keyword
https://read.qxmd.com/read/38524361/trends-in-spinal-cancers-primary-metastatic-an-irish-epidemiological-perspective
#21
JOURNAL ARTICLE
Amanda O'Halloran, Christopher McKee, Gráinne Cunniffe, Seamus Morris
BACKGROUND: The incidence and histological type of spinal cancer is diverse. It is our role as physicians to explore the epidemiology of spinal cancers so that several projections can be made. Resource allocation, cost analyses, and the requirement of rehabilitation facilities all need to be considered.The objective of this paper is to provide an account of the acute spinal oncological admissions to the National Spinal Injuries Unit (NSIU) in both 2010 and 2020 with the hypothesis that upward trends will be noted...
August 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38521464/patient-level-patterns-in-daily-prescribed-opioid-dosage-in-single-level-lumbar-fusion-are-associated-with-postoperative-opioid-dosage-and-adverse-events-a-retrospective-analysis-of-claims-data
#22
JOURNAL ARTICLE
Jayme C B Koltsov, Tanmaya D Sambare, John P Kleimeyer, Todd F Alamin, Kirkham B Wood, Eugene J Carragee, Serena S Hu
BACKGROUND: Patients undergoing lumbar spine surgery have high rates of preoperative opioid use, which is associated with inferior outcomes and higher risks for opioid dependency postoperatively. PURPOSE: Determine whether there are identifiable subgroups of patients that follow distinct patterns in pre- and postoperative opioid dosing. Examine how preoperative patterns in opioid dosing relate to postoperative opioid patterns, opioid cessation, and the risk for adverse events...
March 21, 2024: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/38521215/fluoroscopic-guided-lumbar-erector-spinae-esp-field-blocks-a-new-technique-and-radiographic-analysis
#23
JOURNAL ARTICLE
Scott C Robertson, Christine Kamm, Mason Ashley
INTRODUCTION: Lumbar Erector Spinae (ESP) field blocks have become a common postoperative treatment for surgical pain. The use of long-acting medications like liposomal bupivacaine (Exparel) has become a major component of multi-modal postsurgical pain control. Traditionally ESP injections have been performed using ultrasound (U/S) guidance by an anesthesiologist. Spine surgeons have begun to utilize these liposomal injections in their procedures for post-operative pain management. Our study describes a fluoroscopic guided ESP field block technique which provides reproducible muscular coverage and pain control for spine surgery...
March 21, 2024: World Neurosurgery
https://read.qxmd.com/read/38520644/changes-in-trunk-appearance-following-surgical-correction-of-adolescent-idiopathic-scoliosis
#24
JOURNAL ARTICLE
Maryam Khani, Farida Cheriet, Lama Seoud, Philippe Debanné, Stefan Parent, Hubert Labelle
PURPOSE: To assess the postoperative appearance of the trunk in surgically treated scoliosis patients after a 2 year follow-up using reliable indices and compare the results with 6-month follow-up. METHODS: Forty-six Adolescent Idiopathic Scoliosis (AIS) patients (female; preop mean age 14.4 ± 2.4 years) who underwent a posterior spinal fusion from 2009 to 2018 were included in this study. All had Lenke 1A thoracic curves, with surface topography taken preoperatively, 6 months and 2 years postoperatively...
March 23, 2024: Spine Deformity
https://read.qxmd.com/read/38518920/a-retrospective-analysis-of-perioperative-complications-of-lateral-approach-lumbar-interbody-fusion-in-patients-with-prior-abdominal-surgery-or-a-history-of-colonic-inflammatory-disease
#25
JOURNAL ARTICLE
Michael D Shost, Edward Barksdale, Mina Huerta, Karrington Seals, Nicholas Rabah, Bilal Butt, Michael Steinmetz
BACKGROUND CONTEXT: Lateral approaches for lumbar interbody fusion (LIF) allow for access to the lumbar spine and disk space by passing through a retroperitoneal corridor either pre- or trans-psoas. A contraindication for this approach is the presence of retroperitoneal scarring that may occur from prior surgical intervention in the retroperitoneal space or from inflammatory conditions with fibrotic changes and pose challenges for the mobilization and visualization needed in this approach...
March 20, 2024: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/38518282/exploring-tribology-and-material-contact-science-in-spine-surgery-implications-for-implant-design
#26
JOURNAL ARTICLE
Gabrielle Scariano, Seth Meade, Assem Sultan, Michael Shost, Edward C Benzel, Ajit Krishnaney, Thomas Mroz, Michael P Steinmetz, Ghaith Habboub
Tribology, an interdisciplinary field concerned with the science of interactions between surfaces in contact and their relative motion, plays a well-established role in the design of orthopedic implants, such as knee and hip replacements. However, its applications in spine surgery have received comparatively less attention in the literature. Understanding tribology is pivotal in elucidating the intricate interactions between metal, polymer, and ceramic components, as well as their interplay with the native human bone...
March 22, 2024: Journal of Neurosurgery. Spine
https://read.qxmd.com/read/38518281/association-between-structural-rib-autograft-and-the-rate-of-arthrodesis-in-children-undergoing-occiput-c2-instrumentation-and-fusion
#27
JOURNAL ARTICLE
Alexander Eremiev, David B Kurland, Alexander T M Cheung, Danielle Cook, Yosef Dastagirzada, David H Harter, Juan Rodriguez-Olaverri, Douglas Brockmeyer, Joshua M Pahys, Daniel Hedequist, Matthew Oetgen, Amer F Samdani, Richard C E Anderson
OBJECTIVE: The purpose of this study was to identify factors associated with fusion success among pediatric patients undergoing occiput-C2 rigid instrumentation and fusion. METHODS: The Pediatric Spine Study Group registry was queried to identify patients ≤ 21 years of age who underwent occiput-C2 posterior spinal rigid instrumentation and fusion and had a 2-year minimum clinical and radiographic (postoperative lateral cervical radiograph or CT scan) follow-up...
March 22, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38515416/-development-and-in-vivo-biomechanics-of-goat-mobile-artificial-lumbar-spine-complex
#28
JOURNAL ARTICLE
Feng Zhang, Xi-Jing He, Jian-Tao Liu, Rui Wang, Jie Qin, Quan-Jin Zang, Ting Zhang, Zhi-Yu Liu
OBJECTIVE: Mobile artificial lumbar complex (MALC) which suitable for reconstruction after subtotal lumbar resection in goats was developed,and to test stability of the complex and postoperative lumbar segmental motor function. METHODS: Eighteen male boer goats aged from 1 to 2 years old (weighted from 35 to 45 kg) were selected and divided into control group,fusion group and non-fusion group,with 6 goats in each group. According to preoperative CT scans and MRI examinations of lumbar,the goat MALC was designed and performed by 3D printed for non-fusion group...
March 25, 2024: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38513636/gpt-4-as-a-source-of-patient-information-for-anterior-cervical-discectomy-and-fusion-a-comparative-analysis-against-google-web-search
#29
REVIEW
Paul G Mastrokostas, Leonidas E Mastrokostas, Ahmed K Emara, Ian J Wellington, Elizabeth Ginalis, John K Houten, Amrit S Khalsa, Ahmed Saleh, Afshin E Razi, Mitchell K Ng
STUDY DESIGN: Comparative study. OBJECTIVES: This study aims to compare Google and GPT-4 in terms of (1) question types, (2) response readability, (3) source quality, and (4) numerical response accuracy for the top 10 most frequently asked questions (FAQs) about anterior cervical discectomy and fusion (ACDF). METHODS: "Anterior cervical discectomy and fusion" was searched on Google and GPT-4 on December 18, 2023. Top 10 FAQs were classified according to the Rothwell system...
March 21, 2024: Global Spine Journal
https://read.qxmd.com/read/38511353/evaluating-the-efficacy-of-il-6-as-predictors-of-lateral-lumbar-interbody-fusion-success-insights-from-pain-scores-and-joabpeq-assessments
#30
JOURNAL ARTICLE
Akihiko Hiyama, Daisuke Sakai, Masato Sato, Masahiko Watanabe
STUDY DESIGN: A prospective study. OBJECTIVES: This study aims to explore the correlation between interleukin (IL)- 6 levels in intervertebral disc (IVD) tissue and clinical outcomes in patients undergoing lumbar surgery for lumbar degenerative disease (LDD). METHODS: This prospective study analyzed 32 patients (22 men and 10 women, average age 69.6 years) who underwent lateral lumbar interbody fusion (LLIF). IL-6 gene expression in IVD tissues collected during surgery was measured and correlated with pre- and postoperative clinical outcomes, including pain intensity assessed via Numeric Rating Scales (NRS) and quality of life (QOL) evaluated through the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ)...
March 21, 2024: Global Spine Journal
https://read.qxmd.com/read/38510905/a-comprehensive-review-of-the-historical-description-of-spine-surgery-and-its-evolution
#31
REVIEW
Tania Mamdouhi, Victoria Wang, Alexandra C Echevarria, Austen Katz, Matthew Morris, Gabriel Zavurov, Rohit Verma
Major strides in the advancement of spine surgery came about in the 21st century. However, the extensive history of spine surgery can be traced back to long before this time. A clear description of the journey from a primitive yet accurate understanding of the human musculoskeletal system to today's modern aspects of spinal techniques is lacking. A narrative literature review was conducted to elucidate where spine surgery began and the techniques used that evolved over time. This review was conducted using PubMed and Google Scholar...
February 2024: Curēus
https://read.qxmd.com/read/38510623/surgical-strategies-in-the-management-of-aggressive-spinal-haemangiomas-retrospective-case-series-with-literature-review-and-a-practical-treatment-algorithm
#32
JOURNAL ARTICLE
Ganesh Swaminathan, Gandham Edmond Jonathan, Sunithi Alexandar Mani, Shyamkumar Nidugula Keshava, Vinu Moses, Krishna Prabhu
PURPOSE: We studied the clinico-radiological features and treatment outcomes of patients with aggressive spinal haemangiomas. METHODS: We undertook a retrospective review of 24 patients with aggressive spinal haemangiomas managed at our centre from 2004 to 2016. The cohort was divided into two groups. Group1 included patients managed from 2004 to 2009 while Group 2 was those treated between 2010 and 2016. Clinicoradiological features and treatment outcomes were studied...
2024: Brain Spine
https://read.qxmd.com/read/38510618/surgical-treatment-of-traumatic-fractures-of-the-thoracic-and-lumbar-spine-a-systematic-review
#33
REVIEW
Timon F G Vercoulen, Menco J S Niemeyer, Felix Peuker, Jorrit-Jan Verlaan, F Cumhur Oner, Said Sadiqi
INTRODUCTION: The treatment of traumatic thoracic and lumbar spine fractures remains controversial. To date no consensus exists on the correct choice of surgical approach and technique. RESEARCH QUESTION: to provide a comprehensive up-to-date overview of the available different surgical methods and their quantified outcomes. METHODS: PubMed and EMBASE were searched between 2001 and 2020 using the term 'spinal fractures'. Inclusion criteria were: adults, ≥10 cases, ≥12 months follow-up, thoracic or lumbar fractures, and surgery <3 weeks of trauma...
2024: Brain Spine
https://read.qxmd.com/read/38510600/a-randomized-controlled-trial-with-extended-long-term-follow-up-quality-of-cervical-spine-motion-after-anterior-cervical-discectomy-acd-or-anterior-cervical-discectomy-with-arthroplasty-acda
#34
JOURNAL ARTICLE
Valérie N E Schuermans, Anouk Y J M Smeets, Inez Curfs, Henk van Santbrink, Toon F M Boselie
INTRODUCTION: In previous research, a consistent sequence of segmental contributions during dynamic extension X-rays of the cervical spine was observed in 80-90% of healthy participants. RESEARCH QUESTION: To investigate whether this previously defined 'normal' sequence of segmental contributions was present in patients who underwent anterior cervical discectomy with arthroplasty (ACDA) or anterior cervical discectomy (ACD). MATERIALS & METHODS: A randomized controlled trial with extended follow-up was conducted...
2024: Brain Spine
https://read.qxmd.com/read/38510594/the-efficacy-of-anchored-stand-alone-spacers-in-comparison-to-conventional-cage-and-plate-in-anterior-cervical-discectomy-and-fusion-surgery-a-meta-analysis-of-randomised-controlled-trials-for-clinical-and-radiological-outcomes
#35
REVIEW
Jake M McDonnell, Salma Youssef, Tayler D Ross, Harry Marland, Luke Turley, Gráinne Cunniffe, Stacey Darwish, Joseph S Butler
INTRODUCTION: Anterior cervical discectomy and fusion (ACDF) is commonly performed with cage and plate constructs to stabilise diseased or injured cervical segments. Despite it being a commonly performed procedure, there are notable rates of associated morbidity reported in the literature. Stand-alone spacers represent a novel form of instrumentation to conventional cage and plate constructs. RESEARCH QUESTION: Do stand-alone spacers have improved operative characteristics and postoperative outcomes in ACDF cohorts when compared to cage and plate constructs? METHODS: A systematic review and meta-analysis was conducted of PubMed/Medline, Embase and Google Scholar databases per the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes guidelines...
2024: Brain Spine
https://read.qxmd.com/read/38499345/presentation-management-and-outcomes-of-thoracic-thoracolumbar-and-lumbar-spine-trauma-in-east-africa-a-cohort-study
#36
JOURNAL ARTICLE
Chibuikem A Ikwuegbuenyi, François Waterkeyn, Arthur Okembo, Costansia Bureta, Kassim O Kassim, Hamisi K Shabani, Scott Zuckerman, Roger Härtl
BACKGROUND: Trauma to the thoracic, thoracolumbar (TL), and lumbar spine is common and can cause disability and neurological deficits. Using a cohort of patients suffering from thoracic, TL, and lumbar spine trauma in a tertiary hospital in East Africa, the current study sought to: (1) describe demographics and operative treatment patterns, (2) assess neurologic outcomes, and (3) report predictors associated with undergoing surgery, neurologic improvement, and mortality. METHODS: A retrospective cohort study of patient records from September 2016 to December 2020 was conducted at a prominent East Africa referral center...
March 18, 2024: International Journal of Spine Surgery
https://read.qxmd.com/read/38499068/forcefully-engaging-rods-into-tulips-with-gap-discrepancy-leading-to-pedicle-screw-loosening-a-biomechanical-analysis-using-long-porcine-spine-segments
#37
JOURNAL ARTICLE
Ming-Kai Hsieh, De-Mei Lee, Weng-Pin Chen, Yun-Da Li, Fu-Cheng Kao, Yue-Chen Lin, Tsung-Ting Tsai, Po-Liang Lai, Ching-Lung Tai
BACKGROUND CONTEXT: Long-segment pedicle screw instrumentation is widely used to treat complex spinal disorders. Rods are routinely precontoured to maximize assistance on the correcting side of the deformity, but there often exists a residual gap discrepancy between the precontoured rods and screw tulips. No previous research has investigated the diminished pullout strength of the most proximal or distal pedicle screw resulting from a mismatched rod in long-segment pedicle screw instrumentation...
March 16, 2024: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/38499063/lumbar-fusion-surgery-in-the-era-of-an-aging-society-analysis-of-a-nationwide-population-cohort-with-minimum-8-year-follow-up
#38
JOURNAL ARTICLE
Woo-Keun Kwon, Alekos A Theologis, Joo Han Kim, Hong Joo Moon
BACKGROUND CONTEXT: . Fusions for lumbar spine diseases are widely performed and have a growing incidence, especially in elderly population. PURPOSE: . The goal of this study was to assess national trends of lumbar spinal fusions and examine the risk for re-operations after a lumbar fusion with a focus on 'epidemiologic transition' relating to age. STUDY DESIGN/SETTING: . The prospectively collected Korean Health Insurance Review and Assessment Service (HIRA) nationwide cohort database was retrospectively reviewed...
March 16, 2024: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/38497249/impact-of-sugammadex-and-neostigmine-on-outcome-after-major-orthopaedic-surgery-a-population-based-analysis
#39
JOURNAL ARTICLE
Crispiana Cozowicz, Haoyan Zhong, Jashvant Poeran, Alex Illescas, Jiabin Liu, Lazaros A Poultsides, Vassilis Athanassoglou, Stavros G Memtsoudis
BACKGROUND: Residual neuromuscular blockade after surgery remains a major concern given its association with pulmonary complications. However, current clinical practices with and the comparative impact on perioperative risk of various reversal agents remain understudied. OBJECTIVE: We investigated the use of sugammadex and neostigmine in the USA, and their impact on postoperative complications by examining national data. DESIGN: This population-based retrospective study used national Premier Healthcare claims data...
March 18, 2024: European Journal of Anaesthesiology
https://read.qxmd.com/read/38496347/role-of-surgery-in-primary-lumbar-disk-herniation-wfns-spine-committee-recommendations
#40
REVIEW
Francesco Costa, Joachim Oertel, Mehmet Zileli, Francesco Restelli, Corinna Clio Zygourakis, Salman Sharif
OBJECTIVE: To provide the most up-to-date recommendations on the role of surgery in first-time lumbar disk herniations (LDH) in order to standardize surgical management. METHODS: We performed a literature search in PubMed, Scopus, and Embase from 2012 to 2022 using the following keywords: "lumbar disk herniation AND surgery". Our initial search yielded 2610 results, which were narrowed down to 283 papers after standardized screening critera were applied. The data from these 283 papers were presented and discussed at two international meetings of the World Federation of Neurosurgical Societies (WFNS) Spine Committee, where the Delphi method was employed and ten spine experts voted on five final consensus statements...
April 2024: World neurosurgery: X
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