Far Lateral/Extraforaminal Approaches for Microdiscectomy and Foraminal Decompression in the Lumbar Spine
We present our preferred approaches for open and minimally invasive techniques to perform extraforaminal decompressions and/or discectomies in the lumbar spine. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - July 30, 2021 Category: Surgery Tags: Surgical Technique Source Type: research

Is Reduction and Fusion Required for High-grade Spondylolisthesis?
No abstract available (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - July 30, 2021 Category: Surgery Tags: Controversies in Spine Surgery Source Type: research

Resident Involvement in Posterior Lumbar Interbody Fusion is Associated With Increased Readmissions and Operative Time, But No Increased Short-term Risks
Study Design: A retrospective cohort study. Objective: The aim was to compare rates of adverse events and additional posterior lumbar interbody fusion (PLIF) cases assisted by residents versus cases performed solely by an orthopedic attending. Summary of Background Data: PLIF is a widely accepted surgical technique for the management of a variety of spinal conditions requiring spinal stabilization and fusion. However, no published studies have assessed the effects of resident involvement on intraoperative and postoperative outcomes in PLIF. Methods: This retrospective study utilized the American Co...
Source: Journal of Spinal Disorders and Techniques - July 1, 2021 Category: Surgery Tags: Primary Research Source Type: research

Thoracic Kyphosis and Lumbar Lordosis Distribution After Idiopathic Scoliosis Correction Using Posterior Hybrid Versus Screw Instrumentation
Study Design: This was a retrospective observational study. Objective: The aim of this study was to evaluate kyphosis and lordosis distribution, inflexion points, and the relationship with proximal junctional kyphosis (PJK) comparing hybrid instrumentation (in situ contouring, derotation) versus screw instrumentation (thoracic cantilever reduction, lumbar in situ contouring, and derotation). Summary of Background Data: The combination of reduction techniques aims at restoring the levels of lumbar apex and thoracolumbar inflexion point according to Roussouly alignment types. This approach could minimize th...
Source: Journal of Spinal Disorders and Techniques - July 1, 2021 Category: Surgery Tags: Primary Research Source Type: research

Association Between Postoperative Fever and Readmission Rates in Lumbar Fusion Patients
This study evaluates the impact of postoperative fever on the rate of readmission among lumbar fusion patients. Summary of Background Data: Postoperative fever is a common event across surgical specialties that often triggers an extensive work-up that can significantly increase hospital costs and length of stay, although the results are usually negative for infection. There is a paucity of literature studying postoperative fever in lumbar fusion patients. Materials and Methods: A retrospective chart review of all the patients who underwent elective posterior lumbar spinal fusion from January, 2018 to November...
Source: Journal of Spinal Disorders and Techniques - July 1, 2021 Category: Surgery Tags: Primary Research Source Type: research

The Rare Occurrence of Reoperation After Cervical Laminoplasty: A 14-Year Retrospective Review of Reoperative Rates at a Single Institution
Study Design: Retrospective cohort study. Objective: To determine the rate of recurrent or adjacent-level stenosis requiring reoperation after single-door cervical laminoplasty for spondylotic myelopathy at our institution. Summary of Background Data: Adjacent-level stenosis requiring reoperation is a commonly evaluated condition for anterior or posterior arthrodesis, however, there are few studies that evaluate adjacent-level stenosis in the case of cervical laminoplasty. Methods: Retrospective review of adults undergoing cervical laminoplasty for spondylotic myelopathy between January 2005 and Ma...
Source: Journal of Spinal Disorders and Techniques - July 1, 2021 Category: Surgery Tags: Primary Research Source Type: research

Evaluating Social Media Use Among Active American Members of the Cervical Spine Research Society
Conclusions: As social media becomes even more common place and the role of it in medical care continues to be better defined, there is notable room for increased social media use among active American members of the CSRS. Level of Evidence: Level IV—observational study. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - July 1, 2021 Category: Surgery Tags: Primary Research Source Type: research

Does Local Steroid Reduce Dysphagia After Cervical Disc Replacement? A Prospective, Randomized, Placebo-controlled, Double-blinded Study
Conclusions: This study provides level 1 evidence that the use of intraoperative locally administered Depo-Medrol significantly reduces the incidence and severity of dysphagia within the first week after CDR surgery. The use of local steroid may provide patients undergoing CDR surgery with a more pleasant early recovery experience with respect to dysphagia. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - July 1, 2021 Category: Surgery Tags: Primary Research Source Type: research

Unilateral Biportal Endoscopy Versus Tubular Microendoscopy in Management of Single Level Degenerative Lumbar Canal Stenosis: A Prospective Study
Study Design: Prospective clinical study. Summary of Background Data: To the authors knowledge, there are no previous prospective studies to test the feasibility of the unilateral biportal endoscopic (UBE) technique in management of lumbar canal stenosis. Purpose: The study was conducted to compare clinical results of the UBE technique with the tubular microendoscopic (TME) surgery for management of degenerative lumbar canal stenosis. Methods: One hundred fifty-four cases of single level degenerative lumbar canal stenosis were randomly divided into 2 groups. Each group consisted of 77 cases: one gr...
Source: Journal of Spinal Disorders and Techniques - July 1, 2021 Category: Surgery Tags: Primary Research Source Type: research

Revision Surgery of Total Lumbar Disk Replacement: Review of 48 Cases
Conclusions: Posterior osteoarthritis was the principal cause of recurrent LBP in failed TDR. The anterior approach for revision carried a major vascular risk, whereas a simple posterior instrumented fusion leads to the same clinical results. Level of Evidence: Level IV. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - July 1, 2021 Category: Surgery Tags: Primary Research Source Type: research

Surgical Treatment for Cervical Spine Fracture in Patients With Ankylosing Spondylitis: Single Posterior Approach or Combined Anterior-posterior Approach?
Study Design: A retrospective single-center study. Objective: We aimed to compare the clinical outcomes of cervical spine fracture accompanied with ankylosing spondylitis (ASCSF) treated by single posterior approach (PA) and combined anterior-posterior approach (CA) for patients who were followed up for>1 year, Summary of Background Data: For ASCSF patients, surgical treatment has been widely accepted as a recommendable therapeutic option. But the optimal surgical approach is still under controversy, and few studies have focused on the comparison between PA and CA. Materials and Methods: From Febru...
Source: Journal of Spinal Disorders and Techniques - July 1, 2021 Category: Surgery Tags: Primary Research Source Type: research

Predictors of Medical Malpractice Outcomes After Spine Surgery: A Comprehensive Analysis From 2010 to 2019
Study Design: Retrospective review of spine surgery malpractice cases. Objectives: The aim was to compare medical malpractice outcomes among different types of spine surgery and identify predictors of litigation outcomes. Summary of Background Data: Spine surgery is highly litigious in the United States with data suggesting favorable outcomes for defendant surgeons. However, factor specific data and explanations for plaintiff verdicts are lacking. Methods: Westlaw legal database was queried for spine surgery malpractice outcomes from 2010 to 2019. Clinical data, reasons for litigation, and legal ou...
Source: Journal of Spinal Disorders and Techniques - July 1, 2021 Category: Surgery Tags: Primary Research Source Type: research

Timing of Surgical Intervention for Dysphagia in Patients With Diffuse Idiopathic Skeletal Hyperostosis: A Systematic Review and Meta-Analysis
The objective was (1) to measure rates of successful resolution of dysphagia in patients after undergoing surgical intervention for diffuse idiopathic skeletal hyperostosis (DISH); and (2) to determine if older age, longer duration of preoperative symptoms, or increased severity of disease was correlated with unsuccessful surgical intervention. Summary of Background Data: DISH, also known as Forestier disease, is an enthesopathy affecting up to 35% of the elderly population. Many patients develop osteophytes of the anterior cervical spine, which contribute to chronic symptoms of dysphagia causing debilitating weight...
Source: Journal of Spinal Disorders and Techniques - July 1, 2021 Category: Surgery Tags: Systematic Reviews and Meta-Analyses Source Type: research

Artificial Intelligence and the Future of Spine Surgery: A Practical Supplement to Modern Spine Care?
No abstract available (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - July 1, 2021 Category: Surgery Tags: Controversies in Spine Surgery Source Type: research

A Current Update on Pelvifemoral Conditions That Should be in the Differential Diagnosis for Patients With Lower Extremity Radiculopathy
Patients presenting to an outpatient spine clinic frequently report symptoms of low back pain with associated buttock, groin, and lower extremity pain. While many of these individuals suffer from lumbar spine radiculopathy, a number of different orthopedic pathologies can mimic these symptoms. Management depends substantially on a detailed history and physical examination, in addition to working from a broad list of differential diagnoses when evaluating these patients. It is imperative that spine practitioners have a comprehensive understanding of the differential diagnoses that may mimic those originating from the lumbar...
Source: Journal of Spinal Disorders and Techniques - July 1, 2021 Category: Surgery Tags: Narrative Review Source Type: research