A pig model of symptomatic spinal epidural hematoma
ConclusionsWhen the epidural pressure reaches approximately 24  mmHg, the spinal cord function occurs progressive dysfunction. Monitoring epidural pressure would be an effective approach to assist to identify the occurrence of postoperative SSEH. (Source: European Spine Journal)
Source: European Spine Journal - March 27, 2024 Category: Orthopaedics Source Type: research

Large symptomatic sacral Tarlov cyst in a paediatric patient: case report and technical note on a new variation of surgical technique to overcome one-way check-valve mechanism
ConclusionOne-way check-valve mechanism might contribute to the symptomatology of large sacral Tarlov cysts in children. Our new variation of a surgical technique enables elimination of the check-valve mechanism without the necessity to open and close the typically very thin and fragile cyst surface and is therefore an efficacious and simple option in this situation. (Source: European Spine Journal)
Source: European Spine Journal - March 27, 2024 Category: Orthopaedics Source Type: research

Tip of the iceberg: unveiling the impact on back disorders from cumulative physical job exposure and evaluating bias from the healthy worker effect using a nationwide longitudinal cohort study
ConclusionOur study clearly demonstrates an 31% increase in the risk of hospital-diagnosed back disorders with just 4 years of PJE over a 10-year period. Further, we find that cross-sectional studies strongly underestimate the risk of back disorders due to the healthy worker effect. (Source: European Spine Journal)
Source: European Spine Journal - March 26, 2024 Category: Orthopaedics Source Type: research

Preoperative fatty infiltration of paraspinal muscles assessed by MRI is associated with less improvement of leg pain 2  years after surgery for lumbar spinal stenosis
ConclusionPreoperative FI of the paraspinal muscles on MRI showed statistically significant association with postoperative NRS leg pain but not with ODI or ZCQ. (Source: European Spine Journal)
Source: European Spine Journal - March 25, 2024 Category: Orthopaedics Source Type: research

Diagnostic and prognostic significance of miR-486-5p in patients who underwent minimally invasive surgery for lumbar spinal stenosis
ConclusionmiR-486-5p, increased in LSS patients, can function as an indicator to diagnose LSS and a predictive indicator for the clinical outcomes after MISS therapy in LSS patients. In addition, miR-486-5p may regulate LSS progression by modulating inflammatory responses. (Source: European Spine Journal)
Source: European Spine Journal - March 25, 2024 Category: Orthopaedics Source Type: research

Clinical features and surgical treatments of scoliosis in neurofibromatosis type 1: a systemic review and meta-analysis
ConclusionScoliosis, especially the subtype characterized by dystrophic bony changes, is a significant orthopedic manifestation of NF1. It has an early onset, a tendency to persistently and rapidly progress, and is challenging to deal with. The current review outlines the available evidence from the perspective of natural history, clinical features, and the treatment efficacy and safety of the mainstay surgical options. Patients with NF1 scoliosis will benefit from a better understanding of the disease and evidence based treatment strategies. (Source: European Spine Journal)
Source: European Spine Journal - March 25, 2024 Category: Orthopaedics Source Type: research

Announcements
(Source: European Spine Journal)
Source: European Spine Journal - March 25, 2024 Category: Orthopaedics Source Type: research

A guide to selecting upper thoracic versus lower thoracic uppermost instrumented vertebra in adult spinal deformity correction
ConclusionThe correct selection of the UIV in surgical planning is a challenging task, which requires attention to preoperative alignment, patient comorbidities, clinical characteristics, available resources, and  surgeon-specific factors such as experience. (Source: European Spine Journal)
Source: European Spine Journal - March 24, 2024 Category: Orthopaedics Source Type: research

The long-term outcome of revision microdiscectomy for recurrent sciatica
ConclusionThe long-term results after revision microdiscectomy for LSRS show an unfavourable outcome in the majority of patients and a high risk of re-revision microdiscectomy, with similar results. Based on also the disappointing results of alternative treatments, revision microdiscectomy for recurrent LSRS seems to still be a valid treatment. The results of our study may be useful to counsel patients in making appropriate treatment choices. (Source: European Spine Journal)
Source: European Spine Journal - March 21, 2024 Category: Orthopaedics Source Type: research

Women in spine surgery: can we change the society?
ConclusionWomen in surgery, mainly in neurosurgery, are being treated by society in an unequal way. Female surgeons are still discriminated because of their gender. The most patients prefer female physicians to talk to, but still believe that they are incapable to perform spine surgery. We cannot stop this until we change our mindset and perception of reality. (Source: European Spine Journal)
Source: European Spine Journal - March 20, 2024 Category: Orthopaedics Source Type: research

Development and validation of a nomogram for predicting the prognosis in children with spinal cord injuries
ConclusionThe crafted and verified prognostic nomogram emerges as a dependable instrument to foresee the 3-, 5-, and 7-year ASIA and FIM outcomes for children suffering from SCI. (Source: European Spine Journal)
Source: European Spine Journal - March 20, 2024 Category: Orthopaedics Source Type: research

Frailty is not an independent risk factor for worse clinical outcomes in lumbar spinal surgery: a prospective cohort study
ConclusionFrailty persistently affects the clinical outcome negatively before and after surgery in lumbar spinal surgery. However, as the change of the clinical outcome is not different between the frail group and the non-frail group, it is difficult to interpret whether the frail patients are vulnerable to the surgery. In conclusion, frailty is not an independent risk factor for worse clinical outcome in lumbar spinal surgery. (Source: European Spine Journal)
Source: European Spine Journal - March 19, 2024 Category: Orthopaedics Source Type: research

Preoperative elastoplasty of aggressive vertebral hemangiomas in elderly patients: a new strategy for reducing intraoperative bleeding and complications
ConclusionWhen facing highly bony erosive VH encroaching the spinal canal, VK100 combines the advantages of embolization and vertebroplasty especially in elderly patients, permeating the whole VH ’s angioarchitecture, significantly reducing tumor. (Source: European Spine Journal)
Source: European Spine Journal - March 15, 2024 Category: Orthopaedics Source Type: research

ChatGPT versus NASS clinical guidelines for degenerative spondylolisthesis: a comparative analysis
ConclusionsThis study sheds light on the duality of LLM applications within clinical settings: one of accuracy and utility in some contexts versus inaccuracy and risk in others. ChatGPT was concordant for most clinical questions NASS offered recommendations for. However, for questions NASS did not offer best practices, ChatGPT generated answers that were either too general or inconsistent with the literature, and even fabricated data/citations. Thus, clinicians should exercise extreme caution when attempting to consult ChatGPT for clinical recommendations, taking care to ensure its reliability within the context of recent ...
Source: European Spine Journal - March 15, 2024 Category: Orthopaedics Source Type: research

Preoperative supine pelvic incidence predicts standing pelvic incidence following S2AI fixation in patients with adult spinal deformity: a prospective study
ConclusionThis study revealed the PI changed after S2AI screw fixation. The pre-op supine PI can predict post-op standing PI precisely, which facilitates to provide correction surgery strategy with a good reference for ideal sagittal alignment postoperatively. (Source: European Spine Journal)
Source: European Spine Journal - March 15, 2024 Category: Orthopaedics Source Type: research