journal
https://read.qxmd.com/read/38409672/t1-pedicle-subtraction-osteotomy-with-subaxial-cervical-pedicle-screw-fixation
#21
JOURNAL ARTICLE
Jacob Greenberg, Arpan A Patel, Matt Magro, Shaarada Srivatsa, Alexander Spiessberger
Patients suffering from ankylosing spondylitis are not only predisposed to the development of rigid cervicothoracic deformities but are also at an increased risk of cervical fractures. Deformity correction and stabilization are particularly challenging in this patient population due to the brittle bone quality and low bone mineral density. Thoracic pedicle subtraction osteotomy is a workhorse approach for the correction of focal severe kyphotic deformity with lower complication rates than 3-column osteotomy...
February 22, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38409676/chatgpt-as-a-source-of-patient-information-for-lumbar-spinal-fusion-and-laminectomy-a-comparative-analysis-against-google-web-search
#22
JOURNAL ARTICLE
Patrick P Nian, Jayson Saleet, Matthew Magruder, Ian J Wellington, Jack Choueka, John K Houten, Ahmed Saleh, Afshin E Razi, Mitchell K Ng
STUDY DESIGN: Retrospective Observational Study. OBJECTIVE: The objective of this study was to assess the utility of ChatGPT, an artificial intelligence chatbot, in providing patient information for lumbar spinal fusion and lumbar laminectomy in comparison with the Google search engine. SUMMARY OF BACKGROUND DATA: ChatGPT, an artificial intelligence chatbot with seemingly unlimited functionality, may present an alternative to a Google web search for patients seeking information about medical questions...
February 20, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38409675/a-retrospective-comparative-analysis-on-the-effect-of-tranexamic-acid-to-reduce-perioperative-blood-loss-in-patients-undergoing-cervical-spine-surgery
#23
JOURNAL ARTICLE
Adam J Money, Guillaume Dumont, Sean Sheppard, J Benjamin Jackson, Michael Spitnale, Yianni Bakaes, Chase Gauthier, Gregory Grabowski
STUDY DESIGN: Retrospective Cohort Study. OBJECTIVE: The purpose of this study is to assess the impact of intravenous TXA on blood loss outcomes in anterior, posterior, and combined approaches for elective cervical spine surgery. SUMMARY OF BACKGROUND DATA: Tranexamic acid (TXA) has been shown to reduce blood loss in a variety of operations, such as lumbar spine surgery. However, limited studies have evaluated the efficacy of TXA in cervical spine surgery...
February 20, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38366343/does-medicare-insurance-mitigate-racial-ethnic-disparities-in-access-to-lumbar-spinal-surgery-when-compared-to-commercial-insurance
#24
JOURNAL ARTICLE
Michael M Herrera, Justin Tiao, Ashley Rosenberg, Nicole Zubizarreta, Jashvant Poeran, Saad B Chaudhary
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: Compare disparities in lumbar surgical care utilization in Commercially insured versus Medicare patients. SUMMARY OF BACKGROUND DATA: While disparities in spinal surgery have been previously described, less evidence exists on effective strategies to mitigate them. Theoretically, universal health care coverage under Medicare should improve health care access. MATERIALS AND METHODS: Utilizing National Inpatient Sample data (2003-2018), we included inpatient lumbar discectomy or laminectomy/fusion cases in black, white, or Hispanic patients aged 18-74 years, with Commercial or Medicare insurance...
February 19, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38366345/safety-and-efficacy-of-outpatient-anterior-cervical-disk-replacement-acdr-in-an-ambulatory-surgery-center-versus-hospital-setting-a-2-year-retrospective-analysis
#25
JOURNAL ARTICLE
Neil Patel, Kailey Carota Hanley, Daniel Coban, Stuart Changoor, George Abdelmalek, Kumar Sinha, Ki Hwang, Arash Emami
STUDY DESIGN: Retrospective cohort analysis. OBJECTIVE: To compare clinical outcomes of outpatient anterior cervical disk replacements (ACDR) performed in free-standing private ambulatory surgery centers versus tertiary hospital centers. SUMMARY OF BACKGROUND DATA: ACDR is an increasingly popular technique for treating various degenerative pathologies of the cervical spine. There has been an increase in the utilization of ambulatory surgery centers (ASCs) for outpatient cervical procedures due to economic and convenience benefits; however, a paucity of literature exists in evaluating long-term safety and efficacy of ACDRs performed in ASCs versus outpatient hospital centers...
February 16, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38366331/long-term-outcomes-after-adult-spinal-deformity-surgery-using-lateral-interbody-fusion-short-versus-long-fusion
#26
JOURNAL ARTICLE
Shunji Tsutsui, Hiroshi Hashizume, Hiroshi Iwasaki, Masanari Takami, Yuyu Ishimoto, Keiji Nagata, Hiroshi Yamada
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To investigate long-term outcomes after short or long fusion for adult spinal deformity using lateral interbody fusion. SUMMARY OF BACKGROUND DATA: Lateral interbody fusion is commonly used in adult spinal deformity surgery. Favorable short-term outcomes have been reported, but not long-term outcomes. Lateral interbody fusion with strong ability to correct deformity may allow the selection of short fusion techniques...
February 16, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38366328/degeneration-of-cervical-multifidus-muscles-negatively-affects-physical-activity-related-quality-of-life-after-laminoplasty-for-degenerative-cervical-myelopathy
#27
JOURNAL ARTICLE
Masayoshi Iwamae, Koji Tamai, Akinobu Suzuki, Hidetomi Terai, Masatoshi Hoshino, Minori Kato, Hiromitsu Toyoda, Shinji Takahashi, Akito Yabu, Yuta Sawada, Hiroaki Nakamura
STUDY DESIGN: A retrospective cohort study. OBJECTIVE: The study aimed to investigate the related factors affecting physical activity-related quality of life (QOL) after 2 years of cervical laminoplasty for degenerative cervical myelopathy (DCM), focusing on the degree of preoperative degeneration of the cervical multifidus muscles. SUMMARY OF BACKGROUND DATA: The association between paraspinal muscle degeneration and clinical outcomes after spinal surgery is being investigated...
February 16, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38366348/the-burden-of-back-and-neck-strains-and-sprains-in-professional-baseball-players
#28
JOURNAL ARTICLE
Melvin C Makhni, Frank C Curriero, Caleb M Yeung, Eric Leung, Anton Kvit, Christopher S Ahmad, Ronald A Lehman
STUDY DESIGN: A retrospective case series study. OBJECTIVE: To analyze the epidemiology of diagnoses of back and neck strains and sprains among Major League (MLB) and Minor League (MiLB) Baseball players. BACKGROUND: Baseball players perform unique sets of repetitive movements that may predispose to neck and back strains and sprains. Data are lacking concerning the epidemiology of these diagnoses in this population. MATERIALS AND METHODS: De-identified data on neck/back strains and sprains were collected from all MLB and MiLB teams from 2011 to 2016 using the MLB-commissioned Health and Injury Tracking System database...
February 15, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38321612/impact-of-metabolic-syndrome-on-early-postoperative-outcomes-after-cervical-disk-replacement-a-propensity-matched-analysis
#29
JOURNAL ARTICLE
Eric Zhao, Daniel J Shinn, Mark Basilious, Tejas Subramanian, Pratyush Shahi, Troy B Amen, Omri Maayan, Sidhant Dalal, Kasra Araghi, Junho Song, Evan D Sheha, James E Dowdell, Sravisht Iyer, Sheeraz A Qureshi
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To compare the demographics, perioperative variables, and complication rates following cervical disk replacement (CDR) among patients with and without metabolic syndrome (MetS). SUMMARY OF BACKGROUND DATA: The prevalence of MetS-involving concurrent obesity, insulin resistance, hypertension, and hyperlipidemia-has increased in the United States over the last 2 decades. Little is known about the impact of MetS on early postoperative outcomes and complications following CDR...
February 5, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38321609/does-intrawound-vancomycin-decrease-postoperative-surgical-site-infection-in-spine-surgery-a-retrospective-case-control-study
#30
JOURNAL ARTICLE
Zachariah Pinter, Rachel Honig, Arjun Sebastian, Ahmad Nassr, Brett Freedman, Michael Yaszemski, Paul Huddleston, Elie Berbari, Bradford Currier
STUDY DESIGN: Retrospective Case-Control series. OBJECTIVE: The objective of this study is to define the overall postoperative rate of surgical site infection (SSI) in patients undergoing spine surgery and examine the effects of intrawound Vancomycin on postoperative infection rates. SUMMARY OF BACKGROUND DATA: Surgical site infections (SSI) account for 22% of all health care-associated infections. The use of intrawound Vancomycin in an attempt to reduce the incidence of postoperative SSI has not been sufficiently evaluated in the existing literature...
February 5, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38321614/survival-in-patients-with-spinal-metastatic-disease-treated-nonoperatively-with-radiotherapy-are-the-sorg-ml-algorithms-relevant
#31
JOURNAL ARTICLE
Brian P Fenn, Aditya V Karhade, Olivier Q Groot, Austin K Collins, Tracy A Balboni, Kevin S Oh, Marco L Ferrone, Joseph H Schwab
SUMMARY OF BACKGROUND DATA: The SORG-ML algorithms for survival in spinal metastatic disease were developed in patients who underwent surgery and were externally validated for patients managed operatively. OBJECTIVE: To externally validate the SORG-ML algorithms for survival in spinal metastatic disease in patients managed nonoperatively with radiation. STUDY DESIGN: Retrospective cohort. METHODS: The performance of the SORG-ML algorithms was assessed by discrimination [receiver operating curves and area under the receiver operating curve (AUC)], calibration (calibration plots), decision curve analysis, and overall performance (Brier score)...
February 2, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38245810/surgeon-experience-is-the-most-important-predictor-of-case-failure-rate-for-anterior-odontoid-screw-fixation-a-large-database-study
#32
JOURNAL ARTICLE
Yichen Fan, Andrew Sauer, Jonathan Kark, James Wright, Jung U Yoo
STUDY DESIGN: Retrospective database analysis. OBJECTIVE: Determine risk factors and failure rate of anterior odontoid screw fixation surgery. SUMMARY OF BACKGROUND DATA: Anterior odontoid screw fixation (AOSF) stabilizes type II dens fractures while preserving cervical motion. Despite having potential advantages, AOSF's failure rate and factors contributing to failure remain unknown. MATERIALS AND METHODS: We identified AOSF patients in the national claims database Pearldiver using CPT code 22318...
January 15, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38245809/coexisting-lower-back-pain-in-patients-with-cervical-myelopathy
#33
JOURNAL ARTICLE
Hiroyuki Nakarai, So Kato, Yujiro Hirao, Omri Maayan, Naohiro Kawamura, Akiro Higashikawa, Yujiro Takeshita, Takashi Ono, Masayoshi Fukushima, Nobuhiro Hara, Seiichi Azuma, Hiroki Iwai, Yuki Taniguchi, Yoshitaka Matsubayashi, Katsushi Takeshita, Sakae Tanaka, Yasushi Oshima
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: The aim of the present study is to investigate the coexisting lower back pain (LBP) in patients with cervical myelopathy and to evaluate changes in LBP after cervical spine surgery. SUMMARY OF BACKGROUND DATA: Only a few studies with a small number of participants have evaluated the association between cervical myelopathy surgery and postoperative improvement in LBP. METHODS: Patients who underwent primary cervical decompression surgery with or without fusion for myelopathy and completed preoperative and 1-year postoperative questionnaires were reviewed using a prospectively collected database involving 9 tertiary referral hospitals...
January 9, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38245814/obesity-does-not-negatively-affect-patient-perceived-outcomes-after-cervical-disc-replacement-for-disc-herniation
#34
JOURNAL ARTICLE
Fatima N Anwar, Andrea M Roca, Alexandra C Loya, Srinath S Medakkar, Timothy J Hartman, James W Nie, Keith R MacGregor, Omolabake O Oyetayo, Eileen Zheng, Vincent P Federico, Dustin H Massel, Arash J Sayari, Gregory D Lopez, Kern Singh
STUDY DESIGN: Retrospective review. OBJECTIVE: To assess the impact of Body Mass Index (BMI) on patient-reported outcome measures (PROMs) after cervical disc replacement (CDR). BACKGROUND: BMI may affect PROMs after spine surgery. METHODS: Primary CDR recipients for herniated disc(s) with BMI <40 were retrospectively selected from a single-surgeon registry. Cohorts were divided into non-obese (BMI <30) and obese (BMI ≥30)...
January 8, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38245811/comparative-effectiveness-of-open-versus-minimally-invasive-transforaminal-lumbar-interbody-fusion-an-umbrella-review-of-meta-analyses
#35
JOURNAL ARTICLE
Pemla Jagtiani, Mert Karabacak, Konstantinos Margetis
STUDY DESIGN: Umbrella review of meta-analyses. OBJECTIVE: To compile existing meta-analyses to provide analysis of the multiple postoperative outcomes in a comparison of open-transforaminal lumbar interbody fusions (O-TLIFs) versus minimally invasive transforaminal interbody fusions (MI-TLIFs). SUMMARY OF BACKGROUND DATA: TLIF is the standard surgical intervention for spinal fusion in degenerative spinal diseases. The comparative effectiveness of MI-TLIFs and O-TLIFs remains controversial...
January 8, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38245808/impact-of-preoperative-symptom-duration-on-patient-reported-outcomes-after-minimally-invasive-transforaminal-interbody-fusion-for-degenerative-spondylolisthesis
#36
JOURNAL ARTICLE
Timothy J Hartman, James W Nie, Fatima N Anwar, Andrea M Roca, Alexandra C Loya, Srinath S Medakkar, Keith R MacGregor, Omolabake O Oyetayo, Eileen Zheng, Vincent P Federico, Dustin H Massel, Arash J Sayari, Gregory D Lopez, Kern Singh
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To assess the impact of preoperative symptom duration (PSD) on patient-reported outcome measures (PROMs) after minimally invasive (MIS) transforaminal lumbar interbody fusion (TLIF) for degenerative spondylolisthesis (DSpond). BACKGROUND: A prolonged duration of preoperative symptoms may implicate inferior long-term outcomes postsurgery. Prior studies of lumbar fusion recipients are limited by the inclusion of heterogeneous populations...
January 8, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38178316/does-preoperative-back-pain-impact-patient-reported-outcomes-in-patients-undergoing-minimally-invasive-transforaminal-lumbar-interbody-fusion-for-isthmic-spondylolisthesis
#37
JOURNAL ARTICLE
James W Nie, Timothy J Hartman, Eileen Zheng, Omolabake O Oyetayo, Keith R MacGregor, Vincent P Federico, Dustin H Massel, Arash J Sayari, Kern Singh
STUDY DESIGN: Retrospective review. OBJECTIVE: To determine postoperative clinical outcomes in patients undergoing minimally invasive (MIS) transforaminal lumbar interbody fusion (TLIF) for isthmic spondylolisthesis (IS). BACKGROUND: Few studies have examined the postoperative clinical trajectory in patients undergoing MIS-TLIF specifically for IS. METHODS: Patients were separated into two cohorts based on the previously defined Visual Analog Scale (VAS) back pain (BP) for severe pain: VAS-BP <7 and VAS-BP ≥7...
January 5, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38178315/effect-of-baseline-veterans-rand-12-mental-composite-score-on-postoperative-patient-reported-outcome-measures-for-cervical-disk-replacement
#38
JOURNAL ARTICLE
James W Nie, Timothy J Hartman, Omolabake O Oyetayo, Eileen Zheng, Keith R MacGregor, Fatima N Anwar, Andrea M Roca, Vincent P Federico, Dustin H Massel, Gregory D Lopez, Arash J Sayari, Kern Singh
STUDY DESIGN: Retrospective review. OBJECTIVE: To examine the effect of baseline Veterans RAND-12 (VR-12) Mental Composite Score (MCS) on clinical outcomes in patients undergoing cervical disk replacement (CDR) for herniated disk. BACKGROUND: Few studies in spine surgery have evaluated the impact of preoperative VR-12 MCS on postoperative outcomes in patients undergoing CDR. METHODS: Patients undergoing CDR for herniated disk were separated into 2 cohorts based on the VR-12 MCS standardized mean: VR-12 MCS<50 (worse mental health) and VR-12 MCS≥50 (better mental health)...
January 5, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38178313/radiologic-and-clinical-evaluation-of-posterolateral-versus-transforaminal-interbody-fusion-in-degenerative-lumbar-spondylolisthesis
#39
JOURNAL ARTICLE
James McDonald, Fares Al-Jahdali, Jennifer Urquhart, Abdulmajeed Alahmari, Raja Rampersaud, Charles Fisher, Chris Bailey, Andrew Glennie
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: The primary objective is to compare foraminal height (FH) and disk height (DH) differences in posterolateral (PLF) and transforaminal interbody fusions (TLIFs) and secondarily correlate these measurements with patient-reported outcomes. BACKGROUND: The impact FH has on patient outcomes in degenerative lumbar spinal fusion surgery is unknown. Postoperative FH change and how it relates to patient-reported outcomes in posteriorly based procedures has not been well evaluated...
January 5, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38178309/the-effects-of-preoperative-epidural-steroid-injection-on-pseudarthrosis-following-lumbar-fusion-a-retrospective-cohort-study
#40
JOURNAL ARTICLE
Ergin Coskun, Ian J Wellington, Shivam Desai, Hardeep Singh, Scott S Mallozzi, Isaac L Moss
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: The goal of this study is to evaluate the effects of preoperative lumbar epidural steroid injection on the rate of pseudarthrosis following lumbar spine fusion surgery. SUMMARY OF BACKGROUND DATA: Epidural corticosteroids help to reduce nerve root edema and suppress proinflammatory cytokines in patients with radiculopathy. Corticosteroids may inhibit bone formation and reduce bone matrix synthesis rates...
January 5, 2024: Clinical Spine Surgery
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