Characteristics of Patients Undergoing Surgical Treatment for Spinal Metastases From Colorectal Cancer: A Comparison With Non–Small Cell Lung Cancer
This study aimed to investigate the prognosis and characteristics of patients undergoing surgical treatment for colorectal cancer (CRC) spinal metastasis. To better understand the characteristics of such patients, their results were compared with those with spinal metastasis from non–small cell lung cancer (NSCLC), as the prognosis of these patients is well-studied. Summary of Background Data: CRC commonly metastasizes to the liver or lung, while spinal metastases occur infrequently. The literature contains very few studies evaluating the prognosis of patients with spinal metastases from CRC. Materials and Meth...
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Primary Research Source Type: research

The Preoperative Cross-sectional Area of the Deep Cervical Extensor Muscles Does Not Predict Loss of Lordosis After Cervical Laminoplasty
The objective of this study was to investigate the association between the cross-sectional area (CSA) of the deep extensor muscles (DEM) and postlaminoplasty alignment. Summary of Background Data: The preoperative CSA of the semispinalis cervicis (SC) has been reported to correlate with loss of lordosis (LL) after laminoplasty, with a CSA (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

Shoulder Balance Following Correction Surgery for Adolescent Idiopathic Scoliosis: When Is It Achieved and Does the Type of Construct Matter?
Conclusions: Lateral shoulder rebalancing occurs up to 6 months after surgery. While thoracic pedicle screws offer greater correction of major AIS curves, hook constructs offer better postoperative shoulder symmetry. Level of Evidence: 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

Intraoperative Neuromonitoring Auxiliary Significance of DNEP for MEP-positive Event During Severe Spinal Deformity Surgery
Conclusions: MEP-positive cases with intraoperative DNEP (−) showed superior prognosis after severe spinal deformity surgery. Intraoperative DNEP could be regarded as an important quantitative tool to assist MEP to monitor neurological injury and can serve as a temporary substitution monitoring technique after MEP is lost. (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

Trends and Complications in Spinopelvic Fixation for Deformity for Spinal Surgeons in Early Independent Practice
Conclusions: Newly practicing spinal surgeons consistently performed low numbers of deformity cases with relatively high complication rates which remained stable over time. (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

Severity of Myelopathy is Closely Associated With Advanced Age and Signal Intensity Change in Cervical Ossification of the Posterior Longitudinal Ligament: A Prospective Nationwide Investigation
Conclusions: This is the first large-scale, prospective, multicenter case series study to investigate factors influencing preoperative neurological status in patients with OPLL. Age and signal intensity change on magnetic resonance images were significantly associated with JOA score in patients requiring surgery. Level of Evidence: Level II. (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

Laminoplasty Achieves Improved Outcomes Despite Leading to a More Positive Sagittal Balance: Neither Preoperative Nor Postoperative Sagittal Balance Correlated With Spine-specific Outcome Data
Study Design: A retrospective study of prospective data. Objective: Determine the correlation between cervical sagittal alignment, either preoperative or postoperative, and the outcomes of laminoplasty. Summary of Background Data: Cervical laminoplasty is a common surgical treatment for myelopathy. However, the effect of preoperative or postoperative cervical sagittal alignment on outcomes, such as neurological improvement and patient-reported outcomes, remains unclear. Methods: A total of 144 consecutive patients (2007–2017) with laminoplasty for myelopathy and a minimum of 1-year postoperative ...
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Primary Research Source Type: research

Does the Predominant Pain Location Influence Functional Outcomes, Satisfaction, and Return to Work After Minimally Invasive Transforaminal Lumbar Interbody Fusion For Degenerative Spondylolisthesis?
Conclusions: The functional outcomes, quality of life and satisfaction after MIS-TLIF were similar, regardless of the predominant pain location. Equal proportions of patients achieved the minimal clinically important difference and RTW. In the context of proper indications, these results suggest that MIS-TLIF can be equally effective for patients with varying combinations of BP or LP. Level of Evidence: Level III—nonrandomized cohort study. (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 of Postoperative Shoulder Imbalance in Adolescent Idiopathic Scoliosis: The Role of Sagittal Spinopelvic Parameters and Upper Instrumented Vertebrae Selection
Study Design: This is a retrospective study. Objective: To determine (1) the independent risk factors of postoperative shoulder imbalance (PSI) after adolescent idiopathic scoliosis (AIS) correction surgery; and (2) whether the level of upper instrumented vertebrae (UIV) affects postoperative shoulder balance. Summary of Background Data: PSI is an important outcome of AIS correction surgery as it influences a patient’s appearance and satisfaction. However, risk factors for PSI remain controversial and there are currently no studies evaluating the effect of sagittal spinopelvic parameters on PSI. Previou...
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Primary Research Source Type: research

Postoperative Myocardial Reinfarction Following Lumbar Spine Surgery
Conclusion: In both databases, there was a clinically relevant and statistically significant increase in myocardial reinfarction in patients who experienced an MI 0–3 months before lumbar spine surgery. We believe that the current study helps in treatment planning for patients with a history of MI who are considering spine surgery. 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

Iliac Screw Fixation Revisited: Improved Clinical and Radiologic Outcomes Using a Modified Iliac Screw Fixation Technique
Study Design: A retrospective study. Objective: To describe the modified iliac screw (mILS) technique and compare it to other spinopelvic fixation techniques in terms of wound healing complications, hardware prominence, and failure. Summary of Background Data: The traditional entry point of an iliac screw often causes postoperative gluteal pain from the prominent screw head. The use of an offset connector also adds a point of weakness to the construct. By choosing a different screw entry point offset connectors can be avoided, and the screw head itself is less prominent, thereby reducing postoperative dis...
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Primary Research Source Type: research

Early Opioid Consumption Patterns After Anterior Cervical Spine Surgery
Conclusion: Given that most patients use few opioids, patients could be offered the option of a 12 oxycodone 5 mg (90 oral morphine equivalents) discharge prescription, accompanied by education on appropriate opioid use and disposal. (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

Time-demand, Radiation Exposure and Outcomes of Minimally Invasive Spine Surgery With the Use of Skin-Anchored Intraoperative Navigation: The Effect of the Learning Curve
Conclusions: Skin-anchored ION did not result in any wrong level surgeries. Learning curve for other parameters varied by surgery type, but was achieved at 25–35 cases for a majority of outcomes. 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

Accuracy of Subaxial Cervical Pedicle Screw Placement Using Direct Visualization Versus Computed Tomography–Based Navigation
Conclusions: High accuracy can be achieved with both neuronavigation and DV for placement of subaxial cervical pedicle screws in cadavers. (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

Dysphagia and Satisfaction Following Anterior Cervical Spine Surgery: A Prospective Observation Trial
Conclusion: Dysphagia is a common but often transient complaint following anterior cervical spine surgery. Fortunately, its presence does not seem to correlate with a patient’s overall satisfaction level following surgery. Level of Evidence: Level I (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