journal
Journals Journal of Spine Surgery (Hong...

Journal of Spine Surgery (Hong Kong)

https://read.qxmd.com/read/38196731/iatrogenic-vertebral-artery-injury-with-concomitant-contralateral-idiopathic-vertebral-artery-dissection-managed-with-intravascular-intervention-a-case-report
#21
James T Bernatz, Ryan M Naylor, Brian C Goh, Waleed Brinjikji, Arjun Sebastian, Brett Freedman, Ahmad Nassr
BACKGROUND: Vertebral artery injury (VAI) is a known potential complication of posterior cervical fusion surgery. Pre-operative imaging is used to determine the patency of bilateral vertebral arteries during the planning and execution of surgery. This case illustrates an example of a staged anterior/posterior cervical reconstruction in which an iatrogenic VAI combined with a contralateral idiopathic vertebral artery dissection not identified on pre-operative imaging resulted in absent basilar artery anterograde flow...
December 25, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38196730/a-rare-event-of-perioperative-spinal-subarachnoid-hemorrhage-in-mixed-connective-tissue-disease-a-case-report
#22
Stefano Andreoli, Francesca Porta, Adrian Wäckerlin
BACKGROUND: Spinal subarachnoid hemorrhage (SSH) is an extremely rare event and its causes include trauma, vascular malformation, anticoagulant therapy, and autoimmune disease. Although connective disorders are associated with an increased risk of cerebral subarachnoid hemorrhage (SAH), to our knowledge, the occurrence of SSH associated with mixed connective tissue disease (MCTD) have not been addressed in the literature. We report the unique occurrence of SSH in a patient with anti-U1 ribonucleoprotein (U1-RNP) and anti-nuclear antibodies (ANA) positive MCTD triggered by abdominal surgery...
December 25, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38196729/in-defence-of-the-efficacy-and-safety-of-braces-in-osteoporotic-vertebral-fractures
#23
COMMENT
Barry Ting Sheen Kweh, Augusto Gonzalvo, Boyuan Khoo, Jin Wee Tee
No abstract text is available yet for this article.
December 25, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38196728/perioperative-outcomes-of-cervical-disc-arthroplasty-no-difference-between-orthopaedic-and-neurologic-surgeons
#24
JOURNAL ARTICLE
Morad Chughtai, Prashant Rajan, Ahmed K Emara, Daniel Grits, Mitchell Ng, Wasif Talpur, Dominic W Pelle, Jason W Savage, Thomas Mroz
BACKGROUND: Given differences in residency training background, there has been increasing interest in characterizing differential outcomes between orthopaedic surgeons (OS) and neurosurgeons (NS) with regards to outcomes after cervical disc arthroplasty (CDA). This study aimed to assess if there were differences in perioperative outcomes of CDA between OS and NS. METHODS: Patients who underwent a single-level CDA between 2012 and 2019 were identified from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database using current procedural terminology codes...
December 25, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38196727/does-a-relationship-exist-between-preoperative-expectations-and-overall-satisfaction-in-spine-surgery-patients-a-prospective-cohort-study
#25
JOURNAL ARTICLE
Jacob Silver, Scott Mallozzi, Cameron Kia, Michael O'Sullivan, Mark Cote, Isaac Moss
BACKGROUND: The role of preoperative patient expectation in spine surgery is not completely understood, but could be essential in predicting patient outcomes. The purpose of this study was to create a standard means to assess patient preoperative expectations and its effect on postoperative satisfaction in the midterm follow-up period. METHODS: This is a prospective cohort study design. Forty-five patients undergoing elective cervical or lumbar spine surgery were asked to participate in the study...
December 25, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38196726/intramedullary-spinal-cord-metastasis-treated-with-prophylactic-laminoplasty-prior-to-radiation-to-the-spinal-cord-a-case-report
#26
Daniella Lazarus, Brian Wang, Sarah Jenkins, John O'Donnell, Arthur L Jenkins
BACKGROUND: A cervical laminoplasty is a surgical procedure used to treat moderate-to-severe cervical stenosis resulting in cervical myelopathy. It is performed to widen the spinal canal and reduce compression on the spinal cord and surrounding nerves. Though often performed electively on patients presenting with varying degrees of neurologic dysfunction including weakness and imbalance, it may also be used prophylactically when spinal cord inflammation or edema is anticipated. Radiotherapy in the spinal cord is known to produce radiation-induced damage leading to radiation myelopathy...
December 25, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38196725/the-articular-surface-technique-for-lumbar-pedicle-screw-placement-a-3d-feasibility-study
#27
JOURNAL ARTICLE
Gautham Prabhakar, Trevor Wait, Aaron Kolar, Yolanda Maldonado, Christopher Chaput
BACKGROUND: Traditional pedicle screws (TPSs) and cortical based trajectory pedicle screws each apply stability with fusions of the lumbar spine and have shown good success. However, the technical considerations of each technique imply complications of loosening and failure that either technique is uniquely prone to having. The current study proposes a new pedicle screw technique through the articular surface of the vertebral superior facet. It is hypothesized that this path will allow utilization of a larger screw that rivals that of the TPS technique, while also maintaining the high-density bone encountered in the cortical based trajectory technique...
December 25, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38196724/prospective-5-year-follow-up-of-l5-s1-versus-l4-5-midline-decompression-and-interspinous-interlaminar-fixation-as-a-stand-alone-treatment-for-spinal-stenosis-compared-with-laminectomies
#28
JOURNAL ARTICLE
Kingsley R Chin, Jason A Seale, Erik Spayde, William M Costigan, Nishant Gohel, Daniel Aloise, Vito Lore
BACKGROUND: Spinal stenosis treatment includes laminectomies with or without fusion or with interspinous distraction with or without fixation. Lack of published data on interspinous fixation devices (IFD) at L5-S1 is less considered as an option due to the smaller anatomical S1 spinous process and the higher stresses from the immobile sacrum. Our objective was to evaluate the outcomes of an IFD used as a stand-alone treatment for spinal stenosis at L5-S1 and L4-5 compared to historical data on open laminectomies...
December 25, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38196723/comparison-of-standard-and-modified-prone-positioning-for-lateral-lumbar-spine-fusion-a-feasibility-study-to-reduce-lumbar-plexus-injury
#29
JOURNAL ARTICLE
Sorayouth Chumnanvej, Nopporn Lekcharoensombat
Single-prone-lateral (PL) positioning is a new technique that allows for simultaneous anterior and posterior lumbar spine surgery. However, there is a concern regarding the risk of lumbar plexus injury in PL positioning. This study compared the risk of lumbar plexus damage and the overall safety profile of a modified PL (mPL) position to the standard PL (sPL) position for lateral lumbar spine fusion surgery. A crossover soft cadaveric study was conducted with two raters examining the comparative outcomes of position A: sPL and position B: mPL...
December 25, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38196722/vascular-injury-risk-stratification-for-lateral-lumbar-interbody-fusion-llif-at-l4-l5-a-morphometric-study-using-magnetic-resonance-imaging
#30
JOURNAL ARTICLE
Takashi Hirase, Aaron J Greenberg, Catherine G Ambrose, Derek T Bernstein, Jeffrey J Ratusznik, Rex A W Marco
BACKGROUND: Proper vascular injury risk stratification (VIRS) methods for L4-L5 lateral lumbar interbody fusion (LLIF) surgery have not been well-described. The objective of this study was to propose a novel VIRS method for L4-L5 LLIF surgery via the transpsoas approach. METHODS: Axial magnetic resonance imaging (MRI) of adult patients were obtained and analyzed. The VIRS scores were assessed using anterior disc line to posterior vessel wall distance, the disc vessel angle (DVA), and the disc edge to vessel distance at the level of L4-L5 disc space...
December 25, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38196721/anterior-column-realignment-acr-for-focal-kyphotic-spinal-deformity-using-an-anterior-to-psoas-approach-and-anterior-longitudinal-ligament-release
#31
JOURNAL ARTICLE
Takashi Hirase, Sree M Vemu, Caleb Shin, Rex A W Marco
BACKGROUND: The anterior-to-psoas (ATP) approach to the lumbar spine has been proposed as an alternative to the transpsoas approach for approaching the disc space without dissecting through the psoas muscle, thus decreasing the risk of injury to the lumbar plexus. There are no prior studies that evaluates the clinical application of anterior longitudinal ligament (ALL) release and anterior column realignment (ACR) using the ATP approach. The objective of this study was to describe and evaluate the safety of ACR using an ATP approach with release of both the ALL and bilateral annulus for correction of a focal kyphotic lumbar deformity...
December 25, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/37841799/air-gun-pellet-at-c1-a-case-report-and-literature-review
#32
Norah Ibrahim Alromaih, Hani Nouran Alharbi, Nouf Abdulaziz Altwaijri, Saad Radi Surur
BACKGROUND: Air-gun pellet injuries commonly occur in children between the age of 1-18 years old. These injuries could be fetal because it linked to injury to vital organs such as brain, heart, and eyes. In the literature, there are few studies that reported spine injury by air-gun pellet. Our case is a C1 foreign body in a pediatric patient without any neurological deficits after an air-gun injury. CASE DESCRIPTION: A 6-year-old boy, known case of Hirschsprung disease presented to the emergency department after an air-gun injury in June 2021...
September 22, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/37841798/full-endoscopic-thoracic-spine-approaches
#33
EDITORIAL
Marcelo Campos Moraes Amato, Bruno César Aprile, Ricardo Santos de Oliveira
No abstract text is available yet for this article.
September 22, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/37841797/spinopelvic-sagittal-realignment-and-incidence-of-adjacent-segment-disease-after-single-segment-posterior-lumbar-inter-body-fusion-using-12%C3%A2-lordotic-cages-a-2-year-prospective-cohort-study
#34
JOURNAL ARTICLE
Tomiya Matsumoto, Shinya Okuda, Yukitaka Nagamoto, Yoshifumi Takahashi, Masayuki Furuya, Motoki Iwasaki
BACKGROUND: The importance of spinopelvic sagittal alignment for adjacent segment disease (ASD) after lumbar fusion surgery has been reported. However, no longitudinal cohort studies have determined the extent to which segmental alignment and spinopelvic global alignment can be achieved using 12° lordotic cages in posterior lumbar inter-body fusion (PLIF) and the extent to which the development of ASD can be prevented. The purpose of this study was to analyze changes in segmental and spinopelvic sagittal alignment after single-segment PLIF with 12° lordotic cages, to clarify the relationship between changes in segmental and spinopelvic sagittal alignment, and to report the incidence of ASD at 2 years postoperatively...
September 22, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/37841796/radical-decompression-without-fusion-for-l5-radiculopathy-due-to-foraminal-stenosis
#35
JOURNAL ARTICLE
Kohei Takahashi, Ajay Yadav, Takumi Tsubakino, Takeshi Hoshikawa, Tomowaki Nakagawa, Ko Hashimoto, Manabu Suzuki, Toshimi Aizawa, Yasuhisa Tanaka
BACKGROUND: The highest incidence of lumbar foraminal stenosis (LFS) occurs in the L5-S1 segment and its anatomical features differ from those of other segments. Few previous reports have exhaustively assessed surgical outcomes after decompression surgery, limiting the materials to patients with LFS at the L5-S1 segment. We aimed to prospectively investigate instability and neurological improvement following our novel surgical technique for LFS at L5-S1, named "radical decompression" of the nerve root...
September 22, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/37841795/instrumented-lumbar-fusion-in-patients-over-75-years-of-age-is-it-worthwhile-a-comparative-study-of-the-improvement-in-quality-of-life-between-elderly-and-young-patients
#36
JOURNAL ARTICLE
Félix Tomé-Bermejo, Fernando Moreno-Mateo, Ángel Piñera-Parrilla, Javier Cervera-Irimia, Charles Louis Mengis-Palleck, Jesús Gallego-Bustos, Francisco Garzón-Márquez, María G Rodríguez-Arguisjuela, Sylvia Sanz-Aguilera, Kelman Luis de la Rosa-Zabala, Carmen Avilés-Morente, Beatriz Oliveros-Escudero, Alexa Anaís Núñez-Torrealba, Luis Alvarez-Galovich
BACKGROUND: Surgical treatment of degenerative lumbar disease in the elderly is controversial. Elderly patients have an increased risk for medical and surgical complications commensurate with their comorbidities, and concerns over complications have led to frequent cases of insufficient decompression to avoid the need for instrumentation. The purpose of this study was to evaluate clinical outcome between older and younger patients undergoing lumbar instrumented arthrodesis. METHODS: This is a retrospective, comparative study of prospectively collected outcomes...
September 22, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/37841794/atypical-cervical-radiculopathy-is-often-treated-as-a-different-disease-in-other-departments
#37
EDITORIAL
Masahito Oshina, Takashi Yamada, Takashi Ohe
No abstract text is available yet for this article.
September 22, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/37841793/lumbar-lateral-interbody-fusion-step-by-step-surgical-technique-and-clinical-experience
#38
JOURNAL ARTICLE
Gaston Camino-Willhuber, Soji Tani, Jennifer Shue, William D Zelenty, Gbolabo Sokunbi, Darren R Lebl, Frank P Cammisa, Federico P Girardi, Alexander P Hughes, Andrew A Sama
Lateral lumbar interbody fusion (LLIF) is a minimally invasive surgical approach used to treat a variety of degenerative and deformity conditions of the lumbar spine such as advanced degenerative disease, degenerative scoliosis, foraminal and central stenosis. It has emerged as an alternative to the traditional posterior and anterior lumbar approaches with some potential benefits such as lower blood loss and shorter hospital stay. In this article, we provide our single institutional surgical experience including main indications and contraindications, a step-by-step surgical technique description, a detailed preoperative imaging assessment with a focus on magnetic resonance imaging (MRI) psoas anatomy, operative room (OR) setup and patient positioning...
September 22, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/37841792/spinal-orthoses-in-osteoporotic-vertebral-fractures-of-the-elderly
#39
EDITORIAL
Boyuan Khoo, Augusto Gonzalvo, Barry Ting Sheen Kweh
No abstract text is available yet for this article.
September 22, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/37841791/sagittal-alignment-in-operative-degenerative-lumbar-spondylolisthesis-a-scoping-review
#40
REVIEW
Patrick Thornley, Matthew H Meade, Colby Oitment, Renan Rodrigues Fernandes, Jennifer C Urquhart, Supriya Singh, Fawaz Siddiqi, Parham Rasoulinejad, Christopher S Bailey
BACKGROUND: The benefit of surgical intervention over conservative treatment for degenerative lumbar spondylolisthesis (DLS) patients with neurologic symptoms is well-established. However, it is currently unclear what breadth of available evidence exists on regional and global sagittal alignment in DLS surgery. As such, the purpose of the current study is to conduct a scoping review to map and synthesize the DLS literature regarding the current radiographic assessment of sagittal spinal alignment in DLS surgery...
September 22, 2023: Journal of Spine Surgery (Hong Kong)
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