journal
https://read.qxmd.com/read/38954743/predictors-of-nonhome-discharge-after-cervical-disc-replacement
#1
JOURNAL ARTICLE
Tejas Subramanian, Junho Song, Yeo Eun Kim, Omri Maayan, Robert Kamil, Pratyush Shahi, Daniel Shinn, Sidhant Dalal, Kasra Araghi, Tomoyuki Asada, Troy B Amen, Evan Sheha, James Dowdell, Sheeraz Qureshi, Sravisht Iyer
STUDY DESIGN: Retrospective review of a national database. OBJECTIVE: The aim of this study was to identify the factors that increase the risk of nonhome discharge after CDR. SUMMARY OF BACKGROUND DATA: As spine surgeons continue to balance increasing surgical volume, identifying variables associated with patient discharge destination can help expedite postoperative placement and reduce unnecessary length of stay. However, no prior study has identified the variables predictive of nonhome patient discharge after cervical disc replacement (CDR)...
July 2, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38949202/effect-of-preoperative-motor-weakness-on-postoperative-clinical-outcomes-in-patients-undergoing-cervical-disk-replacement
#2
JOURNAL ARTICLE
Andrea M Roca, Fatima N Anwar, Srinath S Medakkar, Alexandra C Loya, Aayush Kaul, Jacob C Wolf, Vincent P Federico, Arash J Sayari, Gregory D Lopez, Kern Singh
STUDY DESIGN: This is a retrospective review. OBJECTIVE: To examine the effect of preoperative motor weakness on clinical outcomes in patients undergoing cervical disk replacement (CDR). SUMMARY OF BACKGROUND DATA: Studies examining the effect of preoperative motor weakness on postoperative clinical outcomes in CDR are limited. METHODS: Patient cohorts were based on documented upper-extremity motor weakness on physical exam versus no motor weakness...
July 1, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38940454/worse-pain-and-disability-at-presentation-predicts-greater-improvement-in-pain-disability-and-mental-health-in-patients-undergoing-minimally-invasive-transforaminal-lumbar-interbody-fusion-for-degenerative-spondylolisthesis
#3
JOURNAL ARTICLE
Fatima N Anwar, Andrea M Roca, Timothy J Hartman, James W Nie, Srinath S Medakkar, Alexandra C Loya, Keith R MacGregor, Omolabake O Oyetayo, Eileen Zheng, Vincent P Federico, Arash J Sayari, Gregory D Lopez, Kern Singh
STUDY DESIGN: Retrospective Review. OBJECTIVE: To assess the impact of preoperative pain and disability on patient-reported outcome measures (PROMs) following minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) for degenerative spondylolisthesis. SUMMARY OF BACKGROUND DATA: Varying preoperative symptom severity in lumbar fusion patients alters perceptions of surgical success. METHODS: Degenerative spondylolisthesis patients undergoing elective, primary, single-level MI-TLIF were stratified by preoperative symptom severity: Mild (VAS-B<7/ODI<50), Moderate (VAS-B≥7/ODI<50 or VAS-B<7/ODI≥50), and Severe (VAS-B≥7/ODI≥50)...
June 28, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38940436/worse-preoperative-12-item-veterans-rand-physical-component-scores-prognosticate-inferior-outcomes-following-outpatient-lumbar-decompression
#4
JOURNAL ARTICLE
Fatima N Anwar, Andrea M Roca, Alexandra C Loya, Srinath S Medakkar, Aayush Kaul, Jacob C Wolf, Vincent P Federico, Arash J Sayari, Gregory D Lopez, Kern Singh
STUDY DESIGN: Retrospective Review. OBJECTIVE: Evaluate the influence of the 12-Item veterans Rand (VR-12) physical component score (PCS) on patient-reported outcome measures (PROMs) in an outpatient lumbar decompression (LD) cohort. SUMMARY OF BACKGROUND DATA: The influence of baseline VR-12 PCS on postoperative clinical outcomes has not been evaluated in patients undergoing outpatient LD. METHODS: Patients undergoing primary, elective, 1/2-level outpatient LD with baseline VR-12 PCS scores were retrospectively identified from a prospectively maintained single-surgeon database...
June 28, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38934502/intraoperative-ultrasonography-for-the-surgical-treatment-of-grisel-syndrome-of-the-adult-management-of-a-rare-condition
#5
JOURNAL ARTICLE
Rusconi Angelo, Schembari Silvia, Peron Stefano, Ardemagni Andreana, Stefini Roberto
STUDY DESIGN: This is a narrative review and case report. OBJECTIVE: To review the literature concerning Grisel syndrome physiopathology, diagnosis, and surgical reports, highlighting the decision-making for treatment and its timing. We describe the role of intraoperative US in the management of 2 cases of GS of the adult. SUMMARY OF BACKGROUND DATA: GS is a rare nontraumatic post inflammatory C1-C2 rotatory instability usually affecting children; adult cases are even rarer, and the role of surgical treatment is not well defined...
June 27, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38934500/impact-of-early-depressive-burden-on-patient-reported-outcomes-following-minimally-invasive-transforaminal-lumbar-interbody-fusion
#6
JOURNAL ARTICLE
Jacob C Wolf, Fatima N Anwar, Andrea M Roca, Alexandra C Loya, Srinath S Medakkar, Aayush Kaul, Ishan Khosla, Timothy J Hartman, James W Nie, Keith R MacGregor, Omolabake O Oyetayo, Eileen Zheng, Vincent P Federico, Arash J Sayari, Gregory D Lopez, Kern Singh
STUDY DESIGN: Retrospective review. OBJECTIVE: To evaluate mental health influence on minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) patients. SUMMARY OF BACKGROUND DATA: Poor mental health has been postulated to indicate inferior patient perceptions of surgical outcomes in spine literature. Few studies have assessed mental health as a dynamic metric throughout the perioperative period. METHODS: A single-surgeon database was retrospectively searched for patients who underwent primary, elective MIS-TLIF for degenerative or isthmic spondylolisthesis...
June 27, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38884360/a-comparison-of-clinical-outcomes-between-anterior-cervical-discectomy-and-fusion-versus-posterior-cervical-laminoplasty-for-multilevel-cervical-myelopathy
#7
JOURNAL ARTICLE
Yunsoo Lee, Delano Trenchfield, Emily Berthiaume, Alexa Tomlak, Rajkishen Narayanan, Parker Brush, Jeremy Heard, Krisna Maddy, Tariq Issa, Mark Lambrechts, Ian David Kaye, John Mangan, Giovanni Grasso, Jose Canseco, Alexander Vaccaro, Christopher Kepler, Gregory Schroeder, Alan Hilibrand
STUDY DESIGN: Retrospective Cohort. OBJECTIVE: To compare patient-reported outcomes and surgical outcomes after anterior cervical discectomy and fusion (ACDF) versus cervical laminoplasty for multilevel cervical spondylotic myelopathy. BACKGROUND: Treatment options for multilevel cervical spondylotic myelopathy include ACDF and cervical laminoplasty. Given that the literature has been mixed regarding the optimal approach, especially in patients without kyphosis, there is a need for additional studies investigating outcomes between ACDF and cervical laminoplasty...
June 17, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38864523/operative-time-associated-with-increased-length-of-stay-after-single-level-cervical-disk-arthroplasty-an-analysis-of-3681-surgeries
#8
JOURNAL ARTICLE
Mitchell K Ng, Olivia Tracey, Nikhil Vasireddi, Ahmed Emara, Aaron Lam, Ian J Wellington, Brian Ford, Nicholas U Ahn, John K Houten, Ahmed Saleh, Afshin E Razi
STUDY DESIGN: Level III evidence-retrospective cohort. OBJECTIVE: The purpose of this study was to (1) determine whether longer CDA operative time increases the risk of 30-day postoperative complications, (2) analyze the association between operative time and subsequent health care utilization, and (3) discharge disposition. BACKGROUND: Cervical disk arthroplasty (CDA) most commonly serves as an alternative to anterior cervical discectomy and fusion (ACDF) to treat cervical spine disease, however, with only 1600 CDAs performed annually relative to 132,000 ACDFs, it is a relatively novel procedure...
June 12, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38847402/preoperative-cervical-epidural-steroid-injections-utilization-and-postoperative-complications-in-acdf-pcdf-and-decompression
#9
JOURNAL ARTICLE
Husni Alasadi, Joydeep Baidya, Yazan Alasadi, Zakaria Chakrani, Michael M Herrera, Nicole Zubizarreta, Brocha Z Stern, Jashvant Poeran, Saad B Chaudhary
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: Identify factors associated with cervical epidural steroid injection (CESI) receipt before anterior cervical discectomy and fusion (ACDF), posterior cervical decompression and fusion (PCDF), or decompression; evaluate the association between CESI receipt and 90-day postoperative complications; and determine characteristics of CESI associated with complications. SUMMARY OF BACKGROUND DATA: Previous literature has suggested that a preoperative CESI may increase the risk of postoperative complications...
June 7, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38842185/strategies-for-minimizing-the-effects-of-observer-variability-on-sagittal-parameter-measurements-of-the-spine
#10
JOURNAL ARTICLE
Adimilson Dos Santos Delgado, Bruna Souza Morais, Helton Luiz Aparecido Defino, Arlindo Neto Montagnoli
STUDY DESIGN: Exploratory-descriptive study. OBJECTIVE: Evaluate the influence of observer variability on the measurements of both thoracic kyphosis (TK) and lumbar lordosis (LL) obtained with anatomic and functional spinal segmentation methods. BACKGROUND: Parametric analysis for spinal surgery planning typically relies on anatomic parameters. However, incorporating functional parameters that consider the vertebrae orientation is important to minimizing surgical calculation errors...
June 6, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38828954/the-effect-of-intraoperative-overdistraction-on-subsidence-following-anterior-cervical-discectomy-and-fusion
#11
JOURNAL ARTICLE
Akiro H Duey, Christopher Gonzalez, Timothy Hoang, Eric A Geng, Pierce J Ferriter, Ashley M Rosenberg, Bashar Zaidat, Ivan J Zapolsky, Jun S Kim, Samuel K Cho
STUDY DESIGN: Retrospective cohort. OBJECTIVE: The purpose of this study was to evaluate the effect of overdistraction on interbody cage subsidence. BACKGROUND: Vertebral overdistraction due to the use of large intervertebral cage sizes may increase the risk of postoperative subsidence. METHODS: Patients who underwent anterior cervical discectomy and fusion between 2016 and 2021 were included. All measurements were performed using lateral cervical radiographs at 3 time points - preoperative, immediate postoperative, and final follow-up >6 months postoperatively...
June 3, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38820121/characterization-of-lumbar-lordosis-influence-of-age-sex-vertebral-body-wedging-and-l4-s1
#12
JOURNAL ARTICLE
Charles A Baumann, Parsa Pazooki, Kyle P McNamara, Alexander D Jeffs, Madeline A Perlewitz, Zachary R Visco, Stephen M Scott, Moe R Lim, Douglas S Weinberg
STUDY DESIGN: Retrospective radiographic review. OBJECTIVE: The objectives of the study were to determine the contributions to lumbar lordosis (LL) through both the vertebrae and the intervertebral disc (IVD), and to investigate the relationships between lumbar sagittal spine measurements and age and gender. SUMMARY OF BACKGROUND DATA: A small body of literature exists on the relative contributions of vertebral body and IVD morphology to LL, the effects of L4-S1 on overall LL, and the relationships/correlations between lumbar sagittal spine measurements...
May 31, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38820120/motion-capture-based-3-dimensional-measurement-of-range-of-motion-in-patients-undergoing-cervical-laminoplasty
#13
JOURNAL ARTICLE
So Kato, Sayaka Fujiwara, Nozomu Ohtomo, Yukimasa Yamato, Katsuyuki Sasaki, Jim Yu, Toru Doi, Yuki Taniguchi, Yoshitaka Matsubayashi, Tomohiro Ushikubo, Toru Ogata, Sakae Tanaka, Yasushi Oshima
STUDY DESIGN: A prospective study. OBJECTIVE: To measure 3-dimensional cervical range of motion (ROM) by noninvasive optical tracking-based motion-capture technology in patients undergoing laminoplasty, and to elucidate the postoperative effects of laminoplasty on cervical mobility. SUMMARY OF BACKGROUND DATA: Cervical laminoplasty is a motion-sparing decompression surgery for degenerative cervical myelopathy. Unlike cervical laminectomy and fusion, the true postoperative impact of laminoplasty on neck motion has not been well studied...
May 31, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38820117/bone-allograft-pedicle-screw-augmentation-a-biomechanical-study
#14
JOURNAL ARTICLE
Bould Lauren, Kooner Paul, Beckman Lorne, Maroun Rizkallah, Thomas Steffen, Jan van Loon, Ahmed Aoude, Jean Ouellet, Robert-Jan Kroeze, Maarten Spruit
STUDY DESIGN: We performed a comprehensive cadaveric biomechanical study to compare the fixation strength of primary screws, screws augmented with bone allograft, and screws augmented with polymethylmethacrylate cement. OBJECTIVE: To evaluate a novel technique for screw augmentation using morselized cortico-cancellous bone allograft to fill the widened screw track of failed pedicle screws. BACKGROUND: To date, there are no known biological methods available for failed pedicle screw augmentation or fixation...
May 31, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38820083/stopping-at-c2-versus-c3-4-in-elective-posterior-cervical-decompression-and-fusion-a-5-year-follow-up-study
#15
JOURNAL ARTICLE
Connor C Long, John E Dugan, Hani Chanbour, Jeffrey W Chen, Iyan Younus, Soren Jonzzon, Inamullah Khan, Douglas P Terry, Jacqueline S Pennings, Julian Lugo-Pico, Raymond J Gardocki, Amir M Abtahi, Byron F Stephens, Scott L Zuckerman
STUDY DESIGN: This is a retrospective cohort study. OBJECTIVE: In patients undergoing elective posterior cervical laminectomy and fusion (PCLF) with a minimum of 5-year follow-up, we sought to compare reoperation rates between patients with an upper instrumented vertebra (UIV) of C2 versus C3/4. SUMMARY OF BACKGROUND DATA: The long-term outcomes of choosing between C2 versus C3/4 as the UIV in PCLF remain unclear. METHODS: A single-institution, retrospective cohort study from a prospective registry was conducted of patients undergoing elective, degenerative PCLF from December 2010 to June 2018...
May 30, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38809280/lower-hounsfield-units-at-the-planned-lowest-instrumented-vertebra-is-an-independent-risk-factor-for-complications-following-adult-cervical-deformity-surgery
#16
JOURNAL ARTICLE
Tyler K Williamson, Ezekial J Koslosky, Jordan Lebovic, Stephane Owusu-Sarpong, Peter Tretiakov, Jamshaid Mir, Pooja Dave, Andrew J Schoenfeld, Bassel G Diebo, Heiko Koller, Renaud Lafage, Virginie Lafage, Peter G Passias
BACKGROUND: The association of Hounsfield units (HU) and junctional pathologies in adult cervical deformity (ACD) surgery has not been elucidated. OBJECTIVE: Assess if the bone mineral density of the LIV, as assessed by HUs, is prognostic for the risk of complications after ACD surgery. STUDY DESIGN/SETTING: Retrospective cohort study. METHODS: HUs were measured on preoperative CT scans. Means comparison test assessed differences in HUs based on the occurrence of complications, linear regression assessed the correlation of HUs with risk factors, and multivariable logistic regression followed by a conditional inference tree derived a threshold for HUs based on the increased likelihood of developing a complication...
May 29, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38723028/feasibility-of-using-intraoperative-neurophysiological-monitoring-for-detecting-bone-layer-of-cervical-spine-surgery
#17
JOURNAL ARTICLE
Weiyang Zuo, Lingjia Yu, Haining Tan, Xiang Li, Bin Zhu, Yuquan Liu, Xuan Peng, Yong Yang, Qi Fei
STUDY DESIGN: Intraoperative neurophysiological monitoring (IONM) as a guide to bone layer estimation was examined during posterior cervical spine lamina grinding. OBJECTIVE: To explore the feasibility of IONM to estimate bone layer thickness. SUMMARY OF BACKGROUND DATA: Cervical laminoplasty is a classic operation for cervical spondylosis. To increase safety and accuracy, surgery-assistant robots are currently being studied. It combines the advantages of various program awareness methods to form a feasible security strategy...
May 9, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38723053/ligamentous-augmentation-to-prevent-proximal-junctional-kyphosis-and-failure-a-biomechanical-cadaveric-study
#18
JOURNAL ARTICLE
Chong Weng, Thomas Niemeier, Zuhair J Mohammed, Alan Eberhardt, Steven M Theiss, Sakthivel R Rajaram Manoharan
STUDY DESIGN: Biomechanical cadaveric study (level V). OBJECTIVE: To evaluate the effectiveness of polyethylene bands looped around the supra-adjacent spinous process (SP) or spinal lamina (SL) in providing strength to the cephalad unfused segment and reducing junctional stress. BACKGROUND: Proximal junctional kyphosis (PJK) is a pathologic kyphotic deformity adjacent to posterior spinal instrumentation after fusion constructs. Recent studies demonstrate a mismatch in stiffness between the instrumented construct and nonfused adjacent levels to be a causative factor in the development of PJK and proximal junction failure...
May 1, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38679817/the-top-100-cited-articles-on-cervical-disc-arthroplasty-a-bibliometric-analysis
#19
JOURNAL ARTICLE
Shrey Patel, Alexander J Schupper, Bahie Ezzat, Zerubabbel Asfaw, Frank J Yuk, Alan Stein, Tanvir F Choudhri
STUDY DESIGN: Bibliometric analysis. OBJECTIVE: Cervical disc arthroplasty (CDA) has emerged as an effective surgical intervention for degenerative cervical disc disease with potential advantages over traditional cervical fusion. This bibliometric analysis aimed to assess the current state of research on CDA by analyzing the relevant literature using bibliometric indicators. SUMMARY OF BACKGROUND DATA: Web of Science Core Collection. METHODS: A comprehensive search was conducted using the Web of Science database, for articles related to CDA published in the last 19 years...
April 29, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38679816/presence-of-cerebrospinal-fluid-on-preoperative-imaging-and-the-associated-cervical-myelopathy-diagnosis-and-outcome
#20
JOURNAL ARTICLE
Ryan McNassor, Michael Shost, Zachary J Grabel, Nicholas M Rabah, Thomas E Mroz
STUDY DESIGN: Retrospective chart review. OBJECTIVE: The objective of this study is to determine whether the presence of cerebrospinal fluid is associated with the severity of degenerative cervical myelopathy or postoperative outcomes. SUMMARY OF BACKGROUND DATA: Degenerative cervical myelopathy (DCM) is a clinical diagnosis characterized as neurologic dysfunction. Preoperative imaging is used to determine the source of cord compression. In clinical practice, cerebrospinal fluid (CSF) around the cord is often used as an indicator to determine whether stenosis is relevant...
April 29, 2024: Clinical Spine Surgery
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