Comparison of Patient Preference, Understanding, and Sentiment for Minimally Invasive Versus Open Spine Surgery
Study Design.
Retrospective questionnaire analysis.
Objective.
The goal of this study was to analyze patients’ understanding and preferences for minimally invasive spine (MIS) versus open spine surgery.
Summary of Background Data.
MIS surgery is increasing in prevalence. However, there is insufficient literature to evaluate how the availability of MIS surgery influences the patients’ decision-making process and perceptions of spine procedures.
Methods.
A survey was administered to patients who received a microdiscectomy or transforaminal lumbar interbody fusion between 2016 and 2020. All eligib...
Source: Spine - February 1, 2022 Category: Orthopaedics Tags: SURGERY Source Type: research
Isthmic Spondylolisthesis is Associated with Less Revisions for Adjacent Segment Disease After Lumbar Spine Fusion Than Degenerative Spinal Conditions: A 10-Year Follow-Up Study
Conclusion.
Among patients with IS, the incidence of revisions for ASD was less than a 4th of that with DLSD. Efforts to prevent the acceleration of the degenerative process at the adjacent level of fusion are most important with DLSD.
Level of Evidence: 3 (Source: Spine)
Source: Spine - February 1, 2022 Category: Orthopaedics Tags: SURGERY Source Type: research
Surgical Predictors for Prevention of Postoperative Shoulder Imbalance in Lenke Type 2A Adolescent Idiopathic Scoliosis
Conclusion.
To prevent PSI in Lenke Type 2A AIS patients, surgeons should avoid the combination of non-STF-LTV and high MTC correction in those surgeries with UIV as T2.
Level of Evidence: 4 (Source: Spine)
Source: Spine - February 1, 2022 Category: Orthopaedics Tags: DEFORMITY Source Type: research
Magnetically Controlled Growing Rods (MCGR) Versus Single Posterior Spinal Fusion (PSF) Versus Vertebral Body Tether (VBT) in Older Early Onset Scoliosis (EOS) Patients: How Do Early Outcomes Compare?
Study Design.
Retrospective review of prospective data from multicenter registry.
Objective.
Compare outcomes of posterior spinal fusion (PSF) versus magnetically controlled growing rods (MCGR) versus vertebral body tethers (VBT) in 8- to 11-year-old idiopathic early onset scoliosis (EOS) patients.
Summary of Background Data.
In EOS, it is unclear at what age the benefit of growth-sparing strategies outweighs increased risks of surgical complications, compared with PSF.
Methods.
One hundred thirty idiopathic EOS patients, 81% female, aged 8–11 at index surgery (mean 10.5 yrs), underwent PSF, MCGR...
Source: Spine - February 1, 2022 Category: Orthopaedics Tags: DEFORMITY Source Type: research
Adult Spinal Deformity Surgery Is Associated with Increased Productivity and Decreased Absenteeism From Work and School
Conclusion.
ASD patients managed operatively exhibited an average increase in work/school productivity of 18.1% and decreased absenteeism of 1.1 per 90 days at 2-year follow-up, while patients managed nonoperatively did not exhibit change from baseline. Given the age distribution of patients in this study, these findings should be interpreted as pertaining primarily to obligations at work or within the home. Further study of the direct and indirect economic benefits of ASD surgery to patients is warranted.
Level of Evidence: 3 (Source: Spine)
Source: Spine - February 1, 2022 Category: Orthopaedics Tags: DEFORMITY Source Type: research
An Experimental Rat Model of C5 Palsy Following Posterior Decompression Surgery of the Cervical Spine
Conclusion.
This model was thought to be appropriate for analyzing the pathogenesis of C5P since our findings were comparable to the clinical course of C5P subsequent to posterior cervical decompression. Although a future study for clarifying histological and molecular alterations will be needed, tethering of the anterior rootlets due to posterior cord shift was suggested to be a probable mechanism causing C5P.
Level of Evidence: 5 (Source: Spine)
Source: Spine - January 16, 2022 Category: Orthopaedics Tags: BASIC SCIENCE Source Type: research
Cytokine Profile From the Ligamentum Flavum in Patients with Ossification of the Posterior Longitudinal Ligament in the Cervical Spine
Conclusion.
Our findings suggest that specific changes in the cytokine profile during ossification promote osteoblast differentiation, thereby providing new insights into OPLL pathogenesis. Moreover, this work supports the development of a new therapeutic method for preventing OPLL progression by regulating the cytokine profiles.
Level of Evidence: 3 (Source: Spine)
Source: Spine - January 16, 2022 Category: Orthopaedics Tags: BASIC SCIENCE Source Type: research
Preoperative Lower Extremity Motor Weakness Affects Deep Vein Thrombosis During the Perioperative Period of Lumbar Surgery
Study Design.
Prospective cohort study.
Objective.
The aim of this study was to assess preoperative factors in the development/exacerbation of deep vein thrombosis (DVT) in lumbar surgery and selectively perform lower-extremity venous ultrasonography (US) in patients at risk of perioperative deep vein thrombosis (DVT).
Summary of Background Data.
DVT is often present before lumbar surgery and also can develop or is exacerbated postoperatively. An elevated d-dimer level is predictive of DVT but not in all patients or during every operative period. The level of the thrombogenic marker soluble fibrin monomer...
Source: Spine - January 16, 2022 Category: Orthopaedics Tags: EPIDEMIOLOGY Source Type: research
The Association Between Different Trajectories of Low Back Pain and Degenerative Imaging Findings in Young Adult Participants Within The Raine Study
Conclusion.
Lumbar disc degeneration and herniation may be important contributors to disabling LBP in young adults. Further investigation of their potential prognostic and causal roles is indicated.
Level of Evidence: 4 (Source: Spine)
Source: Spine - January 16, 2022 Category: Orthopaedics Tags: EPIDEMIOLOGY Source Type: research
No Difference in Reoperation Rates for Adjacent Segment Disease (Operative Adjacent Segment Disease) in Posterior Cervical Fusions Stopping at C7 Versus T1/T2: A Cohort of 875 Patients—Part 1
Conclusion.
A large cohort of 875 patients with PCFs stopping at –C7 or –T1/T2 with an average follow-up of more than 4 years found no statistical difference in reoperation rates for ASD (operative ASD).
Level of Evidence: 3 (Source: Spine)
Source: Spine - January 16, 2022 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research
Integrated Custom Composite Polyetheretherketone/Carbon fiber (PEEK/CF) Vertebral Body Replacement (VBR) in the Treatment of Bone Tumors of the Spine: A Preliminary Report From a Multicenter Study
Conclusion.
This is the first series to describe the use of a fully-radiolucent, integrated, PEEK/CF implant system for spinal tumor reconstruction. The use of a PEEK/CF VBR system integrated to either the anterior plate, or posterior screw-rod system is feasible and allows for superior postoperative surveillance imaging and effective delivery of postoperative adjuvant radiotherapy.
Level of Evidence: 4 (Source: Spine)
Source: Spine - January 16, 2022 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research
Development of Tuberculosis Spine Instability Score (TSIS): An Evidence-Based and Expert Consensus-Based Content Validation Study Among Spine Surgeons
Conclusion.
TSIS is a comprehensive scoring system integrating demographic, anatomical, clinical, and radiological factors aimed at diagnosing instability in TB spine. The classification determines indications for surgical stabilization in patients with TB spine, with no or little neurological deficit.
Level of Evidence: 4 (Source: Spine)
Source: Spine - January 16, 2022 Category: Orthopaedics Tags: HEALTH SERVICES RESEARCH Source Type: research
Influences of Thoracic Spinal Deformity on Exercise Performance and Pulmonary Function: A Prospective Study of 168 Patients with Adolescent Idiopathic Scoliosis
Study Design.
A prospective study.
Objective.
The aim of this study was to investigate the factors associated with cardiopulmonary exercise testing (CPET) measurements in patients with adolescent idiopathic scoliosis (AIS).
Summary of Background Data.
Patients with AIS display restrictive pulmonary dysfunction on pulmonary function testing (PFT). It remains unknown whether thoracic spinal deformity affects exercise performance.
Methods.
One hundred and sixty-eight patients with AIS from January 2014 to December 2019 were included. They underwent preoperative spinal radiological assessment, PFT, and...
Source: Spine - January 16, 2022 Category: Orthopaedics Tags: DEFORMITY Source Type: research
Selective Anterior Fusion Surgery Does Not Influence Global Spinal Sagittal Alignment in Lenke Type 5 Adolescent Idiopathic Scoliosis Patients
Conclusion.
Selective ASF did not influence various GSSA parameters postoperatively and could maintain excellent correction for coronal deformity with satisfactory final functional and clinical outcomes confirmed by long-term follow-up.
Level of Evidence: 4 (Source: Spine)
Source: Spine - January 16, 2022 Category: Orthopaedics Tags: DEFORMITY Source Type: research
Examination of Adult Spinal Deformity Patients Undergoing Surgery with Implanted Spinal Cord Stimulators and Intrathecal Pumps
Study Design.
Retrospective cohort study of a prospectively collected multi-center database of adult spinal deformity (ASD) patients.
Objective.
We hypothesized that patients undergoing ASD surgery with and without previous spinal cord stimulators (SCS)/ intrathecal medication pumps (ITP) would exhibit increased complication rates but comparable improvement in health-related quality of life.
Summary of Background Data.
ASD patients sometimes seek pain management with SCS or ITP before spinal deformity correction. Few studies have examined outcomes in this patient population.
Methods.
Patients under...
Source: Spine - January 16, 2022 Category: Orthopaedics Tags: DEFORMITY Source Type: research
