Meta-Analysis of Integrated Therapeutic Methods in Noninvasive Lower Back Pain Therapy (LBP): The Role of Interdisciplinary Functional Diagnostics.
Conclusions: Lower back pain is a serious health problem, and this review article will help educate physicians and physiotherapists dealing with LBP in the options of evidence-based treatment. Ultimately, the article introduces and postulates the need to systematize therapeutic procedures in LBP therapy, with a long-term perspective. PMID: 32256908 [PubMed - as supplied by publisher] (Source: Pain Research and Management)
Source: Pain Research and Management - April 8, 2020 Category: Anesthesiology Authors: Bitenc-Jasiejko A, Konior K, Lietz-Kijak D Tags: Pain Res Manag Source Type: research

Diagnosis and Safe Excision of Lumbar Synovial Cysts and Accompanying Pathology: A Perspective.
Conclusions: Preoperatively, establishing the full cephalad and cauda extent of lumbar synovial cysts with both MR and CT studies is critical. Anticipation and better visualization of the foraminal/far lateral and superior extent of these lesions often warrants more extensive multilevel laminectomies for thecal sac and both cephalad and caudad root decompression. PMID: 32257559 [PubMed - as supplied by publisher] (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 8, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A prediction model of low back pain risk: a population based cohort study in Korea.
Conclusions: LBP risk prediction models and simplified risk scores have been developed and validated using data from general medical practice. This study also offers an opportunity for external validation and updating of the models by incorporating other risk predictors in other settings, especially in this era of precision medicine. PMID: 32235016 [PubMed] (Source: Korean Journal of Pain)
Source: Korean Journal of Pain - April 4, 2020 Category: Anesthesiology Tags: Korean J Pain Source Type: research

Transforaminal Endoscopic Lumbar Decompression for Isthmic Spondylolisthesis: Technique Description and Clinical Outcome.
CONCLUSION: For patients with spondylolisthesis-associated low back and leg pain without spinal instability, TFELD is a safe and effective surgical treatment option. PMID: 32227330 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - April 2, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

The Effect of Obesity on Revision Discectomy After Singlelevel Lumbar Discectomy.
Authors: Smith EJ, Inkrott BP, Kim CY, Du JY, Ahn UM, Ahn NU Abstract The prevalence of obesity has been rising, creating a major public health concern. While several studies have shown obesity to increase the risk of surgical complications, few have analyzed its effects on reoperation, specifically after singlelevel lumbar discectomy. Data was obtained using the commercially available Explorys software that houses deidentified data for several major healthcare systems. A database search was used to find all patients who had undergone a lumbar discectomy. Scoliosis, spondylolisthesis, smoking history and depression...
Source: Journal of surgical orthopaedic advances - April 2, 2020 Category: Orthopaedics Tags: J Surg Orthop Adv Source Type: research

A Bayesian network meta-analysis of 5 different fusion surgical procedures for the treatment of lumbar spondylolisthesis
Lumbar fusion has been widely used to treat lumbar spondylolisthesis, which can be classified into 5 types according to its approach, including posterolateral fusion (PLF), posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF), posterolateral fusion plus anterior lumbar interbody fusion (PLFplusALIF), and posterolateral fusion plus posterior lumbar interbody fusion (PLFplusPLIF). Theoretically, each approach has its own advantages and disadvantages, however, no studies are available to compare them. A network meta-analysis (NMA) was performed in this study and the results were illustrated...
Source: Medicine - April 1, 2020 Category: Internal Medicine Tags: Research Article: Meta-Analysis of Observational Studies in Epidemiology Source Type: research

Lumbar intervertebral disc mRNA sequencing identifies the regulatory pathway in patients with disc herniation and spondylolisthesis.
Abstract Lumbar degenerative disc disease (DDD) is a multifaceted progressive condition and often accompanied by disc herniation (DH) and/or degenerative spondylolisthesis (DS). Given the high prevalence of the disease (up to 20% according to some estimates) and the high costs associated with its care, there is a need to explore novel therapies such as regenerative medicine. Exploring these novel therapies first warrants investigation of molecular pathways underlying these disorders. Here, we show results from next generation RNA sequencing (RNA-seq) on mRNA isolated from 10 human nucleus pulposus (NP) samples of ...
Source: Gene - March 30, 2020 Category: Genetics & Stem Cells Authors: Bydon M, Moinuddin FM, Yolcu YU, Wahood W, Ali Alvi M, Goyal A, Elminawy M, Galeano-Garces C, Dudakovic A, Nassr A, Noelle Larson A, van Wijnen AJ Tags: Gene Source Type: research

Does Restoration of Anatomic Segmental Lordosis Reduce the Rate of Adjacent Segment Disease in 1 Level Fusions for a Degenerative Spondylolisthesis?
No abstract available (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - March 27, 2020 Category: Surgery Tags: Controversies in Spine Surgery Source Type: research

Sacral insufficiency fractures after lumbosacral arthrodesis: salvage lumbopelvic fixation and a proposed management algorithm.
CONCLUSIONS: A high index of suspicion is needed to diagnose sacral insufficiency fracture after LS arthrodesis. A trial of conservative management is reasonable for select patients; potential surgical indications include refractory pain, neurological deficit, fracture nonunion with anterolisthesis or kyphotic angulation, L5-S1 pseudarthrosis, and spinopelvic malalignment. Lumbopelvic fixation with iliac screws may be effective salvage treatment to allow fracture healing and symptom improvement. High-risk patients may benefit from prophylactic lumbopelvic fixation at the time of index LS arthrodesis. PMID: 32217798 [P...
Source: Journal of Neurosurgery.Spine - March 27, 2020 Category: Neurosurgery Authors: Buell TJ, Yener U, Wang TR, Buchholz AL, Yen CP, Shaffrey ME, Shaffrey CI, Smith JS Tags: J Neurosurg Spine Source Type: research

Standalone oblique lateral interbody fusion vs. combined with percutaneous pedicle screw in spondylolisthesis
To compare standalone oblique lateral interbody fusion (OLIF) vs. OLIF combined with posterior bilateral percutaneous pedicle screw fixation (OLIF combined) for the treatment of lumbar spondylolisthesis. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - March 23, 2020 Category: Orthopaedics Authors: Wei He, Da He, Yuqing Sun, Yonggang Xing, Jiankun Wen, Weiheng Wang, Yanhai Xi, Mingming Liu, Wei Tian and Xiaojian Ye Tags: Research article Source Type: research

Long term complications of minimally-open anterolateral interbody fusion for L5-S1.
CONCLUSIONS: Mini-open anterolateral interbody fusion at the L5 S1 level is safe and results in fusion at the same rate as anterior interbody fusion. Most acute complications are minor and resolve spontaneously. PMID: 32197973 [PubMed - as supplied by publisher] (Source: Neurochirurgie)
Source: Neurochirurgie - March 22, 2020 Category: Neurosurgery Tags: Neurochirurgie Source Type: research

Elderly Patients Undergoing Minimally Invasive Transforaminal Lumbar Interbody Fusion May Have Similar Clinical Outcomes, Perioperative Complications, and Fusion Rates As Their Younger Counterparts.
CONCLUSIONS: When clinical and surgical heterogeneity were minimized, elderly patients undergoing minimally invasive transforaminal lumbar interbody fusion not only had comparable rates of perioperative complications but also experienced similar improvements in pain, function, and quality of life. A high rate of satisfaction was achieved. LEVEL OF EVIDENCE: Level II, prognostic study. PMID: 32197034 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - March 21, 2020 Category: Orthopaedics Authors: Goh GS, Tay YWA, Liow MHL, Gatot C, Ling ZM, Fong PL, Soh RCC, Guo CM, Yue WM, Tan SB, Chen JL Tags: Clin Orthop Relat Res Source Type: research

Shorter Time to Surgery Is Associated With Better Outcomes for Spondylolisthesis in the Workers' Compensation Population.
This study sought to determine the impact of time to surgery on clinical outcomes in patients with spondylolisthesis in the workers' compensation (WC) population. There is conflicting evidence regarding the effect of time to surgery on patients with spondylolisthesis. Patients receiving WC are known to have worse outcomes following spine surgery compared with the general population. A total of 791 patients from the Ohio Bureau of Workers' Compensation were identified who underwent lumbar fusion for spondylolisthesis between 1993 and 2013. The patients were divided into those who had surgery within 2 years of injury date an...
Source: Orthopedics - March 19, 2020 Category: Orthopaedics Authors: Ren BO, Rothfusz CA, Faour M, Anderson JT, O'Donnell JA, Haas AR, Percy R, Woods ST, Ahn UM, Ahn NU Tags: Orthopedics Source Type: research

Technical Note On Uniportal Full Endoscopic Posterolateral Approach Transforaminal Lumbar Interbody Fusion with Reduction for Grade 2 Spondylolisthesis
Publication date: Available online 17 March 2020Source: Interdisciplinary NeurosurgeryAuthor(s): Hyeun Sung Kim, Pang Hung Wu, Il-Tae Jang (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - March 18, 2020 Category: Neurosurgery Source Type: research

[The Facet Wedge: a minimally invasive technique for posterior segmental intra-articular fusion].
e A Abstract OBJECTIVE: Minimally invasive posterior segmental instrumentation and intra-articular fusion with the Facet Wedge device. INDICATIONS: All fusion indications in degenerative disc disease without significant translational instability, postnucleotomy syndrome, spondylarthrosis, discitis. CONTRAINDICATIONS: Translatory instabilities, status after decompression with partial facet joint resection, spondylolysis in the affected segment. SURGICAL TECHNIQUE: Through a 3 cm skin incision, blunt transmuscular approach to the corresponding facet joint L1/2 to L5/S1. Opening of the joint cap...
Source: Operative Orthopadie und Traumatologie - March 16, 2020 Category: Orthopaedics Authors: Mehren C, Sauer D, Würtinger C, Korge A Tags: Oper Orthop Traumatol Source Type: research

Hospital and Surgeon Variation in Patient-reported Functional Outcomes After Lumbar Spine Fusion: A Statewide Evaluation
We examined patient-reported functional improvement (≥15-point reduction in the Oswestry Disability Index [ODI]) and minimal disability (reaching ≤22 on the ODI) 1 year after surgery in 17 hospitals and 58 surgeons between 2012 and 2017. Outcomes were risk-adjusted for patient characteristics with multiple logistic regressions and reliability-adjusted using hierarchical models. Results. Of the 737 patients who underwent lumbar fusion (mean [SD] age, 63 [12] years; 60% female; 84% had stenosis; 70% had spondylolisthesis), 58.7% achieved functional improvement and 42.5% reached minimal disability status at 1 year. A...
Source: Spine - March 13, 2020 Category: Orthopaedics Tags: HEALTH SERVICES RESEARCH Source Type: research

Impact of pelvic incidence on lumbar osteophyte formation and disc degeneration in middle-aged and elderly people in a prospective cross-sectional cohort
ConclusionsLow PI was identified as a risk factor for lumbar osteophyte formation and disc degeneration, both of which reduce physical QOL in middle-aged and elderly people.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - March 4, 2020 Category: Orthopaedics Source Type: research

Anterior Lumbar Interbody Fusion Reduces Thecal Sac Compression in the Setting of Degenerative Spondylolisthesis
Surgical management for central and lateral recess thecal sac compression in the setting of degenerative spondylolisthesis (DS) has traditionally involved a posterior approach to decompression with associated fusion [1,2]. However, the posterior approach to lumbar interbody fusion (PLIF) involves significant disruption of the posterior elements, entrance into the spinal canal, and nerve root retraction, which contribute to epidural scarring and perineural fibrosis that may be associated with delayed recovery and chronic radiculopathy [3,4]. (Source: The Spine Journal)
Source: The Spine Journal - March 4, 2020 Category: Orthopaedics Authors: Hammad A. Khan, Nathan J. Stumpf, Kelsey A. Isbester, Shaleen Vira, Michael P. Steinmetz, Thomas E. Mroz Tags: Letters to the editor Source Type: research

Supplementing decompression with instrumented fusion for symptomatic lumbar spinal stenosis —a critical appraisal of available randomized controlled trials
AbstractLumbar spinal stenosis (LSS) is one of the most common indications for surgery in the USA. The addition of instrumented fusion to decompression for the treatment of LSS has become common, but recent randomized controlled trials (RCTs) have produced percieved conflicting results with unclear clinical implications. This review seeks clarity through an analysis of available RCTs. We performed a search of the PubMed database for RCTs that directly addressed decompression vs. decompression and fusion for the surgical treatment of LSS. RCTs were screened and reviewed to compare content such as patient selection, patholog...
Source: Neurosurgical Review - March 2, 2020 Category: Neurosurgery Source Type: research

Mid-lumbar traumatic spondyloptosis without neurological deficit: A case report and literature review
Conclusions: We reported an L3 to L4 traumatic spondyloptosis case that involved intact neurology, which is the first-ever reported mid-lumbar spondyloptosis case that involved complete posterior column and neural sparing. For the treatment of traumatic spondyloptosis without neurological deficit, restoring stability and preventing secondary cord injury should be taken into consideration. (Source: Medicine)
Source: Medicine - March 1, 2020 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Assessing the differences in characteristics of patients lost to follow-up at 2 years: results from the Quality Outcomes Database study on outcomes of surgery for grade I spondylolisthesis.
CONCLUSIONS: To execute future, high-quality studies, it is important to identify patients undergoing surgery for spondylolisthesis who might be lost to follow-up. In a large, prospective registry, the authors found that those lost to follow-up were more likely to be younger, be employed, have anxiety disorder, and have worse PRO scores. PMID: 32109871 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - February 28, 2020 Category: Neurosurgery Authors: Bisson EF, Mummaneni PV, Knightly J, Alvi MA, Goyal A, Chan AK, Guan J, Biase M, Strauss A, Glassman S, Foley K, Slotkin JR, Potts E, Shaffrey M, Shaffrey CI, Haid RW, Fu KM, Wang MY, Park P, Asher AL, Bydon M Tags: J Neurosurg Spine Source Type: research

Minimally Invasive Transforaminal Lumbar Interbody Fusion (TLIF)
Degenerative spondylolisthesis with or without spondylolysis, multiply recurrent disk herniation, and degenerative disk disease commonly presents as back and leg pain, weakness and paresthesias. Surgical intervention, to include lumbar decompression with instrumented fusion with or without interbody fusion, is recommended to patients who are refractory to at least six weeks of nonoperative treatment, or patients with severe or progressive neurological deficits. This paper reviews the pre- and post-operative considerations, as well as the surgical technique, for a minimally invasive transforaminal lumbar interbody fusion fo...
Source: Journal of Spinal Disorders and Techniques - February 27, 2020 Category: Surgery Tags: Surgical Technique Source Type: research

Interbody Fusion and Percutaneous Reduction For Lumbar Spondylolisthesis With Mobile Microendoscopic Discectomy Technique
Conclusion: Interbody fusion and percutaneous reduction with MMED provides a minimally invasive procedure for lumbar spondylolisthesis, with sufficient decompression, reduction, fusion, and satisfactory clinical results. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - February 27, 2020 Category: Surgery Tags: Primary Research Source Type: research

Slip progression in degenerative lumbar spondylolisthesis following minimally invasive decompression surgery is not associated with increased functional disability
ConclusionsDespite a small degree of slip progression in the majority of patients, there was no correlation with symptom worsening, as measured by the ODI.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - February 24, 2020 Category: Orthopaedics Source Type: research

New classification of facet joint synovial cysts
ConclusionsLateral facet joint cysts are best resected by a contralateral approach offering the best outcome while medial cysts are suitable for removal by an ipsilateral laminotomy. The approach of mediolateral cysts can be determined by the width of the lamina and the angle of the joint. Segmental fusion should be considered in cases with detected spondylolisthesis and/or steep facet joints. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 21, 2020 Category: Neurosurgery Source Type: research

Initial classification of low back and leg pain based on objective functional testing: a pilot study of machine learning applied to diagnostics
Conclusion5R-STS performance differs according to the etiology of back and leg pain, even after adjustment for demographic covariates. In combination with machine learning algorithms, OFI can be used to infer the etiology of spinal back and leg pain with accuracy comparable to other diagnostic tests used in clinical examination.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - February 18, 2020 Category: Orthopaedics Source Type: research

Degenerative findings in lumbar spine MRI: an inter-rater reliability study involving three raters
ConclusionInter-rater reliability for 3 raters, evaluating 177 disc levels, was found to be overall acceptable for 6 out of 8 degenerative MRI-findings in the lumbar spine. Ratings of facet joint degeneration and disc contour achieved moderate reliability and was considered unacceptable. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 11, 2020 Category: Complementary Medicine Source Type: research

Decompression With or Without Fusion for Lumbar Stenosis: A Cost Minimization Analysis
Study Design. Retrospective database review. Objective. Compare 1-year episode of care costs between single-level decompression and decompression plus fusion for lumbar stenosis. Summary of Background Data. Lumbar stenosis is the most common indication for surgery in patients over 65. Medicare direct hospital costs for lumbar surgery reached $1.65 billion in 2007. Despite stenosis being a common indication for surgery, there is debate as to the preferred surgical treatment. Cost-minimization analysis is a framework that identifies potential cost savings between treatment options that have similar outcomes. We perfo...
Source: Spine - February 8, 2020 Category: Orthopaedics Tags: HEALTH SERVICES RESEARCH Source Type: research

Management of neglected complex hangman's fracture by reforming the C2 pedicle: new innovative technique of motion preservation at the C1-2 joint in 2 cases.
Abstract Hangman's fracture, also known as traumatic spondylolisthesis of the axis, causes widening of the neural canal and thus a low rate of neurological deficits. This low rate is one of the reasons it is neglected and patients present with late neurological deficits. In an effort to preserve motion at the C1-2 joint, the authors devised a new technique of bilateral C2 pedicle reconstruction. They describe the first two cases in the literature of an old hangman's fracture with resorbed C2 pedicles due to chronic fracture, in which bilateral C2 pedicles were reconstructed. One of the two cases (case 2) is the fi...
Source: Journal of Neurosurgery.Spine - February 7, 2020 Category: Neurosurgery Authors: Singh PK, Agrawal M, Sawarkar D, Kumar A, Verma S, Doddamani R, Chandra PS, Kale SS Tags: J Neurosurg Spine Source Type: research

Magnetic resonance imaging findings of the lumbar spine, back symptoms and physical function among male adult patients with Scheuermann’s disease
Publication date: Available online 4 February 2020Source: Journal of OrthopaedicsAuthor(s): Leena Ristolainen, Jyrki A. Kettunen, Heidi Danielson, Markku Heliövaara, Dietrich SchlenzkaAbstractBackgroundThere are only a few studies on untreated Scheuermann’s disease and magnetic resonance imaging (MRI) findings in the lumbar spine. The primary aim of this study was to clarify lumbar MRI findings in patients with Scheuermann´s disease and to compare with subjects without diagnosed spine disease.MethodsTwenty-two male adult Scheuermann´s patients (mean age 64.7 years (Standard Deviation [SD] 6.4) and 26...
Source: Journal of Orthopaedics - February 5, 2020 Category: Orthopaedics Source Type: research

Gender differences in the surgical management of lumbar degenerative disease: a scoping review.
CONCLUSIONS: Female patients undergoing surgery for lumbar degenerative disease (disc degeneration, disc herniation, spondylolisthesis, and spinal canal stenosis) have worse absolute preoperative pain, disability, and HRQoL. Following surgery, females have worse absolute pain, disability, and HRQoL, but demonstrate an equal or greater interval change compared to males. Further studies should examine gender differences in preoperative workup and clinical course. PMID: 32005013 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - January 31, 2020 Category: Neurosurgery Authors: MacLean MA, Touchette CJ, Han JH, Christie SD, Pickett GE Tags: J Neurosurg Spine Source Type: research

Predictors of the need for laminectomy after indirect decompression via initial anterior or lateral lumbar interbody fusion.
Abstract OBJECTIVE: The goal of this study was to evaluate factors that are associated with the need for additional posterior direct decompressive surgery after anterior lumbar interbody fusion (ALIF) or lateral lumbar interbody fusion (LLIF). METHODS: Eighty-six adult patients who underwent ALIF or LLIF for degenerative spondylolisthesis and foraminal stenosis were enrolled. Patient factors (age, sex, number of surgery levels, and visual analog scale [VAS] score for leg and back pain); procedure-related factors (cage height and lordosis); and radiographic measurements (disc height [DH]; foraminal height [FH]...
Source: Journal of Neurosurgery.Spine - January 24, 2020 Category: Neurosurgery Authors: Park D, Mummaneni PV, Mehra R, Kwon Y, Kim S, Ruan HB, Chou D Tags: J Neurosurg Spine Source Type: research

Index episode-of-care propensity-matched comparison of transforaminal lumbar interbody fusion (TLIF) techniques: open traditional TLIF versus midline lumbar interbody fusion (MIDLIF) versus robot-assisted MIDLIF.
CONCLUSIONS: Despite concerns for additional cost and time while introducing navigation or robotic technology, a propensity-matched comparison of the authors' first 52 RA-MIDLIF surgeries with tTLIF and MIDLIF showed promising results for reducing OR time, EBL, and LOS without increasing cost. PMID: 31978884 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - January 24, 2020 Category: Neurosurgery Authors: Ver MLP, Gum JL, Crawford CH, Djurasovic M, Owens RK, Brown M, Steele P, Carreon LY Tags: J Neurosurg Spine Source Type: research

Influence of comorbid knee osteoarthritis on surgical outcome and sagittal spinopelvic/lower-extremity alignment in elderly patients with degenerative lumbar spondylolisthesis undergoing transforaminal lumbar interbody fusion.
Abstract OBJECTIVE: This retrospective study aimed to clarify the influence of comorbid severe knee osteoarthritis (KOA) on surgical outcome in terms of sagittal spinopelvic/lower-extremity alignment in elderly patients with degenerative lumbar spondylolisthesis (DLS). METHODS: In total, 110 patients aged at least 65 years (27 men, 83 women; mean age 74.0 years) who underwent short-segment lumbar fusion were included in the present study. Using the Kellgren-Lawrence (KL) grading system, patients were categorized into those with no to mild KOA (the mild-OA group: KL grades 0-2), moderate KOA (moderate-OA group...
Source: Journal of Neurosurgery.Spine - January 24, 2020 Category: Neurosurgery Authors: Kohno M, Iwamura Y, Inasaka R, Akiyama G, Higashihira S, Kawai T, Niimura T, Inaba Y Tags: J Neurosurg Spine Source Type: research

The use of platelet-rich fibrin in lumbar interbody fusion in lytic spondylolisthesis
Conclusions: These preliminary results show that PRF accelerates the rate of fusion in low-grade lytic spondylolisthesis in short-term follow-up. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - January 23, 2020 Category: Orthopaedics Authors: Joseph Gamal Boktor Ahmed Maher Sultan Awf AlShahwani Ahmed Samir Barakat Wael Koptan Yasser Elmiligui Source Type: research

Minimally Invasive Spine Lumbar Surgery in Obese Patients: A Systematic Review and Meta-Analysis
ConclusionMI-TLIF has equivalent efficacy to O-TLIF in obese patients at long-term follow-up. In addition, complication rate, blood loss, and length of hospital stay were lower in MI-TLIF than in O-TLIF. (Source: HSS Journal)
Source: HSS Journal - January 18, 2020 Category: Orthopaedics Source Type: research

Consideration of foraminal stenosis in decompression alone versus decompression plus fusion for claudication secondary to lumbar spinal stenosis
Thomas et al. (October issue) found equivalent outcomes for patients treated with decompression plus fusion versus decompression alone for claudication secondary to lumbar spinal stenosis [1]. This is a national spine registry study where they excluded patients with deformity or spondylolisthesis, which had been a major contention with previous similar studies [1-5]. (Source: The Spine Journal)
Source: The Spine Journal - January 18, 2020 Category: Orthopaedics Authors: Jin Tee, Charles Li, Patrick Chan, Greg Etherington Tags: Letter to the Editor Source Type: research

Quantitative analysis of paraspinal muscle atrophy after oblique lateral interbody fusion alone vs. combined with percutaneous pedicle screw fixation in patients with spondylolisthesis
There is no available literature for comparison on muscle atrophy between the “stand-alone” oblique lateral interbody fusion (OLIF) and regular OLIF (i.e., combined with percutaneous pedicle screws fixation (P... (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - January 14, 2020 Category: Orthopaedics Authors: Wei He, Da He, Yuqing Sun, Yonggang Xing, Mingming Liu, Jiankun Wen, Weiheng Wang, Yanhai Xi, Wei Tian and Xiaojian Ye Tags: Research article Source Type: research

Indirect Decompression Using Lateral Lumbar Interbody Fusion for Restenosis after an Initial Decompression Surgery.
Authors: Nakashima H, Kanemura T, Satake K, Ito K, Ishikawa Y, Ouchida J, Segi N, Yamaguchi H, Imagama S Abstract Study Design: Retrospective comparative study. Purpose: We compared clinical and radiographical outcomes after lumbar decompression revision surgery for restenosis by lateral lumbar interbody fusion (LLIF) and posterior lumbar interbody fusion (PLIF). Overview of Literature: Indirect lumbar decompression with LLIF was used to treat degenerative lumbar diseases requiring neural decompression. However, only a few studies have focused on the effectiveness of this technique for restenosis after lumb...
Source: Asian Spine Journal - January 9, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Development of Upright Computed Tomography With Area Detector for Whole-Body Scans: Phantom Study, Efficacy on Workflow, Effect of Gravity on Human Body, and Potential Clinical Impact
Objectives Multiple human systems are greatly affected by gravity, and many disease symptoms are altered by posture. However, the overall anatomical structure and pathophysiology of the human body while standing has not been thoroughly analyzed due to the limitations of various upright imaging modalities, such as low spatial resolution, low contrast resolution, limited scan range, or long examination time. Recently, we developed an upright computed tomography (CT), which enables whole-torso cross-sectional scanning with 3-dimensional acquisition within 15 seconds. The purpose of this study was to evaluate the performance...
Source: Investigative Radiology - January 8, 2020 Category: Radiology Tags: Special Issue on Advances in CT - Part II Source Type: research

A new lever reduction technique for the surgical treatment of elderly patients with lumbar degenerative Spondylolisthesis
Proper reduction method for Lumbar degenerative spondylolisthesis (LDS) is still controversial. The aim of this study was to determine the safety and effectiveness of lever reduction combined with traditional ... (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - January 7, 2020 Category: Orthopaedics Authors: Chao Kong, Wei Wang, Xiangyu Li, Xiangyao Sun, Junzhe Ding and Shibao Lu Tags: Technical advance Source Type: research

Clinical outcomes of lumbar spinal surgery in patients 80  years or older with lumbar stenosis or spondylolisthesis: a systematic review and meta-analysis
ConclusionsOur results revealed that the clinical improvement in pain and disability did not significantly differ according to age, although the patients aged 80  years or older had increased incidences of mortality and complication than younger patients. Age alone is not a contraindication for lumbar surgery in very old patients. A careful preoperative evaluation, proper patient selection and appropriate surgical approach are important to achieve successfu l surgical outcomes.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - January 7, 2020 Category: Orthopaedics Source Type: research

Many Intraoperative Monitoring Modalities Have Been Developed To Limit Injury During Extreme Lateral Interbody Fusion (XLIF/MIS XLIF): Does That Mean XLIF/MIS XLIF Are Unsafe?
Conclusion: Multiple studies have offered different IONM techniques to avert neurological injuries following MIS XLIF/XLIF. Does this mean that these procedures (e.g. XLIF/MIS XLIF) are unsafe? PMID: 31893134 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Robot-assisted direct repair of spondylolysis: A case report
Conclusion: We report the first case of robot-assisted direct intralaminar screw fixation for spondylolysis using the TiRobot system. Robotic guidance for direct repair of spondylolysis could be feasible. (Source: Medicine)
Source: Medicine - January 1, 2020 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Prevalence of Facet Effusion and Its Relationship with Lumbar Spondylolisthesis and Low Back Pain: The Wakayama Spine Study
(Source: Journal of Pain Research)
Source: Journal of Pain Research - December 30, 2019 Category: Anesthesiology Tags: Journal of Pain Research Source Type: research

Minimally-invasive surgery for degenerative spondylolisthesis: transforaminal or oblique lumbar interbody fusion.
Conclusion: The clinical findings associated with the two procedures were similar; but patients preferred MIS-OLIF, which is less invasive, to MIS-TLIF. Clinical trial registration number: ChiCTR1800019443. PMID: 31838875 [PubMed - as supplied by publisher] (Source: Journal of Comparative Effectiveness Research)
Source: Journal of Comparative Effectiveness Research - December 18, 2019 Category: General Medicine Tags: J Comp Eff Res Source Type: research

Do We Have Adequate Flexion-extension Radiographs for Evaluating Instability in Patients With Lumbar Spondylolisthesis?
This study included 92 consecutive patients diagnosed with L4-5 degenerative lumbar spondylolisthesis. We analyzed the flexion-extension radiographs taken with the patient being led by the hand (LH) and those taken without LH (NLH). Sagittal translation (ST), segmental angulation (SA), posterior opening (PO), and lumbar lordosis (LL) were measured on functional radiographs taken in both tests. Then, ST, SA, PO, detection rate of instability, and LL observed in LH were compared with those observed in NLH. Furthermore, the correlation of the difference was evaluated between ST, lumbar angulation, and LL. Results. A relati...
Source: Spine - December 18, 2019 Category: Orthopaedics Tags: DIAGNOSTICS Source Type: research

Five-year Reoperation Rates and Causes for Reoperations Following Lumbar Microendoscopic Discectomy and Decompression
Conclusion. Postoperative epidural hematoma and excessive or insufficient decompression were often observed in the initial series of patients as the causes for reoperations. We think that it is important to be aware of and prevent such potential problems in any initial series of patients, as there are limitations to any surgical indications for the use of microendoscopic decompression for degenerative segmental scoliosis because of original traction and/or kinking of nerve roots. Level of Evidence: 4 (Source: Spine)
Source: Spine - December 18, 2019 Category: Orthopaedics Tags: SURGERY Source Type: research

Letter to the editor regarding “Reverse Bohlman technique for treatment of high-grade spondylolisthesis in an adult population”
Publication date: Available online 12 December 2019Source: Journal of Clinical NeuroscienceAuthor(s): Mayur Sharma, Thomas Altstadt (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - December 13, 2019 Category: Neuroscience Source Type: research

Predictors of nonroutine discharge among patients undergoing surgery for grade I spondylolisthesis: insights from the Quality Outcomes Database.
Abstract OBJECTIVE: Discharge to an inpatient rehabilitation facility or another acute-care facility not only constitutes a postoperative challenge for patients and their care team but also contributes significantly to healthcare costs. In this era of changing dynamics of healthcare payment models in which cost overruns are being increasingly shifted to surgeons and hospitals, it is important to better understand outcomes such as discharge disposition. In the current article, the authors sought to develop a predictive model for factors associated with nonroutine discharge after surgery for grade I spondylolisthesi...
Source: Journal of Neurosurgery.Spine - December 6, 2019 Category: Neurosurgery Authors: Mummaneni PV, Bydon M, Knightly J, Alvi MA, Goyal A, Chan AK, Guan J, Biase M, Strauss A, Glassman S, Foley KT, Slotkin JR, Potts E, Shaffrey M, Shaffrey CI, Haid RW, Fu KM, Wang MY, Park P, Asher AL, Bisson EF Tags: J Neurosurg Spine Source Type: research