Vertebral Body Lipoma: An Unusual Pathology Treated With Kyphoplasty
Conclusion. We believe that the management should be surgical total removal of the lesion even in incidentally found cases in order to obtain histologic diagnosis and pain relief. Level of Evidence: 5 (Source: Spine)
Source: Spine - September 18, 2018 Category: Orthopaedics Tags: Case Report Source Type: research

Management of Sacrococcygeal Chordoma: A Systematic Review and Meta-analysis of Observational Studies
Conclusion. Sacrococcygeal chordoma is a difficult to treat disease entity. Until comparative studies become available, wide surgical resection and multidisciplinary management are the recommended approaches to improve patient outcomes. Level of Evidence: 3 (Source: Spine)
Source: Spine - September 18, 2018 Category: Orthopaedics Tags: Literature Review Source Type: research

Prevalence of Preoperative Lower Urinary Tract Symptoms in Patients Undergoing Elective Lumbar Spine Surgery
Conclusion. Moderate-to-severe LUTS were highly prevalent in this sample. Urinary symptoms are more prevalent with increasing age, in women, and in patients with stenosis, spondylolisthesis, and scoliosis. Proportionally, fewer patients reported clinically significant urinary bother, which may impact patient reporting and physician identification of urinary symptoms. Level of Evidence: 3 (Source: Spine)
Source: Spine - September 18, 2018 Category: Orthopaedics Tags: Epidemiology Source Type: research

Upper Instrumented Vertebrae (UIV) Tilt Angle Is an Important Postoperative Radiological Parameter That Correlates With Postoperative Neck and Medial Shoulder Imbalance
Study Design. Retrospective study. Objective. To investigate the association between postoperative upper instrumented vertebrae (UIV) tilt angle with postoperative medial shoulder and neck imbalance. Summary of Background Data. Studies had found that current recommendations for UIV selection were not predictive of good postoperative shoulder balance. Methods. A total of 98 patients with adolescent idiopathic scoliosis with Lenke 1/2 curves who underwent posterior spinal fusion between 2013 and 2014 with minimum follow-up of 2 years were recruited. Radiological parameters: UIV tilt angle, T1 tilt, cervical axis, ...
Source: Spine - September 18, 2018 Category: Orthopaedics Tags: Deformity Source Type: research

Impact of Multilevel Facetectomy and Rod Curvature on Anatomical Spinal Reconstruction in Thoracic Adolescent Idiopathic Scoliosis
Study Design. A prospective, nonrandomized study. Objective. The aim of this study was to assess surgical outcomes of multilevel facetectomy and rod curvature with simultaneous double-rod rotation technique for anatomical spinal reconstruction in thoracic adolescent idiopathic scoliosis (AIS). Summary of Background Data. Although some surgical techniques maintain or restore thoracic kyphosis (TK), next-generation strategies for thoracic AIS should include corrections in three anatomical planes. Methods. The study included 39 consecutive patients with Lenke 1 or Lenke 2 thoracic AIS treated at our institution. Af...
Source: Spine - September 18, 2018 Category: Orthopaedics Tags: Deformity Source Type: research

Changes in Lumbar Endplate Area and Concavity Associated With Disc Degeneration
Study Design. Retrospective image-based analysis. Objective. To measure endplate three-dimensional (3D) geometry, endplate changes in vivo and to investigate correlations between disc degeneration and endplate 3D geometry dependent on symptoms of low back pain (LBP). Summary of Background Data. It has been hypothesized that alteration of load transmission from the nucleus pulposus to the annulus fibrosus affects vertebral endplate geometry. Methods. 3D surface models of inferior/superior lumbar endplates were created from computed tomography scans of n = 92 volunteers with and without LBP. Disc degeneration ...
Source: Spine - September 18, 2018 Category: Orthopaedics Tags: Biomechanics Source Type: research

The Influence of Concordant Complex Posture and Loading Rate on Motion Segment Failure: A Mechanical and Microstructural Investigation
Conclusion. This study confirms that adding shear to the posture lowers the load at failure, and causes alternate lamella rupture. Load at failure in a complex posture is not determined by loading rate alone. Rather, the strain rate–dependent properties of the disc influence which elements of the system are brought into play. Level of Evidence: N/A (Source: Spine)
Source: Spine - September 18, 2018 Category: Orthopaedics Tags: Biomechanics Source Type: research

The Development of Kyphosis and Lordosis in the Growing Spine
Study Design. A longitudinal cohort study. Objective. The aim of this study was to do the analysis of the development of kyphosis and lordosis in the growing spine. Summary of Background Data. Previous studies have measured kyphosis and lordosis in different ways with differing techniques. None of the previous literature has a truly longitudinal design and there is disagreement as to whether there exists a difference between the development of kyphosis and lordosis between males and females. Methods. Repeated measures using Integrated Shape Imaging System Integrated Shape Imaging System 2 surface topography over...
Source: Spine - September 18, 2018 Category: Orthopaedics Tags: Anatomy Source Type: research

Selective Anterior Lumbar Interbody Fusion for Low Back Pain Associated With Degenerative Disc Disease Versus Nonsurgical Management
Conclusion. Selective ALIF limited to one or two levels in the lower lumbar spine provided improved pain and function when compared with continued nonsurgical care. ALIF may be a safe and effective treatment for low back pain associated with disc degeneration in select patients who fail nonsurgical management. Level of Evidence: 3 (Source: Spine)
Source: Spine - September 18, 2018 Category: Orthopaedics Tags: Surgery Source Type: research

Impact of Psychiatric Comorbidities on Short-Term Outcomes Following Intervention for Lumbar Degenerative Disc Disease
Study Design. Retrospective, observational cohort study. Objective. To investigate the impact of psychiatric diseases on short-term outcomes in patients undergoing fusion surgery for lumbar degenerative disc disease (LDDD). Summary of Background Data. Limited literature exists on the prevalence and impact of psychiatric comorbidities on outcomes in patients undergoing surgery for LDDD. Methods. Adult patients (>18 yr) registered in the Nationwide Inpatient Sample database (2002–2011) and undergoing an elective spine fusion for LDDD that met inclusion criteria formed the study population. Defined primary...
Source: Spine - September 18, 2018 Category: Orthopaedics Tags: Surgery Source Type: research

Correlation of Functional Outcomes and Sagittal Alignment After Long Instrumented Fusion for Degenerative Thoracolumbar Spinal Disease
Conclusion. Postoperative functional outcomes were highly impacted by the spinopelvic sagittal alignment. Level of Evidence: 4 (Source: Spine)
Source: Spine - September 18, 2018 Category: Orthopaedics Tags: Surgery Source Type: research

Oral Presentations Have a Significantly Higher Publication Rate, But Not Impact Factors, Than Poster Presentations at the International Society for Study of Lumbar Spine meeting: Review of 1,126 Abstracts From 2010 to 2012 Meetings
Conclusion. The publication rate for abstracts presented at ISSLS meetings was high and similar to publication rates for abstracts presented at other meetings concerning orthopedic and spine research. However, there was no significant difference in IFs between oral and poster presentations, suggesting that abstract evaluations cannot predict IFs of the eventual publication. Level of Evidence: 4 (Source: Spine)
Source: Spine - September 18, 2018 Category: Orthopaedics Tags: Literature Review Source Type: research

Association of Patient-Reported Narcotic Use With Short- and Long-Term Outcomes After Adult Spinal Deformity Surgery: Multicenter Study of 425 Patients With 2-year Follow-up
Study Design. Retrospective analysis of a prospective registry Objective. To investigate associations of preoperative narcotic use with outcomes after adult spinal deformity (ASD) surgery. Summary of Background Data. We hypothesized that preoperative narcotic use would predict longer hospital stays, greater postoperative narcotic use, and greater disability 2 years after ASD surgery. Methods. A multicenter database of surgical ASD patients was analyzed retrospectively for patients with self-reported data on preoperative narcotic use. Patients were categorized as using narcotics daily or non-daily (including thos...
Source: Spine - September 18, 2018 Category: Orthopaedics Tags: Health Services Research Source Type: research

Point of View Commentary on “Preoperative Chronic Opioid Therapy: a Risk Factor for Complications, Readmission, Continued Opioid Use and Increased Costs After One- and Two-level Posterior Lumbar Fusion”
No abstract available (Source: Spine)
Source: Spine - September 18, 2018 Category: Orthopaedics Tags: Clinical Case Series Source Type: research

Preoperative Chronic Opioid Therapy: A Risk Factor for Complications, Readmission, Continued Opioid Use and Increased Costs After One- and Two-Level Posterior Lumbar Fusion
Conclusion. Preoperative COT is a modifiable risk factor for complications, readmission, adverse events, and increased costs after one- or two-level PLF. Level of Evidence: 3 (Source: Spine)
Source: Spine - September 18, 2018 Category: Orthopaedics Tags: Clinical Case Series Source Type: research

Flexion-Relaxation Phenomenon in Children and Adolescents With and Without Nonspecific Chronic Low Back Pain: An Electromyographic and Kinematic Cross-Sectional Comparative Study
Conclusion. These results are not consistent with the literature on adults and could lead to modified therapeutic management of NSCLBP in children and adolescents. Level of Evidence: 3 (Source: Spine)
Source: Spine - September 18, 2018 Category: Orthopaedics Tags: Biomechanics Source Type: research

Effectiveness and Downstream Healthcare Utilization for Patients That Received Early Physical Therapy Versus Usual Care for Low Back Pain: A Randomized Clinical Trial
Conclusion. There was no difference between usual care and early PT after 1 year. PT provided greater improvement in disability after 4 weeks. As both groups improved, the impact of the education may have been underestimated. Patients in the PT group utilized greater back-pain-related healthcare resources, but overall healthcare costs did not differ compared to UC. Level of Evidence: 2 (Source: Spine)
Source: Spine - September 18, 2018 Category: Orthopaedics Tags: Randomized Trial Source Type: research

“Afternoon Close to Sea in Peloponnesus, Greece”
No abstract available (Source: Spine)
Source: Spine - September 18, 2018 Category: Orthopaedics Tags: Imagery Source Type: research

Iliac Crest Bone Graft for Minimally Invasive Transforaminal Lumbar Interbody Fusion: A Prospective Analysis of Inpatient Pain, Narcotics Consumption, and Costs
Study Design. Retrospective Analysis Objective. The aim of this study was to determine whether an association between increased acute pain, postoperative time, and direct hospital costs exists between the use of iliac crest bone grafting (ICBG) and bone morphogenic protein (BMP)-2 following a primary, single-level minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). Summary of Background Data. ICBG has been associated with enhanced fusion rates. Concerns have been raised in regards to increased operative time and postoperative pain. The advantages of ICBG compared to other spinal fusion adjuncts ha...
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Surgery Source Type: research

Point of View on: “Predicting Likelihood of Surgery Prior to First Visit in Patients With Back and Lower Extremity Symptoms”: “A Simple Mathematical Model Based on Over 8,000 Patients”
No abstract available (Source: Spine)
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Surgery Source Type: research

Predicting Likelihood of Surgery Before First Visit in Patients With Back and Lower Extremity Symptoms: A Simple Mathematical Model Based on More Than 8,000 Patients
Conclusion. The data-driven triage model and scoring system derived and validated in this study (Spine Surgery Likelihood-11), significantly improved existing processes in predicting the likelihood of undergoing spinal surgery within 1 year of initial presentation. This triage system will allow centers to more selectively screen for surgical candidates and more effectively direct patients to surgeons or nonoperative spine specialists. Level of Evidence: 4 (Source: Spine)
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Surgery Source Type: research

Thromboembolic Events After Traumatic Vertebral Fractures: An Analysis of 190,192 Patients
Conclusion. While the overall rate of VTE is relatively low after vertebral fractures, longer LOS and other defined factors to lesser extents were predisposing factors. By determining patients at greatest risk, protocols to prevent such adverse outcomes can be developed and optimized. Level of Evidence: 3 (Source: Spine)
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Health Services Research Source Type: research

Depression is Closely Associated With Chronic Low Back Pain in Patients Over 50 Years of Age: A Cross-sectional Study Using the Sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-2)
This study was designed to analyze the relationship between the presence and severity of depression and low back pain (LBP) in a representative sample of the general population using a self-report screening questionnaire for depression. Summary of Background Data. There is increasing evidence supporting an association between depression and LBP. However, the degree of the association between these two conditions in the general population is poorly understood. Methods. Health surveys and examinations were conducted on a nationally representative sample (n = 7550) of Koreans. LBP status was determined by a simple s...
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Health Services Research Source Type: research

Gravidity, Parity, and Vertebral Dimensions in the Northern Finland Birth Cohort 1966
Conclusion. Pregnancy, or even multiple pregnancies, do not seem to have long-term effects on vertebral geometry. In order to enhance the prevention of vertebral fractures, future studies should aim to reveal more lifestyle determinants of vertebral size. Level of Evidence: 3 (Source: Spine)
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Epidemiology Source Type: research

Lymphocyte Count at 4 Days Postoperatively: A Reliable Screening Marker for Surgical Site Infection After Posterior Lumbar Decompression Surgery
Study Design. Case-control study. Objective. To identify laboratory markers for surgical site infection (SSI) in posterior lumbar decompression surgery, which are not affected by operative factors, and to determine the diagnostic cutoffs of these markers. Summary of Background Data. Numerous laboratory markers are used for the early detection of SSI; however, these markers may be affected by operative factors. Methods. The study included 182 participants. They were divided into an SSI group (patients who developed deep SSI; n = 8) and a no-SSI group (n = 174). We reviewed data on the C-reactive protein l...
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Diagnostics Source Type: research

Utility of Supine Lateral Radiographs for Assessment of Lumbar Segmental Instability in Degenerative Lumbar Spondylolisthesis
Conclusion. Supine radiograph demonstrates more reduction in anterolisthesis than the extension radiograph. Incorporation of a supine lateral radiograph in place of extension radiograph can improve our understanding of segmental mobility when evaluating degenerative spondylolisthesis. Level of Evidence: 3 (Source: Spine)
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Diagnostics Source Type: research

Management of Early Deep Wound Infection After Thoracolumbar Instrumentation: Continuous Irrigation Suction System versus Vacuum-Assisted Closure System
Conclusion. Thorough debridement followed by CISS or VACS are comparable in treating early DWI after thoracolumbar instrumentation. The CISS treatment was statistically significant in comparison to the VACS treatment in terms of hospital stay and cost. Level of Evidence: 4 (Source: Spine)
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Clinical Case Series Source Type: research

Factors Associated With Spinopelvic Fixation Mechanical Failure After Total Sacrectomy
Conclusion. FRT connection of SPF and ASCF should be adopted in reconstruction after total sacrectomy, especially in female patients. Level of Evidence: 3 (Source: Spine)
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Clinical Case Series Source Type: research

Impact of Frailty and Comorbidities on Surgical Outcomes and Complications in Adult Spinal Disorders
Study Design. Retrospective review of surgically treated 481 adult patients with spinal disorders. Objective. The aim of this study was to elucidate the effect of frailty and comorbidities on postoperative health-related quality of life (HRQoL) and complication rates. Summary of Background Data. Elective surgeries for spinal disorders not only improve clinical outcomes but also have high complication rates. Methods. We retrospectively reviewed the results of consecutive elective spine surgeries for 156 adult spinal deformities (ASDs: 65 ± 9 years), 152 degenerative spondylolisthesis (DS: 64 ±...
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Clinical Case Series Source Type: research

Patient's Subjective Impression of Cervical Range of Motion: A Mixed-methods Approach
Conclusion. There was a significant correlation between patient and therapist ratings of cervical spine mobility. Although patients experience restriction while moving and are impaired in specific activities, they adjust their lifestyle to accommodate their limitations. Level of Evidence: 4 (Source: Spine)
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Cervical Spine Source Type: research

Mortality Rates After Posterior C1–2 Fusion for Displaced Type II Odontoid Fractures in Octogenarians
Conclusion. Posterior C1–2 fusion results in acceptably low mortality rates in octogenarians with unstable type II odontoid fractures when compared to nonoperative management mortality rates in current literature. Initial fracture displacement is associated with higher mortality rate in this patient population. Level of Evidence: 4 (Source: Spine)
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Cervical Spine Source Type: research

A Comprehensive Review of Low-Speed Rear Impact Volunteer Studies and a Comparison to Real-World Outcomes
Conclusion. This study shows that volunteer studies do not under-report symptoms and are sufficient in number to conclude that the risk of injury beyond neck strain under similar conditions is essentially zero. The real-world injury analyses demonstrate that rear impacts do not produce meaningful risks of cervical injury at impacts of similar and greater severity to those of the volunteer research. Future work concerning the mechanism of whiplash-related trauma should focus on impacts of severity greater than those in the current literature. Level of Evidence: 3 (Source: Spine)
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Cervical Spine Source Type: research

Stiffness Matters: Part II—The Effects of Plate Stiffness on Load-Sharing and the Progression of Fusion Following Anterior Cervical Discectomy and Fusion In Vivo
Conclusion. The magnitude of interbody forces in the cervical spine is dynamic and correlates to activity and posture of the head and neck. The magnitude and consistency of forces in the interbody space correlates to plate stiffness with more compliant plates resulting in more consistent load-sharing. The magnitude of interbody forces decreases as fusion matures suggesting that smart interbody implants may be used as a diagnostic tool to indicate the progression of interbody fusion. Level of Evidence: N/A (Source: Spine)
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Biomechanics Source Type: research

Stiffness Matters: Part I—The Effects of Plate Stiffness on the Biomechanics of ACDF In Vitro
Conclusion. A more compliant plate fosters more consistent load-sharing through the entire range of flexion/extension, which may promote faster bone formation and better fusion. A more compliant plate causes less posterior element strain, which may reduce facet joint loads and in turn reduce facet joint arthrosis. An ideal plate may be one that is stiff enough to minimize interbody motion and yet compliant enough to allow consistent load-sharing and minimal increase in posterior element strain. Level of Evidence: N/A (Source: Spine)
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Biomechanics Source Type: research

Sex Specific Sacroiliac Joint Biomechanics During Standing Upright: A Finite Element Study
Conclusion. Female SIJ had higher mobility, stresses, loads, and pelvis ligament strains compared with the male SIJ which led to higher stress across the joint, especially on the sacrum under identical loading conditions. This could be a possible reason for higher incidence of SIJ pain and pelvic stress fracture in females. Level of Evidence: N/A. (Source: Spine)
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Biomechanics Source Type: research

Synchrotron Radiation Imaging Reveals the Role of Estrogen in Promoting Angiogenesis After Acute Spinal Cord Injury in Rats
Study Design. The efficacy of estrogen on vessel angiogenesis in acute spinal cord injury (SCI) in a rat model was evaluated by synchrotron radiation. Objective. Here, we investigate the change in injured spinal cord vessels and used the synchrotron radiation to investigate the effect of estrogen on vessel angiogenesis and functional recovery in a rat model of SCI. Summary of Background Data. The promotion of angiogenesis after SCI may be a therapeutic target in the treatment of SCI. Estrogen has been reported to improve locomotor recovery after SCI. However, how estrogen regulates angiogenesis in acute SCI and enh...
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Basic Science Source Type: research

Anatomical Feasibility of Extradural Transferring S2 and S3 Ventral Roots to S1 Ventral Root for Restoring Neurogenic Bladder in Spinal Cord Injury
Conclusion. This study demonstrated that use of the S2 and S3 VRs for extradural transfer to S1 VR for restoring bladder dysfunction is surgically feasible. Level of Evidence: 5 (Source: Spine)
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Anatomy Source Type: research

Lancet Series: The “Magnum Opus” Regarding the Evidence on Low Back Pain
No abstract available (Source: Spine)
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Editorial Source Type: research

“Night Scene in Taipei”
No abstract available (Source: Spine)
Source: Spine - August 31, 2018 Category: Orthopaedics Tags: Imagery Source Type: research

MRI Characteristics of Spinal Ependymoma in WHO Grade II: A Review of 59 Cases: Erratum
No abstract available (Source: Spine)
Source: Spine - August 16, 2018 Category: Orthopaedics Tags: Erratum Source Type: research

Rheumatoid Arthritis Is Associated With an Increased Risk of Postoperative Infection and Revision Surgery in Elderly Patients Undergoing Anterior Cervical Fusion
Study Design. Retrospective review. Objective. To identify the incidence and analyze the risk of postoperative complications amongst elderly patients with rheumatoid arthritis undergoing anterior cervical fusion. Summary of Background Data. Previous studies have reported elevated risks of postoperative complications for patients with rheumatoid arthritis undergoing orthopedic procedures. However, little is known about the risk of postoperative complications in rheumatoid arthritis patients after spine surgery. Methods. A commercially available database was queried for all Medicare patients 65 years of age and ol...
Source: Spine - August 16, 2018 Category: Orthopaedics Tags: Surgery Source Type: research

Spine Trauma From Personal Watercraft Usage
Conclusion. PWC usage may result in spine fractures with a moderate percentage requiring orthopedic surgery. Additional studies should examine how hull or seat modifications can lessen the risk of axial loads leading to spine fractures. PWC patients with spine fractures should also be evaluated for abdominal/GU and cerebral injuries at presentation. Level of Evidence: 4 (Source: Spine)
Source: Spine - August 16, 2018 Category: Orthopaedics Tags: Surgery Source Type: research

Anterior to Dorsal Root Entry Zone Myelotomy (ADREZotomy): A New Surgical Approach for the Treatment of Ventrolateral Deep Intramedullary Spinal Cord Cavernous Malformations
Conclusion. Surgical removal of ventrolateral deep ISCCMs can be feasible using proper surgical techniques. ADREZotomy is a minimally invasive technique for the removal of cervical and thoracic ventrolateral deep ISCCMs, without disrupting the important spinal cord tracts or the need to broadly expose bone. Level of Evidence: 4 (Source: Spine)
Source: Spine - August 16, 2018 Category: Orthopaedics Tags: Surgery Source Type: research

Evaluation of a Combination of Waveform Amplitude and Peak Latency in Intraoperative Spinal Cord Monitoring
Conclusion. Combined use of latency and amplitude could lead to reduction of false positives and increase of PPV in Br(E)-MsEP monitoring. Level of Evidence: 3 (Source: Spine)
Source: Spine - August 16, 2018 Category: Orthopaedics Tags: Surgery Source Type: research

Bisphosphonate and Teriparatide Use in Thoracolumbar Spinal Fusion: A Systematic Review and Meta-analysis of Comparative Studies
Study Design. Systematic review and meta-analysis. Objective. To compare the efficacy of the use of either bisphosphonates or teriparatide on radiographic and functional outcomes of patients that had thoracolumbar spinal fusion. Summary of Background Data. Controversy exists as to whether bisphosphonates interfere with successful spinal arthrodesis. An alternative osteoporosis medication is teriparatide, a synthetic parathyroid hormone that has an anabolic effect on osteoblast function. To date, there is limited comparative data on the influence of bisphosphonates or teriparatide on spinal fusion. Methods. A sys...
Source: Spine - August 16, 2018 Category: Orthopaedics Tags: Literature Review Source Type: research

Outcomes Reported After Surgery for Cauda Equina Syndrome: A Systematic Literature Review
Conclusion. There is significant heterogeneity in outcomes reported for studies after surgery for CES patients. This indicates a clear need for the development of a core outcome set, which has been registered as number 824 on the COMET (Core Outcome Measure in Effectiveness Trials) database. Level of Evidence: 1 (Source: Spine)
Source: Spine - August 16, 2018 Category: Orthopaedics Tags: Literature Review Source Type: research

Authorship Trends in Spine Publications From 2000 to 2015
Conclusion. The results of this study demonstrate increases in authors per article published in Spine from 2000 to 2015. In addition, first authors were more likely to hold bachelor's degrees over time. This may be attributed to increasing competition in spine-related fields, necessitating earlier research exposure to aid in academic achievement. Interestingly, the percentage of female authorship has not changed significantly over time, in contrast with much of the previous literature. Level of Evidence: 2 (Source: Spine)
Source: Spine - August 16, 2018 Category: Orthopaedics Tags: Literature Review Source Type: research

Does Duration of Pain at Baseline Influence Clinical Outcomes of Low Back Pain Patients Managed on an Evidence-based Pathway?
Study Design. Longitudinal observational study. Objective. To investigate the association between the duration of pain at baseline and the clinical outcomes of patients with low back pain (LBP) enrolled on the North East of England Regional Back Pain and Radicular Pain Pathway (NERBPP). Summary of Background Data. The NERBPP is a clinical pathway based upon National Institute for Health and Care Excellence (NICE) guidelines (2009) for LBP of (Source: Spine)
Source: Spine - August 16, 2018 Category: Orthopaedics Tags: Health Services Research Source Type: research

Exploration of the Inter-Relationships Between Obesity, Physical Inactivity, Inflammation, and Low Back Pain
Study Design. Retrospective analysis wherein 103 patients were considered, and 76 patients were included: 49 were classified as chronic non-specific low back pain (CNSLBP) (Study group) and 27 had identifiable cases of specific chronic low back pain (LBP) (Control group). Objective. Elucidate markers of systemic inflammation in patients with CNSLBP. Summary of Background Data. Mechanisms of LBP are poorly understood. Pro-inflammatory cytokines are increased in obesity and involved with pain modulation; we previously proposed a theoretical model of their mediating role in LBP. Methods. Demographic information was...
Source: Spine - August 16, 2018 Category: Orthopaedics Tags: Epidemiology Source Type: research

Point of View: Plunge in Rather Than Resist Transparency
No abstract available (Source: Spine)
Source: Spine - August 16, 2018 Category: Orthopaedics Tags: Epidemiology Source Type: research