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.Performing Lumbosacral Transdiscal Fixation: The Boachie Screw Technique
Transdiscal screw fixation through the Boachie screw technique at the lumbosacral junction is a well-accepted procedure in the treatment of high-grade spondylolisthesis. This technique allows for partial reduction of the spondylolisthesis, decompression of the neural elements, and reliable posterior lumbosacral fixation. When performed properly, this procedure produces reliable results and high rates of arthrodesis with relief of preoperative neurological symptoms. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - June 1, 2022 Category: Surgery Tags: Surgical Techniques Source Type: research
Thecal Transection and Canal Fusion With Structural Allograft for Refractory Charcot Spinal Arthropathy: Technical Note
We report on a technique of thecal transection and canal fusion with structural allograft as a salvage technique for refractory cases of Charcot spinal arthropathy. We illustrate the technique with 4 procedures done in 3 patients, over a period of 10 years. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - June 1, 2022 Category: Surgery Tags: Surgical Techniques Source Type: research
Coronal Alignment in Adult Spinal Deformity Surgery: Definitions, Measurements, Treatment Algorithms, and Impact on Clinical Outcomes
The objectives of the current narrative review were to (1) define coronal alignment and discuss existing measurements; (2) report the incidence and prevalence of coronal malalignment (CM); (3) discuss the impact of CM on clinical outcomes; and (4) describe our preferred treatment algorithm of surgical correction of CM in ASD. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - June 1, 2022 Category: Surgery Tags: Narrative Review Source Type: research
Surgical Releasing for Severe and Rigid Scoliosis: Posterior Approach is Better than Anterior Approach
No abstract available (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - June 1, 2022 Category: Surgery Tags: Controversies in Spine Surgery Source Type: research
Should Annular Closure Devices Be Utilized to Reduce the Risk of Recurrent Lumbar Disk Herniation?
No abstract available (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - June 1, 2022 Category: Surgery Tags: Controversies in Spine Surgery Source Type: research
Postoperative C5 Palsy Following Cervical Laminectomy With Instrumented Fusion Versus Cervical Laminoplasty With Reconstruction: Single Surgeon and National Inpatient Cohort Analyses
The objective of this study was to investigate whether cervical laminectomy with instrumented fusion (LF) and cervical laminoplasty with reconstruction (LP) are associated with different rates C5 palsy (C5P) at 1-month follow-up in a single surgeon and nationally representative cohort.
Summary of Background Data:
LF and LP both carry a well-known risk of nerve root injury that most commonly presents as C5P which can reduce patient satisfaction, patient function, and impede patient recovery. The procedure type that is more frequently associated with C5P remains largely unclear.
Methods:
We identified patients ...
Source: Journal of Spinal Disorders and Techniques - May 1, 2022 Category: Surgery Tags: Cervical Spine Research Society Focus Issue: Primary Research Source Type: research
Racial Differences in Patients Undergoing Anterior Cervical Discectomy and Fusion: A Multi-Site Study
Conclusions:
As hypothesized, and consistent with previous literature on racial surgical disparities, AA race was associated with increased LOS, increased operative times, and increased indication of myelopathy in this study. Additional research is necessary to evaluate the underlying social determinants of health and other factors that may contribute to this study’s results.
Level of Evidence:
Level III. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - May 1, 2022 Category: Surgery Tags: Cervical Spine Research Society Focus Issue: Primary Research Source Type: research
Cervical Disc Replacement for Radiculopathy Versus Myeloradiculopathy: An MCID Analysis
Conclusions:
The percentage of patients achieving the MCID was not significantly different at each postoperative period assessed in the radiculopathy and myeloradiculopathy groups treated with CDR. In addition, the percentage of patients achieving the MCID continued to increase from 6 weeks to final follow-up in both groups for almost all PROs assessed. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - May 1, 2022 Category: Surgery Tags: Cervical Spine Research Society Focus Issue: Primary Research Source Type: research
Cervical Total Disk Replacement: Available Implant Size Matters
This study was a post hoc analysis of data collected from 2 Food and Drug Administration (FDA) Investigational Device Exemption (IDE) trials.
Objective:
The purposes of this study were to: (1) measure disk space heights adjacent to the level to be treated with a total disk replacement (TDR); (2) analyze cervical disk space heights to be replaced with TDR; and (3) investigate the frequency of use of a smaller height TDR when available.
Summary of Background Data:
Cervical TDR produces outcomes noninferior or superior to anterior cervical discectomy and fusion. While the restoration of the height of a collapsed...
Source: Journal of Spinal Disorders and Techniques - May 1, 2022 Category: Surgery Tags: Cervical Spine Research Society Focus Issue: Primary Research Source Type: research
Stand-Alone Cage Versus Anterior Plating for 1-Level and 2-Level Anterior Cervical Discectomy and Fusion: A Randomized Controlled Trial
Conclusion:
There was greater incidence of transient postoperative dysphagia in both single and 2-level PLATE cohorts. However, early postoperative outcomes were worse for 2-level CAGE in certain patient-reported metrics. This suggests that although anterior instrumentation may be associated with a higher likelihood of dysphagia, it may also lead to higher short-term stability and improved patient-reported outcomes for 2-level fusion. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - May 1, 2022 Category: Surgery Tags: Cervical Spine Research Society Focus Issue: Primary Research Source Type: research
Surgical Treatment of Single Level Cervical Radiculopathy: A Comparison of Anterior Cervical Decompression and Fusion (ACDF) Versus Cervical Disk Arthroplasty (CDA) Versus Posterior Cervical Foraminotomy (PCF)
Conclusions:
All 4 treatment options confer good clinical results on patients for cervical radiculopathy. Intraoperative and postoperative complications were low and comparable in all 4 groups. MI-PCF had the shortest surgical time and length of hospital stay. More CDA patients achieved MCID in NDI compared with the others, and the rate for additional surgery at 2 years was lowest in the CDA group. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - May 1, 2022 Category: Surgery Tags: Cervical Spine Research Society Focus Issue: Primary Research Source Type: research
Mechanical Analysis of 3 Posterior Fusion Assemblies Intended to Cross the Cervicothoracic Junction
Conclusions:
The results of this study indicate that incorporating a 5.5 mm rod in a fusion assembly adds significant stiffness to the construct. When the stability of a fusion is of heightened concern, as demonstrated by the ASTM F1717 vertebrectomy (worst-case scenario) model, including 5.5 mm rods may increase fusion success rates.
Level of Evidence:
Level V. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - May 1, 2022 Category: Surgery Tags: Cervical Spine Research Society Focus Issue: Primary Research Source Type: research
Do Inflammatory Cytokines Affect Patient Outcomes After ACDF?
Study Design:
Prospective cohort study.
Objective:
The aim was to determine the relationship between serum inflammatory mediators, preoperative cervical spine disease severity, and clinical outcomes after anterior cervical discectomy and fusion (ACDF).
Summary of Background Data:
Given the role of the inflammatory cascade in spinal degenerative disease, it has been hypothesized that inflammatory markers may serve as a predictor of patient outcomes after surgery.
Materials and Methods:
All patients over age 18 who underwent ACDF for cervical spondylosis with associated radiculopathy and/or myelopath...
Source: Journal of Spinal Disorders and Techniques - May 1, 2022 Category: Surgery Tags: Cervical Spine Research Society Focus Issue: Primary Research Source Type: research
Discharge to Rehabilitation Predicts Increased Morbidity in Patients Undergoing Posterior Cervical Decompression and Fusion
Study Design:
Retrospective cohort study.
Objective:
The aim was to compare 30-day readmission and postdischarge morbidity for posterior cervical decompression and fusion (PCDF) in patients who were discharged to home versus rehabilitation.
Summary of Background Data:
An increasing number of patients are being discharged to postacute inpatient care facilities following spine surgery. However, little research has been performed to evaluate the effect of this trend on short-term outcomes.
Materials and Methods:
Patients who underwent PCDF from 2011 to 2018 were identified using the National Surgical ...
Source: Journal of Spinal Disorders and Techniques - May 1, 2022 Category: Surgery Tags: Cervical Spine Research Society Focus Issue: Primary Research Source Type: research
Racial Differences in Iliac Crest Cancellous Bone Composition: Implications for Preoperative Planning in Spinal Fusion Procedures
The objective of this study was to determine whether race, specifically American white and American black, correlates with the ratio of cancellous to total bone at the iliac crest.
Summary of Background Data:
Studies have demonstrated higher proximal femur bone density in American blacks than American whites. However, whether differences occur at the iliac crest, a common site for autologous graft material in spinal fusion surgery, is not well studied. Understanding such differences could aid orthopedic surgeon decision-making regarding graft options.
Materials and Methods:
A retrospective review was performe...
Source: Journal of Spinal Disorders and Techniques - March 30, 2022 Category: Surgery Tags: Primary Research Source Type: research
