Intraoperative Navigation Increases the Projected Lifetime Cancer Risk in Patients Undergoing Surgery for Adolescent Idiopathic Scoliosis
Adolescent idiopathic scoliosis (AIS) is a common condition, often requiring surgical correction. Computed tomography (CT) based navigation technologies, which rely on ionizing radiation, are increasingly being utilized for surgical treatment. Although this population is highly vulnerable to radiation, given their age and female predominance, there is little available information elucidating modeled iatrogenic cancer risk. (Source: The Spine Journal)
Source: The Spine Journal - January 21, 2024 Category: Orthopaedics Authors: Brendan M. Striano, Alexander M. Crawford, Bram P. Verhofste, Andrew M. Hresko, Daniel J. Hedequist, Andrew J. Schoenfeld, Andrew K. Simpson Source Type: research

“Wound drain in lumbar arthrodesis for degenerative disease: an experimental, multicenter, randomized controlled trial” by Molina
We would like to thank Molina et al. [1] for the trial “Wound drain in lumbar arthrodesis for degenerative disease: an experimental, multicenter, randomized controlled trial” which we read with great interest. However, we think, that this trial has significant limitations, which should be addressed in order to prevent misinterpretation in daily prac tice: (Source: The Spine Journal)
Source: The Spine Journal - January 20, 2024 Category: Orthopaedics Authors: Alexander Hammer, Klaus John Schnake Tags: Letters to the Editor Source Type: research

Reply to letter to the editor regarding “Wound drain in lumbar arthrodesis for degenerative disease: an experimental, multicenter, randomized controlled trial”
I appreciate your interest in the article and thank you for your comments. As for the questions, I have provided the answers. (Source: The Spine Journal)
Source: The Spine Journal - January 20, 2024 Category: Orthopaedics Authors: Marcelo Molina Tags: Letters to the Editor Source Type: research

Letter to the editor regarding, “Long-term results of the NECK trial—implanting a disc prosthesis after cervical anterior discectomy cannot prevent adjacent segment disease: five-year clinical follow-up of a double-blinded randomised controlled trial” by Goedmakers et al
We read with great interest the manuscript entitled, “Long-term results of the NECK trial—implanting a disc prosthesis after cervical anterior discectomy cannot prevent adjacent segment disease: 5-year clinical follow-up of a double-blinded randomised controlled trial.[1]” We appreciate the efforts of the authors to complete a randomized control led trial (RCT) and obtain 5-year follow-up. However, there are a number of significant methodological issues that make their results worth discussing. (Source: The Spine Journal)
Source: The Spine Journal - January 20, 2024 Category: Orthopaedics Authors: Alexander M. Satin, Mary P. Rogers-LaVanne, Richard D. Guyer, Jack E. Zigler, Scott L. Blumenthal, Jessica L. Shellock, Donna D. Ohnmeiss, Peter B. Derman Tags: Letters to the Editor Source Type: research

Reply to letter to the editor regarding, “Long-term results of the NECK trial—implanting a disc prosthesis after cervical anterior discectomy cannot prevent adjacent segment disease: five year clinical follow-up of a double-blinded randomized controlled trial”
We thank Satin and coauthors for their comments on our paper and would like to take the opportunity to address their concerns [1]. (Source: The Spine Journal)
Source: The Spine Journal - January 20, 2024 Category: Orthopaedics Authors: Caroline M.W. Goedmakers, Floor de Vries, Lisette Bosscher, Wilco C. Peul, Mark P. Arts, Carmen L.A. Vleggeert-Lankamp Tags: Letters to the Editor Source Type: research

Editorial Board
(Source: The Spine Journal)
Source: The Spine Journal - January 20, 2024 Category: Orthopaedics Source Type: research

Table of Contents
(Source: The Spine Journal)
Source: The Spine Journal - January 20, 2024 Category: Orthopaedics Source Type: research

Meetings Calendar
(Source: The Spine Journal)
Source: The Spine Journal - January 20, 2024 Category: Orthopaedics Source Type: research

Getting What You Pay For: Impact of Copayments on Physical Therapy and Opioid Initiation, Timing, and Continuation for Newly Diagnosed Low Back Pain
Physical therapy (PT) is an important component of low back pain (LBP) management. Despite established guidelines, heterogeneity in medical management remains common. (Source: The Spine Journal)
Source: The Spine Journal - January 20, 2024 Category: Orthopaedics Authors: Michael C. Jin, Michael Jensen, Maria Isabel Barros Guinle, Alexander Ren, Zeyi Zhou, Corinna C. Zygourakis, Atman M. Desai, Anand Veeravagu, John K. Ratliff Source Type: research

A Prospective Study of Lumbar Facet Arthroplasty in the Treatment of Degenerative Spondylolisthesis and Stenosis: Cost-effective Assessment from the Total Posterior Spine (TOPSTM) System IDE Study: 2-Year Model Revision and Sensitivity Analyses Based on 305 Subjects
A previous cost-effectiveness analysis published in 2022 found that the Total Posterior Spine (TOPSTM) system was dominant over transforaminal lumbar interbody fusion (TLIF). This analysis required updating to reflect a more complete dataset and pricing considerations. (Source: The Spine Journal)
Source: The Spine Journal - January 20, 2024 Category: Orthopaedics Authors: Jared D. Ament, Jack Petros, Tina Zabehi, Randy Yee, J. Patrick Johnson, Amir Vokshoor Tags: Clinical Study Source Type: research

Stepwise reduction of bony density in patients induces a higher risk of annular tears by deteriorating the local biomechanical environment
The relationship between osteoporosis and intervertebral disc degeneration (IDD) remains unclear. Considering that annular tear is the primary phenotype of IDD in the lumbar spine, the deteriorating local biomechanical environment may be the main trigger for annular tears. (Source: The Spine Journal)
Source: The Spine Journal - January 15, 2024 Category: Orthopaedics Authors: Zhipeng Xi, Yimin Xie, Shenglu Sun, Nan Wang, Shuang Chen, Xiong Kang, Jingchi Li Tags: Clinical Study Source Type: research

Exploring the Impact of Mild-to-Moderate Foraminal Stenosis at L5 −S1 on Clinical Outcomes Following L4−5 Posterior Lumbar Interbody Fusion
In patients with pain in the lower back and legs, foraminal stenosis (FS) is one of the most important pathologies, especially for predominant radicular symptoms. Lumbosacral foraminal, or L5 −S1, is special because of its anatomical and functional features. L5−S1 is the most common site of FS among all levels, and central stenosis is not often accompanied because lateral recess herniated intervertebral disc is common.[1] Furthermore, when considering fusion surgery, anatomical wedgi ng at the lumbosacral junction is known to be a risk factor for postoperative L5−S1 FS when the fusion is stopped at L5.[1,2] (Source: The Spine Journal)
Source: The Spine Journal - January 12, 2024 Category: Orthopaedics Authors: Hyung Rae Lee, Jae Hwan Cho, Dong-Ho Lee, Sang Yun Seok, Chang Ju Hwang, Choon Sung Lee Tags: Clinical Study Source Type: research

Topical hemostatic agents in spinal surgery
Spinal surgery can be associated with significant intraoperative blood loss which may lead to various complications. As the number of patients undergoing spinal surgery increases over time, accurate and effective hemostasis becomes critically important. Despite various surgical hemostatic techniques, conventional interventions such as compression, suture, ligation, and heat-generating cautery, are not suitable for osseous and epidural venous plexus bleeding during spinal procedures. Therefore, a variety of hemostatic agents have been developed to promote hemostasis. (Source: The Spine Journal)
Source: The Spine Journal - January 12, 2024 Category: Orthopaedics Authors: Feng Shen, Jian Ding, Yuelei Wang, Chuqiang Yin, Zengshuai Han, Xianfeng Ren, Yanhui Li, Ting Wang Tags: Narrative Review Source Type: research

Improved intervertebral fusion in LLIF rabbit model with a novel titanium cage
There is no established small animal approach model for the strict simulation of lateral lumbar interbody fusion (LLIF) surgery. (Source: The Spine Journal)
Source: The Spine Journal - January 9, 2024 Category: Orthopaedics Authors: Jiaqi Li, Bingyi Zhao, Weijian Wang, Yafei Xu, Haoyu Wu, Wei Zhang Tags: Basic Science Source Type: research

Associations of socioeconomic and lifestyle characteristics, psychological symptoms, multimorbidity, and multisite pain with sciatica – A 15-year longitudinal study
Sciatica is defined as pain radiating from the low back to the leg, usually below the knee. Depending on the definition of sciatica, its prevalence varies considerably, ranging from 1.6% to 43% [1], being 3.8% among middle-aged working individuals in the Health 2000 Survey in Finland [2]. The most common cause of sciatica is a herniated disc compressing the lumbar nerve root [3], and the highest prevalence of symptomatic disc herniations is among males aged 30 to 50 [4]. Sciatica is a major cause of prolonged work disability, and it causes a higher burden to health care systems than non-specific low back pain [5]. (Source: The Spine Journal)
Source: The Spine Journal - January 9, 2024 Category: Orthopaedics Authors: Sanna Anttila, Juhani M äättä, Eveliina Heikkala, Jari Arokoski, Jaro Karppinen, Petteri Oura Tags: Clinical Study Source Type: research