16,287 results match your criteria Lumbar Spine Trauma


Developing a heuristic relationship to predict the spinal injury during vertical impact for autonomous vehicle and bio environment.

Comput Methods Programs Biomed 2020 Jun 20;196:105618. Epub 2020 Jun 20.

RBG Labs, Department of Engineering Design, IIT Madras, Chennai 600036, India. Electronic address:

Background And Objective: Recent research and tested data suggested that spinal injuries occur more often in a frontal impact. Most of the published information is focused on the lumbar spinal injury with respect to axial compression force by varying the height of drops. Parametric studies on the lumbar spinal injury are very scanty. Read More

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http://dx.doi.org/10.1016/j.cmpb.2020.105618DOI Listing

Traumatic myositis ossificans: multifocal lesions suggesting malignancy on FDG-PET/CT-a case report.

Skeletal Radiol 2020 Jun 25. Epub 2020 Jun 25.

Department of Oral Pathology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588, Japan.

Myositis ossificans (MO) is a benign soft-tissue lesion characterized by the heterotopic formation of the bone in skeletal muscles, usually due to trauma. MO is occasionally difficult to diagnose because of its clinical and radiological similarities with malignancy. We report a case of traumatic MO (TMO) in the masseter and brachial muscles of a 37-year-old man who presented with painless swelling in the left cheek and severe trismus. Read More

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http://dx.doi.org/10.1007/s00256-020-03521-wDOI Listing

Pediatric Spinal Traumas.

Pediatr Neurosurg 2020 Jun 24:1-6. Epub 2020 Jun 24.

Department of Neurosurgery, University of Health Sciences, Diyarbakır Gazi Yasargil Education and Research Hospital, Diyarbakır, Turkey.

Introduction: Although childhood trauma is a major cause of morbidity and mortality, the incidence of spinal trauma is significantly lower in children than in adults. Existing studies on pediatric spinal trauma (PST) largely concern cervical trauma because of its frequency of incidence. We aimed to obtain more information by examining all types of spinal trauma, and evaluating factors such as age, trauma type, injury type, and American Spinal Injury Association score and comparing them with data from the literature. Read More

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http://dx.doi.org/10.1159/000508332DOI Listing

[Clinical efficacy of endoscopy in the treatment of lumbar disc herniation combined with posterior apophyseal ring separation].

Zhongguo Gu Shang 2020 Jun;33(6):519-23

Department of Spine Surgery, People's Hospital of Longhua, Shenzhen 518109, Guangdong, China.

Objective: To investigate the efficacy and safety of total spine endoscopy in the treatment of lumbar disc herniation combined with posterior apophyseal ring separation.

Methods: From January 2015 to January 2018, a total of 21 patients with lumbar disc herniation complicated with posterior apophyseal ring separation were treated with total spine endoscopy via interlamina approach. There were 17 males and 4 females. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.06.006DOI Listing

[Transforaminal percutaneous endoscopic lumbar discectomy combined with anchorage technique of pedicle for the treatment of high prolapse free lumbar disc herniation].

Zhongguo Gu Shang 2020 Jun;33(6):514-8

Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, Gansu, China.

Objective: To investigate the clinical effects of percutaneous spinal endoscopy (percutaneous endoscopy) in the treatment of high prolapse free lumbar disc herniation.

Methods: From May 2016 to June 2018, 24 patients with highly prolapse free lumbar disc herniation were enrolled in this study, including 11 males and 13 females, ranging in age from 48 to 72 years old, with an average of (59.5±7. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.06.005DOI Listing

Lessons from a lumbar burst fracture patient infected with SARS-CoV-2.

Aging (Albany NY) 2020 06 22;12. Epub 2020 Jun 22.

Department of Spine Surgery, Wuhan Puren Hospital, Wuhan University of Science and Technology, Wuhan 430081, Hubei, China.

In December 2019, the 2019 novel coronavirus (SARS-CoV-2) began spreading in China. At present, there are no special protocols for treating lumbar burst fracture (LBF) patients infected with SARS-CoV-2. Here, we present our lessons and experiences with a patient presenting with a severe LBF complicated by an occult SARS-CoV-2 infection. Read More

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http://dx.doi.org/10.18632/aging.103414DOI Listing

The Anatomy of the Peridural Membrane of the Human Spine.

Anat Rec (Hoboken) 2020 Jun 20. Epub 2020 Jun 20.

Traweek-Racz Endowed Professor in Pain Research TTUHSC - Dept of Anesthesiology & Pain Management, Texas Tech University Health Sciences Center, 3601 4th Street, Lubbock, TX.

A peridural membranous layer exists between the bony wall of the spinal canal and the dura mater, but reports on the anatomy of this structure have been inconsistent. The objective of this study is to give a precise description of the peridural membrane (PDM) and to define it unambiguously as a distinct and unique anatomical entity. Thirty-four cadaveric sections of human thoraco-lumbar spines were dissected. Read More

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http://dx.doi.org/10.1002/ar.24476DOI Listing

[Radiological diagnostics of lumbar spine fractures].

Authors:
Thomas Grieser

Radiologe 2020 Jun 19. Epub 2020 Jun 19.

Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.

Background: The lumbar spine forms the lowermost part of the mobile spinal column. Due to anatomical properties, the lumbar spine is highly flexible in the sagittal directions, thus, rendering it susceptible to both flexion and extension forces with the thoracolumbar junction being the most vulnerable part of it. To date, the modern thoracolumbar spine fracture classification is given by the AOSpine classification system based on the well-known Magerl classification of vertebral fracture morphology but now includes both neurological criteria and clinical modifiers, such as ankylosing spondylitis. Read More

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http://dx.doi.org/10.1007/s00117-020-00701-6DOI Listing

Intercostal artery hemorrhage with hemothorax following combined lateral and posterior lumbar interbody fusion: a case report.

Spinal Cord Ser Cases 2019 06 21;5(1):60. Epub 2019 Jun 21.

Spine Care Institute, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, USA.

Introduction: Lateral lumbar interbody fusion (LLIF) is a safe treatment for degenerative spine conditions. However, risk of complications such as vascular injuries remains. We report a unique case of an intercostal artery (ICA) hemorrhage with hemothorax following LLIF. Read More

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http://dx.doi.org/10.1038/s41394-019-0205-9DOI Listing

Magnetically controlled growing rods in early onset scoliosis: radiological results, outcome, and complications in a series of 22 patients.

Arch Orthop Trauma Surg 2020 Jun 18. Epub 2020 Jun 18.

Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, China.

Introduction: Magnetically controlled growing rods (MCGR) for the surgical treatment of early onset scoliosis (EOS) allow non-invasive outpatient based distractions during spinal growth. The purpose of this study is to present the results of a single center case series of 22 patients, evaluate the effect of MCGR treatment on the development of spino-pelvic parameters during growth, and report initial outcomes after end of treatment.

Materials And Methods: Prospectively collected data of 22 EOS patients with MCGR treatment has been analyzed. Read More

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http://dx.doi.org/10.1007/s00402-020-03518-zDOI Listing

Injury risks among elite competitive alpine skiers are underestimated if not registered prospectively, over the entire season and regardless of whether requiring medical attention.

Knee Surg Sports Traumatol Arthrosc 2020 Jun 16. Epub 2020 Jun 16.

Sports Medical Research Group, Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Lengghalde 5, Zurich, 8008, Switzerland.

Purpose: Prospective studies assessing the injuries occurring in elite competitive alpine skiers are lacking, and a full picture of all injuries, including those not requiring medical attention, is absent. Likewise, little is known about the sex-specific injury risks and patterns of elite skiers throughout an entire season (i.e. Read More

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http://dx.doi.org/10.1007/s00167-020-06110-5DOI Listing

Delayed diagnosis and treatment of a psoas abscess as a link between spondylodiscitis and septic necrosis of the femoral head: a case report.

Acta Biomed 2020 May 30;91(4-S):241-247. Epub 2020 May 30.

Department of Orthopaedics and Trauma Surgery, University of Verona (Italy).

Background: Infections of the spine and hip joint are not common and, as described in literature, they are occasionally linked by a psoas abscess. In patients suffering back pain with history of spondylodiscitis, the spine as primary source of infection for a secondary psoas abscess should always be included in differential diagnosis. A delay in diagnosis of the psoas abscess could lead to septic femoral head necrosis. Read More

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http://dx.doi.org/10.23750/abm.v91i4-S.9627DOI Listing

Minimally invasive far lateral debridement combined with posterior instrumentation for thoracic and lumbar tuberculosis without severe kyphosis.

J Orthop Surg Res 2020 Jun 16;15(1):221. Epub 2020 Jun 16.

Department of Spine Surgery, Yantai Affiliated Hospital of Binzhou Medical University, No. 717, Jinbu Street, Yantai, 264000, Shandong, China.

Background: Anti-tuberculous therapy (ATT) alone cannot easily cure spine tuberculosis (STB) though it is the most essential treatment. Many studies have confirmed the efficacy of the surgical treatment of STB through anterior, anterolateral, posterior debridement, and intervertebral fusion or combined with internal fixation. However, the conventional surgical approach requires extensive exposure of the affected areas with high rates of morbidity and mortality. Read More

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http://dx.doi.org/10.1186/s13018-020-01703-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298961PMC

Long-term impact of sagittal malalignment on hardware after posterior fixation of the thoracolumbar spine: a retrospective study.

BMC Musculoskelet Disord 2020 Jun 16;21(1):387. Epub 2020 Jun 16.

Department of Orthopedics and Trauma Surgery, Division of orthopedics, Medical University of Vienna, Waehringer Guertel 18-20, A-1090, Vienna, Austria.

Background: The importance of sagittal alignment in healthy individuals and in reconstructive spinal surgery has been studied over the last 15 years. The aim of the present study was to assess the long-term effects of abnormal sagittal alignment on hardware after posterior thoracolumbar spinal fusion.

Methods: Patients who had undergone revision surgery (revision cohort, n = 34) due to breakage of their implants were compared retrospectively with patients who had intact implants at the final follow-up investigation after a long posterior thoracolumbar and/or lumbar spinal fusion (control cohort, n = 22). Read More

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http://dx.doi.org/10.1186/s12891-020-03405-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298821PMC

[OUR EXPERIENCE WITH THE USE OF BIPORTAL ENDOSCOPIC SURGERY IN THE TREATMENT OF HERNIATED DISCS OF THE LUMBAR SPINE].

Georgian Med News 2020 Apr(301):21-27

1SI "Institute of traumatology and orthopedics of the National Academy of Medical Sciences of Ukraine", Kiev, Ukraine.

Open microdiscectomy is the standard surgical treatment for herniated discs at the lumbar level. However, with open operations on the spine, the risk of developing postoperative instability of the spine and the occurrence of chronic back pain is quite high. Biportal endoscopic spinal surgery is a new method in minimally invasive spinal surgery, which has several advantages over open surgery. Read More

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Development of a preliminary multivariable diagnostic prediction model for identifying active spondylolysis in young athletes with low back pain.

Phys Ther Sport 2020 May 30;45:1-6. Epub 2020 May 30.

Division of Sports Medicine, Nationwide Children's Hospital, Columbus, OH, United States.

Aims: The primary aim of this study was to develop a diagnostic cluster of common clinical findings that would assist in ruling out an active spondylolysis in adolescent athletes with low back pain (LBP).

Design: Retrospective case-series.

Setting: Hospital-based sports medicine clinic. Read More

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http://dx.doi.org/10.1016/j.ptsp.2020.05.009DOI Listing

Toward automatic C-arm positioning for standard projections in orthopedic surgery.

Int J Comput Assist Radiol Surg 2020 Jul 12;15(7):1095-1105. Epub 2020 Jun 12.

Division of Medical Image Computing, German Cancer Research Center, Heidelberg, Germany.

Purpose: Guidance and quality control in orthopedic surgery increasingly rely on intra-operative fluoroscopy using a mobile C-arm. The accurate acquisition of standardized and anatomy-specific projections is essential in this process. The corresponding iterative positioning of the C-arm is error prone and involves repeated manual acquisitions or even continuous fluoroscopy. Read More

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http://dx.doi.org/10.1007/s11548-020-02204-0DOI Listing

Spinal extradural arteriovenous fistula after lumbar epidural injection: CT angiographic diagnosis using 3D-volume rendering.

Skeletal Radiol 2020 Jun 12. Epub 2020 Jun 12.

Department of Radiology, Hallym University Dongtan Sacred Heart Hospital, 7, Keunjaebong-gil, Hwaseong-si, Gyeonggi-do, 18450, Korea.

Spinal extradural arteriovenous fistulas (SEDAVFs) are a rare form of spinal arteriovenous fistulas, the etiology of which has not been completely elucidated. To our knowledge, this is the first reported case of SEDAVF that may have been caused by a spinal procedure. This report describes a 50-year-old female patient who presented with an SEDAVF at the L3/4 level that developed 3 years after a transforaminal epidural block due to disc extrusion, after which she underwent no other operation or trauma. Read More

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http://dx.doi.org/10.1007/s00256-020-03504-xDOI Listing

Fully Endoscopic Transforaminal Lumbar Discectomy for Upward Migration of Upper Lumbar Disc Herniation: Clinical and Radiological Outcomes and Technical Considerations.

Brain Sci 2020 Jun 10;10(6). Epub 2020 Jun 10.

Department of Neurosurgery, Spine Center, The Leon Wiltse Memorial Hospital, Suwon 16444, Korea.

Microdiscectomy for the upward migration of upper lumbar herniated discs has a high risk of isthmus and facet injury. Fully endoscopic transforaminal discectomy can preserve normal bony structures during discectomy. The purpose of this study was to assess the clinical and radiological outcomes of fully endoscopic transforaminal discectomy for upward migrated upper lumbar herniated discs. Read More

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http://dx.doi.org/10.3390/brainsci10060363DOI Listing

Anesthetic management of a patient with musculocontractural Ehlers-Danlos syndrome undergoing scoliosis surgery.

JA Clin Rep 2020 Jun 11;6(1):46. Epub 2020 Jun 11.

Department of Anesthesiology and Resuscitology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.

Background: Musculocontractural Ehlers-Danlos syndrome is a new and rare subtype of Ehlers-Danlos syndrome in which anesthetic considerations for airway and respiratory management, prevention of skin injuries and joint dislocations, and hemostatic management for severe perioperative bleeding are required.

Case Presentation: A 19-year-old woman with musculocontractural Ehlers-Danlos syndrome was scheduled to undergo posterior spinal fusion from the 4th thoracic to the 4th lumbar vertebrae under general anesthesia. Her trachea was easily intubated with a videolaryngoscope despite a small mouth and micrognathia. Read More

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http://dx.doi.org/10.1186/s40981-020-00352-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7289930PMC

High Rates of Overuse-Related Structural Abnormalities in the Lumbar Spine of Youth Competitive Alpine Skiers: A Cross-sectional MRI Study in 108 Athletes.

Orthop J Sports Med 2020 May 29;8(5):2325967120922554. Epub 2020 May 29.

Sports Medical Research Group, Department of Orthopedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.

Background: Alpine ski racing is known as a sport with unfavorable spinal loads and high rates of back overuse injuries at the elite level. However, little is known about overuse-related structural abnormalities occurring in the spine of youth athletes.

Purpose: To describe the prevalence of abnormal magnetic resonance imaging (MRI) findings in the lumbar spine of youth competitive alpine skiers within the U16 category (under 16 years) with respect to sex, height growth, multifidus size, increasing age, and clinical relevance. Read More

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http://dx.doi.org/10.1177/2325967120922554DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263161PMC

Tandem Microscopic Slalom Technique: The Use of 2 Microscopes Simultaneously Performing Unilateral Laminotomy for Bilateral Decompression in Multilevel Lumbar Spinal Stenosis.

Global Spine J 2020 Apr 28;10(2 Suppl):88S-93S. Epub 2020 May 28.

Weill Cornell Brain and Spine Center, New York-Presbyterian Hospital, New York, NY, USA.

Study Design: Technical note, retrospective case series.

Objective: Lumbar stenosis can be effectively treated using tubular unilateral laminotomy for bilateral decompression (ULBD). For multilevel stenosis, a multilevel ULBD through separate, alternating crossover approaches has been described as the "slalom technique. Read More

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http://dx.doi.org/10.1177/2192568219871918DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263332PMC

Effectiveness of a 12-month home-based exercise program on trunk muscle strength and spine function after lumbar spine fusion surgery: a randomized controlled trial.

Disabil Rehabil 2020 Jun 11:1-9. Epub 2020 Jun 11.

Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.

The effectiveness of a 12-month home-exercise program on trunk muscle strength after lumbar spine fusion surgery was evaluated. Three months postoperatively, 98 patients were randomized either to the exercise group (EG), with a progressive 12-month home-based exercise program, or to usual care group (UCG), with one guidance session for light home-exercises. Maximal trunk muscle strength was measured by a strain-gauge dynamometer and trunk extensor endurance was measured by Biering-Sørensen's test at baseline and after the intervention. Read More

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http://dx.doi.org/10.1080/09638288.2020.1772383DOI Listing

Prevalence of ligamentous knee injuries in pedestrian versus motor vehicle accidents.

BMC Musculoskelet Disord 2020 Jun 10;21(1):369. Epub 2020 Jun 10.

Department of Orthopedic Surgery, University of Oklahoma Health Sciences Center, 800 Stanton L Young Blvd, Oklahoma City, OK, 73104, USA.

Background: The purpose of this study was to determine the prevalence and characteristics of ligamentous knee injuries and to compare patient demographics, associated injuries and hospital stay to pedestrians who did not sustain a ligamentous knee injury.

Methods: A retrospective review of all adult patients presenting as pedestrians struck by a motor vehicle to a level 1 trauma center over a three-year period was performed. Demographics, length of stay, orthopedic and non-orthopedic traumatic injuries were recorded. Read More

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http://dx.doi.org/10.1186/s12891-020-03397-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285463PMC

Assessment of Outcomes of Spine Surgery in Indian Athletes Involved in High-End Contact Sports.

Asian Spine J 2020 Jun 12. Epub 2020 Jun 12.

Department of Spine Surgery, Lilavati Hospital and Research Center, Mumbai, India.

Study Design: This study was a retrospective analysis.

Purpose: This study aimed to analyze the functional outcome following spinal surgery in elite athletes using return-to-play criteria.

Overview Of Literature: Spinal ailments are relatively common in athletes and are bound to increase due to the ever-growing popularity of contact sports. Read More

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http://dx.doi.org/10.31616/asj.2019.0376DOI Listing

Early Spinal Injury Stabilization in Multiple-Injured Patients: Do All Patients Benefit?

J Clin Med 2020 Jun 5;9(6). Epub 2020 Jun 5.

Department for Trauma and Reconstructive Surgery, RWTH Aachen University Hospital, Pauwelsstraße 30, 52074 Aachen, Germany.

Background: Thoracolumbar spine fractures in multiple-injured patients are a common injury pattern. The appropriate timing for the surgical stabilization of vertebral fractures is still controversial. The purpose of this study was to analyse the impact of the timing of spinal surgery in multiple-injured patients both in general and in respect to spinal injury severity. Read More

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http://dx.doi.org/10.3390/jcm9061760DOI Listing

[Percutaneously full endoscopic decompressive laminectomy with precise localization for the treatment of lumbar spinal stenosis].

Zhongguo Gu Shang 2019 Oct;32(10):941-946

Department of Rehabilitation Medicine, the Sixth Medical Center, PLA General Hospital, Beijing 100048, China.

Objective: To explore the feasibility of full endoscopic fenestration (FE-FE) via interlaminar approach for the treatment of lumbar spinal stenosis (LSS), and meanwhile, to analyze the related practicability and clinical outcome.

Methods: Referring to the traditional laminectomy and decompression, the lumbar spinal canal decompression was performed by using the water-medium spinal endoscopy (named FE-FE technique). Thirty-seven patients with LSS treated by FE-FE technique were retrospectively analyzed. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.10.014DOI Listing
October 2019

[Application value of immature granulocyte count in predicting early infection after spinal operation].

Zhongguo Gu Shang 2019 Oct;32(10):898-903

Department of Trauma and Orthopaedics, Yuncheng Central Hospital, Yuncheng 044000, Shanxi, China;

Objective: To evaluate the early predictive value of immature granulocytes(IGs) in postoperative infection in patients with spinal injury.

Methods: The clinical data of 78 patients with spinal cord injury underwent surgery from October 2016 to October 2018 were collected. There were 57 males and 21 females, aged from 45 to 63 years old with an average of (55. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.10.005DOI Listing
October 2019

[Surgical treatment of deep infection around the spine].

Zhongguo Gu Shang 2019 Oct;32(10):886-891

Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China;

Objective: To study the surgical method and clinical effect of deep infection around the spine.

Methods: The clinical data of 7 patients with deep infections around the spine treated from January 2015 to January 2018 were retrospectively analyzed. All patients were acute infection within 3 weeks after spinal surgery. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.10.003DOI Listing
October 2019

Thoracic computerised tomography scans in one hundred eighteen orthopaedic patients during the COVID-19 pandemic: identification of chest lesions; added values; help in managing patients; burden on the computerised tomography scan department.

Int Orthop 2020 Jun 7. Epub 2020 Jun 7.

Orthopedic Department, Clinique Geoffroy Saint Hilaire, 75005, Paris, France.

Purpose: Based on the recent literature, chest computed tomography (CT) examination could aid for management of patients during COVID-19 pandemic. However, the role of chest CT in management of COVID-19 patients is not exactly the same for medical or surgical specialties. In orthopaedic or trauma emergency, abdomen, pelvis, cervical, dorsal, and lumbar spine CT are performed to investigate patients; the result is a thoracic CT scan incorporating usually the thorax; however, information about lung parenchyma can be obtained on this thorax CT, and manifestations of COVID-19 can be diagnosed. Read More

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http://dx.doi.org/10.1007/s00264-020-04651-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275929PMC

Performance in dynamic movement tasks and occurrence of low back pain in youth floorball and basketball players.

BMC Musculoskelet Disord 2020 Jun 5;21(1):350. Epub 2020 Jun 5.

Tampere Research Center of Sports Medicine, UKK Institute, 33501, Tampere, Finland.

Background: Prospective studies investigating risk factors for low back pain (LBP) in youth athletes are limited. The aim of this prospective study was to investigate the association between hip-pelvic kinematics and vertical ground reaction force (vGRF) during landing tasks and LBP in youth floorball and basketball players.

Methods: Three-hundred-and-eighty-three Finnish youth female and male floorball and basketball players (mean age 15. Read More

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http://dx.doi.org/10.1186/s12891-020-03376-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275454PMC

Epidemiology and associated factors for CrossFit-related musculoskeletal injuries: a cross-sectional study.

J Sports Med Phys Fitness 2020 Jun;60(6):889-894

League of Sport Physical Therapy, Federal University of Ceará, Fortaleza, Brazil.

Background: CrossFit® is usually composed of high intensity workout routines and is executed quickly, repetitively and with limited rest time. Previous studies have identified a high prevalence of injuries in CrossFit®. This study aimed to determine the prevalence of CrossFit-related musculoskeletal injuries and to identify potential associated factors. Read More

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http://dx.doi.org/10.23736/S0022-4707.20.10364-5DOI Listing

Percutaneous pedicle screw fixation combined with transforaminal endoscopic spinal canal decompression for the treatment of thoracolumbar burst fracture with severe neurologic deficit: A case report.

Medicine (Baltimore) 2020 May;99(21):e20276

Department of Spine Surgery, Affiliated Hospital of Chengde Medical University, Shuangqiao District, Chengde, Hebei Province.

Rationale: The most common fractures of the spine are associated with the thoracolumbar junction (T10-L2). And burst fractures make up 15% of all traumatic thoracolumbar fractures, which are often accompanied by neurological deficits and require open surgeries. Common surgeries include either anterior, posterior or a combination of these approaches. Read More

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http://dx.doi.org/10.1097/MD.0000000000020276DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249900PMC

Radiological diagnostic accuracy study comparing Lenke, Bridwell, BSF, and CT-HU fusion grading scales for minimally invasive lumbar interbody fusion spine surgery and its correlation to clinical outcome.

Medicine (Baltimore) 2020 May;99(21):e19979

Neurosurgeon and Minimally Invasive Spine Surgeon of The American-British Cowdray Medical Center IAP. Campus Santa Fe Neurosurgeon of the Regional General Hospital #25, Mexican Institute of Social Security (HGR#25, IMSS).

Prospective randomized double-blinded diagnostic accuracy study about radiological grading of fusion after minimally invasive lumbar interbody fusion procedures (MI-LIFP).To determinate the intra and the inter-observer correlation between different radiological lumbar interbody fusion grading scales (RLIFGS) in patients undergoing MI-LIFP and their correlation to clinical outcome.Besides technological improvements in medical diagnosis and the many existing RLIFGS, surgical exploration continues to be the gold-standard to assess fusion in patients with radiological pseudarthrosis, with little if any research on the relationship between RLIFGS and clinical outcome. Read More

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http://dx.doi.org/10.1097/MD.0000000000019979DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250056PMC

Development and validation of a prediction tool for pain reduction in adult patients undergoing elective lumbar spinal fusion: a multicentre cohort study.

Eur Spine J 2020 May 29. Epub 2020 May 29.

Department of Orthopaedics and Research School Caphri, Maastricht University Medical Centre+, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.

Purpose: On average, 56% of patients report a clinically relevant reduction in pain after lumbar spinal fusion (LSF). Preoperatively identifying which patient will benefit from LSF is paramount to improve clinical decision making, expectation management and treatment selection. Therefore, this multicentre study aimed to develop and validate a clinical prediction tool for a clinically relevant reduction in pain 1 to 2 years after elective LSF. Read More

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http://dx.doi.org/10.1007/s00586-020-06473-wDOI Listing

Anterior column reconstruction of the thoracolumbar spine with a new modular PEEK vertebral body replacement device: retrospective clinical and radiologic cohort analysis of 48 cases with 1.7-years follow-up.

Eur Spine J 2020 May 28. Epub 2020 May 28.

Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse 8, 3010, Bern, Switzerland.

Purpose: To evaluate whether a new PEEK vertebral body replacement can maintain the sagittal alignment as an anterior column reconstruction device in thoracic and lumbar spinal defects due to trauma or tumor.

Methods: Retrospective review of 48 patients who underwent a corpectomy between T5 and L5 due to trauma or tumor and were stabilized with the new PEEK vertebral body replacement, between 2013 and 2017. We excluded patients who underwent a corpectomy for infection or degenerative disease and patients without complete follow-up in our institution. Read More

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http://dx.doi.org/10.1007/s00586-020-06464-xDOI Listing

[Minimally invasive stand-alone fusion of the lumbosacral junction].

Oper Orthop Traumatol 2020 Jun 28;32(3):192-199. Epub 2020 May 28.

Wirbelsäulenzentrum, Schön Klinik München Harlaching, Akademisches Lehrkrankenhaus und Institut für Wirbelsäulenforschung der PMU Salzburg, Harlachinger Str. 51, 81547, München, Deutschland.

Objective: Stable interbody fusion of the lumbosacral segment via an anterior retroperitoneal approach using an interbody spacer as an anterior stand-alone device which is fixed with four locking screws.

Indications: Degenerative disc disease without instability or deformity; adjacent segment degeneration; pseudarthrosis.

Contraindications: Translational instabilities as in spondylolisthesis at the index segment; deformities; steep sacral slope. Read More

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http://dx.doi.org/10.1007/s00064-020-00661-zDOI Listing

Cranial facet joint injuries in percutaneous lumbar pedicle screw placement: a matched-pair analysis comparing intraoperative 3D navigation and conventional fluoroscopy.

Eur Spine J 2020 May 27. Epub 2020 May 27.

Department of Neurosurgery, Medical Center, University of Freiburg, Breisacher Strasse 64, 79106, Freiburg, Germany.

Purpose: The violation of the cranial adjacent facet is a frequent complication in lumbar instrumentations and can induce local pain and adjacent segment disease. Minimally invasive screw implantation is often stated as risk factor in comparison with open approaches. Percutaneous pedicle screw placement (PPSP) can be performed using single X-ray images (fluoroscopy) or intraoperative 3D navigation. Read More

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http://dx.doi.org/10.1007/s00586-020-06467-8DOI Listing

An Objective and Reliable Method for Identifying Sarcopenia in Lumbar Spine Surgery Patients: Using Morphometric Measurements on Computed Tomography Imaging.

Asian Spine J 2020 May 29. Epub 2020 May 29.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.

Study Design: A retrospective observational study.

Purpose: Establish a quantifiable and reproducible measure of sarcopenia in patients undergoing lumbar spine surgery based on morphometric measurements from readily available preoperative computed tomography (CT) imaging.

Overview Of Literature: Sarcopenia-the loss of skeletal muscle mass-has been linked with poor outcomes in several surgical disciplines; however, a reliable and quantifiable measure of sarcopenia for future assessment of outcomes in spinal surgery patients has not been established. Read More

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http://dx.doi.org/10.31616/asj.2019.0319DOI Listing

[Full endoscopic I See technique for the treatment of single-segment degenerative lumbar spinal stenosis].

Zhongguo Gu Shang 2020 May;33(5):401-5

The Second Department of Orthopaedics, Gansu Provincial People's Hospital, Lanzhou 730000, Gansu, China.

Objective: To investigate the clinical efficacy and advantages of the full endoscopic I See technique for the single-segment degenerative lumbar spinal stenosis.

Methods: The clinical data of 38 patients with the single-segment degenerative lumbar spinal stenosis treated by full endoscopic I See technique from January 2017 to March 2018 were analyzed retrospectively. There were 16 males and 22 females, aged from 35 to 79 years with an average of(53. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.05.003DOI Listing

Autologous blood coagulum containing rhBMP6 induces new bone formation to promote anterior lumbar interbody fusion (ALIF) and posterolateral lumbar fusion (PLF) of spine in sheep.

Bone 2020 May 22;138:115448. Epub 2020 May 22.

Laboratory for Mineralized Tissues, Center for Translational and Clinical Research, University of Zagreb School of Medicine, 10000 Zagreb, Croatia. Electronic address:

In the present study, we evaluated an autologous bone graft substitute (ABGS) composed of recombinant human BMP6 (rhBMP6) dispersed within autologous blood coagulum (ABC) used as a physiological carrier for new bone formation in spine fusion sheep models. The application of ABGS included cervical cage for use in the anterior lumbar interbody fusion (ALIF), while for the posterolateral lumbar fusion (PLF) sheep model allograft devitalized bone particles (ALLO) were applied with and without use of instrumentation. In the ALIF model, ABGS (rhBMP6/ABC/cage) implants fused significantly when placed in between the L4-L5 vertebrae as compared to control (ABC/cage) which appears to have a fibrocartilaginous gap, as examined by histology and micro CT analysis at 16 weeks following surgery. Read More

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http://dx.doi.org/10.1016/j.bone.2020.115448DOI Listing

Delayed development of spinal subdural hematoma following cranial trauma: A case report and review of the literature.

World Neurosurg 2020 May 22. Epub 2020 May 22.

Department of Neuro-Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL; University of South Florida, Morsani College of Medicine, Tampa, FL. Electronic address:

Background: Spinal subdural hematomas (SDHs) have been reported as a result of direct trauma or from iatrogenic causes associated with coagulopathies. Extremely rare are spinal SDHs that are found after the development of acute intracranial SDHs, without any evidence of trauma to the spine. In addition to this rare presentation, there is a lack of consensus on whether surgical decompression is the ideal treatment strategy. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.05.158DOI Listing
May 2020
2.417 Impact Factor

Possible advantages of early stabilization of spinal fractures in multiply injured patients with leading thoracic trauma - analysis based on the TraumaRegister DGU®.

Scand J Trauma Resusc Emerg Med 2020 May 24;28(1):42. Epub 2020 May 24.

Department of Orthopedics and Trauma Surgery, Medical Center - Albert-Ludwigs-University of Freiburg, Faculty of Medicine, Hugstetter Str. 55, 79106, Freiburg, Germany.

Background: Major trauma often comprises fractures of the thoracolumbar spine and these are often accompanied by relevant thoracic trauma. Major complications can be ascribed to substantial simultaneous trauma to the chest and concomitant immobilization due to spinal instability, pain or neurological dysfunction, impairing the respiratory system individually and together. Thus, we proposed that an early stabilization of thoracolumbar spine fractures will result in significant benefits regarding respiratory organ function, multiple organ failure and length of ICU / hospital stay. Read More

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http://dx.doi.org/10.1186/s13049-020-00737-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7245984PMC

Is academic department teaching status associated with adverse outcomes after lumbar laminectomy and discectomy for degenerative spine diseases?

Spine J 2020 May 20. Epub 2020 May 20.

Department of Orthopedic Surgery, Long Island Jewish Medical Center, 270-05 76th Ave, New Hyde Park, NY 11040, USA.

Background Context: Lumbar laminectomy and discectomy surgeries are among the most common procedures performed in the United States, and often take place at academic teaching hospitals, involving the care of resident physicians. While academic institutions are critical for the maturation of the next generation of attending surgeons, concerns have been raised regarding the quality of resident-involved care. There is conflicting evidence regarding the effects of resident participation in teaching hospitals on spine surgery patient outcomes. Read More

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http://dx.doi.org/10.1016/j.spinee.2020.05.096DOI Listing
May 2020
2.426 Impact Factor

Postoperative Paralumbar Pseudoaneurysm: A Case Report.

J Neurol Surg Rep 2020 Apr 19;81(2):e33-e37. Epub 2020 May 19.

Department of Orthopedic Spine Surgery, King Abdulaziz Medical City-Central Region, Riyadh, Saudi Arabia.

Lumbar artery pseudoaneurysm is a rare adverse event that is presented in reports. It is associated with serious injuries such as in the retroperitoneal cavity and pelvis. Furthermore, infection and iatrogenic etiology were documented as well. Read More

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http://dx.doi.org/10.1055/s-0040-1710309DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7237231PMC

Ventral Displacement of Spinal Cord in Spontaneous Intracranial Hypotension: A Sign Easily Be Overlooked.

Acta Neurol Taiwan 2020 Jun;29(2):59-63

Division of Neurology, Department of Internal Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Taiwan.

Purpose: Spontaneous intracranial hypotension (SIH) is suspected in patients presenting orthostatic headache and needs excluding structural or iatrogenic causes. Image studies are required to confirm the diagnosis and define exact locations of cerebrospinal fluid leakage, but currently there is no single study sensitive enough to make identifications among patients with various symptoms.

Case Report: We present a 24-year-old young woman having acute orthostatic headache. Read More

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Cyanoacrylate Dermal Closure in Spine Surgery: Systematic Review and Pooled Analysis.

Global Spine J 2020 Jun 10;10(4):493-498. Epub 2019 Jul 10.

The Alfred Hospital, Melbourne, Victoria, Australia.

Study Design: Systematic review.

Objectives: Cyanoacrylate glue closure has been utilized for dermal closure in surgical incisions. Its safety and efficacy in spine surgery are not established. Read More

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http://dx.doi.org/10.1177/2192568219861619DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222684PMC

Diabetes Does Not Increase Complications, Length of Stay, or Hospital Costs After Minimally Invasive Transforaminal Lumbar Interbody Fusion.

Clin Spine Surg 2020 May 19. Epub 2020 May 19.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.

Study Design: Retrospective cohort.

Objective: To determine if the presence of diabetes mellitus as comorbidity is associated with complications, inpatient length of stay, or direct hospital costs after minimally invasive transforaminal lumbar interbody fusion (MIS TLIF).

Summary Of Background Data: Very few studies have investigated the effect of diabetes on complications, length of stay, or costs in minimally invasive lumbar surgeries. Read More

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http://dx.doi.org/10.1097/BSD.0000000000001012DOI Listing