journal
Journals Journal of Spine Surgery (Hong...

Journal of Spine Surgery (Hong Kong)

https://read.qxmd.com/read/38567017/expandable-cages-that-expand-both-height-and-lordosis-provide-improved-immediate-effect-on-sagittal-alignment-and-short-term-clinical-outcomes-following-minimally-invasive-transforaminal-lumbar-interbody-fusion-mis-tlif
#1
JOURNAL ARTICLE
Khanathip Jitpakdee, Fabian Sommer, Edna Gouveia, Catherine Mykolajtchuk, Blake Boadi, Jessica Berger, Ibrahim Hussain, Roger Härtl
BACKGROUND: Failure to restore lordotic alignment is not an uncommon problem following minimally invasive transforaminal lumbar interbody fusion (MIS TLIF), even with expandable cages that increase disc height. This study aims to investigate the effect of the expandable cage that is specifically designed to expand both height and lordosis. We evaluated the outcomes of MIS TLIF in restoring immediate postoperative sagittal alignment by comparing two different types of expandable cages...
March 20, 2024: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38567016/cervical-sagittal-parameters-in-degenerative-cervical-spondylolisthesis-versus-degenerative-cervical-kyphosis-with-myeloradiculopathy-treated-by-anterior-cervical-discectomy-and-fusion
#2
JOURNAL ARTICLE
Torphong Bunmaprasert, Jakkrit Keeratiruangrong, Sang Hun Lee, Nantawit Sugandhavesa, Wongthawat Liawrungrueang
BACKGROUND: Adult spinal deformity, especially sagittal imbalance, is affecting health-related quality-of-life (HRQOL) scores. There is a lack of emphasis in the comparison of cervical sagittal parameters in patients with degenerative cervical spondylolisthesis and degenerative cervical kyphosis. The aim of study is to determine the preoperative and postoperative cervical sagittal parameters in myeloradiculopathic patients with degenerative cervical spondylolisthesis and degenerative cervical kyphosis treated by anterior cervical discectomy and fusion (ACDF)...
March 20, 2024: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38567015/a-case-report-of-lobular-intradural-extramedullary-capillary-hemangioma-in-a-14-year-old-patient-resection-and-reconstruction
#3
W Chase Johnson, Jonathan Espinosa, Samon Tavakoli, Victoria Fischer, Cristian Gragnaniello, Fassil Mesfin, Derek Mathis, Joseph Hobbs, Michael McGinity
BACKGROUND: Intradural, extramedullary capillary hemangiomas of the cauda equina are exceedingly rare malformations arising from the endothelial cells of the nervous system vasculature. Roughly 20 cases have been reported in the literature, with the youngest and only pediatric case being in a 17-year-old patient. We report the youngest case of intradural extramedullary capillary hemangioma of the cauda equina in a 14-year-old patient. CASE DESCRIPTION: A 14-year-old female presented with two-month history of low back pain with bilateral leg pain and numbness...
March 20, 2024: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38567014/development-and-validation-of-a-point-of-care-clinical-risk-score-to-predict-surgical-site-complication-associated-readmissions-following-open-spine-surgery
#4
JOURNAL ARTICLE
Kyle B Mueller, Yuefeng Hou, Karen Beach, Leah P Griffin
BACKGROUND: Surgical site complications (SSCs) contribute to increased healthcare costs. Predictive analytics can aid in identifying high-risk patients and implementing optimization strategies. This study aimed to develop and validate a risk-assessment score for SSC-associated readmissions (SSC-ARs) in patients undergoing open spine surgery. METHODS: The Premier Healthcare Database (PHD) of adult patients (n=157,664; 3,182 SSC-ARs) between January 2019 and September 2020 was used for retrospective data analysis to create an SSC risk score using mixed effects logistic regression modeling...
March 20, 2024: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38567013/application-of-three-dimensional-printed-biomodels-in-endoscopic-spinal-surgery
#5
JOURNAL ARTICLE
Aaron Z B Huang, Ralph J Mobbs
BACKGROUND: Three-dimensional printing (3DP) is increasingly used to individualise surgery and may be an effective tool for representing patient anatomy. Current literature on patient-specific anatomical models (biomodels) for minimally invasive spinal surgery is a limited number of case series and cohort studies. However, studies investigating 3DP in other specialties have reported multiple benefits. METHODS: This prospective study considered a series of patients (n=33) undergoing elective endoscopic spinal surgery, including combinations of microdiscectomy (n=27), foraminotomy (n=7), and laminectomy (n=3)...
March 20, 2024: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38567012/enhanced-recovery-after-elective-spinal-surgery-an-australian-pilot-study
#6
JOURNAL ARTICLE
Anuj Pahwa, Houchen Gong, Yingda Li
BACKGROUND: The principles of enhanced recovery after surgery (ERAS) aim to reduce the physiological stress of surgery which in turn improve clinical and health economic outcomes. There is ample evidence in literature supporting ERAS methodologies in other surgical specialties, but its adoption in spinal surgery, especially in Australia remains in infancy. The aim of this project is to describe the early experience with an evidence-based ERAS pathway for simple spine surgery, a first of its kind in Australia...
March 20, 2024: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38567011/the-use-of-carbon-fiber-polyetheretherketone-cf-peek-in-pedicle-screw-fixation-for-spinal-neoplasms-potential-advantages-in-postoperative-imaging-and-radiotherapy-planning
#7
JOURNAL ARTICLE
Daniel Ho, Stephanie Corde, Colin Chen, George Saade, Callum Betteridge, Ralph Mobbs
BACKGROUND: Titanium pedicle screw fixation complicates postoperative care in patients with spinal neoplasms due to postoperative imaging artefacts and dose perturbation. This study aims to measure the benefits of using carbon fiber/polyetheretherketone (CF/PEEK) pedicle fixation compared to titanium in postoperative imaging, radiotherapy planning and delivery for spinal neoplasms treated with conventional external beam radiotherapy with a commercial treatment planning system. METHODS: The properties of CF/PEEK pedicle fixation systems were compared to titanium in radiotherapy dose planning accuracy and postoperative computed tomography (CT) image quality...
March 20, 2024: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38567010/does-the-use-of-tranexamic-acid-intraoperatively-reduce-postoperative-blood-loss-and-complications-following-biportal-endoscopic-lumbosacral-decompression
#8
JOURNAL ARTICLE
Alexander Upfill-Brown, Thomas Olson, Babapelumi Adejuyigbe, Akash Shah, William Sheppard, Cheol Wung Park, Dong Hwa Heo, Don Young Park
BACKGROUND: Biportal endoscopic spine surgery is an effective minimally invasive technique for treating common lumbar pathologies. We aim to evaluate the impact of intraoperative tranexamic acid (TXA) use on postoperative blood loss in biportal endoscopic decompression surgery. METHODS: Patients undergoing biportal endoscopic lumbar discectomies and decompressions either by same day surgery or overnight stay at a single institution beginning in October 2021 were prospectively enrolled...
March 20, 2024: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38567009/intraoperative-fat-embolism-syndrome-associated-with-implantation-of-titanium-sacroiliac-joint-fusion-implants-a-report-of-two-cases
#9
Alexander C Aretakis, James P Farrell, David C Ou-Yang, Christopher J Kleck
BACKGROUND: For patients undergoing long-construct fusion surgeries, simultaneous sacroiliac joint (SIJ) fusion is a growing trend in spine surgery. Some options for posterior SIJ fusion include 3D-printed triangular titanium implants or self-harvesting SIJ screws. Both implants require fixation within the sacrum and ileum. Fat embolism syndrome is a rare but known complication of lumbar pedicle instrumentation but has never been reported in association with SIJ fusion, regardless of implant type...
March 20, 2024: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38567008/a-clinical-review-of-hand-manifestations-of-cervical-myelopathy-cervical-radiculopathy-radial-ulnar-and-median-nerve-neuropathies
#10
REVIEW
Hamzeh Jajeh, Anderson Lee, Richy Charls, Megan Coffin, Ambika Sood, Hossein Elgafy
Cervical spondylotic myelopathy (CSM) is defined as compression of the spinal cord in the neck, resulting in problems with fine motor skills, hand numbness, pain or stiffness of the neck, and difficulty walking due to loss of balance. Brachial plexus (BP) neuropathies arise due to compression to any distal branches arising from C5-T1, whereas cervical radiculopathy involves compression at the nerve root in the neck. Such conditions can present with variable degrees of musculoskeletal pain, weakness, sensory changes, and reflex changes...
March 20, 2024: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38567007/minimizing-neurovascular-complications-during-image-guided-percutaneous-cryoablation-of-a-cervical-spinal-aneurysmal-bone-cyst-using-protective-doxycycline-sclerotherapy-a-case-report
#11
Igor Radalov, Alfredo Páez-Carpio, Napoleón Macías Rodríguez, Emilio J Inarejos Clemente, Fernando M Gómez
BACKGROUND: Aneurysmal bone cysts (ABC) are rare, locally aggressive bone tumors primarily observed in pediatric patients. Surgical curettage is the treatment of choice. Image-guided percutaneous cryoablation (CYOA) is a recently implemented alternative technique in cases not amenable to surgery. CYOA may be limited if the lesion is close to critical neurovascular structures. In this case report, a cervical spinal ABC was successfully treated using CYOA in combination with complementary and protective image-guided percutaneous doxycycline sclerotherapy (DS) to dissect and treat the portion of the lesion in contact with critical structures...
March 20, 2024: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38567006/surgical-tactics-of-two-segmental-cervical-degenerative-diseases-risk-factors-retrospective-assessment-and-preoperative-planning
#12
JOURNAL ARTICLE
Vadim A Byvaltsev, Andrei A Kalinin, Alexander V Kuharev, Nurzhan O Azhibekov, Marat A Aliyev
BACKGROUND: Currently, in the specialized literature there are no substantiated clinical and radiological indications for differentiated use of anterior cervical discectomy and fusion (ACDF) and anterior cervical corpectomy and fusion (ACCF) in the treatment of patients with two-segmental cervical degenerative diseases. The objectives of this study were to (I) identify risk factors that were associated with unsatisfactory results of two-level ACDF and one-level ACCF in the treatment of patients with cervical degenerative diseases despite current perioperative management, and (II) develop a clinical and radiological algorithm for personalized surgical tactics...
March 20, 2024: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38567005/comparison-of-head-positioning-using-the-mayfield-skull-clamp-versus-padded-headrest-in-anterior-cervical-discectomy-and-fusion-surgery
#13
JOURNAL ARTICLE
Kristin Lucia, Matthias Setzer, Daniel Jussen, Vincent Prinz, Fatma Kilinc, Volker Seifert, Marcus Czabanka
BACKGROUND: Anterior cervical discectomy and fusion (ACDF) is a commonly implemented surgical intervention for a variety of pathologies affecting the cervical spine. The current literature and daily practice reveal variations on patient head positioning for this procedure with both rigid fixations in the Mayfield skull clamp as well as use of a padded headrest being used. In this study, we therefore examine whether patients undergoing surgery using head positioning in the Mayfield skull clamp versus a padded headrest differ in regard to adverse events, surgical parameters and clinical outcome...
March 20, 2024: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38567004/single-position-prone-oblique-lateral-interbody-fusion-olif-case-illustration-and-technical-considerations
#14
JOURNAL ARTICLE
TianYi Wu, Quan You Yeo, Jacob Yoong-Leong Oh
Oblique lateral interbody fusion (OLIF) is a powerful method to treat various spinal conditions and is frequently combined with posterior instrumentation. This is traditionally performed in dual positions, with the patient first in lateral then turned prone. Single position lateral surgery (SPS-L) has been studied in a bid to improve surgical efficiency and reduce operative costs, but various limitations have been identified. More recently, the single position prone surgery (SPS-P) has been described as an alternative to address some of these limitations...
March 20, 2024: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38567003/3d-printed-titanium-alloy-cage-in-anterior-and-lateral-lumbar-interbody-fusion-for-degenerative-lumbar-spine-disease
#15
JOURNAL ARTICLE
Christopher Donaldson, Tomislav Santro, Mohammed Awad, Andrew Morokoff
BACKGROUND: The most commonly used cages for intervertebral disc replacement in lumbar fusion procedures are made predominantly from polyetheretherketone (PEEK). There is sufficient data studying their subsidence and failure rates from a variety of approaches. A novel implant is now available for commercial use, 3D-printed porous titanium (3DppTi) alloy cages, which have recently become available for use in spinal procedures. They have been shown in ovine models to have superior efficacy and fusion rates compared to traditional cages...
March 20, 2024: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38567002/paired-and-matched-analysis-of-neurological-outcomes-in-revision-surgery-for-cervical-myelopathy-following-delayed-neurological-decline
#16
JOURNAL ARTICLE
Andy Hon Fai Yee, Changmeng Zhang, Paul Aarne Koljonen, Graham Ka Hon Shea
BACKGROUND: Delayed neurological decline may be experienced following successful decompression surgery for cervical myelopathy. Our objective was to analyze neurological recovery upon revision surgery with relation to the index procedure and a matched control. METHODS: Fourteen patients underwent both primary and revision decompression at a single academic center. Peri-operative clinical, radiological, and surgical details were retrieved. Neurological outcomes [change in modified Japanese Orthopedic Association (mJOA), recovery ratio] following the second surgery were compared to (I) the primary operation and (II) a control subject receiving primary decompression matched for gender, age, mJOA score, and surgical approach...
March 20, 2024: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38196735/patient-specific-spinal-rods-in-adult-spinal-deformity-surgery-reduce-proximal-junctional-failure-a-review-of-patient-outcomes-and-surgical-technique-in-a-prospective-observational-cohort
#17
JOURNAL ARTICLE
Charlie R Faulks, Dean T Biddau, Nigel R Munday, Dean P McKenzie, Gregory M Malham
BACKGROUND: Spinal rods used for adult spinal deformity (ASD) correction are usually manufactured straight and bent manually during surgery. Pre-bent patient-specific spinal rods (PSSR) developed with software provide the surgeon with an intraoperative deformity correction consistent with the surgical plan. Our aim was to report clinical and radiological outcomes using PSSR. We investigated rates of junctional complications both proximally [kyphosis (PJK) and failure (PJF)] and distally [failure (DJF)]...
December 25, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38196734/successful-non-operative-treatment-of-traumatic-atlanto-occipital-dislocation-a-case-report
#18
Keagan Gertz, Chris Cornett, Emmett Gannon
BACKGROUND: Traumatic atlanto-occipital dislocation (AOD) is most commonly treated with cranio-cervical fusion. We present a unique case in which a partial neurological recovery was made after non-operative treatment was done for AOD. Reports of non-operative treatment of this condition are rare in the literature. CASE DESCRIPTION: An 18-year-old male sustained a traumatic AOD and atlanto-axial dislocation. His injury was characterized by bony avulsion fractures of the occipital condyles bilaterally as well as atlanto-axial dissociation...
December 25, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38196733/narrative-review-erector-spinae-block-in-spine-surgery
#19
REVIEW
Divesh Sachdev, Garrett Mamikunian, Cameron Kia, Hanbing Zhou
BACKGROUND: Lumbar spine surgery is an ever-increasing procedure with multiple analgesia techniques utilized for postoperative pain control. More recently, erector spinae plane (ESP) blocks have been used to limit the use of opioids after surgery. The authors aimed to review the current literature on ESP blocks and its potential use in the outpatient setting. METHODS: Several randomized controlled trials were evaluated that compared erector spinae block to traditional anesthesia where the primary outcome of postoperative opioid use was assessed...
December 25, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38196732/cervical-wound-dehiscence-following-internal-fixation-of-the-cervical-and-thoracic-spine-a-report-of-three-cases
#20
Joshua Hardham, John J Pisquiy, Louis Bivona
BACKGROUND: Wound dehiscence is a known postoperative complication, but in cervical spine surgery it is rare and there is a lack of documented literature. This case report discusses novel complications of wound dehiscence in three patients who were treated with spinous process ostectomies after posterior cervical surgeries. CASE DESCRIPTION: In total three cases are reported in these reports. Case one documents the management of a patient with full-thickness cervical wound dehiscence following a cervical paraspinal infection corrected with posterior spinal fixation and fusion...
December 25, 2023: Journal of Spine Surgery (Hong Kong)
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