21,075 results match your criteria Spine[Journal]


Neurological recovery following traumatic spinal cord injury: a systematic review and meta-analysis.

J Neurosurg Spine 2019 Feb 15:1-17. Epub 2019 Feb 15.

1Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences.

OBJECTIVEPredicting neurological recovery following traumatic spinal cord injury (TSCI) is a complex task considering the heterogeneous nature of injury and the inconsistency of individual studies. This study aims to summarize the current evidence on neurological recovery following TSCI by use of a meta-analytical approach, and to identify injury, treatment, and study variables with prognostic significance.METHODSA literature search in MEDLINE and EMBASE was performed, and studies reporting follow-up changes in American Spinal Injury Association (ASIA) Impairment Scale (AIS) or Frankel or ASIA motor score (AMS) scales were included in the meta-analysis. Read More

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http://dx.doi.org/10.3171/2018.10.SPINE18802DOI Listing
February 2019

Somatotopic organization of the human spinothalamic tract: in vivo computed tomography-guided mapping in awake patients undergoing cordotomy.

J Neurosurg Spine 2019 Feb 15:1-7. Epub 2019 Feb 15.

3Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada.

OBJECTIVEThe location of the human spinothalamic tract (STT) in the anterolateral spinal cord has been known for more than a century. The exact nature of the neuronal fiber lamination within the STT, however, remains controversial. After correlating in vivo macrostimulation-induced pain/temperature sensation during percutaneous cervical cordotomy with simultaneous CT imaging of the electrode tip location, the authors present a modern description of the somatotopy of the human cervical STT. Read More

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http://dx.doi.org/10.3171/2018.11.SPINE18172DOI Listing
February 2019

Impact of decompression surgery without fusion for lumbar spinal stenosis on sagittal spinopelvic alignment: minimum 2-year follow-up.

J Neurosurg Spine 2019 Feb 15:1-7. Epub 2019 Feb 15.

1Department of Orthopaedic Surgery, Japanese Red Cross Shizuoka Hospital, Shizuoka, Japan; and.

OBJECTIVEThe importance of global sagittal alignment is well known. Patients with lumbar spinal stenosis (LSS) generally tend to bend forward to relieve their neurological symptoms, i.e. Read More

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http://dx.doi.org/10.3171/2018.11.SPINE181092DOI Listing
February 2019

Outcomes in different age groups with primary Ewing sarcoma of the spine: a systematic review of the literature.

J Neurosurg Spine 2019 Feb 15:1-10. Epub 2019 Feb 15.

4Division of Neurosurgery, University of Arizona, Tucson; and.

OBJECTIVEEwing sarcoma (ES) is among the most prevalent of bone sarcomas in young people. Less often, it presents as a primary lesion of the spine (5%-15% of patients with ES).METHODSA systematic literature search was performed, querying several scientific databases per PRISMA guidelines. Read More

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http://dx.doi.org/10.3171/2018.10.SPINE18795DOI Listing
February 2019

Spondylodiscitis in end-stage renal disease: a systematic review.

J Neurosurg Spine 2019 Feb 15:1-9. Epub 2019 Feb 15.

1Department of Neurological Surgery, University of Miami, Miami, Florida; and.

OBJECTIVEDiscitis and osteomyelitis are seen in end-stage renal disease (ESRD) patients due to repeated vascular access for hemodialysis and urinary tract infections leading to recurrent bacteremia. Discitis and osteomyelitis are underdiagnosed due to the nonspecific initial presentation of back pain. In this article, we review the literature for better understanding of the problem and the importance of early diagnosis by primary care physicians and nephrologists. Read More

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http://dx.doi.org/10.3171/2018.9.SPINE18824DOI Listing
February 2019

Adverse events and their risk factors 90 days after cervical spine surgery: analysis from the Michigan Spine Surgery Improvement Collaborative.

J Neurosurg Spine 2019 Feb 15:1-13. Epub 2019 Feb 15.

Departments of1Neurosurgery.

OBJECTIVEThe Michigan Spine Surgery Improvement Collaborative (MSSIC) is a statewide, multicenter quality improvement initiative. Using MSSIC data, the authors sought to identify 90-day adverse events and their associated risk factors (RFs) after cervical spine surgery.METHODSA total of 8236 cervical spine surgery cases were analyzed. Read More

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http://dx.doi.org/10.3171/2018.10.SPINE18666DOI Listing
February 2019

The occipitoatlantal capsular ligaments are the primary stabilizers of the occipitoatlantal joint in the craniocervical junction: a finite element analysis.

J Neurosurg Spine 2019 Feb 15:1-9. Epub 2019 Feb 15.

2Department of Neurosurgery, Division of Pediatric Neurosurgery, University of Utah, Primary Children's Hospital, Salt Lake City, Utah.

OBJECTIVEThere is contradictory evidence regarding the relative contribution of the key stabilizing ligaments of the occipitoatlantal (OA) joint. Cadaveric studies are limited by the nature and the number of injury scenarios that can be tested to identify OA stabilizing ligaments. Finite element (FE) analysis can overcome these limitations and provide valuable data in this area. Read More

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http://dx.doi.org/10.3171/2018.10.SPINE181102DOI Listing
February 2019
1 Read

Validation of a methodology for neuro-urological and lumbosacral stimulation studies in domestic pigs: a humanlike animal model.

J Neurosurg Spine 2019 Feb 15:1-11. Epub 2019 Feb 15.

7Neurosurgery, Pellegrin Hospital, Bordeaux, Nouvelle Aquitaine; and.

OBJECTIVESpinal cord injuries (SCIs) result in loss of movement and sensory feedback, but also organ dysfunction. Nearly all patients with complete SCI lose bladder control and are prone to kidney failure if intermittent catheterization is not performed. Electrical stimulation of sacral spinal roots was initially considered to be a promising approach for restoring continence and micturition control, but many patients are discouraged by the need for surgical deafferentation as it could lead to a loss of sensory functions and reflexes. Read More

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http://dx.doi.org/10.3171/2018.11.SPINE18676DOI Listing
February 2019

Determinants and Variations of Hospital Costs in Patients With Lumbar Radiculopathy Hospitalized for Spinal Surgery.

Spine (Phila Pa 1976) 2019 Mar;44(5):355-362

I-CHER, Interuniversity Center for Health Economics Research Group, Belgium.

Study Design: A retrospective study.

Objective: The aim of this study was to determine hospital costs related to surgery for lumbar radiculopathy and identify determinants of intramural costs based on minimal hospital and claims data.

Summary Of Background Data: Costs related to the initial hospitalization of patients undergoing surgery for lumbar radiculopathy make up the major part of direct health care expenditure in this population. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002801DOI Listing

Golf: a contact sport. Repetitive traumatic discopathy may be the driver of early lumbar degeneration in modern-era golfers.

J Neurosurg Spine 2019 Feb 5:1-4. Epub 2019 Feb 5.

1Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix; and.

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http://dx.doi.org/10.3171/2018.10.SPINE181113DOI Listing
February 2019

An institutional intervention to modify opioid prescribing practices after lumbar spine surgery.

J Neurosurg Spine 2019 Feb 5:1-8. Epub 2019 Feb 5.

1Hospital for Special Surgery, New York, New York; and.

OBJECTIVEPatients with lumbar spine pathology are at high risk for opioid misuse. Standardizing prescribing practices through an institutional intervention may reduce the overprescribing of opiates, leading to a decrease in the risk for opioid misuse and the number of pills available for diversion. Without quantitative data on the "minimum necessary quantity" of opioids appropriate for postdischarge prescriptions, the optimal method for changing existing prescribing practices is unknown. Read More

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http://dx.doi.org/10.3171/2018.8.SPINE18386DOI Listing
February 2019
1 Read

Impact of total propofol dose during spinal surgery: anesthetic fade on transcranial motor evoked potentials.

J Neurosurg Spine 2019 Feb 8:1-9. Epub 2019 Feb 8.

1Department of Orthopedic Surgery, Hamamatsu University School of Medicine.

OBJECTIVEIntraoperative neuromonitoring may be valuable for predicting postoperative neurological complications, and transcranial motor evoked potentials (TcMEPs) are the most reliable monitoring modality with high sensitivity. One of the most frequent problems of TcMEP monitoring is the high rate of false-positive alerts, also called "anesthetic fade." The purpose of this study was to clarify the risk factors for false-positive TcMEP alerts and to find ways to reduce false-positive rates. Read More

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http://dx.doi.org/10.3171/2018.10.SPINE18322DOI Listing
February 2019

Safety and accuracy of robot-assisted versus fluoroscopy-assisted pedicle screw insertion in thoracolumbar spinal surgery: a prospective randomized controlled trial.

J Neurosurg Spine 2019 Feb 8:1-8. Epub 2019 Feb 8.

1Department of Spine Surgery, Beijing Jishuitan Hospital; and.

OBJECTIVEThe object of this study was to compare the safety and accuracy of pedicle screw placement using the TiRobot system versus conventional fluoroscopy in thoracolumbar spinal surgery.METHODSPatients with degenerative or traumatic thoracolumbar spinal disorders requiring spinal instrumentation were randomly assigned to either the TiRobot-assisted group (RG) or the freehand fluoroscopy-assisted group (FG) at a 1:1 ratio. The primary outcome measure was the accuracy of screw placement according to the Gertzbein-Robbins scale; grades A and B (pedicle breach < 2 mm) were considered clinically acceptable. Read More

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http://dx.doi.org/10.3171/2018.10.SPINE18487DOI Listing
February 2019
2 Reads

Peroneal nerve decompression: institutional review and meta-analysis to identify prognostic associations with favorable and unfavorable surgical outcomes.

J Neurosurg Spine 2019 Feb 8:1-8. Epub 2019 Feb 8.

OBJECTIVEA common cause of peroneal neuropathy is compression near the fibular head. Studies demonstrate excellent outcomes after decompression but include few cases (range 15-60 patients). Consequently, attempts to define predictors of good outcomes are limited. Read More

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http://dx.doi.org/10.3171/2018.10.SPINE18626DOI Listing
February 2019

Risk factor analysis of progressive spinal deformity after resection of intramedullary spinal cord tumors in patients who underwent laminoplasty: a report of 105 consecutive cases.

J Neurosurg Spine 2019 Feb 8:1-9. Epub 2019 Feb 8.

Departments of1Neurosurgery and.

OBJECTIVELaminoplasty has been used in recent years as an alternative approach to laminectomy for preventing spinal deformity after resection of intramedullary spinal cord tumors (IMSCTs). However, controversies exist with regard to its real role in maintaining postoperative spinal alignment. The purpose of this study was to examine the incidence of progressive spinal deformity in patients who underwent laminoplasty for resection of IMSCT and identify risk factors for progressive spinal deformity. Read More

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http://dx.doi.org/10.3171/2018.10.SPINE18110DOI Listing
February 2019

Postoperative changes in neurological function after 3-column osteotomy: risk factor analysis of 199 patients.

J Neurosurg Spine 2019 Feb 8:1-6. Epub 2019 Feb 8.

OBJECTIVEThe authors evaluated the neurological outcomes of adult spinal deformity patients after 3-column osteotomy (3CO), including severity and long-term improvement of neurological complications, as well as risk factors for neurological deficit at 1 year postoperatively. Although 3CO is effective for correcting rigid spinal deformity, it is associated with a high complication rate. Neurological deficits, in particular, cause disability and dissatisfaction. Read More

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http://dx.doi.org/10.3171/2018.11.SPINE18698DOI Listing
February 2019

A systematic comparative outcome analysis of surgical versus percutaneous techniques in the management of symptomatic sacral perineural (Tarlov) cysts: a meta-analysis.

J Neurosurg Spine 2019 Feb 8:1-12. Epub 2019 Feb 8.

OBJECTIVESymptomatic perineural or Tarlov cysts (TCs) are a rare cause of chronic low-back pain. Given the rarity of the disease, there is no literature consensus regarding the optimal management of these cysts.METHODSThe authors conducted a systematic comparative outcome analysis of symptomatic TCs treated with surgery (group A, 32 studies, n = 333) or percutaneous interventions (group B, 6 studies, n = 417) analyzing the demographic characteristics, baseline characteristics of the cysts, clinical presentations, types of interventions, complication rates, and the recurrence rate in both treatment groups. Read More

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http://dx.doi.org/10.3171/2018.10.SPINE18952DOI Listing
February 2019

Optimal tether configurations and preload tensioning to prevent proximal junctional kyphosis: a finite element analysis.

J Neurosurg Spine 2019 Feb 8:1-11. Epub 2019 Feb 8.

1Department of Neurosurgery, University of Virginia Health System, Charlottesville, Virginia.

OBJECTIVEProximal junctional kyphosis (PJK) is, in part, due to altered segmental biomechanics at the junction of rigid instrumented spine and relatively hypermobile non-instrumented adjacent segments. Proper application of posteriorly anchored polyethylene tethers (i.e. Read More

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http://dx.doi.org/10.3171/2018.10.SPINE18429DOI Listing
February 2019

Morphometric Characteristics of Sacral-2 Alar Iliac Screw Fixation in Pediatric Population.

Spine (Phila Pa 1976) 2019 Jan 29. Epub 2019 Jan 29.

Department of Spine Surgery, Zhejiang Spine Surgery Centre, Orthopaedic Hospital, The Second Affiliated Hospital and Yuying Children's Hospital of the Wenzhou Medical University, Wenzhou, Zhejiang, 325027, China.

Study Design: A computed tomographic assessment.

Objective: To establish morphometric data of sacral-2 alar iliac screw fixation in pediatric population.

Summary Of Background Data: Studies on morphometric parameters of sacral-2 alar iliac (S2AI) screw fixation are mostly based on adult population. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002916DOI Listing
January 2019

Relationship between Proprioception and Pain and Disability in People with Non-Specific Low Back Pain- A Systematic Review with Meta-Analysis.

Spine (Phila Pa 1976) 2019 Jan 29. Epub 2019 Jan 29.

Faculty of Health Sciences, The University of Sydney, New South Wales, Australia.

Study Design: Systematic review with meta-analysis OBJECTIVE.: To examine the association between proprioception and pain and disability in people with non-specific low back pain (NSLBP) and the impact of potential moderators on the strength of the association SUMMARY OF BACKGROUND DATA.: NSLBP is a common musculoskeletal disorders and a leading cause of disability. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002917DOI Listing
January 2019

Hybrid Growing Rod Technique of Osteotomy with Short Fusion and Spinal Distraction: An Alternative Solution for Long-spanned Congenital Scoliosis.

Spine (Phila Pa 1976) 2019 Jan 29. Epub 2019 Jan 29.

Spine Surgery, Drum Tower Hospital, Nanjing University Medical School.

Study Design: Retrospective study.

Objective: The current study aimed to evaluate the effectiveness of the hybrid growing rod (GR) technique for the treatment of young children with congenital scoliosis (CS).

Summary Of Background Data: Congenital vertebral anomalies within long-spanned kyphoscoliosis was difficult to be managed by either definitive spinal fusion or standard GR technique. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002933DOI Listing
January 2019

Prognostic Factors for Patients with Undifferentiated High Grade Pleomorphic Sarcoma of the Spine.

Spine (Phila Pa 1976) 2019 Jan 29. Epub 2019 Jan 29.

Department of Orthopedic Oncology, Spine Tumor Center, Changzheng Hospital, Second Military Medical University, Shanghai China.

Study Design: Retrospective survival analysis of 44 Undifferentiated high grade pleomorphic sarcoma (UPS) of the spine.

Objective: To identify factors related to overall survival(OS) and help decision making in the treatment of undifferentiated high grade pleomorphic sarcoma of the spine.

Summary Of Background Data: UPS is an aggressive malignant tumor rarely originating from the spine. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002932DOI Listing
January 2019

Anterior and Posterior Approaches for Cervical Myelopathy: Clinical and Radiographic Outcomes.

Spine (Phila Pa 1976) 2019 Jan 29. Epub 2019 Jan 29.

Department of Neurosurgery, University of Iowa Carver College of Medicine, Iowa City, IA 52242 USA.

Study Design: Retrospective cohort OBJECTIVE.: To identify advantages and disadvantages of the anterior and posterior approaches in the treatment of cervical stenosis and myelopathy.

Summary Of Background Data: Both anterior and posterior surgical approaches for cervical stenosis and myelopathy have been shown to result in improvement in health-related outcomes. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002912DOI Listing
January 2019

The Effect of Axial Torsion on the Mechanical Properties of the Annulus Fibrosus.

Spine (Phila Pa 1976) 2019 Feb;44(4):E195-E201

Department of Kinesiology and Physical Education, Wilfrid Laurier University, Waterloo, Ontario, Canada.

Study Design: In-vitro study of the tissue mechanics of annulus fibrosus.

Objective: To determine the effect of axial torsion on the mechanical properties of the inter- and intralamellar matrices.

Summary Of Background Data: Axial torsion, when combined with repetitive flexion, has been associated with an increased risk of intervertebral disc herniation. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002803DOI Listing
February 2019

Back Pain and Co-occurring Conditions: Erratum.

Authors:

Spine (Phila Pa 1976) 2019 Feb;44(4):E259

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http://dx.doi.org/10.1097/BRS.0000000000002990DOI Listing
February 2019

"The Erasmus Bridge connects the South of Rotterdam with the North".

Authors:

Spine (Phila Pa 1976) 2019 Feb;44(4)

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http://dx.doi.org/10.1097/01.brs.0000553594.96524.19DOI Listing
February 2019

Pedicle stress shielding following growing rod implantation: case report.

J Neurosurg Spine 2019 Feb 1:1-5. Epub 2019 Feb 1.

1Department of Neurosurgery, Shriners Hospitals for Children-Philadelphia, Pennsylvania; and.

Growing rod surgery for skeletally immature patients helps correct severe scoliosis while allowing continued spinal column growth. Previous reports have studied vertebral body changes following growing rod surgery, but there are currently no published reports on alterations in pedicle morphology. Given the potential need for definitive spinal fusion with pedicle screw instrumentation, an awareness of changes in pedicle morphology is critical. Read More

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http://dx.doi.org/10.3171/2018.10.SPINE18955DOI Listing
February 2019

PROMIS Physical Function for prediction of postoperative pain, narcotics consumption, and patient-reported outcomes following minimally invasive transforaminal lumbar interbody fusion.

J Neurosurg Spine 2019 Feb 1:1-7. Epub 2019 Feb 1.

OBJECTIVEThis study aimed to determine if the preoperative Patient-Reported Outcomes Measurement Information System, Physical Function (PROMIS PF) score is predictive of immediate postoperative patient pain and narcotics consumption or long-term patient-reported outcomes (PROs) following minimally invasive transforaminal lumbar interbody fusion (MIS TLIF).METHODSA prospectively maintained database was retrospectively reviewed. Patients who underwent primary, single-level MIS TLIF for degenerative pathology were identified and grouped by their preoperative PROMIS PF scores: mild disability (score 40-50), moderate disability (score 30-39. Read More

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http://dx.doi.org/10.3171/2018.9.SPINE18863DOI Listing
February 2019
2 Reads

Treatment of only the fractional curve for radiculopathy in adult scoliosis: comparison to lower thoracic and upper thoracic fusions.

J Neurosurg Spine 2019 Feb 1:1-9. Epub 2019 Feb 1.

Departments of1Neurological Surgery and.

OBJECTIVEMany options exist for the surgical management of adult spinal deformity. Radiculopathy and lumbosacral pain from the fractional curve (FC), typically from L4 to S1, is frequently a reason for scoliosis patients to pursue surgical intervention. The purpose of this study was to evaluate the outcomes of limited fusion of the FC only versus treatment of the entire deformity with long fusions. Read More

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http://dx.doi.org/10.3171/2018.9.SPINE18505DOI Listing
February 2019
1 Read

The Y-shaped trabecular bone structure in the odontoid process of the axis: a CT scan study in 54 healthy subjects and biomechanical considerations.

J Neurosurg Spine 2019 Feb 1:1-8. Epub 2019 Feb 1.

4Professional Dental Studio A.P., Prato, Italy.

OBJECTIVEOdontoid process fractures are very common in both young and geriatric patients. The axial trabecular architecture of the dens appears to be crucial for physiological and biomechanical function of the C1-2 joint. The aim of this study is to demonstrate the presence of a Y-shaped trabecular structure of the dens on axial CT and to describe its anatomical and biomechanical implications. Read More

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http://dx.doi.org/10.3171/2018.9.SPINE18396DOI Listing
February 2019

Patient-Reported Outcomes Measurement Information System instruments: outperforming traditional quality of life measures in patients with back and neck pain.

J Neurosurg Spine 2019 Feb 1:1-6. Epub 2019 Feb 1.

OBJECTIVEThe Patient-Reported Outcomes Measurement Information System (PROMIS) has become increasingly popular due to computer adaptive testing methodology. This study aims to validate the association between PROMIS and legacy outcome metrics and compare PROMIS to legacy metrics in terms of ceiling and floor effects and questionnaire burden.METHODSA retrospective review of an outcomes database was performed at a single institution from December 2016 to April 2017. Read More

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http://dx.doi.org/10.3171/2018.10.SPINE18571DOI Listing
February 2019

Low rates of complications after spinopelvic fixation with iliac screws in 260 adult patients with a minimum 2-year follow-up.

J Neurosurg Spine 2019 Feb 1:1-9. Epub 2019 Feb 1.

OBJECTIVERecent literature describing complications associated with spinopelvic fixation with iliac screws in adult patients has been limited but has suggested high complication rates. The authors' objective was to report their experience with iliac screw fixation in a large series of patients with a 2-year minimum follow-up.METHODSOf 327 adult patients undergoing spinopelvic fixation with iliac screws at the authors' institution between 2010 and 2015, 260 met the study inclusion criteria (age ≥ 18 years, first-time iliac screw placement, and 2-year minimum follow-up). Read More

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http://dx.doi.org/10.3171/2018.9.SPINE18239DOI Listing
February 2019
1 Read

Impact of sagittal spinopelvic alignment on clinical outcomes and health-related quality of life after decompression surgery without fusion for lumbar spinal stenosis.

J Neurosurg Spine 2019 Jan 25:1-6. Epub 2019 Jan 25.

1Department of Orthopaedic Surgery, Japanese Red Cross Shizuoka Hospital, Shizuoka; and.

OBJECTIVEPatients with lumbar spinal stenosis (LSS) tend to bend forward to relieve neurological symptoms. They therefore have a positive sagittal vertical axis (SVA). The importance of the SVA value is well known in the field of adult spinal deformity; however, little is known about its impact on LSS. Read More

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http://dx.doi.org/10.3171/2018.10.SPINE181094DOI Listing
January 2019
1 Read

Odontoid cervical gout causing atlantoaxial instability: case report.

J Neurosurg Spine 2019 Jan 25:1-4. Epub 2019 Jan 25.

Departments of1Neurosurgery and.

The authors present a case report of a patient discovered to have a rotatory subluxation of the C1-2 joint and a large retroodontoid pannus with an enhancing lesion in the odontoid process eventually proving to be caused by gout. This patient represented a diagnostic conundrum as she had known prior diagnoses of not only gout but also sarcoidosis and possible rheumatoid arthritis, and was in the demographic range where concern for an oncological process cannot fully be ruled out. Because she presented with signs and symptoms of atlantoaxial instability, she required posterior stabilization to reduce the rotatory subluxation and to stabilize the C1-2 instability. Read More

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http://dx.doi.org/10.3171/2018.9.SPINE18122DOI Listing
January 2019
6 Reads

Utility of topical tranexamic acid for adult patients with spinal deformity and contraindications to systemic tranexamic acid: initial experience and report of 2 cases.

J Neurosurg Spine 2019 Jan 25:1-6. Epub 2019 Jan 25.

Departments of1Neurosurgery and.

Tranexamic acid (TXA) is an antifibrinolytic agent with demonstrated efficacy in reducing blood loss when administered systemically. However, in patients with contraindications to systemic or intravenous TXA, topical TXA (tTXA) has been shown to reduce perioperative blood loss, with some studies suggesting equivalence compared to systemic TXA. However, these studies have been conducted in healthy cohorts without contraindications to systemic TXA. Read More

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http://dx.doi.org/10.3171/2018.9.SPINE18204DOI Listing
January 2019
2 Reads

Diffusion tensor tractography of the lumbar nerves before a direct lateral transpsoas approach to treat degenerative lumbar scoliosis.

J Neurosurg Spine 2019 Jan 25:1-9. Epub 2019 Jan 25.

2Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba.

OBJECTIVEThe purpose of this study was to determine the relationship between vertebral bodies, psoas major morphology, and the course of lumbar nerve tracts using diffusion tensor imaging (DTI) before lateral interbody fusion (LIF) to treat spinal deformities.METHODSDTI findings in a group of 12 patients (all women, mean age 74.3 years) with degenerative lumbar scoliosis (DLS) were compared with those obtained in a matched control group of 10 patients (all women, mean age 69. Read More

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http://dx.doi.org/10.3171/2018.9.SPINE18834DOI Listing
January 2019
1 Read

Enhanced recovery after elective spinal and peripheral nerve surgery: pilot study from a single institution.

J Neurosurg Spine 2019 Jan 25:1-9. Epub 2019 Jan 25.

1Department of Neurosurgery.

OBJECTIVEEnhanced recovery after surgery (ERAS) protocols address pre-, peri-, and postoperative factors of a patient's surgical journey. The authors sought to assess the effects of a novel ERAS protocol on clinical outcomes for patients undergoing elective spine or peripheral nerve surgery.METHODSThe authors conducted a prospective cohort analysis comparing clinical outcomes of patients undergoing elective spine or peripheral nerve surgery after implementation of the ERAS protocol compared to a historical control cohort in a tertiary care academic medical center. Read More

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http://dx.doi.org/10.3171/2018.9.SPINE18681DOI Listing
January 2019
1 Read

Complications for minimally invasive lateral interbody arthrodesis: a systematic review and meta-analysis comparing prepsoas and transpsoas approaches.

J Neurosurg Spine 2019 Jan 25:1-15. Epub 2019 Jan 25.

OBJECTIVEMinimally invasive anterolateral retroperitoneal approaches for lumbar interbody arthrodesis have distinct advantages attractive to spine surgeons. Prepsoas or transpsoas trajectories can be employed with differing complication profiles because of the inherent anatomical differences encountered in each approach. The evidence comparing them remains limited because of poor quality data. Read More

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http://dx.doi.org/10.3171/2018.9.SPINE18800DOI Listing
January 2019
1 Read

The Relationship between Lumbar Lateral Listhesis and Radiculopathy in Adult Scoliosis.

Spine (Phila Pa 1976) 2019 Jan 14. Epub 2019 Jan 14.

Department of Orthopaedic Surgery.

MINI: Lumbar lateral listhesis is associated with the presence of lumbar radiculopathy in adult scoliosis. A classification of lumbar lateral listhesis was developed accordingly, demonstrating a considerable probability of having radicular leg pain in Type 2 or 3 lateral listhesis. This classification was then validated in a prospective cohort. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002986DOI Listing
January 2019
3 Reads

The Effect of Proton Pump Inhibitors on Bone Formation in a Rat Spinal Arthrodesis Model.

Spine (Phila Pa 1976) 2019 Jan 14. Epub 2019 Jan 14.

Loyola University Medical Center, Maywood, IL.

MINI: Despite known negative effects on bone health and bone healing, proton pump inhibitors are commonly prescribed to orthopaedic patients for gastrointestinal disorders. Significant rates of pseudarthrosis persist in spine surgery despite advances in techniques and instrumentation. Proton pump inhibitor administration did not negatively affect fusion rates in this rodent model. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002987DOI Listing
January 2019
2 Reads

What Are the Costs of Cervical Radiculopathy Prior to Surgical Treatment?

Spine (Phila Pa 1976) 2019 Jan 14. Epub 2019 Jan 14.

Spine Surgery, Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa.

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http://dx.doi.org/10.1097/BRS.0000000000002983DOI Listing
January 2019
3 Reads
2.297 Impact Factor

Failure of Pelvic Compensation in Patients with Severe Positive Sagittal Imbalance: Comparison between Static Radiographs and Gait Analysis of Spinopelvic Parameters in Adult Spinal Deformity and Lumbar Stenosis.

Spine (Phila Pa 1976) 2019 Jan 14. Epub 2019 Jan 14.

Spine Center and Department of Orthopaedic Surgery, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seoul, Republic of Korea.

MINI: The present study showed that the failure of pelvic compensation would likely occur in patients with severe positive sagittal imbalance during walking.

Study Design: Case-control study for motion analysis.

Objective: To compare spinopelvic parameters using static radiographs with the values obtained using motion analysis during gait between adult spinal deformity (ASD) or lumbar spinal stenosis (LSS). Read More

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http://dx.doi.org/10.1097/BRS.0000000000002985DOI Listing
January 2019
4 Reads

Surgical Outcomes of Anterior Versus Posterior Fusion in Lenke Type 1 Adolescent Idiopathic Scoliosis.

Spine (Phila Pa 1976) 2019 Jan 14. Epub 2019 Jan 14.

Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.

MINI: Patients with Lenke type 1 idiopathic scoliosis can be effectively managed surgically with an anterior or posterior approach. However, each approach has specific advantages and challenges, as described in this study, which must be considered before treating each patient.

Study Design: Retrospective study. Read More

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http://Insights.ovid.com/crossref?an=00007632-900000000-9474
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http://dx.doi.org/10.1097/BRS.0000000000002984DOI Listing
January 2019
8 Reads

Functional Outcome of Elderly Patients Treated for Odontoid Fracture: A Multicenter Study.

Spine (Phila Pa 1976) 2019 Jan 14. Epub 2019 Jan 14.

Neurosurgery Division, "M. Bufalini" Hospital, Cesena, Italy.

MINI: Functional outcome of elderly patients treated for odontoid fracture is strictly related to their pre-injury level of function and comorbidity. Compared with conservative external immobilizations, surgery revealed no advantages in the elderly in terms of functional outcome.

Study Design: Retrospective multicenter study. Read More

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http://Insights.ovid.com/crossref?an=00007632-900000000-9474
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http://dx.doi.org/10.1097/BRS.0000000000002982DOI Listing
January 2019
9 Reads

Effects of Athermal Shortwave Diathermy Treatment on Somatosensory Evoked Potentials and Motor Evoked Potentials in Rats With Spinal Cord Injury.

Spine (Phila Pa 1976) 2019 Jan 14. Epub 2019 Jan 14.

Department of Rehabilitation Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

MINI: We have explored the effects of athermal shortwave diathermy (SWD) in spinal cord injury (SCI). Sprague-Dawley rats received athermal SWD treatment at 24 hours after SCI. The Basso, Beattie, and Bresnahan scales and somatosensory evoked potentials and motor evoked potentials were used to measure changes of neurological function. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002980DOI Listing
January 2019
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The Effect of Core Stabilization Exercises on Trunk-Pelvis Three-Dimensional Kinematics During Gait in Non-Specific Chronic Low Back Pain.

Spine (Phila Pa 1976) 2019 Jan 14. Epub 2019 Jan 14.

Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences and Health Services, Tehran, Iran.

MINI: We evaluate the effect of core training program (CTP) on the trunk-pelvis kinematics during gait between chronic low back pain (CLBP) and healthy. CTP increased the frontal and transverse planes pattern variability in CLBP. However, there was a significant higher the sagittal plane pattern variability in healthy participants compared with CLBP after the intervention. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002981DOI Listing
January 2019
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Multidisciplinary surgical planning for en bloc resection of malignant primary cervical spine tumors involving 3D-printed models and neoadjuvant therapies: report of 2 cases.

J Neurosurg Spine 2019 Jan 18:1-8. Epub 2019 Jan 18.

1Department of Neurosurgery, The Johns Hopkins School of Medicine, Baltimore, Maryland; and.

Effective en bloc resection of primary spinal tumors necessitates careful consideration of adjacent anatomical structures in order to achieve negative margins and reduce surgical morbidity. This can be particularly challenging in the cervical spine, where vital neurovascular and connective tissues are present in the region. Early multidisciplinary surgical planning that includes clinicians and engineers can both optimize surgical planning and enable a more feasible resection with oncological margins. Read More

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http://dx.doi.org/10.3171/2018.9.SPINE18607DOI Listing
January 2019
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Lateral lumbar interbody fusion without intraoperative neuromonitoring: a single-center consecutive series of 157 surgeries.

J Neurosurg Spine 2019 Jan 18:1-7. Epub 2019 Jan 18.

1Department of Neurosurgery, Klinikum rechts der Isar, Technische Universität München, Munich, Germany; and.

OBJECTIVELateral lumbar interbody fusion (LLIF) is frequently used for anterior column stabilization. Many authors have reported that intraoperative neuromonitoring (IONM) of the lumbar plexus nerves is mandatory for this approach. However, even with IONM, the reported motor and sensory deficits are still considerably high. Read More

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http://dx.doi.org/10.3171/2018.9.SPINE18588DOI Listing
January 2019
2 Reads