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.

Adult Isthmic Spondylolisthesis: A Radiographic and Outcomes Analysis Comparing Circumferential Fusions Versus TLIF Procedures
The objective of this study was to compare radiographic and patient-reported outcome measures (PROMs) between circumferential fusions and transforaminal lumbar interbody fusion (TLIF) for adult isthmic spondylolisthesis (IS). Summary of Background Data: Definitive management of adult IS typically requires decompression and fusion. Multiple fusion techniques have been described, but literature is sparse in identifying the optimal technique. Methods: Patients with IS undergoing single-level or 2-level circumferential fusion or TLIF with a minimum 1-year follow-up were included. Patient demographics, surgical ch...
Source: Journal of Spinal Disorders and Techniques - September 30, 2022 Category: Surgery Tags: Primary Research Source Type: research

Surgical Realignment After Anterior Multilevel Decompression Using Cages and Plate for 3-level to 5-level Degenerative Fusions: Lessons Learned From the Analysis of Geometric Changes, Reciprocal Coupling, and Prediction of Sagittal Cervical Balance
Study Design: Retrospective, single-center case study. Objective: Postoperative cervical imbalance with cervical sagittal vertical axis (cSVA)>4 cm can be predicted in 3-level to 5-level anterior-only cervical multilevel fusion surgery (ACMS). Summary of Background Data: Previous studies established correlations between cervical kyphosis (CK) correction and postoperative balance (cSVA ≤4 cm) with improved clinical outcomes. Understanding of what influences restoration of cervical lordosis (CL) in patients with degenerative disease with mild to moderate CK subjected to ACMS is important. To achieve a...
Source: Journal of Spinal Disorders and Techniques - September 30, 2022 Category: Surgery Tags: Primary Research Source Type: research

Rating Spine Surgeons: Physician Review Websites Versus a Patient-reported Outcomes–derived Ranking
Conclusions: While PRWs are often used to evaluate surgeon competency, these results demonstrate they poorly correlate with a surgeon’s clinical ability measured by PROs. PRWs should be used with caution when making health care decisions by patients, payers, and administrators. Level of Evidence: Level III. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - September 30, 2022 Category: Surgery Tags: Primary Research Source Type: research

Simulated Bundled Payments for 4 Common Surgical Approaches to Treat Degenerative Cervical Myelopathy: A Consideration to Break the Clinical Equipoise
Conclusion: In a national cohort of patients undergoing surgery for DCM, LP had the lowest complication rate, and simulated bundled reimbursements at 90 days and 2 years postoperatively. The lowest quartile 90-day payment for LF was more expensive than median amounts for mACDF, ACCF, and LP. If surgeons encounter scenarios of clinical equipoise in practice, LP is likely to result in maximum value as it is on an average 70% less expensive than LF over 90 days. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - September 30, 2022 Category: Surgery Tags: Primary Research Source Type: research

Does Total Hip Arthroplasty Affect Spinopelvic and Spinal Alignment?: A Prospective Observational Investigation
Study Design: A prospective observational study, level of evidence 3. Objectives: The study with patients undergoing unilateral total hip arthroplasty (THA) aimed to evaluate the following hypotheses: (1) the spinal sagittal and coronal alignment alters due to THA, (2) the spinopelvic parameter changes after THA, (3) the spinopelvic alignment differs between sagittal balanced and imbalanced patients. Summary of Background Data: Surgical correction of spinal sagittal misalignment affects the spinopelvic alignment and pelvic tilt. It is not yet known to what extent THA affects spinopelvic, spinal sagittal, ...
Source: Journal of Spinal Disorders and Techniques - September 30, 2022 Category: Surgery Tags: Primary Research Source Type: research

Should Posterior Midline Structures Be Preserved in Decompression Surgery for Lumbar Spinal Stenosis?: A Systematic Review and Meta-analysis
Study Design: This was a systematic review and meta-analysis study. Objective: The purpose of this study is to evaluate the available evidence on the preservation of posterior midline structures in decompression surgery for lumbar spinal stenosis (LSS). Summary of Background Data: The gold-standard treatment for LSS refractory to conservative management is facet-preserving laminectomy. The question remains whether the midline structures should be preserved in decompression surgery for LSS. Materials and Methods: We performed a systematic review of the Medline, PubMed, Embase, and Cochrane databases...
Source: Journal of Spinal Disorders and Techniques - September 30, 2022 Category: Surgery Tags: Systematic Reviews and Meta-Analyses Source Type: research

Ergonomics in Spine Surgery
As physician burnout and wellness become increasingly recognized as vital themes for the medical community to address, the topic of chronic work-related conditions in surgeons must be further evaluated. While improving ergonomics and occupational health have been long emphasized in the executive and business worlds, particularly in relation to company morale and productivity, information within the surgical community remains relatively scarce. Chronic peripheral nerve compression syndromes, hand osteoarthritis, cervicalgia and back pain, as well as other repetitive musculoskeletal ailments affect many spinal surgeons. The ...
Source: Journal of Spinal Disorders and Techniques - September 30, 2022 Category: Surgery Tags: Narrative Review Source Type: research

Intraoperative Triggered Electromyography: Indispensable in Routine Lumbar Fusions?
No abstract available (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - September 30, 2022 Category: Surgery Tags: Controversies in Spine Surgery Source Type: research

Comparison of Fusion Rate and Functional Outcome Between Local Cancellous Bone Plus Demineralized Bone Matrix and Local Bone in 1-Level Posterior Lumbar Interbody Fusion
Conclusions: In 1-level PLIF for degenerative lumbar disease, better fusion rate was observed in the group that used only cancellous bone from local bone plus DBM than that in the group that used local bone; however, there was no difference in fusion grade change over time in the 2 groups. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - July 30, 2022 Category: Surgery Tags: Primary Research Source Type: research

Variation of Global Sagittal Alignment Parameters According to Gender, Pelvic Incidence, and Age
Conclusion: Translation parameters increase with age, more prominently in males and high PI. Variations of inclination parameters are smaller. Pelvic compensation parameters and GSA increase with age and are closely related to PT and spinopelvic morphology. Level of Evidence: Level III. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - July 30, 2022 Category: Surgery Tags: Primary Research Source Type: research

Risk Assessment of Anterior Lumbar Interbody Fusion Access in Degenerative Spinal Conditions
Study Design: This was a retrospective cohort study. Objective: Develop an evidence-based preoperative risk assessment scoring system for patients undergoing anterior lumbar interbody fusion (ALIF). Summary of Background Data: ALIF may hold advantages over other fusion techniques in sagittal restoration and fusion rates, though it introduces unique risks to vascular and abdominal structures and thus possibly increased risk of operative morbidity. Methods: Primary, 1 or 2-level ALIFs were identified in a surgical registry. Baseline characteristics were recorded. Axial magnetic resonance imagings at ...
Source: Journal of Spinal Disorders and Techniques - July 30, 2022 Category: Surgery Tags: Primary Research Source Type: research

Analysis of the Frequency, Characteristics, and Reasons for Termination of Spine-related Clinical Trials
Study Design: Cross-sectional analysis of completed and terminated spine-related clinical trials in the ClinicalTrials.gov registry. Objective: The aim was to quantify completed and terminated spine-related clinical trials, assess reasons for termination, and determine predictors of termination by comparing characteristics of completed and terminated trials. Summary of Background Data: Clinical trials are key to the advancement of products and procedures related to the spine. Unfortunately, trials may be terminated before completion. ClinicalTrials.gov is a registry and results database maintained by the ...
Source: Journal of Spinal Disorders and Techniques - July 30, 2022 Category: Surgery Tags: Primary Research Source Type: research

Short-Segment Pedicle Fixation of Traumatic Low Lumbar Fractures (L3–L5): Report of 36 Cases
Conclusions: This large series provides information regarding the safety and efficacy of surgical management of low lumbar fractures with pedicle fixation. Following surgery, there was no neurological worsening and some patients regained neurological function. Low complication rates, low reoperation rates, and low pain levels at final follow-up provide evidence that the surgical management of low lumbar fractures utilizing short-segment pedicle fixation is safe and efficacious. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - July 30, 2022 Category: Surgery Tags: Primary Research Source Type: research

Factors Which Predict Adverse Outcomes in Anterior Cervical Discectomy and Fusion Procedures in the Nonelderly Adult Population
Study Design: Retrospective cohort. Objective: The largest published cohort of anterior cervical discectomy and fusion (ACDF) patients was queried to better characterize demographic and operative factors that predict 90-day complication and 2-year reoperation risk. Summary of Background Data: The MarketScan Database was queried from 2007 to 2016 to identify adult patients until 65 years, who underwent an ACDF procedure using International Classification of Diseases 9th Version (ICD-9) and Current Procedural Terminology (CPT) codes. MarketScan is a national insurance claims database that contains millions ...
Source: Journal of Spinal Disorders and Techniques - July 30, 2022 Category: Surgery Tags: Primary Research Source Type: research

Influence of Preoperative Severity on Postoperative Improvement Among Patients With Myeloradiculopathy Following Anterior Cervical Discectomy and Fusion
Study Design: Retrospective cohort. Objective: The aim was to determine how neck pain and disability improve following anterior cervical discectomy and fusion among patients with myeloradiculopathy. Summary of Background Data: Neck pain and disability have traditionally been assessed using the neck disability index (NDI) and visual analog scale (VAS). Few studies have investigated how neck pain/disability improve differently among patients with symptoms of both myelopathy and radiculopathy. Methods: Patients were identified through retrospective review of a prospective surgical database from 2013 t...
Source: Journal of Spinal Disorders and Techniques - July 30, 2022 Category: Surgery Tags: Primary Research Source Type: research