Postoperative Sagittal Balance Has Only a Limited Role in the Development of Adjacent Segment Disease After Lumbar Spine Fusion for Degenerative Lumbar Spine Disorders: A Subanalysis of the 10-year Follow-up Study
Conclusion.
Poor sagittal balance has only a limited role as a risk factor for the revisions for ASD among patients with degenerative spinal disease. However, the risk for ASD might be the greatest among patients with reduced spinal mobility. (Source: Spine)
Source: Spine - September 15, 2022 Category: Orthopaedics Tags: Surgery Source Type: research
Ultrasound-guided Cervical Retro-laminar Block for Cervical Radicular Pain: A Comparative Analysis
In this study, we evaluated the outcome of RLCB in patients with cervical radiculopathy who had failed conservative treatment and were candidates for cervical spine decompression surgery.
Background Data.
Recently, we reported a clinical pilot study investigating the treatment of cervical radiculopathy with an ultrasound-guided RLCB.
Materials and Methods.
A retrospective, comparative analysis of prospectively collected data was carried out on the medical records of all patients who underwent RLCB for cervical radicular pain, between August 2019 and March 2021.
Results.
Ninety-eight patients were inclu...
Source: Spine - September 15, 2022 Category: Orthopaedics Tags: Cervical Spine Source Type: research
Failure in Adult Spinal Deformity Surgery: A Comprehensive Review of Current Rates, Mechanisms, and Prevention Strategies
Conclusion.
By consolidating the key evidence regarding failure, further research and innovation may be stimulated with the goal of significantly improving the safety and cost-effectiveness of ASD surgery. (Source: Spine)
Source: Spine - September 15, 2022 Category: Orthopaedics Tags: Literature Review Source Type: research
Full-endoscopic Transforaminal Discectomy Versus Open Microdiscectomy for Sciatica: Update of a Systematic Review and Meta-analysis
No abstract available (Source: Spine)
Source: Spine - September 1, 2022 Category: Orthopaedics Tags: Research Letters Source Type: research
Streamlining the QOD Web-based Calculator for Clinical Integration: Development and Validation of a Reduced Prediction Model for Lumbar Spine Surgery
No abstract available (Source: Spine)
Source: Spine - September 1, 2022 Category: Orthopaedics Tags: Research Letters Source Type: research
Use of a Multifunctional Cocktail for Postoperative Bleeding and Pain Control in Spinal Fusion: A Randomized, Double-blind, Controlled Trial
Conclusion.
Topical application of a multifunctional cocktail that we designed provides an effective and safe method for reducing pain and bleeding after spinal fusion. (Source: Spine)
Source: Spine - September 1, 2022 Category: Orthopaedics Tags: Randomized Trial Source Type: research
Relationship Between Sacroiliac Joint–related Pain and Spinopelvic Mobility
Study Design.
A case-control study.
Objective.
To evaluate the relationship between sacroiliac joint–related pain (SIJ-RP) and spinopelvic mobility.
Summary of Background Data.
No specific radiological findings are available for the diagnosis of SIJ-RP. A previous study reported that a higher pelvic incidence and sacral slope (SS) values were significantly associated with sacroiliac joint pain. The concept of spinopelvic mobility, which is evaluated by the differences between SS in the standing and sitting positions, has been the focus of hip and spine surgeries in recent years.
Materials and Methods...
Source: Spine - September 1, 2022 Category: Orthopaedics Tags: Diagnostics Source Type: research
A Newer Way of Determining LIV in AIS Patients: Rotation of the Touched Vertebrae
The objective of this study was to determine whether fusing to touched vertebra (TV) on prone x-rays (XRs) with minimal rotation (Gd 0/1) allow for shorter fusion with optimal correction.
Summary of Background.
Previous studies have shown risk of “adding on” when TV is not selected as lowest instrumented vertebra (LIV). Fusion proximal to TV leads to suboptimal results but fusing to TV on standing XRs can result in longer fusions. On lying down XRs, TV moves proximally, and its rotation decreases by a grade.
Methods.
TV patients with minimal rotation were selected on prone (TVP) or standing XRs (TVS). Pat...
Source: Spine - September 1, 2022 Category: Orthopaedics Tags: Clinical Case Series Source Type: research
Convergent and Discriminative Validity of the PROMIS Physical Function 4 Questionnaire for Assessing Pain-related Disability in Low Back Pain Patients Seeking Chiropractic Care
Conclusion.
As hypothesized, for convergent validity the PROMIS-PF4 has stronger correlation with the RMDQ than the NPRS and good discriminative validity for identifying patients with pain-related disability and at high risk of persisting disability but not for identifying pain intensity or low-risk of persisting disability. Consequently, the PROMIS-PF4 has adequate construct validity for measuring pain-related disability in an LBP population in chiropractic care. (Source: Spine)
Source: Spine - September 1, 2022 Category: Orthopaedics Tags: Epidemiology Source Type: research
Comparison of Spinopelvic Configuration and Roussouly Alignment Types Between Pediatric and Adult Populations
Study Design.
Retrospective cross-sectional study.
Objective.
The aim was to describe spinopelvic alignment types by pelvic incidence (PI) and age to compare the Roussouly classification between pediatric and adult populations.
Summary of Background Data.
The Roussouly classification was validated for adults. Alignment types may vary during growth.
Materials and Methods.
Radiographs of 1706 non pathologic individuals (5–49 yr) were analyzed. Individuals ≤19 years were stratified by chronological age and skeletal maturity (triradiate cartilage, Risser), and compared with adults. Global and spin...
Source: Spine - September 1, 2022 Category: Orthopaedics Tags: Deformity Source Type: research
A Complement Type to SRS-Schwab Adult Spinal Deformity Classification: The Failure of Pelvic Compensation
Conclusion.
Compared with patients with successful pelvic compensation, those with failed pelvic compensation showed lower postoperative improvements in clinical and radiographic outcomes. Therefore, it is important to consider pelvic compensation when planning surgical correction of deformities. Distinct surgical approaches, including overcorrection of the PI−lumbar lordosis mismatch or global sagittal alignment, should be attempted to ensure postoperative symptom improvement. (Source: Spine)
Source: Spine - September 1, 2022 Category: Orthopaedics Tags: Deformity Source Type: research
Depression Increases Posterior Cervical Decompression and Fusion Revision Rates and Diminishes Neck Disability Index Improvement
Study Design.
A retrospective cohort study.
Objective.
To determine if depression and/or anxiety significantly affect patient-reported outcome measures (PROMs) after posterior cervical decompression and fusion (PCDF).
Summary of Background Data.
Mental health diagnoses are receiving increased recognition for their influence of outcomes after spine surgery. The magnitude that mental health disorders contribute to patient-reported outcomes following PCDF requires increased awareness and understanding.
Materials and Methods.
A review of electronic medical records identified patients who underwent a PC...
Source: Spine - September 1, 2022 Category: Orthopaedics Tags: Surgery Source Type: research
Robotics Reduces Radiation Exposure in Minimally Invasive Lumbar Fusion Compared With Navigation
Study Design.
Retrospective cohort.
Objective.
To compare robotics and navigation for minimally invasive elective lumbar fusion in terms of radiation exposure and time demand.
Summary of Background Data.
Although various studies have been conducted to demonstrate the benefits of both navigation and robotics over fluoroscopy in terms of radiation exposure, literature is lacking in studies comparing robotics versus navigation.
Materials and Methods.
Patients who underwent elective one-level or two-level minimally invasive transforaminal lumbar interbody fusion (TLIF) by a single surgeon using navigat...
Source: Spine - September 1, 2022 Category: Orthopaedics Tags: Surgery Source Type: research
Postoperative Pain Management Following Orthopedic Spine Procedures and Consequent Acute Opioid Poisoning: An Analysis of New York State From 2009 to 2018
This study examined acute opioid poisonings in postoperative spine surgery patients in New York and the rates of poisonings among these patients in the context of New York’s 2016 State legislation limiting opioid prescriptions.
Methods.
Claims for adult patients who received specific orthopedic spine procedures in the outpatient setting were identified from 2009 to 2018 in the New York Statewide Planning and Research Cooperative System (SPARCS) database. Patients were followed to determine if they presented to the emergency department for acute opioid poisoning postoperatively. Multivariable logistic regression wa...
Source: Spine - September 1, 2022 Category: Orthopaedics Tags: Surgery Source Type: research
Cervical Spine Research Society-Cervical Stiffness Disability Index (CSRS-CSDI): Validation of a Novel Scoring System Quantifying the Effect of Postarthrodesis Cervical Stiffness on Patient Quality of Life
Study Design.
Cross-sectional study.
Objective.
The aim was to create and validate a novel patient-reported outcome measure (PROM) focusing on stiffness-related patient functional limitations after cervical spine fusion.
Summary of Background Data.
Cervical arthrodesis is a common treatment for myelopathy/radiculopathy, however, results in increased neck stiffness as a collateral outcome. No current PROM exists quantifying the impact of postoperative stiffness on patient function.
Methods.
The Cervical Spine Research Society-Cervical Stiffness Disability Index (CSRS-CSDI) was created through a modi...
Source: Spine - September 1, 2022 Category: Orthopaedics Tags: Cervical Spine Source Type: research
