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Postoperative Complications of Surgery for Cervical Spondylotic Myelopathy with and Without Athetoid Cerebral Palsy Global Spine J. (IF 2.4) Pub Date : 2024-03-12 Naohiro Tachibana, Nobuaki Michihata, Takeshi Oichi, Kosei Nagata, Hideki Nakamoto, Nozomu Ohtomo, Yuichi Yoshida, Koji Nakajima, Junya Miyahara, So Kato, Toru Doi, Yuki Taniguchi, Yoshitaka Matsubayashi, Sakae Tanaka, Hideo Yasunaga, Yasushi Oshima
Study DesignRetrospective cohort study.ObjectivesWith the aging of the Japanese population, patients with athetoid cerebral palsy (ACP) are getting older, and the rate of surgery for CSM is increasing in ACP patients. However, postoperative complications of such surgery among adult patients with ACP have not been reported yet. We investigated postoperative complications of surgery for CSM with ACP
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Does Patient Blood Management Affect Outcomes in Metastatic Spine Tumour Surgery? A Review of Current Concepts Global Spine J. (IF 2.4) Pub Date : 2024-03-08 Naresh Kumar, Eunice Xin Yi Lee, Si Jian Hui, Laranya Kumar, Jiong Hao Jonathan Tan, Balakrishnan Ashokka
Study DesignNarrative review.ObjectiveThe spine is the most common site of metastases, associated with decreased quality of life. Increase in metastatic spine tumour surgery (MSTS) has caused us to focus on the management of blood, as blood loss is a significant morbidity in these patients. However, blood transfusion is also not without its own risks, and hence this led to blood conservation strategies
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Letter to the Editor Regarding, “Getting Rid of Non-specific Low Back Pain” by Wiechert et al. Global Spine J. (IF 2.4) Pub Date : 2024-03-06 Luk Devorski, Bryan O’Halloran
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Scoping Review with Topic Modeling on the Diagnostic Criteria for Degenerative Cervical Myelopathy Global Spine J. (IF 2.4) Pub Date : 2024-03-05 Stavros Matsoukas, Carl Moritz Zipser, Freschta Zipser-Mohammadzada, Najmeh Kheram, Andrea Boraschi, Zhilin Jiang, Lindsay Tetreault, Michael G. Fehlings, Benjamin M. Davies, Konstantinos Margetis
Study DesignThis study is a scoping review.ObjectiveThere is a broad variability in the definition of degenerative cervical myelopathy (DCM) and no standardized set of diagnostic criteria to date.MethodsWe interrogated the Myelopathy.org database, a hand-indexed database of primary clinical studies conducted exclusively on DCM in humans between 2005-2021. The DCM inclusion criteria used in these studies
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AO Spine Guideline for the Use of Osteobiologics (AOGO) in Anterior Cervical Discectomy and Fusion for Spinal Degenerative Cases Global Spine J. (IF 2.4) Pub Date : 2024-02-29 Hans Jörg Meisel, Amit Jain, Yabin Wu, Christopher T. Martin, Juan Pablo Cabrera, Sathish Muthu, Waeel O. Hamouda, Ricardo Rodrigues-Pinto, Jacobus J. Arts, Arun-Kumar Viswanadha, Gianluca Vadalà, Pieter-Paul A. Vergroesen, Stipe Ćorluka, Patrick C. Hsieh, Andreas K. Demetriades, Kota Watanabe, John H. Shin, K. Daniel Riew, Luca Papavero, Gabriel Liu, Zhuojing Luo, Sashin Ahuja, Tamás Fekete, Atiq
Study designGuidelineObjectivesTo develop an international guideline (AOGO) about the use of osteobiologics in anterior cervical discectomy and fusion (ACDF) for treating degenerative spine conditions.MethodsThe guideline development process was guided by AO Spine Knowledge Forum Degenerative (KF Degen) and followed the Guideline International Network McMaster Guideline Development Checklist. The process
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What Is the Evidence Supporting Osteobiologic Use in Revision Anterior Cervical Discectomy and Fusion? Global Spine J. (IF 2.4) Pub Date : 2024-02-29 Sathish Muthu, Sara Elisa Diniz, Vibhu Krishnan Viswanathan, Patrick C. Hsieh, Aidin Abedi, Tim Yoon, Hans Jörg Meisel, Zorica Buser, Ricardo Rodrigues-Pinto, AO Spine Knowledge Forum Degenerative
Study designSystematic literature reviewObjectiveTo analyze the literature and describe the evidence supporting osteobiologic use in revision anterior cervical discectomy and fusion (ACDF) surgery.MethodsA systematic search of PubMed/MEDLINE, EMBASE, Cochrane library, and ClinicalTrials.gov databases was conducted for literature reporting the use of osteobiologics in revision ACDF. We searched for
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Letter re: Letter to the Editor - Global Spine in Response to Fushimi et al Global Spine J. (IF 2.4) Pub Date : 2024-02-29 Luis M. Tumialán, Nicholas Theodore
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Predicting the Probability of Tumor-Specific Survival in Patients Diagnosed With Primary Tumors in the Spinal Cord Using Nomogram Models Global Spine J. (IF 2.4) Pub Date : 2024-02-26 Chao Huang, Tingting Tang, Zichuan Ding, Haoyang Wang, Zongke Zhou
Study DesignA retrospective cohort study.ObjectiveThe goal of this study was to develop a useful clinical prediction nomogram to accurately predict the cancer-specific survival (CSS) of patients with primary spinal cord tumor (SCT), thereby formulating scientific prevention and aiding clinical decision-making.MethodsIn this study, patients with SCT diagnoses from the surveillance, epidemiology, and
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Frailty Influence on Postoperative Surgical Site Infections After Surgery for Degenerative Spine Disease and Adult Spine Deformity. Can a Frailty Index be a Valuable Summary Risk Indicator? A Systematic Review and Metanalysis of the Current Literature Global Spine J. (IF 2.4) Pub Date : 2024-02-21 Marco Manzetti, Alberto Ruffilli, Giovanni Viroli, Matteo Traversari, Marco Ialuna, Francesca Salamanna, Simona Neri, Cesare Faldini
Study DesignMetanalysis.ObjectiveSurgical site infections (SSI) is one of the commonest postoperative adverse events after spine surgery. Frailty has been described as a valuable summary risk indicator for SSI in spine surgery. The aim of this metanalysis is to evaluate the influence of frailty on postoperative SSI in this cohort and provide hints on which index can predict the risk of SSI.MethodsPapers
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Reliability of Vertebral Pelvic Angles in Assessment of Spinal Alignment Global Spine J. (IF 2.4) Pub Date : 2024-02-21 Hiroyuki Nakarai, Chad Z. Simon, Samuel Adida, Justin Samuel, Kasra Araghi, Han Jo Kim, Francis C. Lovecchio
Study DesignReliability analysis.ObjectivesVertebral pelvic angles (VPA) are gaining popularity given their ability to describe the shape of the spine. Understanding the reliability and minimal detectable change (MDC) is necessary to determine how these measurement tools should be used in the manual assessment of spine radiographs. Our aim is to assess intra- and interobserver intraclass correlation
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Are Patients With Segmental Cervical Kyphosis Appropriate Candidates for Cervical Disc Arthroplasty (CDA)? A Clinical and Radiographic Analysis Compared to Anterior Cervical Discectomy and Fusion (ACDF) Global Spine J. (IF 2.4) Pub Date : 2024-02-15 George Abdelmalek, Daniel Coban, Neil Patel, Stuart Changoor, Nikhil Sahai, Kumar Sinha, Ki Hwang, Arash Emami
Study DesignRetrospective cohort study.ObjectivesTo compare the clinical and radiographic outcomes of Anterior Cervical Discectomy and fusion (ACDF) and cervical disc arthroplasty (CDA) in patients with preoperative segmental kyphosis.MethodsPatients with segmental cervical kyphosis at the operative levels undergoing 1- or 2-level ACDF or CDA from 2017 to 2020 with 2 years of follow were identified
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Role of Topical Tranexamic Acid on Blood Loss and Transfusion Requirements in Spinal Fusion for Neuromuscular and Syndromic Scoliosis Global Spine J. (IF 2.4) Pub Date : 2024-02-15 Osvaldo Conde, Subaraman Ramchandran, Ergin Coskun, Andrew Pierce, Sassan Keshavarzi, Thomas Errico, Stephen George
Study DesignRetrospective case control study.ObjectivesTo determine the role of TXA when used as topical soaked sponges (tTXA) on peri-operative blood loss and changes in hemoglobin following posterior spinal fusion (PSF) for neuromuscular and syndromic scoliosis (NMS).MethodsA single center review of NMS patients who underwent PSF was conducted. The initial set of patients where no tTXA (control)
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The Role of Trabecular, Ligamentous-Intervertebral Disk and Facet Joints Systems: A Finite Element Analysis in the L4-S1 Vertebrae Global Spine J. (IF 2.4) Pub Date : 2024-02-12 José Alejandro Guerrero-Vargas, Pablo Sanchez-Quinones, Brayan Felipe Pinzón, Melisa Vélez-Muriel, Humberto Madriñan-Navia, Leonardo Laverde-Frade
Study DesignDescriptive.ObjectivesTrabecular bone in the vertebrae is critical for the distribution of load and stress throughout the neuroaxis, as well as the intervertebral disk, ligamentous complex, and facet joints. The objective was to assess the stress and strain distribution of the L4-S1 spine segment by a finite element analysis.MethodsA lumbosacral spine model was built based on a CT-Scan
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Return to Play, Performance, and Earnings Analysis After Lumbar Disc Herniation in National Hockey League Players Global Spine J. (IF 2.4) Pub Date : 2024-02-08 Michael A. Gaudiani, Joshua P. Castle, Matthew K. Easton, Thomas J. Sprys-Tellner, Trevor D. Wolterink, Jager W. Haan, Gary F. George, Susan G. Wager, T. Sean Lynch, Ryan J. Berger
Study DesignRetrospective cohort study.ObjectiveProfessional hockey players have a high incidence of lumbar disc herniations (LDH). The purpose of this study was to determine the impact of LDH on the performance and financial earnings of National Hockey League (NHL) players.MethodsNHL players who sustained a LDH were retrospectively reviewed utilizing an online database and a 2:1 matched control cohort
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Using Equipoise to Determine the Radiographic Characteristics Leading to Agreement on Best Treatment for Thoracolumbar Burst Fractures Without Neurologic Deficits Global Spine J. (IF 2.4) Pub Date : 2024-02-07 Charlotte Dandurand, Marcel F. Dvorak, Olesja Hazenbiller, Richard J. Bransford, Klaus J. Schnake, Alexander R. Vaccaro, Lorin M. Benneker, Emiliano Vialle, Gregory D. Schroeder, Shanmuganathan Rajasekaran, Mohammad El-Skarkawi, Rishi M. Kanna, Mohamed M. Aly, Martin Holas, Jose A. Canseco, Sander Muijs, Eugen C. Popescu, Jin Wee Tee, Gaston Camino-Willhuber, Andrei Fernandes Joaquim, Ory Keynan, Harvinder
Study DesignRetrospective analysis of prospectively collected data.ObjectivesOur goal was to assess radiographic characteristics associated with agreement and disagreement in treatment recommendation in thoracolumbar (TL) burst fractures.MethodsA panel of 22 AO Spine Knowledge Forum Trauma experts reviewed 183 cases and were asked to: (1) classify the fracture; (2) assess degree of certainty of PLC
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Understanding Decision Making as It Influences Treatment in Thoracolumbar Burst Fractures Without Neurological Deficit: Conceptual Framework and Methodology Global Spine J. (IF 2.4) Pub Date : 2024-02-07 Charlotte Dandurand, Cumhur F. Öner, Olesja Hazenbiller, Richard J. Bransford, Klaus Schnake, Alexander R. Vaccaro, Lorin M. Benneker, Emiliano Vialle, Gregory D. Schroeder, Shanmuganathan Rajasekaran, Mohammad El-Skarkawi, Rishi M. Kanna, Mohamed Aly, Martin Holas, Jose A. Canseco, Sander Muijs, Eugen Cezar Popescu, Jin Wee Tee, Gaston Camino-Willhuber, Andrei Fernandes Joaquim, Ory Keynan, Harvinder
Study DesignThis paper presents a description of a conceptual framework and methodology that is applicable to the manuscripts that comprise this focus issue.ObjectivesOur goal is to present a conceptual framework which is relied upon to better understand the processes through which surgeons make therapeutic decisions around how to treat thoracolumbar burst fractures (TL) fractures.MethodsWe will describe
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Expert Opinion, Real-World Classification, and Decision-Making in Thoracolumbar Burst Fractures Without Neurologic Deficits? Global Spine J. (IF 2.4) Pub Date : 2024-02-07 Gaston Camino-Willhuber, Sebastian Bigdon, Charlotte Dandurand, Marcel F. Dvorak, Cumhur F. Öner, Klaus Schnake, Sander Muijs, Lorin M. Benneker, Emiliano Vialle, Jin W. Tee, Ory Keynan, Harvinder S. Chhabra, Andrei F. Joaquim, Eugen C. Popescu, Jose A. Canseco, Martin Holas, Rishi M. Kanna, Mohamed M. Aly, Nader Fallah, Gregory D. Schroeder, Ulrich Spiegl, Mohammad El-Skarkawi, Richard J. Bransford
Study DesignRetrospective analysis of prospectively collected data.ObjectivesTo compare decision-making between an expert panel and real-world spine surgeons in thoracolumbar burst fractures (TLBFs) without neurological deficits and analyze which factors influence surgical decision-making.MethodsThis study is a sub-analysis of a prospective observational study in TL fractures. Twenty two experts were
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What Factors Influence Surgeons in Decision-Making in Thoracolumbar Burst Fractures? A Survey-Based Investigation of a Panel of Spine Surgery Experts Global Spine J. (IF 2.4) Pub Date : 2024-02-07 Klaus J. Schnake, Marcel F. Dvorak, Cumhur F. Öner, Charlotte Dandurand, Sander Muijs, Sebastian F. Bigdon
Study DesignCross-sectional survey study.ObjectiveTo investigate factors affecting decision-making in thoracolumbar burst-fractures without neurologic deficit.MethodsA 40-question survey addressing expert-related, economic, and radiological factors was distributed to 30 international trauma experts. Descriptive statistics were used to assess the impact of these factors on operative or non-operative
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Pedicle Dysplasia in Proximal Thoracic Adolescent Idiopathic Scoliosis Curves: What are We Missing and What are its Possible Surgical Implications? An Observational Retrospective Study on 104 Patients Global Spine J. (IF 2.4) Pub Date : 2024-02-07 Giovanni Viroli, Alberto Ruffilli, Francesca Barile, Marco Manzetti, Matteo Traversari, Cesare Faldini
Study DesignRetrospective cohort study.ObjectivesTo assess if pedicle dysplasia is present in proximal thoracic (PT), both structural and nonstructural, compared to main thoracic (MT) curves; and to assess if it is predictive of radiographic outcomes at minimum 2 years of follow-up.MethodsA retrospective review of surgically-treated Adolescent Idiopathic Scoliosis (AIS) patients with Lenke 1-2-3-4
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Radiofrequency Denervation of the Spine and the Sacroiliac Joint: A Systematic Review based on the Grades of Recommendations, Assesment, Development, and Evaluation Approach Resulting in a German National Guideline Global Spine J. (IF 2.4) Pub Date : 2024-02-07 Stephan Klessinger, Hans-Raimund Casser, Sebastian Gillner, Holger Koepp, Andreas Kopf, Martin Legat, Katharina Meiler, Heike Norda, Markus Schneider, Matti Scholz, Phillipp J. Slotty, Volker Tronnier, Martin Vazan, Karsten Wiechert
Study DesignSystematic review of the literature and subsequent meta-analysis for the development of a new guideline.ObjectivesThis manuscript summarizes the recommendations from a new clinical guideline published by the German Spine Society. It covers the current evidence on recommendations regarding the indication, test blocks and use of radiofrequency denervation. The guidelines aim is to improve
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The AO Spine Thoracolumbar Injury Classification System and Treatment Algorithm in Decision Making for Thoracolumbar Burst Fractures Without Neurologic Deficit Global Spine J. (IF 2.4) Pub Date : 2024-02-07 Barry T. S. Kweh, Jin Wee Tee, Charlotte Dandurand, Alexander R. Vaccaro, Benneker M. Lorin, Klaus Schnake, Emiliano Vialle, Shanmuganathan Rajasekaran, Mohammad El-Skarkawi, Richard J. Bransford, Rishi M. Kanna, Mohamed M. Aly, Martin Holas, Jose A. Canseco, Sander Muijs, Eugen C. Popescu, Gaston Camino-Willhuber, Andrei F. Joaquim, Harvinder S. Chhabra, Sebastian Frederick Bigdon, Ulrich Spiegel
Study DesignProspective Observational Study.ObjectiveTo determine the alignment of the AO Spine Thoracolumbar Injury Classification system and treatment algorithm with contemporary surgical decision making.Methods183 cases of thoracolumbar burst fractures were reviewed by 22 AO Spine Knowledge Forum Trauma experts. These experienced clinicians classified the fracture morphology, integrity of the posterior
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Predictive Algorithm for Surgery Recommendation in Thoracolumbar Burst Fractures Without Neurological Deficits Global Spine J. (IF 2.4) Pub Date : 2024-02-07 Charlotte Dandurand, Nader Fallah, Cumhur F. Öner, Richard J. Bransford, Klaus Schnake, Alexander R. Vaccaro, Lorin M. Benneker, Emiliano Vialle, Gregory D. Schroeder, Shanmuganathan Rajasekaran, Mohammad El-Skarkawi, Rishi M. Kanna, Mohamed Aly, Martin Holas, Jose A Canseco, Sander Muijs, Eugen Cezar Popescu, Jin Wee Tee, Gaston Camino-Willhuber, Andrei Fernandes Joaquim, Ory Keynan, Harvinder Singh
Study designPredictive algorithm via decision treeObjectivesArtificial intelligence (AI) remain an emerging field and have not previously been used to guide therapeutic decision making in thoracolumbar burst fractures. Building such models may reduce the variability in treatment recommendations. The goal of this study was to build a mathematical prediction rule based upon radiographic variables to
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Interobserver Reliability in the Classification of Thoracolumbar Fractures Using the AO Spine TL Injury Classification System Among 22 Clinical Experts in Spine Trauma Care Global Spine J. (IF 2.4) Pub Date : 2024-02-07 Jose A. Canseco, Taylor Paziuk, Gregory D. Schroeder, Marcel F. Dvorak, Cumhur F. Öner, Lorin M. Benneker, Emiliano Vialle, Shanmuganathan Rajasekaran, Mohammad El-Sharkawi, Richard J. Bransford, Rishi M. Kanna, Martin Holas, Sander Muijs, Eugen Cezar Popescu, Charlotte Dandurand, Jin W. Tee, Gaston Camino-Willhuber, Mohamed M. Aly, Andrei Fernandes Joaquim, Ory Keynan, Harvinder Singh Chhabra, Sebastian
Study DesignReliability study utilizing 183 injury CT scans by 22 spine trauma experts with assessment of radiographic features, classification of injuries and treatment recommendations.ObjectivesTo assess the reliability of the AOSpine TL Injury Classification System (TLICS) including the categories within the classification and the M1 modifier.MethodsKappa and Intraclass correlation coefficients
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Prediction Model and Risk Factor Analysis of Adjacent Segment Disease After L4-5 Transforaminal Lumbar Interbody Fusion Through Preoperative Radiographic Features Global Spine J. (IF 2.4) Pub Date : 2024-02-07 Zi-Jian Zhang, Lu Chen, Lei Zhu, Hang Shi, Fu-Yu Zhang, Zan-Li Jiang, Xiao-Tao Wu
Study DesignA retrospective study.ObjectiveTo investigate the risk of adjacent segment disease (ASD) after L4-5 transforaminal lumbar interbody fusion (TLIF) in patients diagnosed with lumbar spinal stenosis (LSS), a prediction model for ASD is established and validated.MethodsA retrospective study was carried out on a sample of 290 patients who underwent L4-5 TLIF at Zhongda Hospital, Southeast University
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The Influence of Comminution and Posterior Ligamentous Complex Integrity on Treatment Decision Making in Thoracolumbar Burst Fractures Without Neurologic Deficit? Global Spine J. (IF 2.4) Pub Date : 2024-02-07 Mohamed M. Aly, Charlotte Dandurand, Marcel F. Dvorak, Cumhur F. Öner, Klaus Schnake, Sanders Mujis, Lorin M. Benneker, Emiliano Vialle, Shanmuganathan Rajasekaran, Mohammad El-Skarkawi, Rishi M. Kanna, Martin Holas, Eugen Cezar Popescu, Jin W. Tee, Gaston Camino-Willhuber, Andrei Fernandes Joaquim, Ory Kenyan, Harvinder Singh Chhabra, Sebastian Bigdon, Ulrich Spiegel, Gregory D. Schroeder, Jose A
Study DesignA prospective study.Objectiveto evaluate the impact of vertebral body comminution and Posterior Ligamentous Complex (PLC) integrity on the treatment recommendations of thoracolumbar fractures among an expert panel of 22 spine surgeons.MethodsA review of 183 prospectively collected thoracolumbar burst fracture computed tomography (CT) scans by an expert panel of 22 trauma spine surgeons
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Robot-Assisted Lumbar Pedicle Screw Placement Based on 3D Magnetic Resonance Imaging Global Spine J. (IF 2.4) Pub Date : 2024-02-07 Franziska C. S. Altorfer, Marco D. Burkhard, Michael J. Kelly, Fedan Avrumova, Darryl B. Sneag, J. Levi Chazen, Ek T. Tan, Darren R. Lebl
Study DesignHuman Cadaveric Study.ObjectiveThis study aims to explore the feasibility of using preoperative magnetic resonance imaging (MRI), zero-time-echo (ZTE) and spoiled gradient echo (SPGR), as source data for robotic-assisted spine surgery and assess the accuracy of pedicle screws.MethodsZero-time-echo and SPGR MRI scans were conducted on a human cadaver. These images were manually post-processed
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Increased Time to Fixation After Traumatic Spinal Cord Injury Influenced by Race and Insurance Status Global Spine J. (IF 2.4) Pub Date : 2024-02-06 Jon Raso, Pramod Kamalapathy, Eric Solomon, Elizabeth Driskill, Kristina Kurker, Aditya Joshi, Hamid Hassanzadeh
Study DesignRetrospective Cohort Study.ObjectivesAlthough the optimal timing of surgical intervention for traumatic spinal cord injury (TSCI) is controversial, early intervention has been recognized as being beneficial in several studies. The objective of this study was to evaluate the socioeconomic factors that may delay time to surgical fixation in the management of TSCI.MethodsThe present study
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The Method of Portal Making in Lumbar Unilateral Biportal Endoscopic Surgery with Different Operative Approaches According to the Constant Anatomical Landmarks of the Lumbar Spine: A Review of the Literature Global Spine J. (IF 2.4) Pub Date : 2024-02-05 Yixi Wang, Abulikemu Maimaiti, Abudusalamu Tuoheti, Yang Xiao, Rui Zhang, Alafate Kahaer, Dongshan Liu, Paerhati Rexiti
Study DesignReview.ObjectiveUnilateral Biportal Endoscopy (UBE) is a minimally invasive surgery that is gaining recognition and being employed in clinical practice. Nevertheless, the precise method for determining UBE portals’ location varies depending on the originator’s preferences or the anatomical structure’s proximity to the portal positions. Consequently, the relationship among UBE portals' locations
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Resolution of Radiculopathy Following Indirect Versus Direct Decompression in Single Level Lumbar Fusion Global Spine J. (IF 2.4) Pub Date : 2024-02-05 Arnaav Walia, Fares Ani, Constance Maglaras, Tina Raman, Charla Fischer
Study DesignRetrospective analysis.ObjectivesTo evaluate resolution of radiculopathy in one-level lumbar fusion with indirect or direct decompression techniques.MethodsPatients ≥18 years of age with preoperative radiculopathy undergoing single-level lumbar fusion with up to 2-year follow-up were grouped by indirect and direct decompression. Direct decompression (DD) group included ALIF and LLIF with
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Risk Factors for Reoperation Following Single-Level Cervical Disc Arthroplasty as Utilized in a Representative Sample of United States Clinical Practice: A Retrospective PearlDiver Study Global Spine J. (IF 2.4) Pub Date : 2024-01-27 Paal K. Nilssen, Nakul Narendran, Ida Chen, Linda E. Kanim, Corey T. Walker, Hyun W. Bae, David L. Skaggs, Alexander Tuchman
Study DesignRetrospective Cohort.ObjectivesMost data regarding cervical disc arthroplasty (CDA) outcomes are from highly controlled clinical trials with strict inclusion/exclusion criteria. This study aimed to identify risk factors for CDA reoperation, in “real world” clinical practice using a national insurance claims database.MethodsThe PearlDiver database was queried for patients (2010-2020) who
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Novel AI-Based Algorithm for the Automated Measurement of Cervical Sagittal Balance Parameters. A Validation Study on Pre- and Postoperative Radiographs of 129 Patients Global Spine J. (IF 2.4) Pub Date : 2024-01-26 Sophia Vogt, Carolin Scholl, Priyanka Grover, Julian Marks, Marcel Dreischarf, Ulf-Dietrich Braumann, Patrick Strube, Alexander Hölzl, Sabrina Böhle
Study DesignRetrospective, mono-centric cohort research study.ObjectivesThe analysis of cervical sagittal balance parameters is essential for preoperative planning and dependent on the physician’s experience. A fully automated artificial intelligence-based algorithm could contribute to an objective analysis and save time. Therefore, this algorithm should be validated in this study.MethodsTwo surgeons
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Characterizing Gabapentinoid Use Among Patients With Isolated Low Back Pain Global Spine J. (IF 2.4) Pub Date : 2024-01-25 Gwyneth C. Maloy, Scott J. Halperin, Philip P. Ratnasamy, Jonathan N. Grauer
Study DesignRetrospective cohort study.ObjectivesGabapentinoids have been increasingly studied as a non-narcotic option for neuropathic and postoperative pain. However, there is evidence suggesting that off-label use of these medications for the treatment of isolated LBP is not effective. The purpose of the current study was to evaluate prescription patterns for gabapentinoids among patients with isolated
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Lumbar Total Disc Replacements for Degenerative Disc Disease: A Systematic Review of Outcomes With a Minimum of 5 years Follow-Up Global Spine J. (IF 2.4) Pub Date : 2024-01-24 David J. Wen, Javad Tavakoli, Joanne L. Tipper
Study DesignSystematic Review.ObjectivesTo systematically review the clinical outcomes, re-operation, and complication rates of lumbar TDR devices at mid-to long-term follow-up studies for the treatment of lumbar degenerative disc disease (DDD).MethodsA systematic search was conducted on PubMed, SCOPUS, and Google Scholar to identify follow-up studies that evaluated clinical outcomes of lumbar TDR
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The Utility of the Validated Intraoperative Bleeding Scale in Thoracolumbar Spine Surgery: A Single-Center Prospective Study Global Spine J. (IF 2.4) Pub Date : 2024-01-24 Ryan A. Smith, Tyler J. Pease, Anthony K. Chiu, Brian M. Shear, Mario N. Sahlani, Amit S. Ratanpal, Ivan B. Ye, Alexandra E. Thomson, Louis J. Bivona, Julio J. Jauregui, Kenneth M. Crandall, Charles A. Sansur, Daniel L. Cavanaugh, Eugene Y. Koh, Steven C. Ludwig
Study DesignProspective, single-center study.ObjectiveTo evaluate the clinical relevance of the validated intraoperative bleeding severity scale (VIBe) in thoracolumbar spine surgery.MethodsAdult patients aged 18 through 88 undergoing elective decompression, instrumentation, and fusion of the thoracolumbar spine were prospectively enrolled after informed consent was provided and written consent was
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A Prospective Multicenter ≥2 Years Clinical Study of the Active Apex Correction (APC) Technique in Early Onset Scoliosis (EOS) Patients Global Spine J. (IF 2.4) Pub Date : 2024-01-24 Ahmad M. Hammad, Mohammad Emar, Farah Shahin, Ayat Aljuba, Asala Hasani, Mohammad Awad, Siraj Abdelnabi, Daksh Gayaswal, Mohammad Armouti, Shubhankar Shekhar, Bhavuk Garg, Alaaeldin A. Ahmad
Study Designprospective multicenter study.ObjectivesActive apex correction (APC) is posterior tethering technique for correction of early onset scoliosis (EOS) via reverse modulation at the apex. Active apex correction has been increasingly used worldwide. This study aimed to assess short-term outcomes of multicenter study with ≥2 years of APC on spine length, curve correction, complications, unplanned
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Comparison of Posterior Approach and Combined Anterior-Posterior Approach in the Treatment of Ankylosing Spondylitis Combined With Cervical Spine Fracture: A Systematic Review and Meta-Analysis Global Spine J. (IF 2.4) Pub Date : 2024-01-19 Cong Peng, Haopeng Luan, Kai Liu, Xinghua Song
Study DesignSystematic review.ObjectiveTo compare the efficacy of the posterior approach and combined anterior-posterior approach in the treatment of ankylosing spondylitis (AS) with cervical spine fracture by meta-analysis.MethodsThe databases PubMed, Web of Science, Embase, and Cochrane Library were searched for studies on the comparison of the posterior approach group and the combined anterior-posterior
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Accuracy of the Cage Placement in Oblique Lumbar Interbody Fusion and its Effects on the Radiological Outcome in Lumbar Degenerative Disease Global Spine J. (IF 2.4) Pub Date : 2024-01-17 Longwei Chen, Zhiyuan Han, Jianwei Wei, Yunlong Sun, Lantao Liu, Haifei Liu, Dechun Wang
Study DesignA retrospective study.ObjectivesThis study aimed to check how accurately cages were inserted and how they affected the radiological results in oblique lumbar interbody fusion (OLIF) at L2-L5.MethodsA total of 137 patients diagnosed with lumbar degenerative disease, 184 intervertebral discs were included. We used a new cage deviation classification system on magnetic resonance imaging (MRI)
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Identification and Assessment of Outcome Measurement Instruments in Cauda Equina Syndrome: A Systematic Review Global Spine J. (IF 2.4) Pub Date : 2024-01-17 George E. Richardson, Christopher P. Millward, James W. Mitchell, Simon Clark, Martin Wilby, Anthony G. Marson, Paula R. Williamson, Nisaharan Srikandarajah
Study DesignThis was a systematic review of surgically managed Cauda Equina Syndrome (CES) Outcome Measurement Instruments (OMI).ObjectiveA core outcome set (COS) defines agreed outcomes which should be reported as a minimum in any research study for a specific condition. This study identified OMIs used in the wider CES literature and compare these to the established CESCOS.MethodsTo identify measurement
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Early Versus Delayed Surgery for Elderly Traumatic Cervical Spinal Injury: A Nationwide Multicenter Study in Japan Global Spine J. (IF 2.4) Pub Date : 2024-01-17 Naoki Segi, Hiroaki Nakashima, Sadayuki Ito, Noriaki Yokogawa, Takeshi Sasagawa, Kota Watanabe, Satoshi Nori, Toru Funayama, Fumihiko Eto, Hideaki Nakajima, Yoshinori Terashima, Ryosuke Hirota, Ko Hashimoto, Yoshito Onoda, Takeo Furuya, Atsushi Yunde, Shota Ikegami, Masashi Uehara, Hidenori Suzuki, Yasuaki Imajo, Hiroshi Uei, Hirokatsu Sawada, Kenichi Kawaguchi, Kazuo Nakanishi, Nobuyuki Suzuki, Yasushi
Study DesignRetrospective multicenter study.ObjectivesThe effectiveness of early surgery for cervical spinal injury (CSI) has been demonstrated. However, whether early surgery improves outcomes in the elderly remains unclear. This study investigated whether early surgery for CSI in elderly affects complication rates and neurological outcomes.MethodsThis retrospective multicenter study included 462
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Sequential Depth Stimulation Within the Psoas Offers No Benefit for Localization of the Lumbar Plexus During Lateral Lumbar Fusion Surgery Global Spine J. (IF 2.4) Pub Date : 2024-01-11 Gal Barkay, Rayshad Oshtori, Javier Reto, Wenqi Gan, Isaac Moss
Study DesignProspective cohort study.ObjectivesIn this study we aim to assess the difference in triggered EMG readings throughout different depths in the psoas muscle during the lateral approach to the lumbar spine and their effect on surgeon decision making.MethodsThree surgeons, practicing at different institutions, assessed triggered EMG readings during the trans psoas approach at the level of the
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Anterior Column Realignment Through Open Pre-posterior Release-Anterior-Posterior Fusion Versus Hybrid Minimally Invasive-Anterior-Posterior Fusion for Dynamic Sagittal Imbalance of the Spine Global Spine J. (IF 2.4) Pub Date : 2024-01-11 Joonghyun Ahn, Kee-Yong Ha, Yong-Chan Kim, Ki-Tack Kim, Sung-Min Kim, Taeyoung Ko, Sang-Il Kim, Young-Hoon Kim
Study DesignRetrospective comparative study.ObjectivesTo investigate the clinical and radiological outcomes after anterior column realignment (ACR) through pre-posterior release-anterior-posterior surgery (PAP) and minimally invasive surgery -lateral lumbar interbody fusion (MIS-LLIF) using hybrid anterior-posterior surgery (AP).MethodsA total of 91 patients who underwent ACR with long fusions from
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Does Surgical Day of the Week Affect Hospital Course and Outcomes for Patients Undergoing Adult Spinal Deformity Surgery? Global Spine J. (IF 2.4) Pub Date : 2024-01-10 Benjamin C Graham, Christopher Lucasti, Maxwell M Scott, Seth C Baker, Emily K Vallee, Dil V Patel, Christopher L Hamill
Study DesignRetrospective Cohort Analysis.ObjectivesExtended hospital length of stay (LOS) poses a significant cost burden to patients undergoing adult spinal deformity (ASD) surgery. The purpose of this study is to investigate the relationship between late-week surgery and LOS in patients undergoing ASD surgery.Methods256 patients who underwent ASD surgery between January 2018 and December 2021 by
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Radiographic Robustness of Lumbar Interbody Fusion Techniques Global Spine J. (IF 2.4) Pub Date : 2024-01-10 Alice Bouchard, Jeffrey Mun, Frank Vazquez, Alex Tang, Edward Delsole, Russell Strom, Tan Chen
Study DesignRetrospective chart review.ObjectivesLumbar interbody fusion (LIF) can be achieved with various techniques. Evidence supporting the long-term clinical advantages of one technique over another are inconclusive. The purpose of this study was to (1) determine the changes in sagittal parameters in the preoperative, intraoperative, and post-operative phase, (2) evaluate the radiographic maintenance
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Correlation Between Pre-Operative Diffusion Tensor Imaging Indices and Post-Operative Outcome in Degenerative Cervical Myelopathy: A Systematic Review and Meta-Analysis Global Spine J. (IF 2.4) Pub Date : 2024-01-03 Mohammad Mohammadi, Faramarz Roohollahi, Mohamad Mahdi Mahmoudi, Aynaz Mohammadi, Mobin Mohamadi, Samuel Berchi Kankam, Afshar Ghamari Khameneh, Davit Baghdasaryan, Farzin Farahbakhsh, Allan R. Martin, James Harrop, Vafa Rahimi-Movaghar
Study DesignSystematic review.ObjectivesThe correlation between pre-operative diffusion tensor imaging (DTI) metrics and post-operative clinical outcomes in patients with degenerative cervical myelopathy (DCM) has been widely investigated with different studies reporting varied findings. We conducted a systematic review to determine the association between DTI metric and clinical outcomes after surgery
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An Integrated 3-Dimentional Navigation System Increases the Accuracy, Efficiency, and Safety of Percutaneous Thoracolumbar Pedicle Screw Placement in Minimally Invasive Approaches: A Randomized Cadaveric Study Global Spine J. (IF 2.4) Pub Date : 2024-01-02 Nikita Lakomkin, Robert K. Eastlack, Juan S. Uribe, Paul Park, Stephen I. Ryu, Ryan Kretzer, Ronnie I. Mimran, Paul Holman, Anand Veeravagu, Hamid Hassanzadeh, Michele M. Johnson, Linda Sullivan, Aaron Clark, Gregory M. Mundis
Study DesignCadaveric study.ObjectivesThe purpose of this study was to compare a novel, integrated 3D navigational system (NAV) and conventional fluoroscopy in the accuracy, efficiency, and radiation exposure of thoracolumbar percutaneous pedicle screw (PPS) placement.MethodsTwelve skeletally mature cadaveric specimens were obtained for twelve individual surgeons. Each participant placed bilateral
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The Clinical and Imaging Outcome of the Tandem Growing Rod Technique in Early-Onset Scoliosis With the Proximal Upper Thoracic Curve Progression: A Modified Technique of Growing Rod Global Spine J. (IF 2.4) Pub Date : 2024-01-02 Weiran Hu, Hongqiang Wang, Guang Yang, Haohao Ma, Xiaonan Wu, Yanzheng Gao
Study DesignRetrospective cohort study.ObjectiveThe orthopaedic ability of traditional GR for severe EOS is limited. The proximal upper thoracic curve may progress during the lengthening procedure, which may lead to coronal imbalance and inhibit the longitudinal growth of the spine. In this retrospective cohort study, we investigated the clinical outcome of tandem GR.MethodsWe modified the traditional
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Let's Put AI to Really Good Use! Global Spine J. (IF 2.4) Pub Date : 2024-01-01 Jens R Chapman,Jeff Wang,Karsten Wiechert
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Predicting Mortality Following Odontoid Fracture Fixation in Elderly Patients: CAADS-16 Score. Global Spine J. (IF 2.4) Pub Date : 2023-12-01 William ElNemer,Eric Solomon,Michael Raad,Amit Jain,Sang Hun Lee
STUDY DESIGN Retrospective Review of a National Database. INTRODUCTION By utilizing a national database, this study aims to quantify the predictors of 30-day mortality after odontoid fixation and guide appropriate management for patients in whom the choice between operative and non-operative management is unclear. METHODS The American College of Surgeons National Surgical Quality Improvement Database
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Alterations in Magnitude and Shape of Thoracic Kyphosis Following Surgical Correction for Adult Spinal Deformity. Global Spine J. (IF 2.4) Pub Date : 2023-11-30 Renaud Lafage,Junho Song,Bassel Diebo,Alan H Daniels,Peter G Passias,Christopher P Ames,Shay Bess,Robert Eastlack,Munish C Gupta,Richard Hostin,Khaled Kebaish,Han Jo Kim,Eric Klineberg,Gregory M Mundis,Justin S Smith,Christopher Shaffrey,Frank Schwab,Virginie Lafage,Douglas Burton,
STUDY DESIGN Retrospective review of prospective multicenter data. OBJECTIVES This study aimed to investigate the shape of TK before and after fusion in ASD patients treated with long fusion. METHODS ASD patients undergoing posterior spinal fusions including at least T5 to L1 without prior fusion extending to the thoracic spine were included. Patients were categorized based on the preoperative T1-T12
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Efficacy of Allograft Versus Bioactive Glass-Ceramic Cage in Anterior Cervical Discectomy and Fusion: A Randomized Controlled Study. Global Spine J. (IF 2.4) Pub Date : 2023-11-29 Yanting Liu,Chan Woong Park,Phattareeya Pholprajug,Siravich Suvithayasiri,Jung Hoon Kim,Chorong Lee,Eun Kim,Jin-Sung Kim
STUDY DESIGN A randomized controlled trial. OBJECTIVE The aim of this study is to compare the efficacy of allografts and bioactive glass-ceramic (BG) cages for anterior cervical discectomy and fusion (ACDF) in treating cervical degenerative disc disease. METHODS We conducted a single-center, randomized controlled trial between August 2017 and August 2022. Participants were randomized into two groups
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Exploring Physical Lumbar Microvascular Geometry Through Endoscopy and Illustrations: Implications for Clinical Interpretation. Global Spine J. (IF 2.4) Pub Date : 2023-11-28 Tsung-Mu Wu,Dae-Jung Choi,Wen-Shuo Chang,Jin-Ho Hwang,Moon-Chan Kim,Dae-Geun Kim
STUDY DESIGN Retrospective Study. OBJECTIVES Minimally invasive endoscopic spinal surgery is gaining popularity, but our understanding of the lumbar spine's microvascular geometry relies heavily on cadaver studies and textbook illustrations. Additionally, inconsistent nomenclature of vessels in the literature hampers effective communication among surgeons. This study aims to improve the clarity and
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Six-Month Survivorship Prediction in Spinal Metastatic Patients by Oncologists Shows Reliable Prognostication. Global Spine J. (IF 2.4) Pub Date : 2023-11-27 Kofi Cox,Hassam Ahmed,Priyanshu Saha,Wing Kin Liu,Katharine Aitken,Jason Bernard,Timothy Bishop,Pawan Minhas,Marios Papadopoulos,Francis Johnston,Alicia Piggott,Erlick Pereira,Darren Lui,Mehran Afshar
STUDY DESIGN A retrospective analysis of oncologist-provided prognoses vs actual survival outcomes of patients referred with Metastatic spinal cord compression (MSCC) to a supra-regional multidisciplinary team (MDT). OBJECTIVES Prognostic scoring systems, such as the revised Tokuhashi, are commonly used to help guide the treatment of MSCC. However, scoring systems do not accommodate for the improved
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Efficacy and Outcome Measurement of iFactor/ABM/P-15 in Lumbar Spine Surgery: A Systematic Review. Global Spine J. (IF 2.4) Pub Date : 2023-11-23 Sazid Hasan,Malik Al-Jamal,Alex Miller,Devan O Higginbotham,Daniel R Cavazos,Muhammad Waheed,Ehab Saleh,Scott A McCarty
STUDY DESIGN Systematic Review. OBJECTIVES To determine the efficacy and overall outcomes of iFactor/ABM/P-15 following lumbar spine surgery. METHODS We performed a search of the Cochrane Library, Medline Ovid, PubMed, and SCOPUS databases from inception until August 2023. Eligible studies included outcomes of patients receiving iFactor following lumbar spine surgery. The primary outcomes of interest
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From Radiographic Evaluation to Treatment Decisions in Neurologically Intact Patients With Thoraco-lumbar Burst Fractures. Global Spine J. (IF 2.4) Pub Date : 2023-11-22 Olesja Hazenbiller
This article is temporarily under embargo.
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Prevalence and Characteristics of Lumbar Spondylolysis in White and Black Patients. Global Spine J. (IF 2.4) Pub Date : 2023-11-22 Hiroyuki Yoshihara,Winston Yen,Evan Horowitz,Vidushan Nadarajah
STUDY DESIGN Retrospective case series. OBJECTIVE To the best of our knowledge, the prevalence of lumbar spondylolysis in white and black populations has never been studied using computed tomography (CT). The purpose of this study was to examine and compare the prevalence and characteristics of lumbar spondylolysis in white and black patients. METHODS This study is a cross sectional study. Patients
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Preoperative Disability Influences Effectiveness of Minimal Clinically Important Difference and Patient Acceptable Symptom State in Predicting Patient Improvement Following Cervical Spine Surgery. Global Spine J. (IF 2.4) Pub Date : 2023-11-20 Pratyush Shahi,Omri Maayan,Tejas Subramanian,Nishtha Singh,Sumedha Singh,Kasra Araghi,Olivia Tuma,Tomoyuki Asada,Maximilian Korsun,Evan Sheha,James Dowdell,Sheeraz A Qureshi,Sravisht Iyer
STUDY DESIGN Retrospective cohort. OBJECTIVE To compare the characteristics of the minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) metrics when interpreting Neck Disability Index (NDI) following cervical spine surgery. METHODS Patients who underwent primary cervical fusion, discectomy, or laminectomy were included. NDI and global rating change (GRC) data at
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The Anatomical Relationship Between the Cervical Nerve Roots, Intervertebral Discs and Bony Cervical Landmark for Posterior Endoscopic Cervical Foraminotomy and Discectomy: A Cadaveric Study. Global Spine J. (IF 2.4) Pub Date : 2023-11-20 Gun Keorochana,Chakkraphan Tantrakansakun,Chinnawut Suriyonplengsaeng,Pilan Jaipanya,Thamrong Lertudomphonwanit,Pittavat Leelapattana,Pongsthorn Chanplakorn,Chaiwat Kraiwattanapong
STUDY DESIGN Cadaveric anatomical studies. OBJECTIVE This study aims to investigate the anatomical relationship between bony landmark "V point", dural sac, nerve roots, and intervertebral disc for improving operative outcomes and decreasing post-operative complications in posterior endoscopic cervical foraminotomy or discectomy (PECF or PECD). METHOD 10 soft adult cadavers were studied. We measured
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Expression and Clinical Significance of microRNA-138-5p and TGF-β3 in Peripheral Blood of Patients With Ankylosing Spondylitis. Global Spine J. (IF 2.4) Pub Date : 2023-11-18 Yonghong Cheng,Zhidong Zhang
STUDY DESIGN Clinical study. OBJECTIVE Our work was aimed at exploring the expression and clinical significance of microRNA-138-5p (miR-138-5p) and Transforming Growth Factor-beta 3 (TGF-β3) in peripheral blood of patients with ankylosing spondylitis (AS). METHODS Forty-seven patients with AS were selected as the AS group, and the staging of the enrolled AS patients was based on the BASDAI score: <4
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Hangman's Fracture in Geriatric Population: A Nationwide Multicenter Study in Japan. Global Spine J. (IF 2.4) Pub Date : 2023-11-17 Atsushi Yunde,Takeo Furuya,Sumihisa Orita,Seiji Ohtori,Noriaki Yokogawa,Hiroaki Nakashima,Naoki Segi,Toru Funayama,Shota Ikegami,Hideaki Nakajima,Kota Watanabe,Tomohiko Hasegawa,Hitoshi Tonomura,Yoshinori Terashima,Ko Hashimoto,Nobuyuki Suzuki,Hiroshi Uei,Katsuhito Kiyasu,Hiroyuki Tominaga,Daisuke Sakai,Takashi Kaito,Gen Inoue,Seiji Okada,Shiro Imagama,Satoshi Kato
STUDY DESIGN Retrospective multicenter study. OBJECTIVES To investigate the treatments of the geriatric population with hangman's fractures using a multicenter database under the Japan Association of Spine Surgeons with Ambition (JASA). METHODS The multicenter database included data from 1512 patients. We employed the Levine and Edwards classification for categorizing hangman's fractures. The study
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Impact of State Laws on Dispensing Opioid Prescriptions Following Posterior Lumbar Interbody Fusion Procedures: A Retrospective Large National Database Study. Global Spine J. (IF 2.4) Pub Date : 2023-11-16 Jamila Godil,Katrina Rapp,Spencer Smith,Won Hyung A Ryu,Jung U Yoo
STUDY DESIGN Retrospective Cohort Study. OBJECTIVES This study aimed to examine the effect of state legislation on prescribing behavior after a commonly performed spinal procedure, posterior lumbar interbody fusion (PLIF). METHODS Two cohorts of patients from the Pearl Diver Database were created based on patients who underwent PLIF surgery in 2014-15 and 2018-19. We compared opioid prescription rates