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.

Current Management of Cervical Spondylotic Myelopathy
Cervical spondylotic myelopathy (CSM) develops insidiously as degenerative changes of the cervical spine impact the spinal cord. Unfortunately, CSM is a form of spinal cord injury in older patients that often experiences delayed treatment. This summary evaluates the pathophysiology, natural history, diagnosis, and current management of CSM. Frequently, patients do not appreciate or correlate their symptomatology with cervical spine disease, and those with radiographic findings may be clinically asymptomatic. Providers should remember the classic symptoms of CSM—poor hand dexterity, new unsteady gait patterns, new onset a...
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Narrative Reviews Source Type: research

Modic Change: An Emerging Complication in the Aging Population
Conclusions: With the aging nature of the population, MC has emerged as an extremely prevalent issue. Research into the pathogenesis of MC is important for planning preventative and therapeutic strategies. Such strategies may include rehabilitation, surgical fixation, stabilization, steroid or cement injection, or antibiotics. Improved diagnostic methods in clinical practice are thus critical to properly identify patients suffering from MC, plan early intervention, and hasten return to functioning. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Narrative Reviews Source Type: research

The Impact of COVID-19 and Lockdown on Spinal Services at a National Level: Lessons Learned and Areas of Service Improvement for Future Health Care Delivery
The coronavirus disease 2019 (COVID-19) pandemic has had a dramatic impact on the provision of health care worldwide. The delivery of national spinal service for emergent surgery, elective surgery, and outpatient assessment has been incredibly challenging. A variety of innovative measures were undertaken to facilitate the safe provision of acute service and are outlined in this review, along with a number of key learning points which will improve the quality of health care delivered over the coming years. The challenges facing the spinal surgery community with regard the reintroduction of elective surgery is discussed, and...
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Narrative Reviews Source Type: research

Is Anticoagulation Necessary for Asymptomatic Unilateral Vertebral Artery Injury?
No abstract available (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Controversies in Spine Surgery Source Type: research

Are Studies Evaluating Outcomes of Sacro-iliac Joint Fusion Biased by Industry Funding?
No abstract available (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Controversies in Spine Surgery Source Type: research

What Is the Superior Technique for Long Construct Spinopelvic Fixation in Adult Spinal Deformity Surgery: Iliac Screws or S2-Alar-Iliac Screws
No abstract available (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Controversies in Spine Surgery Source Type: research

Hip-Spine Syndrome: Which Surgery First?
No abstract available (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - February 1, 2022 Category: Surgery Tags: Controversies in Spine Surgery Source Type: research

Comparison of Outcomes Between Single-level Lateral Lumbar Interbody Fusion and Transforaminal Lumbar Interbody Fusion: A Meta-analysis and Systematic Review
This study aims to compare the clinical and radiologic outcomes of single-level lateral lumbar interbody fusion (LLIF) with single-level transforaminal lumbar interbody fusion (TLIF). Summary of Background Data: In the treatment of adult spinal deformity, LLIF allows interbody fusion while avoiding complications associated with an anterior or transforaminal approach, although the clinical outcomes of LLIF compared with other approaches have not been well established. Methods: We searched PubMed, Embase, and Scopus for 385 unique studies. On the basis of our exclusion criteria, 8 studies remained for our syste...
Source: Journal of Spinal Disorders and Techniques - December 1, 2021 Category: Surgery Tags: Systematic Reviews and Meta-Analyses Source Type: research

Methods Used to Generate Consensus Statements for Clinical Practice Guidelines: A Primer for the Spine Surgeon
Conclusions: This review highlights the most commonly utilized consensus group methodologies and informs spine surgeons regarding options to access current clinical practice guidelines. Level of Evidence: Level V. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - December 1, 2021 Category: Surgery Tags: Research Methodology Source Type: research

Perioperative Complications in Posterior Surgeries for Cervical Ossification of the Posterior Longitudinal Ligament: A Prospective Nationwide Investigation
Conclusions: In posterior surgeries for cervical OPLL, segmental motor palsy in the upper extremity was most frequently observed, especially in patients who received PDF. Fusion and a small preoperative C2−C7 angle were the independent risk factors for motor palsy. Level of Evidence: Level III. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - December 1, 2021 Category: Surgery Tags: Primary Research Source Type: research

Mental Health Associated With Postoperative Satisfaction in Lumbar Degenerative Surgery Patients
Conclusions: Following lumbar degenerative surgery, patients with postoperative depression, irrespective of preoperative depression status, have significantly higher odds of dissatisfaction. These results emphasize the importance of postoperative screening and treatment of depression in spine patients with dissatisfaction. Level of Evidence: Level III—nonrandomized cohort study. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - December 1, 2021 Category: Surgery Tags: Primary Research Source Type: research

Clinical Comparison of Combined Cortical Bone Trajectory and Transarticular Surface Screw Versus Standard Pedicle Screw Insertion by Wiltse Approach for L5 Isthmic Spondylolisthesis
This study included 111 patients who underwent single-level L5–S1 posterior lumbar interbody fusion (PLIF) for L5 isthmic spondylolisthesis. The cohort was stratified into 2 groups: the Wiltse group included patients who underwent PLIF between 2008 and 2013 with standard pedicle screw fixation via Wiltse approach and the CBT/TASS group included those who underwent PLIF from 2014 onward with CBT/TASS fixation. After propensity score matching of the CBT/TASS and Wiltse groups, the surgical times, estimated blood loss (EBL), length of in-hospital stays, clinical scores, serum creatine kinase concentration, radiographic para...
Source: Journal of Spinal Disorders and Techniques - December 1, 2021 Category: Surgery Tags: Primary Research Source Type: research

Lumbar Spine Surgery and What We Lost in the Era of the Coronavirus Pandemic: A Survey of the Lumbar Spine Research Society
Conclusions: Elective lumbar surgery was significantly decreased in the first few months of the coronavirus pandemic, and much of outpatient spine surgery was practiced via telemedicine. Despite these constraints, spine surgeons performed emergency surgery when indicated, even when the COVID-19 status of patients was unknown. Level of Evidence: Level IV. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - December 1, 2021 Category: Surgery Tags: Primary Research Source Type: research

Incidence and Risk Factors for Early Postoperative Complications and Mortality Following Adult Spinal Deformity Surgery: Data From the National Surgical Quality Improvement Program From 2011 to 2013
The objective of this study was to investigate the incidence and risk factors of perioperative complications and mortality in patients undergoing adult spinal deformity (ASD) surgery. Summary of Background Data: Although ASD surgery has been associated with a relatively high complication rate, a focus on perioperative complications in a large cohort has rarely been reported. Materials and Methods: In the database of the 2011−2013 American College of Surgeons National Surgical Quality Improvement Program database, a cohort of patients (n=1484) above 20 years and underwent ASD surgery was established by prima...
Source: Journal of Spinal Disorders and Techniques - December 1, 2021 Category: Surgery Tags: Primary Research Source Type: research

Preoperative Physical Function Association With Mental Health Improvement After Anterior Cervical Discectomy and Fusion
This study investigates the influence of physical function and their influence on postoperative depressive symptom scores as measured by Patient Health Questionnaire-9 (PHQ-9) among anterior cervical decompression and fusion (ACDF) patients. Background: While ACDF is one of the most commonly performed ambulatory surgeries, research is limited on the predictive value of Patient-Reported Outcomes Measurement Information System (PROMIS) scores and their influence on depressive symptoms as measured by the PHQ-9. Methods: A prospectively maintained surgical registry was retrospectively reviewed from March 2016 to ...
Source: Journal of Spinal Disorders and Techniques - December 1, 2021 Category: Surgery Tags: Primary Research Source Type: research