33. The 5-factor modified frailty index (mFI-5) predicts adverse outcomes after elective anterior cervical discectomy and fusion (ACDF)
Anterior cervical discectomy and fusion (ACDF) is a reliable procedure commonly performed in older patients with degenerative diseases of the cervical spine. Frailty is an age-associated decline in functioning of multiple organ systems and has been shown to predict adverse outcomes following various spine procedures. The 11-factor modified frailty index (mFI-11) has been shown to be an effective tool for predicting complications in patients undergoing ACDF. More recent literature suggests that the 5-factor modified frailty index (mFI-5) may be a more concise and equally effective predictor of adverse events. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Neil Patel, Faisal Elali, Daniel Coban, Stuart Changoor, Kumar Sinha, Ki Soo Hwang, Michael Faloon, Arash Emami Source Type: research
34. Similar outcomes after ACDF vs ADR
Artificial disc replacement (ADR) surgery has gained momentum in the past decade for its reported ability to preserve motion and reduce the risk of adjacent segment degeneration. However, studies following several IDE trials have demonstrated varying results for revision and complication rates following ADR. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Daniel Farivar, Ryan Finkel, Evan Nigh, Rohan Desai, Sang D. Kim Source Type: research
35. Unique association patterns between cervical paraspinal muscles and sagittal alignment in preoperative patients
The association between cervical paraspinal muscles and cervical sagittal balance is important when considering the multifactorial causes of cervical spinal degeneration. The associations between each of the cervical paraspinal muscle groups and sagittal alignment are not well understood. Given the key functional differences between the cervical muscles, it is crucial to assess the role that each functional group in the cervical spine has on sagittal alignment. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Thomas Caffard, Artine Arzani, Lukas Schonnagel, Maximilian Muellner, Soji Tani, Gaston Camino-Willhuber, Bruno Verna, Krizia Amoroso, Erika Chiapparelli, Jiaqi Zhu, Jennifer Shue, Ek Tsoon Tan, John Carrino, Hassan Awan Malik, Timo Zippelius, Andrew Sama Source Type: research
36. Deterioration after surgery for degenerative cervical myelopathy: an observational study from the Canadian Spine Outcomes and Research Network
Postoperative neurological deterioration is one of the most undesirable complications that can occur after surgery for degenerative cervical myelopathy (DCM). (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Nathan Evaniew, Philippe Phan, Charles Fisher, Jerome Paquet, Christopher Bailey, Lukas Burger, Sean Christie, Nicolas Dea Source Type: research
37. What is the optimal surgical approach for mild and symptomatic degenerative cervical myelopathy? An individual patient data meta-analysis of 1,031 cases
Controversy exists regarding the optimal approach to surgically treat degenerative cervical myelopathy (DCM). Moreover, patients with mild DCM may be more sensitive to slight changes in physical function when treated using different surgical approaches. (Source: The Spine Journal)
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Alex B. Bak, Mohammed Ali Alvi, Ali Moghaddamjou, Paul Arnold, James Harrop, Michael Fehlings Source Type: research
