Journal of Spinal Disorders and Techniques 
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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.Long-term Clinical Outcomes of Microendoscopic Laminotomy for Cervical Spondylotic Myelopathy: A 5-Year Follow-up Study Compared With Conventional Laminoplasty
The objective of this study was to characterize the long-term clinical and radiographic results of articular segmental decompression surgery using endoscopy [cervical microendoscopic laminotomy (CMEL)] for cervical spondylotic myelopathy (CSM) and to compare outcomes to conventional expansive laminoplasty (ELAP).
Summary of Background Data:
The spinal cord compression in CSM consists of a pincer mechanism due to bulging disk and a hypertrophied ligamentum flavum. The long-term clinical benefits of segmental decompression surgery, which removes the dorsal compressive elements of articular segment in CSM patients, hav...
Source: Journal of Spinal Disorders and Techniques - December 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
Proximal Fixation in Adolescent Scoliosis Lenke 1 and 3 Treated by Posteromedial Translation Using Sublaminar Bands: Transverse-pedicular Hook Claw Versus Transverse Hook-pedicular Screw Claw
Conclusions:
No differences in postoperative correction and clinical results at 2 years follow-up were found. A claw with transverse-pedicular hook increase proximal junctional angle without significant increase on radiographic PJK incidence compared with a claw with transverse hook and pedicle screws. (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
Hybrid Therapy for Metastatic Disease
Metastatic spine disease represents a complex clinical entity, requiring a multidisciplinary treatment team to formulate treatment plans that treat disease, palliate symptoms, and give patients the greatest quality-of-life. With the improvement in focused radiation technologies, the role of surgery has changed from a standalone treatment to an adjuvant supporting other treatment modalities. As patients within this population are often exceptionally frail, there has been increased emphasis on the smallest possible surgery to achieve the team’s treatment goals. Surgeons have increasingly turned to more minimally invasive t...
Source: Journal of Spinal Disorders and Techniques - December 1, 2021 Category: Surgery Tags: Narrative Review Source Type: research
Regenerative Medicine Modalities for the Treatment of Degenerative Disk Disease
The objective of regenerative medicine is to convert the inflammatory, catabolic microenvironment of degenerative disease into an anti-inflammatory, anabolic environment. This comprehensive review discusses and outlines both in vitro and in vivo efficacy of regenerative treatment modalities for degenerative disk disease, such as; mesenchymal stem cells, gene therapy, tissue engineering, and biologic treatments. To date, clinical applications have been limited secondary to a lack of standardized high quality clinical data. Additional research should focus on determining the optimal cellular makeup and concentration for each...
Source: Journal of Spinal Disorders and Techniques - December 1, 2021 Category: Surgery Tags: Narrative Review Source Type: research
Is Evaluation With Telemedicine Sufficient Before Spine Surgery?
No abstract available (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - December 1, 2021 Category: Surgery Tags: Controversies in Spine Surgery Source Type: research
Discography or SPECT/CT: What is the Best Diagnostic Tool for the Surgical Assessment of Degenerative Disk Disease?
No abstract available (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - December 1, 2021 Category: Surgery Tags: Controversies in Spine Surgery Source Type: research
Does Early Postoperative T1 Slope Change Affect Clinical Results of Patients With Single-level ACDF?
Study Design:
This was a retrospective study.
Objective:
The main question of this study is whether the change of postoperative T1 slope will affect the clinical and imaging recovery of patients with single-level anterior cervical discectomy and fusion (ACDF).
Summary of Background Data:
The T1 slope after ACDF is different from that preoperatively, however, the clinical significance of this change has not been reported.
Materials and Methods:
A retrospective analysis was conducted on 87 patients with single-level ACDF. Visual Analogue Scale was used to compare neck and upper limb pain before and a...
Source: Journal of Spinal Disorders and Techniques - November 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
Does Cervical Alignment Matter? The Effect of 2-level Anterior Cervical Discectomy and Fusion on Sagittal Alignment and Patient-reported Outcomes
This study aimed to determine the change in cervical sagittal balance following 2-level anterior cervical discectomy and fusion (ACDF) and whether the degree of change was associated with improvement in patient-reported outcomes (PROs).
Summary of Background Data:
Sagittal balance in cervical spine surgery has been recognized as an important surgical goal. However, its influence on clinical outcomes following anterior decompressive procedures remains debatable.
Materials and Methods:
Patients who underwent primary 2-level ACDF for cervical spondylotic radiculopathy and/or myelopathy were identified from an in...
Source: Journal of Spinal Disorders and Techniques - November 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
Development and Initial Internal Validation of a Novel Classification System for Perioperative Expectations Following Minimally Invasive Degenerative Lumbar Spine Surgery
Study Design:
This was a prospective consecutive clinical cohort study.
Objective:
The purpose of our study was to develop and provide an initial internal validation of a novel classification system that can help surgeons and patients better understand their postoperative course following the particular minimally invasive surgery (MIS) and approach that is utilized.
Summary of Background Data:
Surgeons and patients are often attracted to the option of minimally invasive spine surgery because of the perceived improvement in recovery time and postsurgical pain. A classification system based on the impact of...
Source: Journal of Spinal Disorders and Techniques - November 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
Comparison of Postoperative Complications and Reoperation Rates Following Surgical Management of Cervical Spondylotic Myelopathy in the Privately Insured Patient Population
The objective of this study was to compare the incidence of complications and reoperation rates between the most common surgical treatments for cervical spondylotic myelopathy (CSM): anterior cervical discectomy and fusion (ACDF), anterior cervical corpectomy and fusion (ACCF), and posterior laminectomy and fusion (Lamifusion).
Summary of Background Data:
CSM is a major contributor to disability and reduced quality of life worldwide.
Methods:
Humana insurance database was queried for CSM diagnoses between 2007 and 2016. The initial population was divided based on the surgical treatment and matched for age, se...
Source: Journal of Spinal Disorders and Techniques - November 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
Combining Expandable Interbody Cage Technology With a Minimally Invasive Technique to Harvest Iliac Crest Autograft Bone to Optimize Fusion Outcomes in Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery
Conclusion:
Combining an expandable cage with iliac crest autograft bone harvested through a minimally invasive technique can allow for improved fusion rates without graft-site complications in MI-TLIF surgery. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - November 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
Anterior Cervical Discectomy and Fusion Versus Conservative Treatment for Cervical Angina Conservative Treatment
This study employed a retrospective study design.
Objective:
This retrospective cohort study aimed to compare the outcomes of anterior cervical discectomy and fusion (ACDF), and those of conservative treatment for patients with cervical angina.
Summary of Background Data:
Cervical angina is typically characterized by intolerable and paroxysmal angina-like precordial pain, which is caused by cervical disk degeneration in patients without definitive cardiovascular abnormalities. Diagnosis is either delayed or neglected because of its various clinical manifestations. Whether conservative or surgical treatment is...
Source: Journal of Spinal Disorders and Techniques - November 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
A Anchoring Technique Using Long Bent Rods for Open Reduction of Thoracolumbar Dislocation
Conclusion:
A anchoring technique using long bent rods is a safe, simple, accurate, and easy to replicate and implement method, which can be applied in the surgical treatment for thoracolumbar dislocation. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - November 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
Analysis of Hidden Blood Loss and its Risk Factors in Oblique Lateral Interbody Fusion Surgery
Conclusions:
HBL was substantial and the average volume of HBL was 809 mL in single level OLIF surgery. The thickness of abdominal wall soft tissue was the risk factor of HBL. Accurate assessment of HBL can prevent perioperative complications and ensure patients’ safety. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - November 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
Association Between C5 Palsy and the Anterior Decompression Procedures, Corpectomy and Discectomy
Conclusions:
Corpectomy increased the incidence of C5P, while discectomy decreased the risk. The lower incidence of postoperative C5P after discectomy may be because of minimizing tethering effect to the C5 nerve root. As a preventive measure against C5P, corpectomy should be avoided, while discectomy is recommended as much as possible.
Level of Evidence:
Levels of Evidence: Step IV—Oxford Center for Evidence-Based Medicine 2011. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - November 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
