The Incidence of Iliac Screw-Related Complications After Long Fusion Surgery in Patients with Adult Spinal Deformity
Conclusion.
The incidence rate of iliac screw-related complications was relatively high. However, they had a little effect on sagittal alignment deterioration and there were few cases that required revision surgery.
Level of Evidence: 4 (Source: Spine)
Source: Spine - March 19, 2022 Category: Orthopaedics Tags: DEFORMITY Source Type: research
No Benefit with Preservation of Midline Structures in Decompression for Lumbar Spinal Stenosis: Results From the National Swedish Spine Registry 2-Year Post-Op
Conclusion.
In this study on decompression techniques for LSS, there was no benefit in preserving the midline structures compared to LE 2 years after decompression. The conclusion is that the surgeon is free to choose the surgical method that is thought most suitable for the patient and the condition with which the patient presents.
Level of Evidence: 3 (Source: Spine)
Source: Spine - March 19, 2022 Category: Orthopaedics Tags: SURGERY Source Type: research
Calculating Ex-ante Utilities From the Modified Japanese Orthopedic Association Score: A Prerequisite for Quantifying the Value of Care for Cervical Myelopathy
Conclusion.
This study provides a simple technique for converting the mJOA score to utilities and quantify the importance of mJOA domains. The ability to evaluate QALYs for DCM will facilitate economic analysis and patient counseling. Clinicians should heed these findings and offer treatments that maximize function in the attributes viewed most important by patients.
Level of Evidence: 3 (Source: Spine)
Source: Spine - March 19, 2022 Category: Orthopaedics Tags: HEALTH SERVICES RESEARCH Source Type: research
A Natural History of Patients Treated Operatively and Nonoperatively for Spinal Metastases Over 2 Years Following Treatment: Survival and Functional Outcomes
Conclusion.
We found that patients treated operatively and nonoperatively for spinal metastases benefitted from treatment in terms of HRQL. Two-year mortality for the cohort as a whole was 70%. When prognosticating survival, the NESMS appears to be an effective utility, particularly among patients with scores of 0 or 1.
Level of Evidence: 2 (Source: Spine)
Source: Spine - March 19, 2022 Category: Orthopaedics Tags: HEALTH SERVICES RESEARCH Source Type: research
Pharmacologic Recruitment of Endogenous Neural Stem/Progenitor Cells for the Treatment of Spinal Cord Injury
This study aims to examine whether a combinatory treatment of Pioglitazone (PGZ) and granulocyte colony-stimulating factor (GCSF) can support neural stem/progenitor cells (NSPCs) directly and provide a sustainable microenvironment through immunomodulatory mechanisms.
Summary of Background Data.
Neuroinflammation plays a crucial role in the progression of spinal cord injury (SCI) and hinders NSPC-mediated repair and regeneration. Broad acting drugs that mitigate inflammation and support NSPC proliferation have not been tested together in SCI research models.
Methods.
Isolated NSPCs were treated with vehicle co...
Source: Spine - February 27, 2022 Category: Orthopaedics Tags: BASIC SCIENCE Source Type: research
Simplified Chinese Version of the Back Pain Function Scale (BPFS) for Patients with Low Back Pain: Cross-Cultural Adaptation and Validation
Study Design.
A cross-sectional study.
Objective.
To translate and cross-culturally adapt back pain function scale (BPFS) into a simplified Chinese version (SC-BPFS), and evaluate the reliability and validity of SC-BPFS in patients with low back pain.
Summary of Background Data.
The BPFS is a reliable and valid evaluation instrument for low back pain. However, simplified Chinese version of BPFS has not been validated.
Methods.
Cross-cultural adaptation was performed according to the internationally recognized guidelines of the American Academy of Orthopaedic Surgeons Outcome Committee. One-hundred ...
Source: Spine - February 27, 2022 Category: Orthopaedics Tags: HEALTH SERVICES RESEARCH Source Type: research
Epidemiology of Spine-Related Neurologic Injuries in Professional Baseball Players
Study Design.
A retrospective case series study.
Objective.
To analyze the epidemiology of diagnoses of degenerative cervical and lumbar spinal conditions among Major League Baseball (MLB) and Minor League Baseball (MiLB) players.
Summary of Background Data.
Repetitive high-energy forces in professional baseball players may predispose them to degenerative cervical and lumbar spinal conditions. There is a lack of data concerning the epidemiology of these injuries in professional baseball.
Methods.
Deidentified data on spine injuries were collected from all MLB and MiLB teams from 2011 to 2016 from t...
Source: Spine - February 27, 2022 Category: Orthopaedics Tags: EPIDEMIOLOGY Source Type: research
A Prospective, 3-year Longitudinal Study of Modic Changes of the Lumbar Spine in a Population-based Cohort: The Wakayama Spine Study
Conclusion.
This study revealed a high incidence of MCs at the upper lumbar levels and transformation at the lower lumbar levels. Reverse transformation of MCs occurs but are rare.
Level of Evidence: 2 (Source: Spine)
Source: Spine - February 27, 2022 Category: Orthopaedics Tags: EPIDEMIOLOGY Source Type: research
Should Q-CT Be the Gold Standard for Detecting Spinal Osteoporosis?
Study Design.
Prospective comparative study.
Objective.
Refinement of the guidelines for screening of osteoporosis and considering quantitative computed tomography (Q-CT) for detecting spinal osteoporosis.
Summary of Background Data.
Spinal osteoporosis is often underestimated and under-evaluated due to either lack of availability of the diagnostic modality or lack of awareness about the possibility of overestimation by dual X-ray absorptiometry (DXA) scan. There is a need for reconsidering osteoporosis evaluation with a site specific and patient specific inclination.
Methods.
Post-menopausal women...
Source: Spine - February 27, 2022 Category: Orthopaedics Tags: DIAGNOSTICS Source Type: research
Upper Quadrant Pain and Disability Associated with a Cross-Sectional Area of Deep and Superficial Neck Muscles: A Computed Tomography Study
Conclusion.
By using an accurate measuring tool, we found an association of the deep and superficial neck muscles’ CSA with upper extremities’ pain and disability. When performing manual work, a special load is placed on the shoulders and neck muscles. Future research should focus on examining the effectiveness of exercise-type intervention programs to strengthen the deep neck and upper extremities’ muscles in order to prevent muscle fatigue.
Level of Evidence: 2 (Source: Spine)
Source: Spine - February 27, 2022 Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research
Risk Factors Associated with Aggravation of Cervical Spine Lesions in Patients with Rheumatoid Arthritis: A Retrospective Longitudinal Cohort Study
Study Design.
A retrospective cohort study.
Objective.
To examine factors related to severe aggravation of preexisting cervical lesions in patients with rheumatoid arthritis (RA) under current pharmacologic treatments with biologics.
Summary of Background Data.
Advanced RA cervical lesions carry a risk of irreversible damage to the spinal cord; however, risk factors for aggravation are unclear after the use of biologics became more popular.
Methods.
Of 166 patients with preexisting cervical lesions at baseline, 87 who had cervical X-ray images taken at baseline and at the final visit (with an inter...
Source: Spine - February 27, 2022 Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research
Influence of Intervertebral Level of Stenosis on Neurological Recovery and Reduction of Neck Pain After Posterior Decompression Surgery for Cervical Spondylotic Myelopathy: A Retrospective Multicenter Study with Propensity Scoring
This study involved 636 patients with CSM who underwent posterior decompression. According to the most stenotic intervertebral level, patients were divided into upper (n = 343, the most stenotic intervertebral level was C2/3, C3/4, or C4/5) and lower (n = 293, the most stenotic intervertebral level was C5/6, C6/7, or C7/T1) cervical stenosis groups. Propensity score matching of the baseline factors (characteristics, comorbidities, and neurological function) was performed to compare surgical outcomes, the Japanese Orthopaedic Association (JOA) scores, and visual analog scale (VAS) for neck pain between the upper (nâ...
Source: Spine - February 27, 2022 Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research
Association Between Paravertebral Muscle Mass and Improvement in Sagittal Imbalance After Decompression Surgery of Lumbar Spinal Stenosis
Conclusion.
A larger volume of paravertebral muscles and a lower PI-LL were associated with an improvement in sagittal balance in patients with LSS who underwent decompression surgery.
Level of Evidence: 3 (Source: Spine)
Source: Spine - February 27, 2022 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research
Comparison of Oblique Lateral Interbody Fusion (OLIF) and Minimally Invasive Transforaminal Lumbar Interbody Fusion (MI-TLIF) for Treatment of Lumbar Degeneration Disease: A Prospective Cohort Study
Study Design.
Prospective cohort study.
Objective.
To assess the differences in the clinical and radiological outcomes between oblique lateral interbody fusion (OLIF) and minimally invasive transforaminal lumbar interbody fusion (MI-TLIF).
Summary of Background Data.
Nowadays, there is still a controversy regarding whether OLIF is superior to MI-TLIF in the management of degenerative lumbar disease.
Methods.
Between August 3, 2019 and February 3, 2020, 137 patients were assigned to OLIF or MI-TLIF at their request and the surgeon's discretion: 71 in the OLIF group and 66 in the MI-TLIF group. The p...
Source: Spine - February 27, 2022 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research
Clinical and Radiological Outcomes of Two Modified Open-door Laminoplasties Based on a Novel Paraspinal Approach for Treatment of Multilevel Cervical Spondylotic Myelopathy
Conclusion.
Paraspinal approach is a good manner to protect deep extensor muscles; the two modified LPs have similar effects on clinical outcomes.
Level of Evidence: 3 (Source: Spine)
Source: Spine - February 27, 2022 Category: Orthopaedics Tags: SURGERY Source Type: research
