Epidural Abscess: A Propensity Analysis of Surgical Treatment Strategies
Conclusion. Both laminectomy and laminectomy with fusion effectively treat SEA, but addition of fusion is associated with significantly higher rates of transfusion and perioperative return to the operating room. In operative situations where either procedure is reasonable, surgeons should consider that fusion nearly doubles the odds of reoperation in the short-term, and weigh this risk against the benefit of added stability. Level of Evidence: 3 (Source: Spine)
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: SURGERY Source Type: research

Evidence-based Care Bundles for Preventing Surgical Site Infections in Spinal Instrumentation Surgery
Study Design. A retrospective study, using prospectively collected data. Objective. The aim of this study was to evaluate the impact of evidence-based care bundles for preventing surgical site infections (SSIs) in spinal instrumentation surgery. Summary of Background Data. About half of all SSIs are preventable via evidence-based methods. For successful SSI prevention, the bacterial load must be minimized, and methicillin-resistant Staphylococcus aureus (MRSA) protection must be maximized. However, it is difficult to cover all of these requirements by single preventative method. Methods. We screened consecutive ...
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: SURGERY Source Type: research

Efficacy and Safety of Full-endoscopic Decompression via Interlaminar Approach for Central or Lateral Recess Spinal Stenosis of the Lumbar Spine: A Meta-analysis
Conclusion. Successful clinical outcomes can be achieved with full-endoscopic decompression via the interlaminar approach for lumbar central spinal stenosis in patients for the defined indications. Level of Evidence: 2 (Source: Spine)
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: LITERATURE REVIEW Source Type: research

Highly Cited Works in Spinal Disorders: The Top 100 Most Cited Papers Published in Spine Journals
Conclusion. The most cited works in spinal disorder journals are guidelines for low back pain, descriptions of quality of life (QOL) metrics, or laboratory investigations into spinal biomechanics. A gap exists for work relating to neck pain or cervical spinal pathology (e.g., cervical myelopathy), representing opportunity for future work. Time of publication, topic of study, study design, and journal are possible determinants of likelihood of citation. Level of Evidence: N/A (Source: Spine)
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: LITERATURE REVIEW Source Type: research

Opioid Dependence and Prolonged Length of Stay in Lumbar Fusion: A Retrospective Study Utilizing the National Inpatient Sample 2003–2014
Conclusion. This nationally-representative study suggests that opioid dependence is associated with prolonged LOS in lumbar fusion, as well as higher costs and higher frequencies of surgical complications. Further investigations are needed to determine the optimal method to treat opioid-dependent patients who require lumbar fusion. Level of Evidence: 3 (Source: Spine)
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: HEALTH SERVICES RESEARCH Source Type: research

Considering Spine Surgery: A Web-Based Calculator for Communicating Estimates of Personalized Treatment Outcomes
Conclusion. Although the calculator is not a comprehensive decision aid, it does focus on communicating individualized risks and benefits for treatment options. Moreover, it appears to be helpful in achieving the goals of more traditional shared decision-making tools. It not only improved knowledge scores but also improved other aspects of decision quality. Level of Evidence: 2 (Source: Spine)
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: HEALTH SERVICES RESEARCH Source Type: research

Analysis of Internet Review Site Comments for Spine Surgeons: How Office Staff, Physician Likeability, and Patient Outcome Are Associated With Online Evaluations
Study Design. Observational study. Objective. To evaluate how online patient comments will affect website ratings for spine surgeons. Summary of Background Data. With the ever-growing utilization of physician review websites, healthcare consumers are assuming more control over whom they choose for care. We evaluated patient feedback and satisfaction scores of spine surgeons using comments from three leading physician rating websites: Healthgrades.com, Vitals.com, Google.com. This is the largest review of online comments and the largest review of spine surgeon comments. Methods. From the North American Spine Soci...
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: HEALTH SERVICES RESEARCH Source Type: research

Regional Differences in Diffuse Idiopathic Skeletal Hyperostosis: A Retrospective Cohort Study from Sweden and Japan
Conclusion. The presented cohort study revealed that ethnicity and region may not be notable factors of DISH prevalence, since patients from both Japan and Sweden had similar DISH prevalence. Level of Evidence: 3 (Source: Spine)
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: EPIDEMIOLOGY Source Type: research

Prevalence and Natural Course of Transverse Ligament of the Atlas Calcification in Asymptomatic Healthy Individuals
Conclusion. The prevalence of the TLA calcification was not rare in normal subjects. Our results suggest that the calcified lesion could be morphologically changed on a yearly basis and may be associated with the normal aging process. Level of Evidence: 3 (Source: Spine)
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: EPIDEMIOLOGY Source Type: research

Pedicle Perforation While Inserting Screws Using O-arm Navigation During Surgery for Adolescent Idiopathic Scoliosis: Risk Factors and Effect of Insertion Order
Study Design. An observational cohort study. Objective. The aim of this study was to compare the rate of pedicle perforation while inserting screws (PS) using O-arm navigation during surgery for scoliosis with that reported previously and to determine the risk factors specific to O-arm navigation. Summary of Background Data. O-arm navigation provides intraoperative three-dimensional fluoroscopic imaging with an image quality similar to that of computed tomography. Surgeons have started using O-arm navigation in treatment of adolescent idiopathic sclerosis (AIS). However, there are few reports of the perforation rat...
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: DEFORMITY Source Type: research

Incidence and Risk Factors for Instrumentation-related Complications After Scoliosis Surgery in Pediatric Patients With NF-1
Study Design. Retrospective cohort study. Objective. To assess the incidence and risk factors of instrumentation-related complication (IRC) in pediatric patients surgically treated for neurofibromatosis type 1 (NF-1) dystrophic scoliosis. Summary of Background Data. Surgical management including growing rods technique and early definitive fusion has been recommended to avoid progression of NF-1 scoliosis. However, no study has yet investigated the incidence and risk factors of IRC in these surgical interventions. Methods. Data of 59 pediatric NF-1 patients who had been surgically treated for dystrophic scoliosis...
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: DEFORMITY Source Type: research

Prevalence of Adolescent Idiopathic Scoliosis in the State of São Paulo, Brazil
Conclusion. The prevalence of AIS in cities within the state of São Paulo was similar to that reported in the literature, was higher among females, and was higher during puberty (13–14 years of age). Because puberty occurs later for males than for females, the recommendation to screen both sexes at 10 to 14 years of age should be reconsidered. Level of Evidence: 3 (Source: Spine)
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: DEFORMITY Source Type: research

Post Dengue Fever Epidural Abscess With or Without Spondylodiscitis: A Case Series of Eight Patients in a Single Season in a Single Center: Does the Dengue Have a Predilection for the Neural Tissue?
Conclusion. This is a large case series of epidural abscess with or without spondylodiscitis within 6 weeks following dengue virus infection. The predilection of dengue virus for the neural tissue should be further investigated. Post dengue immunosuppression also needs further study. Level of Evidence: 4 (Source: Spine)
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

An Evidence-based Approach to the Management of Children With Morquio A Syndrome Presenting With Craniocervical Pathology
Conclusion. Surgery for craniovertebral pathology is required in the majority of children with Morquio A syndrome. Close clinical and radiological surveillance is essential for timely intervention. Occiput to cervical fusion is safe and feasible even in young patients and improves clinical and radiological parameters. Level of Evidence: 4 (Source: Spine)
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

A Computed Tomography Study of the C7 Vertebra Screws Fixation in Children
Conclusion. It is feasible to insert a screw (Ø 3.5 mm) in C7 lamina in children, and the intralaminar screw fixation is a safe and reliable technique. Around 49°, the spinolaminar angle with axial position, can be used as reference for placing screws in the C7 lamina. Preoperative CT scan will help surgeons to insert the laminar screw safely and accurately. Level of Evidence: N/A (Source: Spine)
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research

Surgical Treatment of Cervical Spondylotic Myelopathy in the Elderly: Outcomes in Patients Aged 80 Years or Older
Study Design. Retrospective multicenter study. Objective. We aimed to assess the outcomes following posterior cervical decompression for cervical spondylotic myelopathy (CSM) in a large sample of patients older than 80 years. Summary of Background Data. Although age is a predictor of surgical outcomes for CSM, most previous studies have only investigated the effect of age for patients aged 65 to 75 years, and surgical outcomes remain unclear for older patients. Methods. Patients older than 50 years who underwent posterior cervical decompression for CSM were enrolled from 17 institutions. The patients were groupe...
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research

Proprioceptive Weighting Ratio for Balance Control in Static Standing Is Reduced in Elderly Patients With Non–Specific Low Back Pain
Conclusion. Elderly patients with NSLBP decreased their reliance on ankle strategy (RPW at 240 Hz) and hip strategy (RPW at 30 Hz) proprioceptive signals during balance control. The inability to control hip and ankle strategies indicates a deficit of postural control and is hypothesized to result from proprioceptive impairment. Moreover, elderly patients with NSLBP are at higher risk for lower leg proprioceptive decrease (240 Hz) through the NSLBP exacerbation. Level of Evidence: 4 (Source: Spine)
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: BIOMECHANICS Source Type: research

Adjacent Disc Degeneration After Lumbar Total Disc Replacement or Nonoperative Treatment: A Randomized Study with 8-year Follow-up
Conclusion. Increased ADD occurred with similar frequency after TDR and after nonoperative treatment, and was not related to the clinical outcome at 8-year follow-up. Level of Evidence: 1 (Source: Spine)
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: RANDOMIZED TRIAL Source Type: research

“Benagil Cave from the water, Lagoa, Portugal”
No abstract available (Source: Spine)
Source: Spine - December 1, 2018 Category: Orthopaedics Tags: IMAGERY Source Type: research

To the editor:
No abstract available (Source: Spine)
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: LETTERS Source Type: research

In response:
No abstract available (Source: Spine)
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: LETTERS Source Type: research

Congenital Unilateral Atlanto-Occipital Rotatory Subluxation: Rare Cause of C1 Neuralgia
Conclusion. Our case depicts a model of slow creeping deformation due to left C1 superior articular facet dysplasia. An abnormal facet slope allowed the occipital condyle to migrate posteriorly and medially leading to crowding of the left C1 foramen. Although the etiology was congenital, the neck spasm was delayed till fourth decade. A secondary C1 foramen stenosis led to C1 occipital neuralgia that presented as an intractable headache. Level of Evidence: 5 (Source: Spine)
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: CASE REPORT Source Type: research

Whorling-Sclerosing Variant Meningioma of the Spine: Surgical Management and Outcome of an Extremely Rare Case
Conclusion. The spine multiple WSM is an extremely rare condition, which has a malignant behavior and it seems that it is spread by cerebrospinal fluid seeding. Surgical removal is hard and requires experience and appropriate equipment. Level of Evidence: 4 (Source: Spine)
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: CASE REPORT Source Type: research

Prospective Multicenter Study of a Multistep Screw Insertion Technique Using Patient-Specific Screw Guide Templates for the Cervical and Thoracic Spine
Conclusion. The multistep, patient-specific SGTS is useful for intraoperative pedicle screw (PS) navigation in the cervical and thoracic spine. This method improves the accuracy of PS insertion and reduces the operating time and radiation exposure during spinal fixation surgery. Level of Evidence: 3 (Source: Spine)
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: SURGERY Source Type: research

Prediction Accuracy of Common Prognostic Scoring Systems for Metastatic Spine Disease: Results of a Prospective International Multicentre Study of 1469 Patients
Conclusion. No prognostic scoring system was found to have a good predictive value. The scores of Bollen and Tomita were the most effective with Harrell's C-statistic of 0.66 and 0.65, respectively. Prognostic scoring systems are calculated using data from previous years, and are subject to inaccuracies as treatments advance in the interim. We suggest that other methods of assessing prognosis should be explored, such as prognostic risk calculation. Level of Evidence: 3 (Source: Spine)
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: SURGERY Source Type: research

The Arrival of Robotics in Spine Surgery: A Review of the Literature
Conclusion. The implementation of robotic technology for pedicle screw placement yields an acceptable level of accuracy on a highly consistent basis. Surgeons should remain vigilant about confirmation of robotic-assisted screw trajectory, as drilling pathways have been shown to be altered by soft tissue pressures, forceful surgical application, and bony surface skiving. However, the effective consequence of robot-assistance on radiation exposure, length of stay, and operative time remains unclear and requires meticulous examination in future studies. Level of Evidence: 4 (Source: Spine)
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: LITERATURE REVIEW Source Type: research

A Systematic Review of the Utility of the Hoffmann Sign for the Diagnosis of Degenerative Cervical Myelopathy
Conclusion. A positive Hoffman alone is unlikely to lead to more than a small change in estimated probability of DCM as compared with the gold standard test (magnetic resonance imaging). Variability in results across individual studies may result from differences in study design. There are insufficient data to support use of the Hoffman sign alone to confirm or refute a diagnosis of DCM. Level of Evidence: 1 (Source: Spine)
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: LITERATURE REVIEW Source Type: research

Long-term Posttraumatic Survival of Spinal Fracture Patients in Northern Finland
Conclusion. Traumatic spinal fractures are associated with increased mortality compared with the general population, high mortality focusing especially on older people and men. The increase seems to be comparable to the increase following hip fracture. Patients who sustain spinal fracture due to falling need special attention in care, due to the observation that low fall as trauma mechanism increased the risk of death significantly. Level of Evidence: 3 (Source: Spine)
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: EPIDEMIOLOGY Source Type: research

Course and Contributors to Back Pain in Middle-aged Women Over 9 Years: Data From the Australian Longitudinal Study on Women's Health
Study Design. Community-based, cohort study. Objective. Our aim was to determine the course of back pain in middle-aged women over a 9-year period, and assess whether obesity and physical inactivity are associated with more frequent back pain. Summary of Background Data. Back pain is the leading cause of disability worldwide. With minimal effective therapies and rising financial burden, identifying modifiable risk factors remains a key priority. Methods. The Australian Longitudinal Study on Women's Health is a cohort study of community-based, middle-aged women who completed questionnaires every 3 years between 2...
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: EPIDEMIOLOGY Source Type: research

The Relationship Between Fear-Avoidance and Neuromuscular Measures of Function in Patients With Adult Degenerative Scoliosis
Conclusion. This study demonstrates a strong correlation between neuromuscular gait parameters and fear-avoidance of movement which may reflect ADS patient experiences during ambulation. Further, it demonstrates that there are different aspects of fear-avoidance that may influence gait parameters. This study extends previous research on the role of fear-avoidance to include patients with spinal deformity. Level of Evidence: 3 (Source: Spine)
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: DEFORMITY Source Type: research

Predicting Factors at Skeletal Maturity for Curve Progression and Low Back Pain in Adult Patients Treated Nonoperatively for Adolescent Idiopathic Scoliosis With Thoracolumbar/Lumbar Curves: A Mean 25-year Follow-up
Conclusion. Great L3 and L4 tilt at skeletal maturity, especially those>16°, are predictors of future curve progression and LBP in adulthood, respectively. For adolescent patients with these risk factors, periodic follow-ups into adulthood should be considered. Level of Evidence: 4 (Source: Spine)
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: DEFORMITY Source Type: research

Activity of Daily Living After Long Level Fusion in Adult Spinal Deformity: Compared With Over 60-Year-Old Degenerative Spine Patients Without Adult Spinal Deformity
Study Design. Prospective single center study. Objective. The aim of this study was to evaluate 1) the activity of daily living (ADL) of three categorized patients group; over 60-year-old degenerative spine patients without adult spinal deformity (ASD), nonoperative ASD patients, and operative ASD patients, 2) what kinds of activities would be impaired, and 3) how the ADL changes over time after long level fusion. Summary of Background Data. There is still debate how surgeons could decide treatment methods for old-aged adult spinal deformity, operatively or not. There was lack of information how long level fusion i...
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: DEFORMITY Source Type: research

Postoperative Status of Global Sagittal Alignment With Compensation in Adult Spinal Deformity
Conclusion. Three groups were defined in terms of postoperative compensatory mechanisms. Patients in the physiological group had little postoperative alignment change and good ODI value. The compensated group had pelvic retroversion to keep SVA in the physiological range, but the compensation in the thoracic spine was unlikely to work. High PI and advanced age were characteristics of the decompensated group. Level of Evidence: 4 (Source: Spine)
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: DEFORMITY Source Type: research

Radiation Exposure to the Surgeons and Patients in Fluoroscopic-Guided Segmental Pedicle Screw Placement for Pediatric Scoliosis
Conclusion. The results of this study demonstrated that radiation exposure to the spine surgeons and patients is low using fluoroscopic-guided segmental pedicle screw technique for pediatric scoliosis surgery. Both hands of the surgeons received much higher doses compared to other body areas and, and thus radiation-reducing gloves and careful attention to surgeon's hands need to be considered for this procedure. Level of Evidence: 2 (Source: Spine)
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

Perioperative Complications After Surgery for Thoracic Ossification of Posterior Longitudinal Ligament: A Nationwide Multicenter Prospective Study
Study Design. Prospective, multicenter, nationwide study. Objective. To investigate perioperative complications and risk factors in surgery for thoracic ossification of the posterior longitudinal ligament (T-OPLL) using data from the registry of the Japanese Multicenter Research Organization for Ossification of the Spinal Ligament. Summary of Background Data. There is no prospective multicenter study of surgical complications and risk factors for T-OPLL, and previous multicenter retrospective studies have lacked details. Methods. Surgical methods, preoperative radiographic findings, pre- and postoperative thorac...
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

Adjacent Segment Disease After Single Segment Posterior Lumbar Interbody Fusion for Degenerative Spondylolisthesis: Minimum 10 Years Follow-up
Conclusion. Incidences of R-ASD, S-ASD, and O-ASD at 10 years after primary PLIF were 75%, 31%, and 15%, respectively. With respect to O-ASD pathology, degenerative spondylolisthesis at the cranial segment was the most frequent. Level of Evidence: 4 (Source: Spine)
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

Imaging Comparison Between Chinese and Japanese Patients With Cervical Ossification of the Posterior Longitudinal Ligament
Study Design. A retrospective study. Objective. To identify the radiographic differences between Chinese and Japanese patients with cervical ossification of the posterior longitudinal ligament (OPLL) using computed tomography (CT) and magnetic resonance imaging (MRI), and to compare the characteristics of OPLL between the two nationalities. Summary of Background Data. OPLL has a high prevalence in East Asia. However, the differences between Chinese and Japanese OPLL patients are poorly known. Methods. This was a retrospective study of Chinese (n = 300) and Japanese (n = 102) consecutive patients who rece...
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research

The Barrow Biomimetic Spine: Fluoroscopic Analysis of a Synthetic Spine Model Made of Variable 3D-printed Materials and Print Parameters
Conclusion. This study is the first to demonstrate that 3D-printed VB and segmental spine models accurately mimic human tissue on C-arm fluoroscopy, not only in respect to their anatomical appearance in standard views but also in their response to surgical manipulation and the variations in C-arm angle that commonly occur in the operating room. As such, these spine models have the potential to serve as an excellent platform for future research and surgical education programs. Level of Evidence: N/A (Source: Spine)
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: ANATOMY Source Type: research

Long-Term Results of Surgery Compared With Nonoperative Treatment for Lumbar Degenerative Spondylolisthesis in the Spine Patient Outcomes Research Trial (SPORT)
Conclusion. For patients with symptomatic DS, patients who received surgery had significantly greater improvements in pain and function compared with nonoperative treatment through 8 years of follow-up. Fusion technique did not affect outcomes. Level of Evidence: 1 (Source: Spine)
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: RANDOMIZED TRIAL Source Type: research

“Villagers collecting seafood in low tide from Nungwi, Zanzibar, Tanzania”
No abstract available (Source: Spine)
Source: Spine - November 15, 2018 Category: Orthopaedics Tags: IMAGERY Source Type: research

Spinal Deformities in Romantic Operas
The librettos of several of the most famous Romantic operas contain references to disease. These operas can serve as valuable sources of information regarding how spinal deformities were understood during the nineteenth century by physicians and lay persons alike. Original librettos of the operas “Rigoletto” (1851) by Giuseppe Verdi (1813–1901) and “La Esmeralda” (1836) by Louise Bertin (1805–1877) were analyzed. In both operas, spinal deformities of Rigoletto and Quasimodo are a central issue. In detail, Quasimodo could suffer from von Recklinghausen's neurofibromatosis, while Rigoletto...
Source: Spine - November 2, 2018 Category: Orthopaedics Tags: HISTORICAL PERSPECTIVE Source Type: research

“Acquired” Type Castellvi-IIIa Lumbarization Transformed From Castellvi-IIa Following Discectomy and Fusion at Lumbosacral Level: A Case Report
Conclusion. Following PLIF surgery at TD segment on a Castellvi-IIa Sacralization case, “acquired” transformation to Castellvi-IIIa might develop. Level of Evidence: 5 (Source: Spine)
Source: Spine - November 2, 2018 Category: Orthopaedics Tags: CASE REPORT Source Type: research

Clinical Impact and Economic Burden of Hospital-Acquired Conditions Following Common Surgical Procedures
Study Design. Retrospective review of prospectively collected data. Objective. To assess the clinical impact and economic burden of the three most common hospital-acquired conditions (HACs) that occur within 30-day postoperatively for all spine surgeries and to compare these rates with other common surgical procedures. Summary of Background Data. HACs are part of a non-payment policy by the Centers for Medicare and Medicaid Services and thus prompt hospitals to improve patient outcomes and safety. Methods. Patients more than 18 years who underwent elective spine surgery were identified in American College of Sur...
Source: Spine - November 2, 2018 Category: Orthopaedics Tags: SURGERY Source Type: research

Lordosis Recreation in Transforaminal and Posterior Lumbar Interbody Fusion: A Cadaveric Study of the Influence of Surgical Bone Resection and Cage Angle
Conclusion. This study demonstrates that the surgical approach to posterior interbody surgery influences lordosis gain and PCO optimizes lordosis gain in TLIF. The bilateral cages used in PLIF are shorter and associated with further gain in lordosis. This information has the potential to aid surgical planning when attempting to recreate lordosis to optimize outcomes. Level of Evidence: N/A (Source: Spine)
Source: Spine - November 2, 2018 Category: Orthopaedics Tags: SURGERY Source Type: research

The Role of Mixed Reality Simulation for Surgical Training in Spine: Phase 1 Validation
Conclusion. The surgery team considered that this virtual simulation provides a highly effective training environment, and it significantly enhances teaching of surgical anatomy and operative strategies in the neurosurgical field. A mixture of physical and virtual simulation provided the desired results of enhancing the requisite psychomotor and cognitive skills, previously acquired only during a surgical apprenticeship. The combination of these tools may potentially improve and abbreviate the learning curve for trainees, in a safe environment. Level of Evidence: 3 (Source: Spine)
Source: Spine - November 2, 2018 Category: Orthopaedics Tags: SURGERY Source Type: research

Measurement Properties of the Functional Rating Index: A Systematic Review and Meta-analysis
Conclusion. Our finding suggests that clinicians and researchers should use the FRI with caution until there are more studies with high methodological quality that support the view that it is positive in all measurement properties, especially in regard to patients with multiregion SP. Level of Evidence: 1 (Source: Spine)
Source: Spine - November 2, 2018 Category: Orthopaedics Tags: LITERATURE REVIEW Source Type: research

Evaluating the Accuracy and Quality of the Information in Kyphosis Videos Shared on YouTube
Conclusion. Online information on kyphosis is low quality and its contents are of unknown source and accuracy. In order to keep the balance in sharing the right information with the patient, clinicians should possess knowledge about the online information related to their field and should contribute to the development of optimal medical videos. Level of Evidence: 3 (Source: Spine)
Source: Spine - November 2, 2018 Category: Orthopaedics Tags: HEALTH SERVICES RESEARCH Source Type: research

Meta-Analysis of the Association Between FAS Ligand and TRAIL Genetic Polymorphisms and Intervertebral Disc Degeneration Susceptibility in Chinese Han population
Conclusion. The present meta-analysis demonstrated that FASL and TRAIL polymorphisms were significantly associated with susceptibility to IDD in Chinese Han population. Level of Evidence: 1 (Source: Spine)
Source: Spine - November 2, 2018 Category: Orthopaedics Tags: EPIDEMIOLOGY Source Type: research

Alterations in Intramedullary T2-weighted Increased Signal Intensity following Laminoplasty in Cervical Spondylotic Myelopathy Patients: Comparison Between Pre- and Postoperative Magnetic Resonance Images
Conclusion. Postoperative ISI partially reflects postoperative symptoms and surgical outcomes. Alterations in ISI were observed postoperatively in 123 patients (24.4%) and were not correlated with surgical outcomes. Level of Evidence: 2 (Source: Spine)
Source: Spine - November 2, 2018 Category: Orthopaedics Tags: DIAGNOSTICS Source Type: research

The Prognostic Significance of Pedicle Enhancement from Contrast-enhanced MRI for the Further Collapse in Osteoporotic Vertebral Compression Fractures
Conclusion. Sign of pedicle enhancement is a potential risk factor for further compression progression. Contrast-enhanced MRI should be performed at the onset to better determine the future risk of collapse and to choose a better treatment modality for benign OVCF patients. Level of Evidence: 3 (Source: Spine)
Source: Spine - November 2, 2018 Category: Orthopaedics Tags: DIAGNOSTICS Source Type: research