8. Etiological factors of proximal junctional kyphosis and failure in adult spinal deformity
Proximal junctional kyphosis (PJK), although mostly asymptomatic, entails a spectrum, with the severe end classified as proximal junctional failure. Despite proximal junctional kyphosis being a well-studied entity, there is a paucity of studies evaluating factors associated by different PJK etiologies. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Peter Passias, Jamshaid Mir, Ankita Das, Oluwatobi Onafowokan, Nathan Lorentz, Matthew Galetta, Jordan Lebovic, Tyler Williamson, Oscar Krol, Peter Tretiakov, Pooja Dave Source Type: research
9. Does diminishing length of stay results in improved outcomes? Cost-benefit analysis of patient outcomes with differences in disposition after adult spinal deformity surgery
Entry into rehabilitation center has often been touted as an optimal recovery environment after surgical procedures. However, patient outcome differences between inpatient rehabilitation and increased hospital stay postoperatively have yet to be studied after adult spinal deformity surgery. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Pooja Dave, Jamshaid Mir, Ankita Das, Oluwatobi Onafowokan, Nathan Lorentz, Matthew Galetta, Jordan Lebovic, Peter Tretiakov, Andrew Schoenfeld, Virginie Lafage, Renaud Lafage, Peter Passias Source Type: research
10. Assessing the accuracy of the modified cervical deformity frailty index in predictive modeling of clinical outcomes after alignment correction surgery for cervical deformity: external validation study
Several studies have investigated the relationship between frailty and operative outcomes in patients with cervical deformity (CD). Though various measures of frailty exist, none have been externally validated. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Elie Massaad, Ali Kiapour, Syed Khalid, John Shin Source Type: research
11. The impact of lumbopelvic realignment vs prevention strategies at the upper-instrumented vertebra on rates of junctional failure following adult spinal deformity surgery
Differing presentations of adult spinal deformity (ASD) may influence the extent of surgical intervention and use of prophylaxis at the base or the summit of a fusion construct to influence junctional failure rates. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Peter Passias, Tyler Williamson, Jordan Lebovic, Ankita Das, Oluwatobi Onafowokan, Nathan Lorentz, Matthew Galetta, Stephane Owusu-Sarpong, Jamshaid Mir, Peter Tretiakov, Pooja Dave, Justin Smith Tags: Wednesday, October 18, 2023 Source Type: research
12. Mobile device-based surface topography is a better predictor of spinal deformity than scoliometer
Nonradiographic screening and diagnosis in adolescent idiopathic scoliosis (AIS) currently relies on scoliometer. We hypothesized that white-light based 3D scanning could generate high quality 3D representations of surface anatomy using a mobile device and would provide better deformity assessments compared to scoliometers. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Yousi Oquendo, Taylor Harris, Xochitl Bryson, Joanna Langner, Michael Gardner, Kali R. Tileston, Ann Richey, Nadine Javier, John S. Vorhies Source Type: research
13. A prospective, observational, multicenter study assessing functional improvements after multilevel fusion for adult spinal deformity: 5-year follow-up results
Increasing numbers of patients are undergoing surgical treatment for adult spinal deformity (ASD). The main indications are pain, disability and loss of function. Multiple patient-reported health-related quality of life (HRQOL) measures are utilized to assess functional status and disability before and after surgery. Some components of these questionnaires may be more pertinent in the elderly population. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Hananel Shear Yashuv, Stephen Lewis, Yukihiro Matsuyama, Jonathan Sembrano, Yong Qiu, Christopher Shaffrey, Kenneth Cheung, Maarten Spruit, David Polly, Ahmet Alanay, Michael Kelly Source Type: research
14. Frailty phenotype predicts surgical outcomes but not revisions in patients with spinal deformity
Risk stratifying patients and predicting outcomes and complications has become increasingly important in spinal deformity surgery. A frailty phenotype based on strength, exhaustion and energy expenditure and weight loss may be a practical tool to predict a patient's overall outcome and complication rate following surgery. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Shane Burch, Zachary Sharfman, Obiajulu Agha Source Type: research
15. Does reoperation within 6 months of adult spinal deformity surgery lead to worse outcomes?
Whether early reoperation after adult spinal deformity (ASD) surgery leads to worse outcomes and quality of life remains unknown. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Hani Chanbour, Graham Johnson, Jeffrey Chen, Tyler Metcalf, Jacob Jo, Iyan Younus, Soren Jonzzon, Steven Roth, Amir Abtahi, Scott Zuckerman, Byron Stephens Source Type: research
16. Incidence of intraspinal anomalies in congenital and other subtypes of idiopathic scoliosis: a radiological insight based on 320 scoliosis patients
Intraspinal anomalies like syringomyelia, split cord malformations and low-lying tethered cord may lead to neurologic deficits if not detected and addressed before corrective surgery for scoliosis. Hence it is necessary to recognize 'patient at risk' and other factors contributing to such intraspinal abnormalities so they can be detected and treated before the corrected surgery for scoliosis. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Bhavuk Garg, Nishank Mehta, Shubhankar Shekhar, Tungish Bansal Source Type: research
17. Use of the orbital-L5 pedicle plumb line as a simple method of assessing coronal alignment and outcomes
The coronal alignment of the skull is understudied in adult spinal deformity (ASD) patients. Previous literature showed that the orbital-coronal vertical axis (ORB-CVA) is associated with radiographic parameters such as CVA, maximum coronal cobb angle (Max Cobb), patient-reported outcomes (PROs), and outcomes such as major complications. The position of the plumb line from the midpoint between medial orbital rims relative to the L5 pedicles (ORB-L5), a simpler coronal parameter, may be associated with radiographic parameters, surgical variables, PROs, and clinical outcomes. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Yong Shen, Zeeshan Sardar, Prerana Katiyar, Matan Malka, Gabriella Greisberg, Gerard Marciano, Fthimnir Hassan, Scott Zuckerman, Joseph Lombardi, Ronald Lehman, Lawrence Lenke Source Type: research
18. Clinical outcome of laminoplasty in ossification of the posterior longitudinal ligament patients with dynamic K-line (+) evaluated by cone beam computed tomography
Since the kyphosis line (K-line) was first described in 2008, it has been widely used in predicting the effectiveness of laminoplasty in OPLL patients. It is well accepted that laminoplasty surgery may not yield good results in K-line (-) patients, thus an alternative surgical strategy should be made accordingly. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Jie Zhao Tags: Wednesday, October 18, 2023 Source Type: research
19. Risk factors causing unexpected conversion from ambulatory to inpatient admission among 1- or 2-level ACDF patients
In an era of rising health care costs and pressure to improve patient satisfaction, surgeries are increasingly performed in an ambulatory setting. One example is anterior cervical discectomy and fusion (ACDF), which is one of the most common cervical spine surgeries. However, there are certain patients who are unexpectedly converted from outpatient to inpatient and little is known about the risk factors for conversion. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Soji Tani, Ichiro Okano, Yusuke Dodo, Gaston Camino-Willhuber, Thomas Caffard, Lukas Schonnagel, Erika Chiapparelli, Vidushi Tripathi, Artine Arzani, Lisa Oezel, Jennifer Shue, William Zelenty, Darren Lebl, Frank Cammisa, Federico Girardi, Alexander Hughe Source Type: research
20. Long posterior cervical fusions have similar recovery and early outcomes compared to ACDFs
The number of cervical spine fusion surgeries performed in the United States has risen significantly. Despite this trend, there is limited research on the outcomes of long constructs involving the entire subaxial cervical spine, making it difficult for surgeons to counsel patients on what to expect after an extensive posterior cervical fusion. In our study, we aimed to investigate the outcomes of long cervical fusion surgeries that span the entire cervical spine below C2. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Shane Burch, Rafid Kasir Source Type: research
21. Radiographic predictors of subaxial subluxation after atlantoaxial fusion
The incidence of atlantoaxial fusion for atlantoaxial instability (AAI) has been increasing. Subaxial subluxation (SAS) can develop after surgery despite atlantoaxial fusion with the optimal C1-C2 angle. We hypothesized that preoperative discordant angular contribution in the upper and subaxial cervical spine is associated with the occurrence of postoperative SAS. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Eiji Takasawa, Yoichi Iizuka, Hirotaka Chikuda Source Type: research
22. Poor radiographic outcomes after cervical disc replacement
This study analyses the radiographic outcomes of these patients. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Abel De Varona-Cocero, Stephane Owusu-Sarpong, Fares Ani, Camryn Myers, Constance Maglaras, Tina Raman, Themistocles Protopsaltis Source Type: research
