Predicting Major Complications and Discharge Disposition after Adult Spinal Deformity Surgery
Surgical intervention for adult spinal deformity (ASD) can result in postoperative morbidity. Lee et al [1] found that 32% of patients with ASD experienced at least one major or minor postoperative complication following spinal fusion. The Charlson Comorbidity Index (CCI), which numerically quantifies a patient's comorbidity burden, can be used to risk-stratify patients before surgery. The CCI was developed as a predictor of death in hospitalized patients and has been used frequently in studies of patients undergoing ASD surgery because it can independently predict postoperative morbidity, discharge disposition, and need f...
Source: The Spine Journal - October 14, 2023 Category: Orthopaedics Authors: Amar S. Vadhera, Rahul Sachdev, Nicholas S. Andrade, Mark Ren, Bo Zhang, Khaled M. Kebaish, David B. Cohen, Richard L. Skolasky, Brian J. Neuman Tags: Clinical Study Source Type: research
Facet joint tropism, pelvic incidence and intervertebral height index: associations with facet joint osteoarthritis in lumbar spinal stenosis.
: Facet joint osteoarthritis (FJOA) is associated with lumbar disc degeneration and has a significant role in the development of lumbar spinal stenosis (LSS). The relationship between various radiographic parameters and the grade of FJOA is not well understood. (Source: The Spine Journal)
Source: The Spine Journal - October 14, 2023 Category: Orthopaedics Authors: Huihong Shi, Shaoguang Li, Song Liu, Wenjun Hu, Jianan Chen, Yanbo Chen, Youxi Lin, Hang Zhou, Nianchun Liao, Dongsheng Huang, Wenjie Gao, Anjing Liang Tags: Clinical Study Source Type: research
Plate-only open-door laminoplasty is associated with durable, significantly improved clinical outcomes and a very low reoperation rate for progressive spondylosis or adjacent segment disease: Average 8 year follow up
Multilevel cervical myelopathy is a common cause of spinal cord dysfunction in adults. Surgical intervention via laminoplasty can provide satisfactory clinical outcomes by expansive decompression of the spinal cord. Traditional suture or bone graft techniques have been associated with insufficient fixation, leading to premature closure and subsequent neurological deterioration. In contrast, plated laminoplasty has been shown to provide stable fixation to maintain canal enlargement, but longer-term outcomes are lacking. (Source: The Spine Journal)
Source: The Spine Journal - October 14, 2023 Category: Orthopaedics Authors: Angel X. Xiao, J. Taylor Bellamy, Alex R. Webb, Akin Ojemakinde, Myra Chao, Shuo Niu, John M. Rhee Tags: Clinical Study Source Type: research
Key factors for enhancing academic productivity and fostering mentorship in spine research: the Cleveland Clinic Center for Spine Health approach to sustaining success
Clinical research has always been a fundamental necessity for the medical profession. Advancing our knowledge base to ensure we are providing the best possible care to our patients is dogmatically engrained in us. This research often requires painstaking effort and commitment. Consequently, both individual surgeons and whole institutions alike are judged by, and at times compensated according to, the amount and quality of research they perform [3,4,7]. Even medical students ’ candidacies for residency are heavily influenced by their research, particularly in highly competitive surgical subspecialties, such as orthopedic ...
Source: The Spine Journal - October 12, 2023 Category: Orthopaedics Authors: Swetha J Sundar, Benjamin B Whiting, Daniel Lubelski, Michael P Steinmetz, Thomas E Mroz, Edward C Benzel Tags: Perspective Source Type: research
Differentiating Spinal Pathologies by Deep Learning Approach
Spinal pathologies are diverse in nature and, excluding trauma and degenerative diseases, includes infectious, neoplastic (either extradural or intradural) and inflammatory conditions. The preoperative diagnosis is made with clinical judgment incorporating lab findings and radiological studies. When the diagnosis is uncertain, a biopsy is almost always mandatory since the treatment is dictated by the type of pathology. This is an invasive, timely and costly process. (Source: The Spine Journal)
Source: The Spine Journal - October 3, 2023 Category: Orthopaedics Authors: Oz Haim, Ariel Agur, Segev Gabay, Lee Azolai, Itay Shutan, May Chitayat, Michal Katirai, Sapir Sadon, Moran Artzi, Zvi Lidar Tags: Basic Science Source Type: research
Natural Language Processing Reveals Research Trends and Topics in The Spine Journal Over Two Decades: A Topic Modeling Study
: The field of spine research is rapidly evolving, with new research topics continually emerging. Analyzing topics and trends in the literature can provide insights into the shifting research landscape. (Source: The Spine Journal)
Source: The Spine Journal - October 3, 2023 Category: Orthopaedics Authors: Mert Karabacak, Konstantinos Margetis Tags: Clinical Study Source Type: research
Patient Expectations Impact Patient-Reported Outcomes and Satisfaction after Lumbar Fusion
Prior studies suggest that patient expectations impact postoperative Patient-reported Outcomes (PROMs). However, no consensus exists on an appropriate expectations tool. (Source: The Spine Journal)
Source: The Spine Journal - October 3, 2023 Category: Orthopaedics Authors: Hanci Zhang, Steven Glassman, Erica F. Bisson, Eric Potts, Ehsan Jazini, Leah Carreon Tags: Clinical Study Source Type: research
A novel rat model of annulus fibrosus injury for intervertebral disc degeneration
In clinical practice, acute trauma and chronic degeneration of the annulus fibrosus (AF) can promote further degeneration of the intervertebral disc (IVD). Therefore, it is critical to understand the AF repair process and its consequences on IVD. However, the lack of cost-effective and reproducible in vivo animal models of AF injury has limited research development in this field. (Source: The Spine Journal)
Source: The Spine Journal - October 2, 2023 Category: Orthopaedics Authors: Haibin Xu, Yuang Zhang, Yujie Zhang, Chao Yu, Kaishun Xia, Feng Cheng, Kesi Shi, Xianpeng Huang, Yi Li, Jiangjie Chen, Jiawei Shu, Xiaopeng Zhou, Yiqing Tao, Chengzhen Liang, Fangcai Li, Qixin Chen Tags: Basic Science Source Type: research
A novel rat model of anulus fibrosus injury for intervertebral disc degeneration
In clinical practice, acute trauma and chronic degeneration of the anulus fibrosus (AF) can promote further degeneration of the intervertebral disc (IVD). Therefore, it is critical to understand the AF repair process and its consequences on IVD. However, the lack of cost-effective and reproducible in vivo animal models of AF injury has limited research development in this field. (Source: The Spine Journal)
Source: The Spine Journal - October 2, 2023 Category: Orthopaedics Authors: Haibin Xu, Yuang Zhang, Yujie Zhang, Chao Yu, Kaishun Xia, Feng Cheng, Kesi Shi, Xianpeng Huang, Yi Li, Jiangjie Chen, Jiawei Shu, Xiaopeng Zhou, Yiqing Tao, Chengzhen Liang, Fangcai Li, Qixin Chen Tags: Basic Science Source Type: research
Spinal decompression surgery may alleviate vasopressor-induced spinal hemorrhage and extravasation during acute cervical spinal cord injury in rats
Cervical spinal injury often disrupts the supraspinal vasomotor pathways projecting to the thoracic sympathetic preganglionic neurons, leading to cardiovascular dysfunction. The current guideline is to maintain the mean arterial blood pressure at 85 –90 mmHg using a vasopressor during the first week of the injury. Some studies have demonstrated that this treatment might be beneficial to alleviate secondary injury and improve neurological outcomes; however, elevation of blood pressure may exacerbate spinal hemorrhage, extravasation, and edema, exacerbating the initial injury. (Source: The Spine Journal)
Source: The Spine Journal - October 2, 2023 Category: Orthopaedics Authors: Chia-Chen Ko, Po-Hsuan Lee, Jung-Shun Lee, Kun-Ze Lee Tags: Basic Science Source Type: research
Relationship between lumbar spinal stenosis and axial muscle wasting
Although the effect of lumbar spinal stenosis (LSS) on the lower extremities is well documented, limited research exists on the effect of spinal stenosis on the posterior paraspinal musculature (PPM). Similar to neurogenic claudication, moderate to severe spinal canal compression can also interfere with the innervation of the PPM, which may result in atrophy and increased fatty infiltration (FI). (Source: The Spine Journal)
Source: The Spine Journal - October 1, 2023 Category: Orthopaedics Authors: Lukas Sch önnagel, Jiaqi Zhu, Gaston Camino-Willhuber, Ali E. Guven, Soji Tani, Thomas Caffard, Henryk Haffer, Maximilian Muellner, Erika Chiapparelli, Artine Arzani, Krizia Amoroso, Manuel Moser, Jennifer Shue, Ek T. Tan, John A. Carrino, Andrew A. Sama Tags: Clinical Study Source Type: research
Favorable cervical extension capacity preventing loss of cervical lordosis after laminoplasty due to spontaneous restoration of initial lordosis
: Cervical laminoplasty is a common approach for the treatment of multilevel cervical spondylotic myelopathy (CSM). Postoperative loss of cervical lordosis (LCL) was associated with lower extension motion of the cervical spine before laminoplasty. (Source: The Spine Journal)
Source: The Spine Journal - September 27, 2023 Category: Orthopaedics Authors: Xiaofei Cheng, Zhiqian Chen, Xiaojiang Sun, Changqing Zhao, Jie Zhao Tags: Clinical Study Source Type: research
Modulatory effect of trans-spinal magnetic intermittent theta burst stimulation on diaphragmatic activity following cervical spinal cord contusion in the rat
: Magnetic stimulation can non-invasively modulate the neuronal excitability through different stimulatory patterns. (Source: The Spine Journal)
Source: The Spine Journal - September 27, 2023 Category: Orthopaedics Authors: Kun-Ze Lee, St éphane Vinit Source Type: research
Automated Measurements of Interscrew Angles in Vertebral Body Tethering Patients with Deep Learning
Vertebral body tethering is the most popular nonfusion treatment for adolescent idiopathic scoliosis. The effect of the tether cord on the spine can be segmentally assessed by comparing the angle between two adjacent screws (interscrew angle) over time. Tether breakage has historically been assessed radiographically by a change in adjacent interscrew angle by greater than 5 degrees between two sets of imaging. A threshold for growth modulation has not yet been established in the literature. These angle measurements are time consuming and prone to interobserver variability. (Source: The Spine Journal)
Source: The Spine Journal - September 27, 2023 Category: Orthopaedics Authors: Kellen L. Mulford, Christina Regan, Charles P. Nolte, Zachariah W. Pinter, Todd A. Milbrandt, A. Noelle Larson Tags: Clinical Study Source Type: research
Limited Health Literacy Results in Lower Health-Related Quality of Life in Spine Patients
Spinal conditions impact health-related quality of life (HRQoL). Patient education and counseling improve HRQoL, yet the effects may be limited for patients with inadequate health literacy (HL). Despite the established relationship between HRQoL and HL in other fields, research in the orthopaedic spine population is lacking. (Source: The Spine Journal)
Source: The Spine Journal - September 27, 2023 Category: Orthopaedics Authors: Dylan Koole, Amanda Lans, Julian H Lang, Tom M de Groot, Pranati Borkhetaria, Jorrit-Jan Verlaan, Joseph H Schwab, Daniel G Tobert Tags: Clinical Study Source Type: research
