Performance of the Modified Adult Spinal Deformity Frailty Index in Preoperative Risk Assessment
Study Design.
Retrospective single-center, consecutively enrolled database of adult spinal deformity (ASD) patients.
Objective.
The aim of this study was to assess the performance of the mASD-FI in predicting clinical and patient-reported outcomes after ASD-corrective surgery.
Summary of Background Data.
The recently described modified Adult Spinal Deformity frailty index (mASD-FI) quantifies frailty of ASD patients, but the utility of this clinical prediction tool as a means of prognosticating postoperative outcomes has not been investigated.
Methods.
ASD patients with available mASD-FI scores and...
Source: Spine - October 5, 2022 Category: Orthopaedics Tags: Deformity Source Type: research
Complications, Readmissions, Revisions, and Patient-reported Outcomes in Patients With Parkinson Disease Undergoing Elective Spine Surgery: A Propensity-matched Analysis
Conclusion.
For the matched analysis, in general, patients with and without PD had similar patient-reported outcomes and complication, readmission, and reoperation rates. These results demonstrate that a diagnosis of PD alone should not represent a major contraindication to elective spine surgery. (Source: Spine)
Source: Spine - October 5, 2022 Category: Orthopaedics Tags: Surgery Source Type: research
Outcomes Following Direct Versus Indirect Decompression Techniques for Lumbar Spondylolisthesis: A Propensity-Matched Analysis
Conclusion.
Our study suggests that both DD and ID for the treatment of lumbar spondylolisthesis result in similar clinical outcomes, with the exception that those treated with ID experienced a lower reduction in back and leg pain at 3 months and a higher 3-month reoperation rate. This data can provide surgeons with additional information when counseling patients on the pros and cons of ID versus DD surgery. (Source: Spine)
Source: Spine - October 5, 2022 Category: Orthopaedics Tags: Surgery Source Type: research
Osteoporosis as a Risk Factor for Intraoperative Complications and Long-term Instrumentation Failure in Patients With Scoliotic Spinal Deformity
This study aims to determine the effect of osteoporosis on spine instrumentation.
Summary of Background Data.
Osteoporosis is a common skeletal pathology that affects systemic cortical bone maintenance and remodeling. This disease accelerates the degeneration of the spine, often necessitating spinal surgery for progressive vertebral deformity, pathologic fracture, bony canal stenosis, and/or neural element decompression. There is a paucity of literature describing the role of osteoporosis as it relates to both perioperative complications and outcomes after spine fusion surgery.
Materials and Methods.
A retros...
Source: Spine - October 5, 2022 Category: Orthopaedics Tags: Surgery Source Type: research
Multifidus Sarcopenia Is Associated With Worse Patient-reported Outcomes Following Posterior Cervical Decompression and Fusion
Study Design.
Retrospective cohort study.
Objective.
The present study is the first to assess the impact of paraspinal sarcopenia on patient-reported outcome measures (PROMs) following posterior cervical decompression and fusion (PCDF).
Summary of Background Data.
While the impact of sarcopenia on PROMs following lumbar spine surgery is well-established, the impact of sarcopenia on PROMs following PCDF has not been investigated.
Materials and Methods.
We performed a retrospective review of patients undergoing PCDF from C2 to T2 at a single institution between the years 2017 and 2020. Two independen...
Source: Spine - October 5, 2022 Category: Orthopaedics Tags: Cervical Spine Source Type: research
The Additional Economic Burden of Frailty in Adult Cervical Deformity Patients Undergoing Surgical Intervention
Conclusion.
F and NF patients experienced similar complication rates and upfront costs, with equivocal utility gained, leading to comparative cost-effectiveness with NF patients based on cost per QALYs at two years. Surgical correction for CD is an economical healthcare investment for F patients when accounting for anticipated utility gained and cost-effectiveness following the procedure.
Level of Evidence.
III. (Source: Spine)
Source: Spine - October 5, 2022 Category: Orthopaedics Tags: Cervical Spine Source Type: research
Frailty and Sarcopenia: Impact on Outcomes Following Elective Degenerative Lumbar Spine Surgery
Study Design.
This is a retrospective review of prospectively collected data.
Objective.
The aim was to evaluate the impact of frailty and sarcopenia on outcomes after lumbar spine surgery.
Summary of Background Data.
Elderly patients are commonly diagnosed with degenerative spine disease requiring surgical intervention. Frailty and sarcopenia result from age-related decline in physiological reserve and can be associated with complications after elective spine surgery. Little is known about the impact of these factors on patient-reported outcomes (PROs).
Methods.
Patients older than 70 years of age...
Source: Spine - October 5, 2022 Category: Orthopaedics Tags: Clinical Case Series Source Type: research
Contextualizing Frailty in Contemporary Spine Practice
No abstract available (Source: Spine)
Source: Spine - October 5, 2022 Category: Orthopaedics Tags: Commentary Source Type: research
It Would be Unsound for Readers to Draw Any Clinically Significant Conclusions From This Study
No abstract available (Source: Spine)
Source: Spine - September 15, 2022 Category: Orthopaedics Tags: Letter to the Editor Source Type: research
Back to the Future: A Report From the 16th International Forum for Back and Neck Pain Research in Primary Care and Updated Research Agenda
Conclusion.
With the quantity and quality of research on back and neck pain increasing over the years, an update of research priorities helped to identify key issues in primary care. (Source: Spine)
Source: Spine - September 15, 2022 Category: Orthopaedics Tags: Historical Perspective Source Type: research
The T4-L1-Hip Axis: Defining a Normal Sagittal Spinal Alignment
Conclusions.
We defined normal sagittal balance and spinopelvic alignment in a disease-free international volunteer cohort. Four parameters are either fixed or directly modifiable in surgery and can define a normal thoracic and lumbar alignment: the L1-S1 lordosis defined as a function of PI and the L1PA; and the T4 pelvic angle is nearly equivalent to the L1PA, aligning the T4-L1-hip axis. (Source: Spine)
Source: Spine - September 15, 2022 Category: Orthopaedics Tags: Anatomy Source Type: research
Degenerative Lumbar Spondylolisthesis Patients With Movement-related Low Back Pain Have Less Postoperative Satisfaction After Decompression Alone
This study included 138 patients who underwent surgery for 1-level mild DLS. The authors performed PLIF for 79 patients and ME-MILD for 59 patients. When the satisfaction subscale of the Zurich Claudication Questionnaire exceeded 2 points, postoperative satisfaction was considered poor. The clinical characteristics were investigated. Responses to preoperative health-related quality of life questionnaires, such as the Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ), short form-36 health survey (SF-36), and visual analog scale, were compared between the satisfied and unsatisfied groups.
Result...
Source: Spine - September 15, 2022 Category: Orthopaedics Tags: Clinical Case Series Source Type: research
Age and Gender Based Spinopelvic and Regional Spinal Alignment in Asymptomatic Adult Volunteers: Results of the Multi-Ethnic Alignment Normative Study (MEANS)
Conclusions.
LL did not change with increasing age in asymptomatic volunteers. However, TK did increase with age leading to an increase in T1-slope and a compensatory increase in cervical lordosis. TK did not correlate with PI and was an independent variable in the prediction of LL.
Level of Evidence.
Level II—prospective cohort study. (Source: Spine)
Source: Spine - September 15, 2022 Category: Orthopaedics Tags: Epidemiology Source Type: research
Age- and Gender-based Global Sagittal Spinal Alignment in Asymptomatic Adult Volunteers: Results of the Multiethnic Alignment Normative Study (MEANS)
Conclusions.
In asymptomatic volunteers, sagittal alignment parameters showed a slow and steady change across age groups exemplified by an increase in TK. However, LL did not show a significant decrease across age groups. Volunteers used compensatory mechanisms such as slight pelvis retroversion, knee flexion, and neck extension to maintain an aligned sagittal posture with their head centered over their knees (odontoid-knee).
Level of Evidence.
3 (Source: Spine)
Source: Spine - September 15, 2022 Category: Orthopaedics Tags: Deformity Source Type: research
Simultaneous Hypercorrection of Lowest Instrumented Vertebral Tilt and Main Thoracic Curve is Associated With Progression of Residual Lumbar Curve in Adolescent Idiopathic Scoliosis
Conclusion.
The current study revealed that LIV tilt, as an operable factor during surgery, is not only a determinant in prediction models showing high correlation with the magnitude of postoperative LCs but a predictor for progression of residual LCs. “Immediate postoperative LIV-tilt angle 53%,” as a united criterion, could serve as a predictor for progression of residual LCs. (Source: Spine)
Source: Spine - September 15, 2022 Category: Orthopaedics Tags: Deformity Source Type: research
