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Asian Spine Journal

Hafifi Hisham, Maria Justine, Hafez Hussain, Nazirah Hasnan, Haidzir Manaf
Study Design: A quasi-experimental single-blinded study. Purpose: To investigate the effects of 'graded exercise integrated with education' on physical fitness, exercise self-efficacy (ESE), and physical activity (PA) levels among subacute and chronic wheelchair-dependent paraplegia patients. Overview of Literature: Most of the chronic spinal cord injury (SCI) patients had low physical fitness due to a sedentary lifestyle and lack of ESE after discharge from a rehabilitation program...
March 15, 2019: Asian Spine Journal
Jeevan Vettivel, Cole Bortz, Peter Gust Passias, Joseph Frederick Baker
Study Design: Retrospective cohort study. Purpose: To describe our experience in the management and outcomes of vertebral column osteomyelitis (VCO), particularly focusing on the risk factors of early and late mortality. Overview of Literature: Previous reports suggest a global increase in spinal column infections highlighting significant morbidity and mortality. To date, there have been no reports from our local population, and no previous report has assessed the potential relationship of frailty with mortality in a cohort of patients with VCO...
March 15, 2019: Asian Spine Journal
En Loong Soon, Adriel Zhijie Leong, Jean Chiew, Arun-Kumar Kaliya-Perumal, Chun Sing Yu, Jacob Yoong-Leong Oh
Study Design: Retrospective database analysis. Purpose: To identify risk factors that predict mortality following acute spine fractures in geriatric patients of Singapore. Overview of Literature: Acute geriatric spinal fractures contribute significantly to local healthcare costs and hospital admissions. However, geriatric mortality following acute spine fractures is scarcely assessed in the Asian population. Methods: Electronic records of 3,010 patients who presented to our hospital's emergency department and who were subsequently admitted during 2004-2015 with alleged history of traumatic spine fractures were retrospectively reviewed, and 613 patients (mean age, 85...
March 15, 2019: Asian Spine Journal
Gokhan Maras, Shahed Sheidayi, Gokhan Yazici, Melek Volkan Yazici, Gurkan Gunaydin, Seyit Citaker
Study Design: Prospective study. Purpose: To investigate the cross-cultural adaptation, validity, and reliability of the Turkish version of the Back Pain Functional Scale (BPFS). Overview of Literature: Low back pain is a common disorder in the population that negatively affects the patient's daily, professional, and social life. Self-report questionnaires are important to precisely evaluate back pain and making better and appropriate treatment decisions...
March 15, 2019: Asian Spine Journal
Hiroaki Nakashima, Tokumi Kanemura, Kotaro Satake, Yoshimoto Ishikawa, Jun Ouchida, Naoki Segi, Hidetoshi Yamaguchi, Shiro Imagama
Study Design: Prospective cohort study. Purpose: This study aimed to identify risk factors for unplanned second-stage decompression for postoperative neurological deficit after indirect decompression using lateral lumbar interbody fusion (LLIF) with posterior fixation. Overview of Literature: Indirect lumbar decompression with LLIF has been used as a minimally invasive alternative to direct decompression to treat degenerative lumbar diseases requiring neural decompression...
March 15, 2019: Asian Spine Journal
Arjun S Sebastian, Nathan R Wanderman, Bradford L Currier, Mark A Pichelmann, Vickie M Treder, Jeremy L Fogelson, Michelle J Clarke, Ahmad N Nassr
Study Design: Prospective observational cohort study. Purpose: This study aims to evaluate the safety and efficacy of bone morphogenetic protein-2 (BMP-2) in transforaminal lumbar interbody fusion (TLIF) with regard to postoperative radiculitis. Overview of Literature: Bone morphogenetic protein (BMP) is being used increasingly as an alternative to iliac crest autograft in spinal arthrodesis. Recently, the use of BMP in TLIF has been examined, but concerns exist that the placement of BMP close to the nerve roots may cause postoperative radiculitis...
March 15, 2019: Asian Spine Journal
Hitoshi Kudo, Kazunari Takeuchi, Toru Yokoyama, Yoshihito Yamasaki, Kanichiro Wada, Gentaro Kumagai, Toru Asari, Hironori Otsuka, Yasuyuki Ishibashi
Study Design: Retrospective study. Purpose: We experienced the situation wherein some patients had new-onset pain or dysesthesia around the ring and little fingers (C8 symptom) or ulnar aspect of the forearm (T1 symptom) after cervical laminoplasty (LP). We investigated the incidence and the cause of new C8 or T1 symptoms and the clinical outcomes after C3-C6 LP or C3-C7 LP. Overview of Literature: There were some reports regarding complications after cervical LP...
March 15, 2019: Asian Spine Journal
Izaya Ogon, Tsuneo Takebayashi, Hiroyuki Takashima, Tomonori Morita, Tsutomu Oshigiri, Yoshinori Terashima, Mitsunori Yoshimoto, Toshihiko Yamashita
Study Design: Cross-sectional study. Purpose: To determine the association between fatty degeneration of the multifidus muscle (Mm) and intervertebral disc degeneration (IVDD) using quantitative magnetic resonance imaging (MRI). Overview of Literature: Few studies have reported on quantitative MRI analysis of the relation between the Mm and IVDD. Methods: The subjects with chronic low back pain comprised 45 patients (19 males, 26 females; mean age, 63...
March 15, 2019: Asian Spine Journal
N V Ankith, M Avinash, K S Srivijayanand, Ajoy Prasad Shetty, Rishi Mugesh Kanna, Shanmuganathan Rajasekaran
Study Design: Observational retrospective computed tomography (CT) based study. Purpose: To analyze the congenital anomalies of the cervical spine, their morphological variations and their clinical significance. Overview of Literature: Studies published to date have focused mainly on upper cervical anomalies; no study has comprehensively reported on anomalies of both the occipitocervical and subaxial cervical spine. Methods: Nine hundred and thirty cervical spine CT scans performed in Ganga Hospital, Coimbatore, India between January 2014 and November 2017 were screened by two independent observers to document anomalies of both the upper and lower cervical spine...
March 14, 2019: Asian Spine Journal
Jung Hwan Kim, Alok Sharan, Woojin Cho, Mohammed Emam, Michael Hagen, Soo Yeon Kim
Study Design: Case control study. Purpose: To determine the prevalence and degree of asymptomatic cervical and lumbar facet joint arthritis. We retrospectively reviewed 500 computed tomography (CT) scans of cervical facet joints obtained from 50 subjects. Moreover, 500 lumbar facet joints obtained from an additional 50 subjects were reviewed. Overview of Literature: Numerous reports in the literature indicate that joint arthritis is a major source of axial neck and low back pain...
February 13, 2019: Asian Spine Journal
Panya Luksanapruksa, Paul William Millhouse, Victor Carlson, Thanase Ariyawatkul, Joshua Heller, Christopher Keppel Kepler
Study Design: Retrospective cohort study. Purpose: To evaluate surgical outcomes and complications of cervical spine fractures in ankylosing spondylitis (CAS) patients who were treated using either the posterior (P) or combined approach (C). Overview of Literature: Ankylosing spondylitis typically causes progressive spinal stiffness that makes patients susceptible to spinal fractures. CAS is a highly unstable condition. There is contradictory evidence regarding which treatment option, the posterior or the combined approach, yields superior clinical results...
February 13, 2019: Asian Spine Journal
Sina Rashidi Kikanloo, Sandip Parshottam Tarpada, Woojin Cho
Adolescent idiopathic scoliosis (AIS) is the peripubertal development of spinal curvature of a minimum of 10°. AIS is thought to be attributable to genetic factors, nutrition, early exposure to toxins, and hormonal dysregulation. Recent literature suggests these factors may compound to determine both disease onset and severity. Currently, treatment is limited to observation, bracing, and surgical intervention. Intervention is presently determined by severity and risk of curve progression. As they emerge, new therapies may target specific etiologies of AIS...
February 13, 2019: Asian Spine Journal
Arun-Kumar Kaliya-Perumal, Worawat Limthongkul, Jacob Yoong-Leong Oh
During minimally-invasive long-construct posterior instrumentation, it may be challenging to contour and place the rod as the screw heads are not visualized. To overcome this, we utilized the image data merging (IDM) facility of our spinal navigation system to visualize a coherent whole image of the construct throughout the procedure. Here, we describe this technique that was used for a patient in whom L1–L5 posterior instrumentation was performed. Using an IDM facility, screws are color coded and after placement, the final image is saved...
January 30, 2019: Asian Spine Journal
Niladri Kumar Mahato, Stephane Montuelle, Brian Clark
Study Design: Between-session reliability of a magnetic resonance imaging (MRI) based experimental technique to quantify lumbar inter-vertebral motion in humans. Purpose: We have developed a novel, dynamic, MRI-based approach for quantifying in vivo lumbar inter-vertebral motion. In this study, we present the protocol's reliability results to quantify inter-vertebral spine motion. Overview of Literature: Morphometric studies on intervertebral displacements using static, supine MRI and quantification of dynamic spine motion using different X-ray based radiography techniques are commonly found in the literature...
January 30, 2019: Asian Spine Journal
Tomohiro Banno, Tomohiko Hasegawa, Yu Yamato, Daisuke Togawa, Go Yoshida, Sho Kobayashi, Tatsuya Yasuda, Hideyuki Arima, Shin Oe, Yuki Mihara, Hiroki Ushirozako, Yukihiro Matsuyama
Study Design: A retrospective study. Purpose: To investigate the incidence of iliac screw loosening with a two-rod vs. multi-rod construct and the effect on clinical and radiographic outcomes after surgery for adult spinal deformity (ASD). Overview of Literature: Multi-rod construct is useful for preventing rod fracture in ASD surgery. However, limited information is available regarding the incidence of iliac screw loosening after corrective fusion surgery using a multi-rod construct...
January 30, 2019: Asian Spine Journal
Hiroaki Nakashima, Tokumi Kanemura, Kotaro Satake, Yoshimoto Ishikawa, Jun Ouchida, Naoki Segi, Hidetoshi Yamaguchi, Shiro Imagama
Study Design: Retrospective case-control study. Purpose: To compare surgical invasiveness and radiological outcomes between posterior lumbar interbody fusion (PLIF) and lateral lumbar interbody fusion (LLIF) for degenerative lumbar kyphosis. Overview of Literature: LLIF is a minimally invasive interbody fusion technique; however, few reports compared the clinical outcomes of conventional PLIF and LLIF for degenerative lumbar kyphosis. Methods: Radiographic data for patients who have undergone lumbar interbody fusion (≥3 levels) using PLIF or LLIF for degenerative lumbar kyphosis (lumbar lordosis [LL] <20°) were retrospectively examined...
January 30, 2019: Asian Spine Journal
Cara Michelle Thomas, Howard Benjamin Levene
Patients are faced with many questions surrounding the after effects of the various surgical procedures and their ability to return to preoperative activities. While patients often question whether surgery would provide alleviation of pain, weakness, and instability, they often have additional questions about sexual activity during their convalescence that are not always addressed. Although the literature shows postsurgical improvement in sexual activity in association with improved low back pain, reports vaguely address the variability in sexual activity recommendations based on anatomic location and type of spinal surgery...
January 30, 2019: Asian Spine Journal
Joseph Albano, Jonathon Lentz, Robert Stockton, Vincent DePalma, Michael Markowitz, Maximillian Ganz, Gus Katsigiorgis, Kanwarpaul Grewal
Study Design: Retrospective chart review. Purpose: We sought to determine the differences in pedicle diameter (PD) in the lumbar spine between various races: 'Asian,' 'Black,' 'White,' and 'Other.' These data could aid in perioperative planning during instrumented spinal fusion. Overview of Literature: Recent literature underscores the importance of understanding diverse pedicle isthmus morphology to perform successful transpedicular procedures...
January 29, 2019: Asian Spine Journal
Kazuki Sugimoto, Takayuki Nakamura, Takuya Tokunaga, Yusuke Uehara, Tatsuya Okada, Takuya Taniwaki, Toru Fujimoto, Yuichi Oike, Eiichi Nakamura
Study Design: Experimental human study. Purpose: To determine whether angiopoietin-like protein 2 (ANGPTL2) is highly expressed in the hyperplastic facet joint (FJ) synovium and whether it activates interleukin-6 (IL-6) secretion in FJ synoviocytes. Overview of Literature: Mechanical stress-induced synovitis is partially, but significantly, responsible for degenerative and subsequently osteoarthritic changes in the FJ tissues in patients with lumbar spinal stenosis (LSS)...
January 29, 2019: Asian Spine Journal
Izaya Ogon, Tsuneo Takebayashi, Hiroyuki Takashima, Tomonori Morita, Noriyuki Iesato, Katsumasa Tanimoto, Yoshinori Terashima, Mitsunori Yoshimoto, Toshihiko Yamashita
Study Design: Cross sectional study. Purpose: The study aimed to analyze mechanisms underlying chronic low back pain (CLBP) using magnetic resonance imaging (MRI) T2 mapping of the intervertebral disc (IVD). Overview of Literature: MRI T2 mapping utilizes the T2 values for quantifying moisture content and collagen sequence breakdown. We previously used MRI T2 mapping for quantifying the extent of IVD degeneration (IVDD) and showed a correlation between the degeneration of the posterior annulus fibrosus (AF) and CLBP...
January 29, 2019: Asian Spine Journal
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