
In this report, we present a patient with a complex L3 burst fracture from a remote trauma s/p stabilization. Thirty-two years later, he developed progressive neck pain, upper extremity radiculopathy, dysesthesias, and clinical myelopathy (dropping objects, gait imbalance). An MRI demonstrated an expansile syrinx from C2-conus medullaris which previously had been unsuccessfully treated by fenestration. We offered a T1–2 laminectomy and placement of synringosubarachnoid shunt. In the associated video (Supplemental Digital Content 1, http://links.lww.com/CLINSPINE/A107), we demonstrate the step-by-step approach for thi...
Source: Journal of Spinal Disorders and Techniques - May 28, 2020 Category: Surgery Tags: Surgical Technique Source Type: research

Image-guidance, Robotics, and the Future of Spine Surgery
Spine surgery has seen considerable advancements over the last 2 decades, particularly in the fields of image-guidance and robotics. These technologies offer the potential to overcome the various technical challenges in spinal surgery, such as physical and mental fatigue, hand tremor, difficulties with manual dexterity, and surgical precision. This review provides an overview of the image-guidance and robotics systems currently available. It will also provide an insight into the emerging technologies in development in the field of spine surgery. Image-guided and robotic-assisted surgical systems have been demonstrated to b...
Source: Journal of Spinal Disorders and Techniques - May 28, 2020 Category: Surgery Tags: Narrative Review Source Type: research

Is the Adoption of ERAS Protocols into Spinal Surgery Inevitable?
No abstract available (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - May 28, 2020 Category: Surgery Tags: Controversies in Spine Surgery Source Type: research

Comparative Effectiveness of Treatments for Chronic Low Back Pain
No abstract available (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - April 29, 2020 Category: Surgery Tags: Letter to the Editor Source Type: research

Sleep Disturbance in Patients With Lumbar Spinal Stenosis: Association With Disability and Quality of Life
The objective of this study was to identify the prevalence of sleep disturbance in patients with symptomatic lumbar spinal stenosis (LSS) and to establish the relationship between sleep disturbance and both functional disability and health-related quality of life in patients with symptomatic LSS. Summary of Background Data: Despite the possible association between LSS and poor sleep quality, there has been no study regarding the relationship between LSS and sleep disturbance. Materials and Methods: A total of 148 patients with LSS were divided into the poor sleeper and nonpoor sleeper groups according to Global Pitts...
Source: Journal of Spinal Disorders and Techniques - April 29, 2020 Category: Surgery Tags: Primary Research Source Type: research

Neural Cell Adhesion Molecule (NCAM) a Serum Biomarker Indicative for the Severity of Cervical Spondylotic Myelopathy
Study Design: Peripheral blood samples were obtained from 25 patients with cervical spondylotic myelopathy (CSM) and 13 healthy volunteers. Objectives: Our aim was to investigate the significance of neurodegenerative biomarkers in patients with CSM and correlate their expression with CSM severity. Summary of Background Data: CSM is a common disorder involving chronic progressive compression of the cervical spinal resulting in progressive neurological impairment that ranges from mild tingling in the upper limbs to complete quadriplegia. However, the immunological background related to the neurodegenerative damage an...
Source: Journal of Spinal Disorders and Techniques - April 29, 2020 Category: Surgery Tags: Primary Research Source Type: research

Return to Recreational Sport Following Lumbar Fusion
Conclusions: In the cohort of patients from this study who partook in golfing, swimming or bicycling, 100% were able to return to their respective sport by 3–9 months postoperatively and all had a significant reduction in pain. With regards to golfers, lumbar fusion likely has an adverse effect on their golfing ability with an increase in handicap and an expected reduction in driving distance. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - April 29, 2020 Category: Surgery Tags: Primary Research Source Type: research

Risk Factors and Assessment Using an Endoscopic Scoring System for Early and Persistent Dysphagia After Anterior Cervical Decompression and Fusion Surgery
Conclusions: This is the first study to show dysphagia after anterior cervical spine surgery using the EAT-10 score and Hyodo-Komagane score with endoscopic evaluation. Aging and smoking were significant risk factors for transient dysphagia, while preoperative local kyphosis angles of C3–C4 and C4–C5 and change in the kyphotic angle at C4/C5 during surgery may be a key alignment of risk factors for postoperative persistent dysphagia. Level of Evidence: Level: III. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - April 29, 2020 Category: Surgery Tags: Primary Research Source Type: research

Lumbar Percutaneous Pedicle Screw Breach Rates: A Comparison of Robotic Navigation Platform Versus Conventional Techniques
Conclusions: The use of a navigated robotic platform in the present study resulted in significantly fewer pedicle breaches. This was achieved through correct starting point selection with subsequent safe pedicle screw insertion. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - April 29, 2020 Category: Surgery Tags: Primary Research Source Type: research

Bariatric Surgery Population at Significantly Increased Risk of Spinal Disorders and Surgical Intervention Compared With Morbidly Obese Patients
Introduction: Obesity is associated with acceleration of musculoskeletal degenerative diseases and functional impairment secondary to spinal disorders. Bariatric surgery (BS) is an increasingly common treatment for severe obesity but can affect bone and mineral metabolism. The effect of BS on degenerative spinal disorders is yet to be fully described. The aim of our study was to analyze changes in bariatric patients’ risk for spinal degenerative diseases and spinal surgery. Methods: Retrospective analysis of the prospectively collected New York State Inpatient Database (NYSID) years (2004–2013) using patie...
Source: Journal of Spinal Disorders and Techniques - April 29, 2020 Category: Surgery Tags: Primary Research Source Type: research

Long-term Behavior of Single-level Thoracic and Lumbar Fractures Treated With Pedicle Screw Fixation
Conclusion: Posterior screw fixation allows for the restoration of spinal alignment, but this correction is less effective in elderly people and in patients with higher body mass index and higher degree of neurological injury. Level of Study: Level III. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - April 29, 2020 Category: Surgery Tags: Primary Research Source Type: research