Analysis of Spastic Gait in Patients With Cervical Myelopathy Using the Timed Up and Go Test With a Laser Range Sensor
Conclusion.
Through the use of the laser TUG test, we were able to identify characteristics of spastic gait, which leads to difficulty in standing and taking the first step, wobbling while walking, and an increased risk of falling. We found that the risk of CM was higher if the individual took longer than 9 seconds to complete the TUG test.
Level of Evidence: 4 (Source: Spine)
Source: Spine - June 15, 2022 Category: Orthopaedics Tags: BIOMECHANICS Source Type: research
Intraoperative Cone Beam CT in Hybrid Operation Room for Pediatric Scoliosis Patients: Comparison of Pedicle Screw Violation Rate at Normal and Low Radiation Doses
Conclusion.
There was no increase in PS violation rate with lower doses of radiation for intraoperative navigation CBCT. Extra care is warranted for vertebrae close to the UIV and patients of shorter stature.
Level of Evidence: 3 (Source: Spine)
Source: Spine - June 15, 2022 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research
Analysis of Scoliosis-related Medical Services in South Korea Between 2010 and 2018: A Cross-sectional Study Using Health Insurance Review and Assessment Service Data
Conclusion.
The findings can be used as foundational data for experts such as health care policymakers, clinicians, and researchers.
Level of Evidence: 4 (Source: Spine)
Source: Spine - June 15, 2022 Category: Orthopaedics Tags: HEALTH SERVICES RESEARCH Source Type: research
What Constitutes “Appropriate Care” for Low Back Pain?: Point-of-Care Clinical Indicators From Guideline Evidence and Experts (the STANDING Collaboration Project)
Conclusion.
These 27 LBP clinical indicators can be used by healthcare consumers, clinicians, researchers, policy makers/ funders, and insurers to guide and monitor the provision of “appropriate care” for LBP.
Level of Evidence: 4 (Source: Spine)
Source: Spine - June 15, 2022 Category: Orthopaedics Tags: HEALTH SERVICES RESEARCH Source Type: research
Pedicle Screw Plowing in Adolescent Idiopathic Scoliosis: How Common Is It and Is It a Problem?
Study Design.
Multicenter retrospective review.
Objective.
To calculate overall incidence of pedicle screw “plowing” in adolescent idiopathic scoliosis (AIS) patients who underwent posterior spinal fusion (PSF). To identify risk factors for pedicle screw plowing and associated postoperative outcomes, including loss of correction and revision rate.
Summary of Background Data.
Curve correction of AIS generates perpendicular stresses that can cause pedicle screws to lose alignment and “plow” through pedicles craniocaudally.
Methods.
We reviewed records of 1057 patients who underwent PSF for AI...
Source: Spine - June 15, 2022 Category: Orthopaedics Tags: DEFORMITY Source Type: research
Augmented Reality Spine Surgery Navigation: Increasing Pedicle Screw Insertion Accuracy for Both Open and Minimally Invasive Spine Surgeries
Conclusion.
Augmented reality is a highly accurate, emerging technology for navigating both open and minimally invasive spine surgery techniques with off-the-shelf headset hardware.
Level of Evidence.
N/A (Source: Spine)
Source: Spine - June 15, 2022 Category: Orthopaedics Tags: SURGERY Source Type: research
Predictors of Dysphagia After Anterior Cervical Discectomy and Fusion: A Prospective Multicenter Study
Study Design.
Multicenter prospective study.
Objective.
Our aim was to evaluate the incidence and predictors of postoperative dysphagia in patients undergoing anterior cervical discectomy and fusion (ACDF).
Summary of Background Data.
Dysphagia is a common complication after ACDF that can have significant effect on patients’ quality of life, but the frequency of occurrence and potential risk factors are not known.
Methods.
A multicenter prospective study was undertaken at three academic sites to evaluate patients undergoing ACDF between September 2018 and September 2020. Included patients were ag...
Source: Spine - June 15, 2022 Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research
The Relation of Patient Expectations, Satisfaction, and Outcome in Surgery of the Cervical Spine: A Prospective Study
Conclusion.
Satisfaction correlates well with outcome. Meeting expectations did influence satisfaction with the outcome. The NDI seems to be a valuable preoperative screening tool for poor satisfaction at 12 months. In degenerative pathology, pain is the predominant variable influencing satisfaction independently from the predominant symptom (including myelopathy).
Level of Evidence.
5 (Source: Spine)
Source: Spine - June 15, 2022 Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research
A Study Decades in the Making!: The Heritable Nature of Adolescent Spinal Deformity
No abstract available (Source: Spine)
Source: Spine - June 15, 2022 Category: Orthopaedics Tags: COMMENTARY Source Type: research
The Hereditary Nature of Adolescent Spinal Deformities: A Study of Over 600,000 Adolescents
Conclusion.
We have found a considerable increased risk for adolescent spinal deformities among adolescents whose parents suffered from spinal deformities. We believe that our findings should serve the leading medical organizations when considering the screening of targeted populations.
Level of Evidence.
4 (Source: Spine)
Source: Spine - June 15, 2022 Category: Orthopaedics Tags: EPIDEMIOLOGY Source Type: research
Robert Gunzburg and Marek Szpalski: 2022 ISSLS Wiltse Lifetime Achievement Award
No abstract available (Source: Spine)
Source: Spine - June 1, 2022 Category: Orthopaedics Tags: EDITORIAL Source Type: research
Epidural Fat Tissue Is More Effective for Scar Prevention Than Conventional Subcutaneous Fat Grafting After Laminectomy in a Mouse Model
Conclusion.
EFT has different molecular and histological profiles from SFT and EFT grafting is more effective for epidural adhesion prevention than conventional SFT transplantation after laminectomy in a mouse model.
Level of Evidence: N/A (Source: Spine)
Source: Spine - June 1, 2022 Category: Orthopaedics Tags: BASIC SCIENCE Source Type: research
Botox Injections in Paraspinal Muscles Result in Low Maximal Specific Force and Shortening Velocity in Fast but Not Slow Skinned Muscle Fibers
Conclusion.
Injection of BTX-A into the paraspinal rabbit muscles leads to significant alterations in the contractile properties of fast, but not slow, fibers.
Level of Evidence: N/A (Source: Spine)
Source: Spine - June 1, 2022 Category: Orthopaedics Tags: BASIC SCIENCE Source Type: research
Atlantoaxial Non-Fusion Using Biomimetic Artificial Atlanto-Odontoid Joint: Technical Innovation and Initial Biomechanical Study
Study Design.
A biomechanical in vitro investigation.
Objective.
To evaluate the function and stability of self-designed biomimetic artificial atlanto-odontoid joint (BAAOJ) replacement on the atlantoaxial joint.
Summary of Background Data.
Upper cervical fusion surgery is a common treatment for various atlantoaxial disorders, and favorable clinical outcome has been achieved. However, the fusion surgery results in loss of atlantoaxial motion as well as adjacent segments degeneration, reducing the quality of life of patients and might produce severe neurological symptoms. Non-fusion technology is expected ...
Source: Spine - June 1, 2022 Category: Orthopaedics Tags: BIOMECHANICS Source Type: research
Asia Now Surpasses Europe in Spine Research Productivity: An Analysis From 1976–2020
Conclusion.
North America contributed the largest share of all articles published in the last five decades. Asia, which ranks second in 2020, has overtaken Europe. Normalization to registered MDs can be a helpful tool to reflect a country's research productivity more accurately.
Level of Evidence: 3 (Source: Spine)
Source: Spine - June 1, 2022 Category: Orthopaedics Tags: LITERATURE REVIEW Source Type: research
