Journal of Spinal Disorders and Techniques This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Quality of Life Changes After Surgery for Metastatic Spinal Disease: A Systematic Review and Meta-analysis
Study Design: This was a systematic review and meta-analysis. Objective: A systematic review and meta-analysis was conducted to assess the quality of life (QoL) after open surgery for spinal metastases, and how surgery affects physical, social/family, emotional, and functional well-being. Summary of Background Data: It remains questionable to what extent open surgery improves QoL for metastatic spinal disease, it would be interesting to quantify the magnitude and duration of QoL benefits—if any—after surgery for spinal metastases. Materials and Methods: Included were studies measuring QoL befor...
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Systematic Reviews and Meta-Analyses Source Type: research

Technique, Time Demand, Radiation Exposure, and Outcomes of Skin-anchored Intraoperative 3D Navigation in Minimally Invasive Posterior Cervical Laminoforaminotomy
Conclusions: Skin-anchored ION for MI-PCLF is feasible, safe, and accurate. It results in short operative times, minimal complications, low radiation to the patient, and negligible radiation to operating room personnel. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Surgical Technique Source Type: research

Optimal Anchor at the Uppermost Instrumented Vertebra in Long Fusion From the Pelvis to the Lower Thoracic Spine in Elderly Patients With Degenerative Spinal Deformity: Hook Versus Pedicle Screw
Conclusion: Rigid fixation using PSs at the UIV in the lower thoracic spine produced better radiographic outcomes than did TPHs in elderly patients undergoing spinopelvic fusion. Level of Evidence: Level III. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Primary Research Source Type: research

Risk Factors and Prevention of C5 Palsy After Anterior Cervical Decompression and Fusion: Similarity of the Pathomechanism With That After a Posterior Approach
Conclusions: These results indicate that the pathomechanism of C5 palsy may be dependent on the location of the lateral decompression line, especially in patients with cervical kyphosis and a narrow C5 intervertebral foramen. Excessive lateral decompression beyond the Luchka joint might lead to C5 root kinking between the intervertebral foramen and posterior edge of vertebra. This pathomechanism may be similar in anterior and posterior approaches. To prevent C5 palsy, the medial line of the Luschka joint should be confirmed intraoperatively and decompression should be performed within the Luschka joints. Alternatively,...
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Primary Research Source Type: research

Impact of Obesity Severity on Achieving a Minimum Clinically Important Difference Following Minimally Invasive Transforaminal Lumbar Interbody Fusion
The objective of this study was to determine the impact of obesity on postoperative outcomes and minimum clinically important difference (MCID) achievement following minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). Summary of Background Data: Obesity is a proven risk factor for poorer outcomes in MIS TLIF patients. However, few studies have investigated the impact of body mass index (BMI) on achievement of a MCID for Patient-Reported Outcome Measurement Information System Physical Function (PROMIS PF). Methods: A prospective surgical database was retrospectively reviewed for primary, elec...
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Primary Research Source Type: research

Global Trends of Researches on Lumbar Spinal Stenosis: A Bibliometric and Visualization Study
Conclusion: The number of publications showed an upward trend with a stable rise in recent years. The United States is a country with the highest productivity, not only in quality, but also in quantity. Seoul National University has been the largest contributor in this field. Spine is the best journal related to LSS. Quality of life, risk factor, disability, and decompression surgery are the research hotspots in the recent years. Indeed, this study provides a new insight to the growth and development of LSS. Moreover, it will contribute to the growth of the international frontier of LSS. (Source: Journal of Spinal Diso...
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Primary Research Source Type: research

Muscle Flap Closures in Spine Surgery: Predictors of Usage Patterns and Factors Associated With Postoperative Complications From the NSQIP Database
The objective of this study was to identify preoperative factors that impact the decision to perform prophylactic muscle flap closure and assess risk factors for wound healing complications in patients undergoing spinal procedures with and without muscle flap closure. Summary of Background Data: Prior studies suggest that muscle flap closure following complex spine surgery results in a lower risk of wound healing complications. However, these studies have been limited to single institutions and/or surgeons. Methods: The National Surgical Quality Improvement Program database was queried for all patients underg...
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Primary Research Source Type: research

Effect of Minimally Invasive Selective Laminectomy for Cervical Spondylotic Myelopathy on Degenerative Spondylolisthesis
Conclusions: SL does not affect DS, sagittal alignment, or ROM irrespective of the slip direction and the number of laminae removed, even after>2 years after surgery. Given the preservation of the posterior elements, SL may be an effective treatment for CSM with DS. Level of Evidence: Level IV. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Primary Research Source Type: research

Evaluation of the Parameters Affecting Respiratory Functions at Adolescent Idiopathic Scoliosis Patients
Conclusions: When considering the results of the current study and the other studies in the literature there is not any strong correlation between the features of scoliotic curvature and respiratory functions. In the current study, 52 (72.22%) of 72 patients with moderate to severe scoliosis had mild to severe respiratory dysfunction. Considering the age-related physiological respiratory loss, to evaluate the necessity of surgical treatment in patients with moderate and severe scoliosis, especially in patients with high AVR, the respiratory functions of the patient should also be evaluated. Level of Evidence: Le...
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Primary Research Source Type: research

Factors Negatively Influencing Postoperative Improvement After Laminoplasty in Degenerative Cervical Myelopathy
Conclusions: The SVA and T1 pelvic angle were significantly higher in the poor recovery group. A high preoperative SVA is an independent predictor for poor recovery after laminoplasty. Therefore, indications for laminoplasty in elderly DCM patients with a high preoperative SVA should be carefully considered. Level of Evidence: Level III. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Primary Research Source Type: research

Safety and Effectiveness of Modified Expansive Open-door Laminoplasty Using a Ultrasonic Bone Scalpel Compared With a High-speed Drill
Conclusion: The application of the UBS to modified open-door laminoplasty resulted in a safe and effective decompression effect and reduced blood loss without increasing cost benefit. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Primary Research Source Type: research

Usefulness of Percutaneous Ultrasonography for Deciding the Need of Surgical Evacuation of Epidural Hematoma After Cervical Double-door Laminoplasty
This study included patients who underwent cervical laminoplasty using suture anchors. Regular MRI and PUS were performed 1 week postoperatively. Whenever the patients exhibited neurological deterioration, MRI and PUS were performed. The spinal cord decompression status was classified into 3 grades using MRI and PUS. The existence of spinal pulsation was determined by PUS. Results: One hundred thirty-one patients were investigated. The decompression status by MRI and PUS, and the pulsation status by PUS showed a correlation with neurological deterioration (P (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Primary Research Source Type: research

Postoperative Outcomes Following Posterior Lumbar Fusion in Patients With Multiple Sclerosis
This study aims to (1) analyze the rates of postoperative complications of MS patients undergoing primary PLF and (2) analyze the economic burden associated with these surgeries in the MS population compared with patients without MS. Methods: A retrospective review of the Medicare database was conducted on all patients who underwent PLF and/or posterior lumbar interbody fusion between the years of 2006 and 2013. Cases involving same-day anterior or revision procedures and patients with a history of spine, infection, and trauma, or neoplasm were excluded from the study. Demographics, comorbidities, 90-day postoperati...
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Primary Research Source Type: research

Perioperative Modifications to the Open TLIF Provide Comparable Short-term Outcomes to the MIS-TLIF
Conclusions: The results of this study identify that patients who underwent modified Open TLIF demonstrated favorable short-term outcomes, as compared with the tubular MIS-TLIF, by virtue of avoidance of blood transfusions, shorter hospital stays, and significantly less opioid usage while experiencing satisfactory PROs. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Primary Research Source Type: research

Enhanced Recovery Components for Posterior Lumbar Spine Fusion: Harnessing National Data to Compare Protocols
Study Design: This was a retrospective cohort study. Objective: The aim of this study was to assess the most commonly used components of enhanced recovery after surgery (ERAS) combinations and their relative effectiveness. Summary of Background Data: Data is lacking on use and effectiveness of various ERAS combinations which are increasingly used in spine surgery. Materials and Methods: Posterior lumbar fusion cases were extracted from the Premier Healthcare claims database (2006−2016). Seven commonly included components in spine ERAS protocols were identified: (1) multimodal analgesia, (2) trane...
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Primary Research Source Type: research