Effective Repair of Dural Tear Using Bioabsorbable Sheet with Fibrin Glue: Erratum
No abstract available (Source: Spine)
Source: Spine - October 14, 2021 Category: Orthopaedics Tags: ERRATUM Source Type: research

Wide Laminectomy, Segmental Bilateral Laminotomies, or Unilateral Hemi-Laminectomy for Lumbar Spinal Stenosis: Five-year Patient-reported Outcomes in Propensity-matched Cohorts
Conclusion. This study revealed no significant difference PROMs, reoperation rates or time to reoperation at five years follow up between SBLs, UHL, or WL in patients operated for central LSS. Level of Evidence: 4 (Source: Spine)
Source: Spine - October 14, 2021 Category: Orthopaedics Tags: OUTCOMES Source Type: research

Which Functional Outcomes Can be Measured in Low Back Pain Trials and Therapies?: A Prospective 2-Year Factor-, Cluster-, and Reliability-Multicenter Analysis on 42 Variables in 1049 Individuals
Conclusion. We found 25 potentially meaningful functional outcomes in the context of objective functional measurements (such as trunk range of motion, dynamic and static balance, strength, and muscle fatigue resistance) and body characteristics. The present framework may help to select appropriate functional outcomes and rate effects beyond the known core set of outcomes. Level of Evidence: 1 (Source: Spine)
Source: Spine - October 14, 2021 Category: Orthopaedics Tags: OUTCOMES Source Type: research

Implant Microbial Colonization Detected by Sonication as a Cause for Spinal Device Failure: A Prospective Study
Study Design. A prospective single center observational study. Objectives. The aim of this study was to examine the potential role of sonication in the diagnosis of low-grade infections and its association with pedicle screw (PS) loosening, and to describe risk factors and radiological findings associated with spinal implant infection. Summary of Background Data. Although PS loosening has mainly been attributed to mechanical overload, implant colonization and biofilm formation have recently been suggested. Culturing of sonication fluid implants is promising in the field of spine instrumentation infection,...
Source: Spine - October 14, 2021 Category: Orthopaedics Tags: SURGERY Source Type: research

Complication Trends and Costs of Surgical Management in 11,086 Osteoporotic Patients Receiving Lumbar Fusion
Study Design. Retrospective cohort study. Objective. The aim of this study was to compare different aspects of fusion surgery in patients with osteoporosis with regard to graft subtype and surgical approach. Summary of Background Data. Osteoporosis and chronic lower back pain are common in elderly populations and significantly increase the risk of compression fractures within the spine. Methods. Using the 2016–2017 National Readmission Database we identified 11,086 osteoporotic patients who received lumbar fusion using ICD-10 coding. Information regarding biologic graft type and surgical appr...
Source: Spine - October 14, 2021 Category: Orthopaedics Tags: EPIDEMIOLOGY Source Type: research

The Demographics and Epidemiology of Infantile, Juvenile, and Adolescent Idiopathic Scoliosis in a Southern California Integrated Health Care System
Conclusion. Our study of a large integrated healthcare system sheds light on the incidence of IS and the ORs based on weight, sex, and ethnicity/race. The overall incidence was lower overall than previously thought. Level of Evidence: 3 (Source: Spine)
Source: Spine - October 14, 2021 Category: Orthopaedics Tags: EPIDEMIOLOGY Source Type: research

Scoliosis Surgery Normalizes Cardiac Function in Adolescent Idiopathic Scoliosis Patients
Study Design. Single-center retrospective chart review with minimum 2-year follow up. Objective. To determine incidence of pulmonary hypertension in adolescent idiopathic scoliosis patients and to determine the effect of scoliosis surgery on pulmonary hypertension. Summary of Background Data. Spinal deformity in adolescent idiopathic scoliosis can increase right atrial and ventricular pressures secondary to restrictive lung disease. Pulmonary hypertension leading to cor pulmonale is the most feared outcome, however mild pulmonary hypertension in adolescent idiopathic scoliosis (AIS) patients has been repo...
Source: Spine - October 14, 2021 Category: Orthopaedics Tags: DEFORMITY Source Type: research

Frequency and Implications of Concurrent Complications Following Adult Spinal Deformity Corrective Surgery
Study Design. Retrospective review. Objective. Identify co-occurring perioperative complications and associated predictors in a population of patients undergoing surgery for adult spinal deformity (ASD). Summary of Background Data. Few studies have investigated the development of multiple, co-occurring complications following ASD-corrective surgery. Preoperative risk stratification may benefit from identification of factors associated with multiple, co-occurring complications. Methods. Elective ASD patients in National Surgical Quality Improvement Program (NSQIP) 2005 to 2016 were isolated; rates o...
Source: Spine - October 14, 2021 Category: Orthopaedics Tags: DEFORMITY Source Type: research

Anterior Vertebral Body Tethering for Treatment of Idiopathic Scoliosis in the Skeletally Immature: Results of 112 Cases
Study Design. Prospective case series. Objective. Determine the efficacy of anterior vertebral body tethering (AVBT) in skeletally immature patients. Summary of Background Data. The value of AVBT is currently unclear given the paucity of available data. Methods. Consecutive skeletally immature patients with idiopathic scoliosis were treated with AVBT between 2012 and 2018 by one of two surgeons working at two independent centers and followed up for>2 years. Data were collected prospectively and supplemented retrospectively where necessary. Outcomes were measured preoperatively, at first erect ...
Source: Spine - October 14, 2021 Category: Orthopaedics Tags: DEFORMITY Source Type: research

The Relationship of Kinesiophobia with Pain and Quality of Life in Idiopathic Scoliosis
Conclusion. The Spanish version of TSK-11 is a reliable and valid instrument to analyze kinesiophobia in AIS. However, the weak correlation between kinesiophobia and pain intensity, disability, and emotional condition in adolescents requires further study. Level of Evidence: 4 (Source: Spine)
Source: Spine - October 14, 2021 Category: Orthopaedics Tags: DEFORMITY Source Type: research

Multilevel, Percutaneous Posterior Cervical Interfacet Distraction and Fusion for Cervical Spondylotic Radiculopathy: Clinical and Radiographic Outcomes
Study Design. Retrospective review of patients who underwent multilevel posterior cervical interfacet distraction and fusion (PCIDF) using cages for cervical spondylotic radiculopathy (CSR). Objective. To determine clinical and radiographic outcomes following multilevel PCIDF. Summary of Background Data. Anterior cervical discectomy and fusion has long been the standard of treatment for CSR. Advancements in surgery have employed minimally invasive techniques such as endoscopic discectomy, foraminotomy, and PCIDF. Studies on single-level PCIDF have reported good clinical outcomes, short hospital stays, and...
Source: Spine - October 14, 2021 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

Comparison of Short-Term Clinical Results and Radiologic Changes Between Two Different Minimally Invasive Decompressive Surgical Methods for Lumbar Canal Stenosis: Lumbar Spinous Process Splitting Laminectomy and Trans-Interspinous Lumbar Decompression
Conclusion. Removal of interspinous contextures did not influence clinical outcomes at 1 year after surgery, but it may be likely to cause disc height loss when it applied at the L4/5 level. Level of Evidence: 3 (Source: Spine)
Source: Spine - October 14, 2021 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

Zero Patient-controlled Analgesia is an Achievable Target for Postoperative Rapid Recovery Management of Adolescent Idiopathic Scoliosis Patients
The objective of this study was to report on one institution's use of single bolus micro-dose intrathecal morphine as part of a rapid recovery pathway during posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS) and its comparison to patients whose pain was controlled with patient-controlled analgesia (PCA). Summary of Background Data. Narcotic substance addiction has risen across all patient populations, including pediatrics. Narcotics have been historically used in complex spine surgeries as a measure of pain control, predominantly provided as PCA and additional take-home medication. Methods. ...
Source: Spine - October 14, 2021 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

Appropriate Risk Stratification and Accounting for Age-Adjusted Reciprocal Changes in the Thoracolumbar Spine Reduces the Incidence and Magnitude of Distal Junctional Kyphosis in Cervical Deformity Surgery
Study Design. Retrospective cohort study of a prospective cervical deformity (CD) database. Objective. Identify factors associated with distal junctional kyphosis (DJK); assess differences across DJK types. Summary of Background Data. DJK may develop as compensation for mal-correction of sagittal deformity in the thoracic curve. There is limited understanding of DJK drivers, especially for different DJK types. Methods. Included: patients with pre- and postoperative clinical/radiographic data. Excluded: patients with previous fusion to L5 or below. DJK was defined per surgeon note or DJK angle (kyph...
Source: Spine - October 14, 2021 Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research

The Effect of Posterior Lumbar Spinal Surgery on Biomechanical Properties of Rat Paraspinal Muscles 13 Weeks After Surgery
Study Design. Preclinical study in rodents. Objective. To investigate changes in biomechanical properties of paraspinal muscles following a posterior spinal surgery in an animal model. Summary of Background Data. Posterior spine surgery damages paraspinal musculature per histological and imaging studies. The biomechanical effects of these changes are unknown. Methods. 12 Sprague-Dawley rats were divided equally into sham and surgical injury (SI) groups. For sham, the skin and lumbodorsal fascia were incised at midline. For SI, the paraspinal muscles were detached from the vertebrae, per normal proc...
Source: Spine - October 14, 2021 Category: Orthopaedics Tags: BIOMECHANICS Source Type: research

Does the Choice of Spinal Interbody Fusion Approach Significantly Affect Adjacent Segment Mobility?
Study Design. Biomechanical study of range of motion (ROM) at the vertebral levels adjacent to the construct of posterior pedicle screw-rod fixation with different types of lumbar interbody fusion techniques (LIF). Objective. To investigate the differences in adjacent segment mobility among three types of LIF: lateral lumbar interbody fusion (LLIF), transforaminal lumbar interbody fusion (TLIF), and posterior lumbar interbody fusion (PLIF). Summary of Background Data. Previous studies have concluded that LLIF, TLIF, and PLIF with posterior pedicle screw-rod fixation (PSR) provide equivalent stability in c...
Source: Spine - October 14, 2021 Category: Orthopaedics Tags: BIOMECHANICS Source Type: research

“Beautiful Sunrise, Promenade Beach, Pondicherry, India”
No abstract available (Source: Spine)
Source: Spine - October 14, 2021 Category: Orthopaedics Tags: IMAGERY Source Type: research

Persistent Opioid Use After Spine Surgery: A Prospective Cohort Study
This study aimed to determine patient-reported reasons for persistent opioid use following elective spine surgery, assess the frequency of withdrawal symptoms, and characterize pain-related care sought after discharge. Summary of Background Data. Patients are often prescribed opioids at discharge from hospital following surgery. Several studies have shown that a large number of patients fail to discontinue opioid treatment and use opioids even months to years after surgery. Spine surgery has proven to be a high-risk procedure in regard to persistent opioid use. There is, however, limited evidence on why patients con...
Source: Spine - September 29, 2021 Category: Orthopaedics Tags: SURGERY Source Type: research

Spine Surgeons Burnout and Quality of Life: Results of a Worldwide Survey
Study Design. Cross-sectional survey study. Objective. To evaluate the prevalence of burnout, assess the personal and professional characteristics associated with burnout in spine surgeons and determine their quality of life. Summary of Background Data. Burnout is a syndrome characterized by emotional exhaustion, depersonalization, and decreased sense of accomplishment that leads to decreased effectiveness at work. To date, there has been a lack of information on the prevalence of burnout among spine surgeons worldwide and the risk factors associated with this condition. Methods. An electronic surv...
Source: Spine - September 29, 2021 Category: Orthopaedics Tags: HEALTH SERVICES RESEARCH Source Type: research

The Relationship Between Patient Satisfaction and Healthcare Expenditures in Adults with Spine Related Disorders: An Analysis of the 2008 to 2015 Medical Expenditures Panel Survey (MEPS)
Conclusion. Expenditures have increased over time in adults with SRDs. PS is significantly associated with expenditures after controlling for predisposing and enabling factors, but not significant after controlling for need factors. Need factors appear to explain the relationship between lower levels of PS and higher HCE in adults with SRDs. Level of Evidence: 2 (Source: Spine)
Source: Spine - September 29, 2021 Category: Orthopaedics Tags: HEALTH SERVICES RESEARCH Source Type: research

At What Point Should the Thoracolumbar Region Be Addressed in Patients Undergoing Corrective Cervical Deformity Surgery?
Study Design. Retrospective cohort study. Objective. The aim of this study was to investigate the impact of cervical to thoracolumbar ratios on poor outcomes in cervical deformity (CD) corrective surgery. Summary of Background Data. Consideration of distal regional and global alignment is a critical determinant of outcomes in CD surgery. For operative CD patients, it is unknown whether certain thoracolumbar parameters play a significant role in poor outcomes and whether addressing such parameters is warranted. Methods. Included: surgical CD patients (C2-C7 Cobb>10°, cervical lordosis [CL]>...
Source: Spine - September 29, 2021 Category: Orthopaedics Tags: DEFORMITY Source Type: research

Magnetically Controlled Growing Rods Graduation: Deformity Control with High Complication Rate
Study Design. A multicenter retrospective review of consecutive series of patients. Objective. Long-term experience with using the magnetically controlled growing rods (MCGR) to treat patients with deformity in the growing spine to the conclusion of treatment with posterior spine fusion. Summary of Background Data. MCGR treatment for growing spine gained popularity with paucity of long-term follow up data. We hypothesized that final fusion might be more effective in bringing additional correction of the spine deformity after treatment with MCGR than that reported after traditional growing rods (TGR) due t...
Source: Spine - September 29, 2021 Category: Orthopaedics Tags: DEFORMITY Source Type: research

The Long-term Fate of Asymptomatic Proximal Junctional Kyphosis Following Long Instrumented Fusion in Elderly Patients with Sagittal Imbalance
Conclusion. Even if PJK was asymptomatic at initial development, it progressed radiographically with time and eventually gave a negative impact on the clinical outcomes in long-term follow-up. Level of Evidence: 3 (Source: Spine)
Source: Spine - September 29, 2021 Category: Orthopaedics Tags: DEFORMITY Source Type: research

Marked Increase in Spinal Deformity Surgery Throughout the United States
Conclusion. The massive increase (141%) in utilization of long construct spine fusion was primarily driven by 460% rise in incidence of the surgery among those aged 65 to 84. Although the cause is unknown, it is possible that this rise was, at least in part, driven by the implementation of the affordable care act, improved surgical safety, and better knowledge of spinopelvic parameters. Level of Evidence: 3 (Source: Spine)
Source: Spine - September 29, 2021 Category: Orthopaedics Tags: DEFORMITY Source Type: research

Early Trauma Predictors of Mobility in People with Spinal Cord Injury
Conclusion. These findings support using preliminary trauma variables for early prognostication of ambulation following a TSCI, allowing for tailored individual interventions. Level of Evidence: 3 (Source: Spine)
Source: Spine - September 29, 2021 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

Pediatric Spinal Cord Injury without Radiographic Abnormality: The Beijing Experience
Study Design. Retrospective study. Objective. To describe the epidemiology and clinical outcomes of pediatric patients with spinal cord injury (SCI) without radiographic abnormality (SCIWORA) in mainland China for the first time. Summary of Background Data. SCIWORA is a syndrome that often occurs in children mainly due to the unique biomechanics of the pediatric spine. Although there have been numerous retrospective studies on pediatric SCIWORA, and mainland China has more patients with SCI than anywhere else, pediatric patients with SCIWORA in mainland China has not been described in any study. Method...
Source: Spine - September 29, 2021 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

The Utility of Prolonged Prophylactic Systemic Antibiotics (PPSA) for Subfascial Drains After Degenerative Spine Surgery
Conclusion. Our series demonstrate a two-fold reduction of SSI with implementation of PPSA regimen. This benefit was demonstrated separately for both cervical and lumbar regions. Randomized trials and increase in sample size are warranted to elucidate the significance of PPSA in posterior spinal surgery. Level of Evidence: 3 (Source: Spine)
Source: Spine - September 29, 2021 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

Validity of the Alarm Point in Intraoperative Neurophysiological Monitoring of the Spinal Cord by the Monitoring Working Group of the Japanese Society for Spine Surgery and Related Research: A Prospective Multicenter Cohort Study of 1934 Cases
Study Design. Prospective multicenter cohort study. Objective. The aim of this study was to validate an alarm point of intraoperative neurophysiological monitoring () formulated by the Monitoring Working Group (WG) of the Japanese Society for Spine Surgery and Related Research (JSSR). Summary of Background Data. The Monitoring WG of the JSSR formulated an alarm point of IONM using transcranial electrical stimulation-muscle motor evoked potentials (Tc(E)-MEPs) and has conducted a prospective multicenter study. The validity of the JSSR alarm point of ≥ 70% decreased in Tc(E)-MEPs for each high-risk surge...
Source: Spine - September 29, 2021 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

The Effect of Morbid Obesity on Complications, Readmission, and Patient-Reported Outcomes Following Minimally Invasive Transforaminal Lumbar Interbody Fusion: An Inverse Propensity Score Weighted Analysis
Conclusion. Morbidly obese patients who undergo MiTLIF can achieve meaningful clinical improvement comparable to nonobese patients. Morbid obesity was associated with longer surgical times but was not associated with postoperative complications, readmission, or ASD. Level of Evidence: 3 (Source: Spine)
Source: Spine - September 29, 2021 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

Morphological Evaluation of the Subaxial Cervical Spine in Patients with Basilar Invagination: A CT-based Study
Conclusion. BI patients have a wider pedicle and laminar than the general population in the subaxial cervical spine, but the same size in length of pedicle, laminar, and lateral mass. Level of Evidence: 4 (Source: Spine)
Source: Spine - September 29, 2021 Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research

Impact of Depression on Patient Reported Outcomes Following Primary Versus Revision ACDF
Study Design. Retrospective cohort. Objective. To assess the relationship of depressive symptoms with patient reported outcome measures (PROMs) in patients undergoing either primary or revision anterior cervical discectomy and fusion (ACDF) procedures. Summary of Background. Depression has been associated with poorer outcomes following ACDF. However, research examining the relationship between depression and PROMs in revision ACDF procedures is limited. Methods. A prospective database was retrospectively reviewed for primary or revision, single- or multilevel ACDF procedures from 2016 to 2019. Pati...
Source: Spine - September 29, 2021 Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research

A New Solution to an Old Problem: Ultrasound-guided Cervical Retrolaminar Injection for Acute Cervical Radicular Pain: Prospective Clinical Pilot Study and Cadaveric Study
Study Design. Prospective clinical pilot study and cadaveric study. Objective. The aim of this study was to evaluate the spread of an ultrasound-guided interfascial plane blocks (UGIPBs) and its potential efficacy for cervical radiculopathy. Summary of Background Data. Cervical radiculopathy is a common disorder, potentially leading to severe pain and disability. Conservative treatment with cervical epidural steroid injections (ESI) is limited by concerns regarding their safety. UGIPBs are used in cervical surgical procedures as part of the multimodal postoperative analgesia regimen however, were not desc...
Source: Spine - September 29, 2021 Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research

Application of Extradural Nerve Root Transfer in the Restoration of Lower Limb Function in Spinal Cord Injury: Hypothesis and a Cadaver Feasibility Study
Conclusion. Our study suggested that application of transferring T9 or T11 VR to L2 VR and T10 or T12 VR to L3 VR in restoring lower limb function is anatomically feasible. Level of Evidence: 5 (Source: Spine)
Source: Spine - September 29, 2021 Category: Orthopaedics Tags: ANATOMY Source Type: research

“Sunset Behind a Greek Orthodox Church in Santorin Island, Greece”
No abstract available (Source: Spine)
Source: Spine - September 29, 2021 Category: Orthopaedics Tags: IMAGERY Source Type: research

To the editor:
No abstract available (Source: Spine)
Source: Spine - September 16, 2021 Category: Orthopaedics Tags: LETTERS Source Type: research

Pain During Sex Before and After Decompressive Surgery for Lumbar Spinal Stenosis: A Multicenter Observational Study
Conclusion. This study clearly demonstrates that a large proportion of patients undergoing surgery for LSS experienced an improvement in pain during sexual activity at 1 year. Level of Evidence: 2 (Source: Spine)
Source: Spine - September 16, 2021 Category: Orthopaedics Tags: SURGERY Source Type: research

Turkish Validity and Reliability Study of Scoliosis Research Society-30 Questionnaire in Adolescent Idiopathic Scoliosis Patients
Conclusion. It was concluded that the SRS-30 Turkish questionnaire was valid and reliable in evaluating the treatment of patients with adolescent idiopathic scoliosis. Considering the studies related to SRS scales in the literature, especially those applied Rasch analysis, it is seen that the reply categories of the items should be reviewed. Level of Evidence: 2 (Source: Spine)
Source: Spine - September 16, 2021 Category: Orthopaedics Tags: HEALTH SERVICES RESEARCH Source Type: research

Measuring the Appropriateness of Spinal Manipulation for Chronic Low Back and Chronic Neck Pain in Chiropractic Patients
Conclusion. Chiropractors in this US sample tend to provide manipulation to very few patients with CLBP or CNP for which it is inappropriate. However, more research is needed to determine which patients with CNP benefit from manipulation. Level of Evidence: 4 (Source: Spine)
Source: Spine - September 16, 2021 Category: Orthopaedics Tags: HEALTH SERVICES RESEARCH Source Type: research

Does Patient Body Mass Index Affect the Outcome of Multimodal Rehabilitation in Chronic Mechanical Low Back Pain?
Study Design. Retrospective. Objective. The aim of this study was to investigate the effect of body mass index (BMI) on pain and disability in patients with chronic mechanical low back pain (LBP) treated with multimodal rehabilitation. Summary of Background Data. Despite being a well-known risk factor for developing LBP, there is minimal data on the effect of BMI on pain and disability in patients with chronic mechanical low back pain (LBP) treated with multimodal rehabilitation. Methods. Data from patients with chronic mechanical LBP who underwent multimodal rehabilitation treatment at a chain of ...
Source: Spine - September 16, 2021 Category: Orthopaedics Tags: EPIDEMIOLOGY Source Type: research

Does Navigation Make Spinal Fusion for Adolescent Idiopathic Scoliosis Safer? Insights From a National Database
Study Design. Retrospective Cohort. Objective. To evaluate the effect of computer-assisted navigation (NAV) on rates of complications and reoperations after spinal fusion (SF) for adolescent idiopathic scoliosis (AIS) using a nationally representative claims database. Summary of Background Data. Significant controversy surrounds the reported benefits of NAV in SF for AIS. Previous studies have demonstrated decreased rates of pedicle screw breaches with NAV compared to free-hand methods but no impact on complication rates. Thus, the clinical utility of NAV remains uncertain. Methods. Analyses were p...
Source: Spine - September 16, 2021 Category: Orthopaedics Tags: DEFORMITY Source Type: research

Minimally Invasive Versus Standard Surgery in Idiopathic Scoliosis Patients: A Comparative Study
Study Design. Retrospective review of prospective case–control study. Objective. To compare minimally invasive scoliosis surgery (MIS) and posterior spinal fusion (PSF) in a large group of patients. Summary of Background Data. MIS, has been shown to have benefits over standard PSF in adolescent idiopathic scoliosis (AIS). Methods. Radiographic, clinical, and operative review of a multi-institutional prospective database from 2013 to 2018. MIS patients with minimum 2-year XR follow up were compared with open PSF technique patients. Results. Four hundred eighty five patients were include...
Source: Spine - September 16, 2021 Category: Orthopaedics Tags: DEFORMITY Source Type: research

Clinical Risk Factors and Perioperative Hematological Characteristics of Early Postoperative Symptomatic Deep Vein Thrombosis in Posterior Lumbar Spinal Surgery
Conclusion. Multiple independent risk factors were identified for early symptomatic DVT after posterior lumbar spine surgery. Postoperative prophylactic anti-coagulation treatment might be warranted for patients with high D-dimer or low potassium levels before the procedure. Level of Evidence: 4 (Source: Spine)
Source: Spine - September 16, 2021 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

Identifying the Risk Factors and Estimating the Prognosis in Patients with Pelvis and Spine Ewing Sarcoma: A Population-Based Study
Conclusion. PSES patients with earlier diagnostic year (before 2010), larger tumor size (>59 mm), and lymph node invasion, are more likely to have metastasis. We developed a nomogram based on age, tumor extent, tumor size, and surgical treatments for determining the prognosis for patients with PSES, while more external patient cohorts are warranted for validation. Level of Evidence: 3 (Source: Spine)
Source: Spine - September 16, 2021 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

Modified K-Line in Neck Extension Is a Prognostic Indicator of the Surgical Outcome at 5 Years After Cervical Laminoplasty for Cervical Spondylotic Myelopathy
Conclusion. The K-line Back predicts a poor neurological outcome after laminoplasty for CSM. Decompression with fusion may be recommended for these patients. Level of Evidence: 4 (Source: Spine)
Source: Spine - September 16, 2021 Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research

National Rates, Reasons, and Risk Factors for 30- and 90-Day Readmission and Reoperation Among Patients Undergoing Anterior Cervical Discectomy and Fusion: An Analysis Using the Nationwide Readmissions Database
Conclusion. Our analysis uses the NRD to thoroughly characterize readmission in the general ACDF population. Readmissions are often delayed (after 30 days), strongly associated with insurance status, and many result in reoperation. Our results are crucial for risk-stratifying future ACDF patients and developing interventions to reduce readmission. Level of Evidence: 3 (Source: Spine)
Source: Spine - September 16, 2021 Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research

Comparison of Cost and Perioperative Outcome Profiles for Primary and Revision Posterior Cervical Fusion Procedures
Study Design. Retrospective analysis. Objective. To compare perioperative outcomes and hospitalization costs between patients undergoing primary or revision posterior cervical discectomy and fusion (PCDF). Summary of Background Data. While prior studies found differences in outcomes between primary and revision anterior cervical discectomy and fusion (ACDF), risk, and outcome profiles for posterior cervical revision procedures have not yet been elucidated. Methods. Institutional records were queried for cases involving isolated PCDF procedures to evaluate preoperative characteristics and outcomes f...
Source: Spine - September 16, 2021 Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research