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Spine Journal: Official Journal of the North American Spine Society

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https://read.qxmd.com/read/30776487/clinical-features-and-prognostic-factors-of-pediatric-spine-giant-cell-tumors-report-of-31-clinical-cases-in-a-single-center
#1
Qi Jia, Guanghui Chen, Jiashi Cao, Xinghai Yang, Zhenhua Zhou, Haifeng Wei, Tielong Liu, Jianru Xiao
BACKGROUND CONTEXT: Giant cell tumors (GCTs) of the bone are benign but locally aggressive. Pediatric spine giant-cell tumors (PSGCTs) have been infrequently reported in the literature because of the rarity of the disease. PURPOSE: The purpose of this study was to define the overall occurrence rate of PSGCTs among all spinal GCTs in our center and investigate the clinical features and prognostic factors of this rare disease. STUDY DESIGN: A retrospective review...
February 15, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30776486/the-challenge-of-accurate-spinal-growth-assessment-in-the-treatment-of-early-onset-scoliosis-with-growth-friendly-systems
#2
John T Braun
No abstract text is available yet for this article.
February 15, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30776485/post-operative-direct-healthcare-costs-of-lumbar-discectomy-are-reduced-with-the-use-of-a-novel-annular-closure-device-in-high-risk-patients
#3
Jared Ament, Bart Thaci, Zhuo Yang, Adisa Kursumovic, Richard Bostelmann, Todd Lanman, J Patrick Johnson, Susanne Fröhlich, Kee D Kim
BACKGROUND CONTEXT: Lumbar discectomy is a largely successful surgical procedure; however, reherniation rates in patients with large annular defects are as high as 27%. The expense associated with a revision surgery places significant burden on the healthcare system. PURPOSE: To compare the direct healthcare costs through 5 years follow-up of conventional discectomy (Control) with those of discectomy supplemented by an adjunctive annular closure device (ACD) in high-risk patients with large annular defects...
February 15, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30772505/association-between-mri-findings-and-back-pain-after-osteoporotic-vertebral-fractures-a-multicenter-prospective-cohort-study
#4
Sayed Abdullah Ahmadi, Shinji Takahashi, Masatoshi Hoshino, Kazushi Takayama, Ryuichi Sasaoka, Tadao Tsujio, Hiroyuki Yasuda, Fumiaki Kanematsu, Hiroshi Kono, Hiromitsu Toyoda, Hiroaki Nakamura
BACKGROUND CONTEXT: Osteoprotic vertebral fractures(OFV) are common in elderly people. The association between back pain due to OVF with MRI signal change is unclear. In this study we hypothesized that MRI findingswould be a predictive factor for back pain measured by VAS at 6 months follow-up. PURPOSE: The aim was to study the magnetic resonance imaging (MRI) findings that predict back pain after osteoporotic vertebral fractures (OVF) and the association between radiological findings and scores of back pain...
February 14, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30769092/adult-spinal-deformity-and-its-relationship-with-hip-range-of-motion-a-cohort-study-of-community-dwelling-females
#5
Mutsuya Shimizu, Tetsuya Kobayashi, Hisashi Chiba, Shizuo Jimbo, Issei Senoh, Hiroshi Ito
BACKGROUND CONTEXT: Adult spinal deformity affects lower extremity alignment with compensation in joint range of motion (ROM) and alignment of the hip. PURPOSE: To investigate the relationship between sagittal spinopelvic alignment and the ROM of the hip joint and the femoral oblique angle (FOA). STUDY DESIGN: Cross-sectional, observational cohort study of community-dwelling Japanese women. METHODS: The study group included 158 women, enrolled in our ongoing prospective cohort study, with upright spine radiographs and physical measurements obtained for all participants...
February 12, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30763714/neutrophil-to-lymphocyte-ratio-and-mortality-in-spinal-epidural-abscess
#6
Aditya V Karhade, Kush C Shah, Akash A Shah, Paul T Ogink, Sandra B Nelson, Joseph H Schwab
BACKGROUND CONTEXT: Neutrophil to lymphocyte ratio and platelet to lymphocyte ratio have been previously identified as markers for overall survival in oncology but remain heretofore unexplored in spinal epidural abscess (SEA). PURPOSE: The purpose of this study was to determine the impact of these routinely collected assessments on ninety-day mortality in SEA. STUDY DESIGN/SETTING: Retrospective, case-control study PATIENT SAMPLE: Patients 18 years or older diagnosed with SEA at two academic medical centers and three community hospitals OUTCOME MEASURES: Ninety-day post-discharge and in-hospital mortality METHODS: Complete blood count with differential obtained on the day immediately preceding or on the day of admission was used to calculate platelet to lymphocyte and neutrophil to lymphocyte ratios...
February 11, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30742976/cost-effectiveness-of-microdiscectomy-versus-endoscopic-discectomy-for-lumbar-disc-herniation
#7
Kyung-Chul Choi, Hyeong-Ki Shim, Jin-Sung Kim, Kyung Han ChaMD, Dong Chan Lee, Ea Ran Kim, Mee Jung Kim, Choon-Keun Park
BACKGROUND CONTEXT: Microdiscectomy is a standard technique for the surgical treatment of lumbar disc herniation (LDH). Endoscopic discectomy (ED) is another surgical option that has become popular owing to reports of shorter hospitalization and earlier return to work. No study has evaluated health care costs associated with lumbar discectomy techniques and compared cost-effectiveness. PURPOSE: To assess the cost-effectiveness of four surgical techniques for LDH: microdiscectomy (MD), transforaminal endoscopic lumbar discectomy (TELD), interlaminar endoscopic lumbar discectomy (IELD), and unilateral biportal endoscopic discectomy (UBED)...
February 8, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30742975/biomechanical-effects-on-the-intermediate-segment-of-noncontiguous-hybrid-surgery-with-cervical-disc-arthroplasty-and-anterior-cervical-discectomy-and-fusion-a-finite-element-analysis
#8
Ting-Kui Wu, Yang Meng, Hao Liu, Bei-Yu Wang, Ying Hong, Xin Rong, Chen Ding, Hua Chen
BACKGROUND CONTEXT: Surgery for cervical degenerative disc disorder (CDDD) at two noncontiguous segments is infrequent. Few studies have explored the biomechanical effects on the intermediate adjacent segment of anterior cervical discectomy and fusion (ACDF) or cervical disc arthroplasty (CDA) in this situation. No study has examined biomechanical differences between ACDF and hybrid surgery (HS) constructs for noncontiguous CDDD. Differences in the biomechanical changes between the intermediate and adjacent segments are unknown...
February 8, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30742974/malpractice-claims-in-spine-surgery-in-germany-a-5-year-analysis
#9
Sebastian A Ahmadi, Hosai Sadat, Kai-Michael Scheufler, Hans-Jakob Steiger, Beate Weber, Thomas Beez
STUDY DESIGN: Retrospective analysis of anonymized malpractice claims. SUMMARY OF BACKGROUND DATA: Spine surgery is considered a high-risk specialty with regards to malpractice claims. However, limited data is available for Germany. We analyzed the rate, subject and legal outcome of malpractice claims faced by spine surgeons in one of the largest Medical Council coverage areas in Germany, representing 60,000 physicians and a population of 10 million. METHODS: Analysis of all malpractice claims regarding spinal surgeries completed by the Review Board (RB) of the North Rhine Medical Council (NRMC) from 2012-2016...
February 8, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30742973/discriminating-spatiotemporal-movement-strategies-during-spine-flexion-extension-in-healthy-individuals
#10
Shawn M Beaudette, Derek P Zwambag, Ryan B Graham, Stephen H M Brown
BACKGROUND CONTEXT: The spine is an anatomically complex system with numerous degrees of freedom. Due to this anatomical complexity, it is likely that multiple motor control options exist to complete a given task. PURPOSE: To identify if distinct spine spatiotemporal movement strategies are utilized in a homogenous sample of young healthy participants. STUDY DESIGN: Kinematic data were captured from a single cohort of male participants (n = 51) during a simple, self-controlled spine flexion-extension task...
February 8, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30710732/assessment-of-changes-in-the-micro-nano-environment-of-intervertebral-disc-degeneration-based-on-pfirrmann-grade
#11
Yan-Jun Che, Jiang-Bo Guo, Ting Liang, Xi Chen, Wen Zhang, Hui-Lin Yang, Zong-Ping Luo
BACKGROUND CONTEXT: Pfirrmann grading can be used to assess intervertebral disc degeneration (IVDD) . There is growing evidence that IVDD is not simply a structural disorder but also involves changes to the substructural characteristics of the disc. Whether Pfirrmann grade can accurately represent these micro-nano environmental changes remains unclear. PURPOSE: We aimed to assess the micro-nano structural characteristics of the degenerative disc to provide more specific biomechanical information than the Pfirrmann score...
January 30, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30710731/machine-learning-for-prediction-of-sustained-opioid-prescription-after-anterior-cervical-discectomy-and-fusion
#12
Aditya V Karhade, Paul T Ogink, Quirina C B S Thio, Marike L D Broekman, Thomas D Cha, Stuart H Hershman, Jianren Mao, Wilco C Peul, Andrew J Schoenfeld, Christopher M Bono, Joseph H Schwab
BACKGROUND CONTEXT: The severity of the opioid epidemic has increased scrutiny of opioid prescribing practices. Spine surgery is a high-risk episode for sustained postoperative opioid prescription. PURPOSE: To develop machine learning algorithms for preoperative prediction of sustained opioid prescription after anterior cervical discectomy and fusion (ACDF). STUDY DESIGN/SETTING: Retrospective, case-control study at two academic medical centers and three community hospitals PATIENT SAMPLE: Electronic health records were queried for adult patients undergoing ACDF for degenerative disorders between January 1st , 2000 and March 1st , 2018...
January 30, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30708114/comparison-of-the-history-and-physical-examination-for-hip-osteoarthritis-and-lumbar-spinal-stenosis
#13
James Rainville, James V Bono, Eric B Laxer, David H Kim, John M Lavelle, Aage Indahl, David G Borenstein, Andy J Haig, Jeffrey N Katz
BACKGROUND: Leg pain associated with walking is sometimes incorrectly attributed to hip osteoarthritis (OA) or lumbar spinal stenosis (LSS). PURPOSE: This study compared physicians' values of signs and symptoms for diagnosing and differentiating hip OA and LSS to their clinical utility. STUDY DESIGN/SETTING: Musculoskeletal physicians were surveyed with online questionnaires. Patients were recruited from hip and spine specialty practices. PATIENT SAMPLE: Seventy-seven hip OA and 79 LSS patients...
January 29, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30708113/cross-cultural-adaptation-of-the-neck-pain-and-disability-scale-a-methodological-systematic-review
#14
REVIEW
Min Yao, Bao-Ping Xu, Zi-Rui Tian, Jie Ye, Ying Zhang, Yong-Jun Wang, Xue-Jun Cui
BACKGROUND: Neck pain is a common and uncomfortable symptom, adversely affecting the work and life of those affected. The Neck Pain and Disability Scale (NPDS) is widely used in neck pain assessment. It has been cross-culturally adapted into several languages to extend its reach to non-English-speaking countries. The aim of this study was to comprehensively evaluate the translation procedures and measurement properties of cross-cultural adaptations of the NPDS. METHOD: We searched multiple databases, including PubMed, Embase, CINAHL, SciELO, PsycINFO, Medline, SinoMed, PsycINFO, Web of Science, and Scopus, using the keywords "Neck Pain and Disability Scale", "NPDS", "cross-cultural" and "translation"...
January 29, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30684758/supplemental-rods-are-needed-to-maximally-reduce-rod-strain-across-the-lumbosacral-junction-with-tlif-but-not-alif-in-long-constructs
#15
Jakub Godzik, Randall J Hlubek, Anna G U S Newcomb, Jennifer N Lehrman, Bernardo de Andrada Pereira, S Harrison Farber, Lawrence G Lenke, Brian P Kelly, Jay D Turner
BACKGROUND CONTEXT: Rod fracture at the lumbosacral (LS) junction remains challenging in long segment fusions and likely stems from increased lumbosacral strain. Reduction of LS instrumentation strain may help reduce fracture rates. PURPOSE: The goal of this investigation was to assess the effect of supplemental posterior 4-rod (4R) construction on LS stability and rod strain compared to standard 2-rod (2R) construction in a long segment fusion model. STUDY DESIGN/SETTING: Cadaveric biomechanical study...
January 23, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30682437/won-t-you-write-me-a-letter
#16
EDITORIAL
Christopher M Bono
No abstract text is available yet for this article.
January 22, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30664950/effect-of-spinal-decompression-on-back-pain-in-lumbar-spinal-stenosis-a-canadian-spine-outcomes-research-network-csorn-study
#17
Shreya Srinivas, Jerome Paquet, Chris Bailey, Andrew Nataraj, Alexandra Stratton, Michael Johnson, Paul Salo, Sean Christie, Charles Fisher, Hamilton Hall, Neil Manson, Y Raja Rampersaud, Kenneth Thomas, Greg McIntosh, Nicloas Dea
BACKGROUND CONTEXT: Surgical decompression is usually offered for improvement of neurogenic claudication in patients with symptomatic lumbar canal stenosis. These patients often have associated low back pain (LBP) and little is known about the effect of decompression on this symptom. PURPOSE: The goal of the present study is to specifically quantify the improvement in LBP following surgical decompression for lumbar canal stenosis and to identify factors associated with changes in LBP in this population...
January 18, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30660741/selection-pressures-of-vancomycin-powder-use-in-spine-surgery-a-meta-analysis
#18
REVIEW
Abhiram Gande, Alex Rosinski, Torin Cunningham, Nitin Bhatia, Yu-Po Lee
BACKGROUND CONTEXT: Surgical site infection (SSI) is a serious and costly complication of spine surgery. Many surgeons apply vancomycin powder to the surgical wound to prevent SSIs. While multiple studies have reported reduced rates of SSI, others have suggested that widespread use of intra-wound vancomycin may increase the incidence of vancomycin-resistant, gram-negative, or polymicrobial spinal infections. PURPOSE: To systematically review the current literature on vancomycin powder in spine surgery and its impact on SSI culture profiles...
January 17, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30639589/trends-in-lumbar-radiofrequency-ablation-utilization-from-2007-2016
#19
Jordan B Starr, Laurie Gold, Zachary McCormick, Pradeep Suri, Janna Friedly
BACKGROUND CONTEXT: Lumbar radiofrequency ablation (RFA) is an intervention used to treat facet-mediated chronic low back pain. In some studies with methods consistent with clinical practice guidelines, RFA results in improvements in pain and functional limitations. However, in other studies, RFA demonstrates limited benefit. Despite unanswered questions regarding efficacy of RFA, its use is widespread. PURPOSE: To describe trends in the utilization and cost of lumbar RFA and lumbar facet injections...
January 10, 2019: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/30611889/comparing-different-chronic-preoperative-opioid-use-definitions-on-outcomes-after-spine-surgery
#20
Emily R Oleisky, Jacquelyn S Pennings, Jeffrey Hills, Ahilan Sivaganesan, Inamullah Khan, Richard Call, Clinton J Devin, Kristin R Archer
BACKGROUND CONTEXT: No consensus exists for defining chronic preoperative opioid use. Most spine studies rely solely on opioid duration to stratify patients into preoperative risk categories. PURPOSE: The purpose of this study is to compare established opioid definitions that contain both duration and dosage to opioid models that rely solely on duration, including the CDC Guideline for Prescribing Opioids for Chronic Pain, in patients undergoing spine surgery. STUDY DESIGN: This was a retrospective cohort study that used opioid data from the Tennessee Controlled Substance Monitoring Database and prospective clinical data from a single-center academic spine registry...
January 3, 2019: Spine Journal: Official Journal of the North American Spine Society
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