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.
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.A Systematic Review of Risk Factors Associated With Distal Junctional Failure in Adult Spinal Deformity Surgery
Conclusions:
Cohorts 60 years and above of age at the time of surgery and patients managed with posterior-only fusion or interbody fusion have increased incidences of DJF. Fusion to L5 instead of the sacrum significantly influences DJF rates. However, the quality of available evidence is low and further high-quality studies are required to more robustly analyze the clinical, radiographic, and surgical risk factors associated with the development of DJF after ASD surgery. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - November 1, 2021 Category: Surgery Tags: Systematic Reviews and Meta-Analyses Source Type: research
Posterior Osteotomy and Osteosynthesis for Malunited Atlas Fracture: A Surgical Technique
Conservative treatment is commonly accepted and widely used for most atlas compression fractures. Malunion due to mismatching of the articular surfaces in C0–C1 and C1–C2 is therefore frequent even without associated instability. Such a result is considered acceptable in the elderly with low functional requests but should be avoided in young patients. Authors describe a new surgical technique to reduce and fix a nonunion and malunited fracture of the atlas through a posterior arch osteotomy followed by articular masses stabilization with polyaxial screws and precurved titanium rod. Rod prebending reduces lateral inclin...
Source: Journal of Spinal Disorders and Techniques - November 1, 2021 Category: Surgery Tags: Surgical Technique Source Type: research
A Novel Classification of 3D Rib Cage Deformity in Subjects With Adolescent Idiopathic Scoliosis
Conclusions:
This new classification of 3D rib cage deformity in AIS shows that the management of cases with high VSPI (groups IIb and IIc) should focus on restoring as much kyphosis as possible to avoid respiratory repercussions. Treatment indications in groups I and IIa would follow the consensual basic principles reported in the literature regarding bracing and 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 Controllable Antedisplacement and Fusion (ACAF) Technique for the Treatment of Multilevel Cervical Spondylotic Myelopathy With Spinal Stenosis (MCSMSS): A Retrospective Study of 54 Cases
Study Design:
Retrospective study.
Objective:
To investigate the clinical effect of anterior controllable antedisplacement and fusion (ACAF) technique for the treatment of multilevel cervical spondylotic myelopathy with spinal stenosis (MCSMSS), compared with hybrid decompression fixation (HDF).
Summary of Background Data:
A retrospective analysis of 94 cases with MCSMSS was carried out. Fifty-four patients were treated with ACAF, whereas 40 patients were treated with HDF.
Methods:
The operation time, intraoperative blood loss, postoperative complications, Japanese Orthopedic Association score, Nec...
Source: Journal of Spinal Disorders and Techniques - November 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
A Primer on the Use of Artificial Intelligence in Spine Surgery
Conclusion:
While the use of AI has pitfalls and should be adopted with caution, future use is promising in the field of spine surgery and medicine as a whole.
Level of Evidence:
Level IV. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - November 1, 2021 Category: Surgery Tags: Narrative Review Source Type: research
Are Outcomes of Studies of Interspinous Process Devices Biased by Industry Funding?
No abstract available (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - November 1, 2021 Category: Surgery Tags: Controversies in Spine Surgery Source Type: research
PEEK Versus Titanium Static Interbody Cages: A Comparison of 1-Year Clinical and Radiographic Outcomes for 1-Level TLIFs
This study evaluates the patient-reported Health Related Quality of Life outcomes and radiographic parameters of patients who underwent a single level transforaminal lumbar interbody fusion with either a polyetheretherketone (PEEK) or titanium interbody cage.
Summary of Background Data:
Spinal stenosis with instability is a common diagnosis that is often treated with interbody fusion, in particular transforaminal lumbar interbody fusion. Titanium and PEEK interbody cage properties have been extensively studied to understand their effect on fusion rates and subsidence.
Materials and Methods:
A retrospective co...
Source: Journal of Spinal Disorders and Techniques - October 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
Propensity-matched Analysis of 1062 Patients Following Minimally Invasive Versus Open Sacroiliac Joint Fusion
Study Design:
This was a retrospective cohort study.
Objective:
The aim of this study was to compare the hospital charges and postoperative complications of minimally invasive surgery (MIS) and open approaches to sacroiliac joint (SIJ) fusion.
Summary of Background Data:
The data source utilized in this study is the Healthcare Cost and Utilization Project National Readmission Database (NRD) from 2016 and 2017. The NRD is a yearly nationally representative inpatient database from the Agency for Healthcare Research and Quality with information regarding patient demographics, diagnoses, procedures, and readm...
Source: Journal of Spinal Disorders and Techniques - October 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
Application and Evaluation of an Independent Robotic Arm System in K-wire Placement for Lumbar Fusion
The objective of this study was to introduce a novel robotic system with an independent arm (“Orthbot Intelligent Orthopedic Minimally Invasive System”; Xin Junte Surgical Technologies) that has been developed and tested as a surgical assistant for autoplacement of the Kirschner wire (K-wire) in lumbar fusion, and to evaluate its accuracy by comparing it with the conventional free-hand instrumentation.
Summary of Background Data:
Robotic technology has performed excellently in spine surgeries and has demonstrated high clinical value and potential. Robot-assisted spinal surgery is now being promoted as a paradigm...
Source: Journal of Spinal Disorders and Techniques - October 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
Incidence and Risk Factors for Postoperative Venous Thromboembolic Events in Patients Undergoing Cervical Spine Surgery
The objective of this study was to investigate preoperative risk factors and incidence of venous thromboembolic events (VTEs) after cervical spine surgery.
Summary of Background Data:
VTEs are preventable complications that may occur after spinal procedures. Globally, VTEs account for a major cause of morbidity and mortality. Preoperative risks factors associated with increased VTE incidence after cervical spine surgery have not been well-characterized.
Materials and Methods:
Patients undergoing anterior cervical discectomy and fusion (ACDF); posterior cervical fusion (PCF); discectomy; and decompression from...
Source: Journal of Spinal Disorders and Techniques - October 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
Significance of Cervical Spine Computed Tomography Hounsfield Units to Predict Bone Mineral Density and the Subsidence After Anterior Cervical Discectomy and Fusion
This study was a retrospective review.
Objective:
The purpose of this study was to investigate the correlation analysis between Hounsfield units (HU) and dual x-ray absorptiometry (DXA) based on the clinical results of patients who underwent anterior cervical discectomy and fusion (ACDF) surgery.
Summary of Background Data:
There is no technique to directly measure bone mineral density (BMD) in the cervical spine. As computed tomography is a very popular preoperative planning modality, using the HU value from that analysis to predict osteoporosis is important for patient outcomes and applications in the clini...
Source: Journal of Spinal Disorders and Techniques - October 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
Decompression of Lumbar Central Spinal Canal Stenosis Following Minimally Invasive Transforaminal Lumbar Interbody Fusion
Conclusions:
MIS-TLIF is associated with radiologic decompression of neural foraminal and central spinal canal stenosis. The mechanism for neural foraminal and central canal decompression is likely driven by a combination of direct and indirect corrective techniques. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - October 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
Outcomes of Patients With Parkinson Disease Undergoing Cervical Spine Surgery for Radiculopathy and Myelopathy With Minimum 2-Year Follow-up
Conclusion:
Overall medical complication rates were higher in patients with PD, while individual medical complications as well as surgical complication and reoperation rates after elective CSS were similar in patients with and without PD, though PD patients required longer hospital stays. Importantly, a baseline diagnosis of PD was not significantly associated with adverse two-year medical and surgical complications. This data may improve counseling and risk-stratification for PD patients before CSS.
Level of Evidence:
Level III. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - October 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
Same Day Surgical Intervention Dramatically Minimizes Complication Occurrence and Optimizes Perioperative Outcomes for Central Cord Syndrome
Conclusions:
CCS patients undergoing surgery on the same day as admission had lower odds of complication, hospital charges, and higher rates of home discharge than patients that experienced a delay to operation. Patients delayed>14 days to surgery were associated with inferior outcomes, including increased odds of cardiac complication and infection. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - October 1, 2021 Category: Surgery Tags: Primary Research Source Type: research
The Impact of Physical Therapy Following Cervical Spine Surgery for Degenerative Spine Disorders: A Systematic Review
Conclusions:
Current literature prevents a definitive conclusion regarding the impact of postoperative PT, given the lack of treatment control groups. PT treatment was limited to exercise therapy, cognitive behavioral therapy, and optional vestibular rehabilitation in the included studies. PT treatment varied, limiting consistent recommendations for content, timing, and treatment duration. Controlled trials are needed to determine the effectiveness of the addition of postoperative PT following cervical spine surgery for cervical spondylosis.
Level of Evidence:
Level II. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - October 1, 2021 Category: Surgery Tags: Systematic Reviews and Meta-Analyses Source Type: research
