Wei-Thing Khor, Yu Chang, Chih-Hao Tien, Liang-Yi Chen, Hao-Hsiang Hsu, Pang-Shuo Perng, Chia-En Wong, Heng-Juei Hsu, Jung-Shun Lee
STUDY DESIGN: Meta-analysis. OBJECTIVE: To compare the effectiveness of postoperative pain control between erector spinae plane block (ESPB) and thoracolumbar interfascial plane (TLIP) block in lumbar spine surgery. METHODS: PubMed, Embase, and MEDLINE electronic databases were searched for articles containing randomized controlled trials (RCTs) published between January 1900 and January 2024. We extracted the postoperative mean pain score, the first 24-h postoperative morphine consumption, and their standard deviation from the included studies...
June 24, 2024: Global Spine Journal
Vishnu Vikraman Nair, Vishal Kundnani
STUDY DESIGN: Retrospective Cohort Study. OBJECTIVE: The primary objective of this study is to evaluate the efficacy of early administration of Teriparatide in preventing the necessity of surgical intervention in individuals with osteoporotic vertebral compression fractures. METHODS: In a 24-month follow-up retrospective analysis, 191 OVCF patients from January 2016 to October 2020 were randomly assigned to Non teriparatide Group A (n = 104) or Group B teriparatide (n = 87)...
June 24, 2024: Global Spine Journal
Ben Wang, Ruomu Qu, Zexiang Liu, Nan Zhao, Shengfa Pan, Xin Chen, Yanbin Zhao, Lei Dang, Hua Zhou, Feng Wei, Yu Sun, Feifei Zhou, Liang Jiang
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: This study aimed to compare postoperative pain and surgical outcomes of open-door laminoplasty (LP) and three types of muscle-sparing laminoplasties, namely unilateral muscle-preservation laminoplasty (UL), spinous process splitting double-door laminoplasty (DL) and intermuscular "raising roof" laminoplasty (RL) for multilevel degenerative cervical myelopathy (MDCM). METHODS: Consecutive MDCM patients underwent LP or modified laminoplasties (UL, DL, RL) in 2022 were enrolled...
June 23, 2024: Global Spine Journal
Seth S Leopold, Robert N Hensinger, Andrew J Schoenfeld, Marc Swiontkowski, Michael J Rossi, Kimberly J Templeton
No abstract text is available yet for this article.
June 22, 2024: Global Spine Journal
Lauren E Stone, Peter O Newton, Anthony A Catanzano, Hiroki Oba, Lawrence G Lenke, Oheneba Boachie-Adjei, Michael P Kelly, Munish C Gupta
STUDY DESIGN: Retrospective. OBJECTIVE: Severe curves >100° in adolescent idiopathic scoliosis (AIS) are rare and require careful operative planning. The aim of this study was to assess baseline, perioperative, and 2-year differences between anterior release with posterior instrumentation (AP), posterior instrumentation with posterior column osteotomies (P), and posterior instrumentation with 3-column vertebral osteotomies (VCR). METHODS: Two scoliosis datasets were queried for primary cases of severe thoracic AIS (≥100°) with 2-year follow-up...
June 21, 2024: Global Spine Journal
Anand A Dharia, Andrew R Guillotte, Frank A De Stefano, Mia J Birney, Adam G Rouse, Ifije E Ohiorhenuan
STUDY DESIGN: Retrospective Cohort Study. OBJECTIVE: Single Photon Emission Computed Tomography/Computed Tomography (SPECT/CT) is emerging as a valuable imaging test for identifying pain generators within the lumbar spine. The relationship between radiotracer uptake on SPECT/CT and anatomic biomechanical parameters has not been previously studied. METHODS: We performed a retrospective review of all patients seen at our institution between 2021-2023 who obtained SPECT/CT scans for workup of thoracolumbar back pain...
June 19, 2024: Global Spine Journal
Matthew Macciacchera, Jake M McDonnell, Aisyah Amir, Aubrie Sowa, Gráinne Cunniffe, Stacey Darwish, Ciara Murphy, Joseph S Butler
STUDY DESIGN: Systematic review and meta-analysis. OBJECTIVE: Surgical management of osteoporotic vertebral compression fractures (OVCFs) has traditionally consisted of vertebroplasty or kyphoplasty procedures. Mechanical percutaneous vertebral body augmentation (MPVA) systems have recently been introduced as alternatives to traditional methods. However, the effectiveness of MPVA systems vs conventional augmentation techniques for OVCFs remains unclear. This serves as the premise for this study...
June 18, 2024: Global Spine Journal
Mohammad Mohammadi, Faramarz Roohollahi, Farzin Farahbakhsh, Aynaz Mohammadi, Elham Mortazavi Mamaghani, Samuel Berchi Kankam, Azin Moarrefdezfouli, Afshar Ghamari Khameneh, Mohamad Mahdi Mahmoudi, Davit Baghdasaryan, Allan R Martin, James Harrop, Vafa Rahimi-Movaghar
STUDY DESIGN: Systematic review. OBJECTIVE: Degenerative cervical myelopathy (DCM) is a common spinal cord disorder necessitating surgery. We aim to explore how effectively diffusion tensor imaging (DTI) can distinguish DCM from healthy individuals and assess the relationship between DTI metrics and symptom severity. METHODS: We included studies with adult DCM patients who had not undergone decompressive surgery and implemented correlation analyses between DTI parameters and severity, or compared healthy controls and DCM patients...
June 14, 2024: Global Spine Journal
Ragavan Manoharan, Ahmed Cherry, Aditya Raj, Nisaharan Srikandarajah, Mark Xu, Carlo Iorio, Christopher J Nielsen, Yoga Raja Rampersaud, Stephen J Lewis
STUDY DESIGN: A single centre retrospective review. OBJECTIVE: Recent studies have suggested that distal lordosis (L4-S1, DL) remains constant across all pelvic incidence (PI) subgroups, whilst proximal lordosis (L1-L4, PL) varies. We sought to investigate the impact of post-operative DL on adjacent segment disease (ASD) requiring reoperation in patients undergoing lumbar fusion for degenerative conditions. METHODS: Patients undergoing 1-3 level lumbar fusion with the two senior authors between 2007-16 were included...
June 14, 2024: Global Spine Journal
Michael G Kontakis, Panagiotis Tsagkozis
STUDY DESIGN: Retrospective Cohort Study. OBJECTIVE: Scoring systems for metastatic disease of the spine are used to select patients for surgical treatment based on survival estimation, but it is unknown whether they can be used to predict the outcome of surgery. This study aims to investigate the association between two widely used prognostic scores and the neurologic function after surgery. METHODS: Retrospective analysis of 204 patients with thoracolumbar metastases treated with decompressive surgery at Karolinska University Hospital (2001-2020)...
June 13, 2024: Global Spine Journal
Shin Oe, Ganesh Swamy, Martin Gagliardi, Stephen J Lewis, So Kato, Christopher I Shaffrey, Lawrence G Lenke, Yukihiro Matsuyama
STUDY DESIGN: An e-mail-based online survey for adult spinal deformity (ASD) surgeons. OBJECTIVE: Wound closure and dressing techniques may vary according to the discretion of the surgeon as well as geographical location. However, there are no reports on most common methods. The purpose of this study is to clarify the consensus. METHODS: An online survey was distributed via email to AO Spine members. Responses from 164 ASD surgeons were surveyed...
June 13, 2024: Global Spine Journal
Ifran Saleh, Witantra Dhamar Hutami, Didik Librianto, Marcel Prasetyo, Ahmad Jabir Rahyussalim, Andra Hendriarto, Erwin Ardian Noor, Aliyya Rifki
STUDY DESIGN: Systematic review, expert opinion and Delphi technique, and validity and reliability studies. OBJECTIVE: We developed Jakarta Instability Score (JIS) to identify spinal instability and the need of fusion in degenerative lumbar spinal stenosis (LSS). METHODS: This study consisted of systematic review to find predictors of spinal instability, expert opinion and modified Delphi technique to develop JIS, and validity and reliability studies of the newly developed JIS...
June 12, 2024: Global Spine Journal
Olga M Sergeenko Pavlova, Dmitry M Savin, Alexander V Burtsev, Marat S Saifutdinov, Sergey O Ryabykh, Alexey V Evsyukov
STUDY DESIGN: Retrospective Cohort Study. OBJECTIVE: The study aimed to analyze anatomical variants of segmental spinal aplasia (SSA) and investigate factors influencing surgical treatment outcomes, with a specific focus on the incidence of complications. METHODS: The study focused on patients with SSA treated at a single medical center, with over two years of follow-up. Neurological function changes were evaluated using the modified Japanese Orthopedic Scale (mJOA)...
June 12, 2024: Global Spine Journal
Jae-Won Shin, Yung Park, Sung-Hoon Park, Joong Won Ha, Woo-Seok Jung, Hak-Sun Kim, Kyung-Soo Suk, Si-Young Park, Seong-Hwan Moon, Byung Ho Lee, Ji-Won Kwon, Jaeun Ahn
STUDY DESIGN: Prospective Cohort Study. OBJECTIVE: Untreated pre-surgical depression may prolong post-surgical pain and hinder recovery. However, research on the impact of untreated pre-surgical depression on post-spinal surgery pain is lacking. Therefore, this study aimed to assess pre-surgical depression in patients and analyze its relationship with post-surgical pain and overall post-surgical outcomes. METHODS: We recruited 100 patients scheduled for lumbar spine surgery due to spondylolisthesis, degenerative lumbar disc diseases, and herniated lumbar disc diseases...
June 11, 2024: Global Spine Journal
Seth B Wilson, Jacob Ward, Vikas Munjal, Chi Shing Adrian Lam, Mayur Patel, Ping Zhang, David S Xu, Vikram B Chakravarthy
STUDY DESIGN: Narrative Review. OBJECTIVE: Machine learning (ML) is one of the latest advancements in artificial intelligence used in medicine and surgery with the potential to significantly impact the way physicians diagnose, prognose, and treat spine tumors. In the realm of spine oncology, ML is utilized to analyze and interpret medical imaging and classify tumors with incredible accuracy. The authors present a narrative review that specifically addresses the use of machine learning in spine oncology...
June 11, 2024: Global Spine Journal
Nakul Narendran, Christopher M Mikhail, Paal K Nilssen, Alexander Tuchman, David L Skaggs
STUDY DESIGN: Retrospective Matched Cohort. OBJECTIVE: Despite known consequences to the facet joints following lumbar total disc replacement (TDR), there is limited data on facet injection usage for persistent postoperative pain. This study uses real-world data to compare the usage of therapeutic lumbar facet injections as a measure of symptomatic facet arthrosis following single-level, stand-alone TDR vs anterolateral lumbar interbody fusion (ALIF/LLIF). METHODS: The PearlDiver database was queried for patients (2010-2021) with lumbar degenerative disc disease who received either a single-level, stand-alone TDR or ALIF/LLIF...
June 11, 2024: Global Spine Journal
Hester Zijlstra, Jens P Te Velde, Brendan M Striano, Olivier Q Groot, Tom M de Groot, Noopur Raje, Chirayu Patel, Jad Husseini, Diyar Delawi, Diederik H R Kempen, Jorrit-Jan Verlaan, Joseph H Schwab
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: In general, Multiple Myeloma (MM) patients are treated with systemic therapy including chemotherapy. Radiation therapy can have an important supportive role in the palliative management of MM-related osteolytic lesions. Our study aims to investigate the degree of radiation-induced remineralization in MM patients to gain a better understanding of its potential impact on bone mineral density and, consequently, fracture prevention...
June 10, 2024: Global Spine Journal
Pratyush Shahi, Robert K Merrill, Anthony Pajak, Justin T Samuel, Izzet Akosman, John C Clohisy, Jerry Du, Bo Zhang, Jonathan Elysee, David N Kim, Yusef Jordan, Rachel L Knopp, Francis C Lovecchio, Han Jo Kim
STUDY DESIGN: Retrospective cohort. OBJECTIVE: Determine effects of bracing on proximal junctional kyphosis (PJK) after adult deformity correction. METHODS: Patients were identified from a single-surgeon dataset of posterior-only fusions for ASD (pelvis to UIV of T9-12) with a minimum of 1-year follow up. Starting in 2021, all lower thoracic fusions were braced using a hyperextension brace. Patients wore the brace at all times (unless in bed) for the first 6 weeks after surgery...
June 6, 2024: Global Spine Journal
Juan P Sardi, Justin S Smith, Jeffrey L Gum, Brett Rocos, Anastasios Charalampidis, Lawrence G Lenke, Christopher I Shaffrey, Kenneth M C Cheung, Yong Qiu, Yukihiro Matsuyama, Ferran Pellisé, David W Polly, Jonathan N Sembrano, Benny T Dahl, Michael P Kelly, Marinus de Kleuver, Maarten Spruit, Ahmet Alanay, Sigurd H Berven, Stephen J Lewis
STUDY DESIGN: Prospective multicenter database post-hoc analysis. OBJECTIVES: Opioids are frequently prescribed for painful spinal conditions to provide pain relief and to allow for functional improvement, both before and after spine surgery. Amidst a current opioid epidemic, it is important for providers to understand the impact of opioid use and its relationship with patient-reported outcomes. The purpose of this study was to evaluate pre-/postoperative opioid consumption surrounding ASD and assess patient-reported pain outcomes in older patients undergoing surgery for spinal deformity...
June 4, 2024: Global Spine Journal
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