Navigated Transsacral Screw Fixation for the Treatment of Bilateral Sacral Insufficiency Fractures
This article describes the surgical technique of 3D image-guided transsacral screw fixation for unilateral and bilateral nondisplaced sacral insufficiency fractures in the elderly using a single-sided approach, and specifies the associated preoperative and postoperative management. The procedure is illustrated in an instructional video that demonstrates step-by-step, how the navigated surgical procedure is performed. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - October 1, 2021 Category: Surgery Tags: Surgical Techniques Source Type: research

Comparing Surgical Treatments for Spondylolysis: Review on Current Research
Conclusions: Present surgical options appear largely comparable in terms of their ability to provide meaningful treatment for spondylolysis where conservative treatments have failed or otherwise remain unattempted. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - October 1, 2021 Category: Surgery Tags: Narrative Review Source Type: research

Does Conjugation With Structural Carriers Augment the Fusion Properties of Demineralized Bone Matrix?
No abstract available (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - October 1, 2021 Category: Surgery Tags: Controversies in Spine Surgery Source Type: research

Comparison of Perioperative Complications in Anterior Decompression With Fusion and Posterior Decompression With Fusion for Cervical Spondylotic Myelopathy: Propensity Score Matching Analysis Using a Nationwide Inpatient Database
This study aimed to research the perioperative complication rates of cervical spondylotic myelopathy (CSM) patients who underwent anterior decompression with fusion (ADF) and posterior decompression with fusion (PDF) using a large national inpatient database and propensity score matching (PSM) analysis. Summary of Background Data: There are several ways to successfully achieve surgical spinal decompression in CSM patients; however, evidence of the systemic complications and reoperation rates in ADF and PDF is lacking. Materials and Methods: We identified patients who were hospitalized for CSM and underwent ei...
Source: Journal of Spinal Disorders and Techniques - July 30, 2021 Category: Surgery Tags: Primary Research Source Type: research

Minimally Invasive Transforaminal Lumbar Interbody Fusion Using Augmented Reality Surgical Navigation for Percutaneous Pedicle Screw Placement
Study Design: This was a retrospective observational study. Objective: The aim of this study was to evaluate the accuracy of percutaneous pedicle screw placement using augmented reality surgical navigation during minimally invasive transforaminal lumbar interbody fusion (TLIF). Summary of Background Data: Augmented reality-based navigation is a new type of computer-assisted navigation where video cameras are used instead of infrared cameras to track the operated patients and surgical instruments. This technology has not so far been clinically evaluated for percutaneous pedicle screw placement. Material...
Source: Journal of Spinal Disorders and Techniques - July 30, 2021 Category: Surgery Tags: Primary Research Source Type: research

Fluoroscopically Guided Facet Cyst Rupture: Rate of Conversion to Surgery and Risk Factor Analysis
Conclusions: Percutaneous facet cyst rupture is potentially a definitive treatment for this condition; however, it is unknown ahead of time who will proceed to definitive surgical decompression. On the basis of the data in this study, less than one-third of patients who had a fluoroscopically guided facet cyst rupture went on to surgery. There were no clinical, radiographic, or procedural details which could be used to robustly predict failure of percutaneous treatment. At this time, it is recommended to continue to attempt this nonoperative treatment intervention when there is a clinical indication after discussion of...
Source: Journal of Spinal Disorders and Techniques - July 30, 2021 Category: Surgery Tags: Primary Research Source Type: research

Comparing Investigation Between Bilateral Partial Laminectomy and Posterior Lumbar Interbody Fusion for Mild Degenerative Spondylolisthesis
Conclusions: BPL is one of the useful options in patients with mild degenerative spondylolisthesis, particularly in patients aged more than 75 years. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - July 30, 2021 Category: Surgery Tags: Primary Research Source Type: research

Incidence and Risk Factors for Postoperative Urinary Retention Following Lumbar Spine Fusion
Conclusions: Perioperative scopolamine and neostigmine administration in men over 50 should be avoided when possible to minimize the risk of POUR. Level of Evidence: Level III. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - July 30, 2021 Category: Surgery Tags: Primary Research Source Type: research

The Influence of Comorbidity on Postoperative Outcomes Following Lumbar Decompression
Study Design: Retrospective. Objective: Evaluate the association between comorbidity burden and reaching minimum clinically important difference (MCID) following lumbar decompression (LD). Summary of Background Data: There is limited research on the influence of preoperative comorbidity burden on patient-reported outcome improvement following LD. Methods: A prospectively maintained surgical registry was retrospectively reviewed for eligible spine surgeries between 2015 and 2019. Inclusion criteria were primary, single, or multilevel LD. Patients were excluded for missing preoperative patient-report...
Source: Journal of Spinal Disorders and Techniques - July 30, 2021 Category: Surgery Tags: Primary Research Source Type: research

The Effect of Cervical Paravertebral Extensor Degeneration on Sagittal Alignment and Functional Status of Cervical Spine in Patients With Cervical Spondylotic Myelopathy
Conclusions: Paravertebral extensor degeneration negatively impacts the sagittal sequence and functional status of the cervical spine in CSM patients. Our study provides an insight into understanding the significance of cervical muscular degeneration in CSM patients. Level of Evidence: Level III. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - July 30, 2021 Category: Surgery Tags: Primary Research Source Type: research

Frailty Severity Impacts Development of Hospital-acquired Conditions in Patients Undergoing Corrective Surgery for Adult Spinal Deformity
Study Design: This was a retrospective cohort study of a national dataset. Purpose: The purpose of this study was to consider the influence of frailty on the development of hospital-acquired conditions (HACs) in adult spinal deformity (ASD). Summary of Background Data: HACs frequently include reasonably preventable complications. Eleven events are identified as HACs by the Affordable Care Act. In the surgical ASD population, factors leading to HACs are important to identify to optimize health care. Methods: Patients 18 years and older undergoing corrective surgery for ASD identified in the American...
Source: Journal of Spinal Disorders and Techniques - July 30, 2021 Category: Surgery Tags: Primary Research Source Type: research

Teriparatide Treatment Increases Hounsfield Units in the Thoracic Spine, Lumbar Spine, Sacrum, and Ilium Out of Proportion to the Cervical Spine
Conclusions: Teriparatide increased average HU in the thoracolumbar spine to a proportionally greater extent than the cervical spine. The cervical spine had a higher baseline starting HU than the thoracolumbar spine. Lumbar HU correlated better than cervical and thoracic HU with BMD as measured on DXA. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - July 30, 2021 Category: Surgery Tags: Primary Research Source Type: research

COVID-19 and Acute Cervical Spinal Cord Injury—Case Report of 2 Patients: Do We Need to Rethink Our Standard Treatment Strategy?
Conclusions: Nationwide database of COVID-positive patients with acute spinal cord injury should be collected and analyzed to better understand how to manage acute SCI in the COVID-19 era. The authors recommend preoperative discussion in patients with acute cervical SCI with COVID-19, specifically emphasizing the increased risk of respiratory complications and mortality. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - July 30, 2021 Category: Surgery Tags: Primary Research Source Type: research

The Efficacy of Lumbar Hybrid Fusion for the Prevention of Adjacent Segment Disease: Fact or Artifact? A Meta-analysis
Conclusions: Hybrid lumbar surgery decreased the incidence of early-onset ASDeg for about 2 years of follow-up. Among the hybrid constructs, the interspinous devices group accomplished favorable results with a lower risk. Adjacent segment disease was not as statistically significant as ASDeg, but adjacent segment disease may show a substantial difference for>2-year follow-up. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - July 30, 2021 Category: Surgery Tags: Systematic Reviews and Meta-Analyses Source Type: research

The Management of Acute Lumbar Stress Reactions of the Pedicle and Pars in Professional Athletes Playing Collision Sports
Acute stress reactions in the lumbar spine most commonly occur in athletes at the pars interarticularis followed by the pedicle. These reactions occur as a result of repetitive microtrauma from supraphysiological loads applied to the lumbar spine. Characteristic motions such as trunk extension and twisting are also thought to play a role and may be sport-specific. Other risk factors include increased lumbar lordosis, hamstring and thoracolumbar fascia tightness, and abdominal weakness. On physical examination, pain is typically reproduced with lumbar hyperextension. Currently, magnetic resonance imaging or nuclear imaging ...
Source: Journal of Spinal Disorders and Techniques - July 30, 2021 Category: Surgery Tags: Narrative Review Source Type: research