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European Spine Journal

Haisong Yang, Jingchuan Sun, Jiangang Shi, Yongfei Guo, Bing Zheng, Yuan Wang, Ximing Xu, Guodong Shi
PURPOSE: To compare the incidence rate of cerebrospinal fluid (CSF) leakage between anterior controllable antedisplacement fusion (ACAF) and anterior cervical corpectomy and fusion (ACCF) in the treatment of ossification of the posterior longitudinal ligament (OPLL) with dura ossification (DO). METHODS: In the period from June 2015 to June 2017, ACAF and ACCF were performed on patients with OPLL with DO. Double-layer sign was observed on axial bone window of CT images...
November 10, 2018: European Spine Journal
Oded Hershkovich, Corrado Lucantoni, Saurabh Kapoor, Bronek Boszczyk
INTRODUCTION: Vertebral involvement is found in a high percentage of multiple myeloma (MM) patients, often requiring multilevel surgical treatment to reduce pain and disability and to receive prompt access to oncological care. We describe the clinical use of washout technique for multilevel vertebroplasty in MM patients with diffuse spinal involvement. The aim of this technique is to reduce the risk of pulmonary fat embolism after cement injection and possibly to increment the amount of cement and treated levels in one surgical stage...
November 7, 2018: European Spine Journal
Victor M Lu, Ralph J Mobbs, Bernard Fang, Kevin Phan
BACKGROUND: Two-level cervical degenerative disc disease (cDDD) can be effectively treated by anterior cervical discectomy and fusion (ACDF) similarly to single-level cDDD. Traditionally an anterior plate construct (APC) approach has been utilized, but ACDF without plate with a locking stand-alone cage (LSC) approach has emerged as an alternative option. The aim of this study was to compare the clinical outcome of LSC and APC in contiguous two-level ACDF used to treat cDDD the current literature...
November 2, 2018: European Spine Journal
Mauro Costa Morais Tavares Junior, João Paço Vaz de Souza, Thiego Pedro Freitas Araujo, Raphael Martus Marcon, Alexandre Fogaça Cristante, Tarcísio Eloy Pessoa de Barros Filho, Olavo Biraghi Letaif
AIMS: Iliac screws and S2-alar-iliac screws provide adequate mechanical stability for the fixation of lumbosacral spine pathologies, which has led to a significant increase in the use of these techniques in the routine practice of spine surgeons. However, studies on the ideal technical positioning for both techniques are limited. STUDY DESIGN: This is an observational, retrospective, analytical descriptive study. OBJECTIVE: To analyze, describe and compare the insertion and positioning parameters of the S2-alar-iliac and iliac screw techniques in adult patients without spinal deformities...
October 31, 2018: European Spine Journal
Xiaobang Hu, Isador H Lieberman
PURPOSE: To study the effect of the number of previous operations on the outcome of revision adult spinal deformity (ASD) surgery. METHODS: One hundred and thirty-seven consecutive patients who underwent revision ASD surgery were classified as follows: those who had one previous operation (group 1), had two previous operations (group 2) and had three or more previous operations (group 3). Perioperative complications and additional surgeries were reviewed. Back pain, leg pain, ODI scores and radiographic measurements were obtained...
October 31, 2018: European Spine Journal
Laurent Gajny, Shahin Ebrahimi, Claudio Vergari, Elsa Angelini, Wafa Skalli
PURPOSE: To design a quasi-automated three-dimensional reconstruction method of the spine from biplanar X-rays as the daily used method in clinical routine is based on manual adjustments of a trained operator and the reconstruction time is more than 10 min per patient. METHODS: The proposed method of 3D reconstruction of the spine (C3-L5) relies first on a new manual input strategy designed to fit clinicians' skills. Then, a parametric model of the spine is computed using statistical inferences, image analysis techniques and fast manual rigid registration...
October 31, 2018: European Spine Journal
Cesare Faldini, Fabrizio Perna, Antonio Mazzotti, Niccolò Stefanini, Giuseppe Geraci, Francesco Traina
Unfortunately, the affiliation of the author group has been incorrectly published in original version. The complete correct affiliation of all authors should read as follows.
October 31, 2018: European Spine Journal
Cesare Faldini, Fabrizio Perna, Giuseppe Geraci, Francesco Pardo, Antonio Mazzotti, Federico Pilla, Alberto Ruffilli
Unfortunately, the affiliation of the author group has been incorrectly published in original version. The complete correct affiliation of all authors should read as follows.
October 31, 2018: European Spine Journal
Cesare Faldini, Alberto Ruffilli, Fabrizio Perna, Federico Pilla, Alessandro Panciera, Francesco Traina
Unfortunately, the affiliation of the author group has been incorrectly published in original version. The complete correct affiliation of all authors should read as follows.
October 31, 2018: European Spine Journal
Jun Ouchida, Tokumi Kanemura, Kotaro Satake, Hiroaki Nakashima, Naoki Segi
PURPOSE: The aim of this study is to investigate retroperitoneal organ distribution with the retroperitoneal approach in the lateral decubitus position. METHODS: We enrolled 100 patients scheduled for lateral approach surgery, including LIF and lateral corpectomy. We performed computed tomography with lateral decubitus positioning (L-CT) to assess the position of the organs, including abdominal aorta, kidney, descending colon, ureter, and gonadal artery. Anteroposterior organ positions were divided into four zones: A, anterior to the anterior margin of the vertebral body; AL, anterior margin to the middle line of the vertebral body; PL, middle line to the posterior margin of the vertebral body; and P, posterior to the posterior margin of the vertebral body...
October 30, 2018: European Spine Journal
N A Quraishi, M S Ahmed, G Arealis, B M Boszczyk, K L Edwards
PURPOSE: Most of the literature on infection after surgery for spinal metastases focuses on incidence and risk factors for surgical site infection (SSI). To the best of our knowledge, there is no report on the influence of infection on neurological outcome and survival in patients undergoing emergent surgery for metastatic spinal cord compression (MSCC). METHODS: Our aim was to establish if SSIs adversely affected the neurological outcome and survival in patients with MSCC...
October 27, 2018: European Spine Journal
Akifumi Kanai, Takashi Okamoto, Norihito Hayashi, Junko Shimao, Yuki Nagahara, Kaoru Fujii
PURPOSE: To investigate the safety and efficacy of intrathecal injection as an alternative to epidural injection for analgesia. METHODS: Seventy consecutive outpatients with chronic low back and lower extremity pain received lumbar intrathecal injection of low-dose isobaric bupivacaine using a 25-gauge pencil-point needle. The patients received 0.5, 1.0, and 1.5 mg of bupivacaine at 1-week intervals to determine the optimal dose. Thereafter, they received two more weekly injections with the optimal dose...
October 26, 2018: European Spine Journal
Bastiaan A In 't Veld, Thijs C D Rettig, Naomi de Heij, Jessica de Vries, Jasper F C Wolfs, Mark P Arts
PURPOSE: Anterior cervical spine surgery is associated with postoperative dysphagia, sore throat and dysphonia. It is unclear, whether this is caused by increased endotracheal tube (ETT) cuff pressure after retractor placement. This study aims to assess the effect of ETT cuff pressure adjustment on postoperative dysphagia, sore throat and dysphonia. METHODS: In this, single-centre, observer and patient-blinded randomized controlled trial patients treated with anterior cervical spine surgery were randomized to adjustment of the ETT cuff pressure to 20 mmHg after placement of the retractor versus no adjustment...
October 25, 2018: European Spine Journal
Rishi Mugesh Kanna, Aju Bosco, Ajoy Prasad Shetty, S Rajasekaran
PURPOSE: Unilateral sacroiliitis (US) is an uncommon disease with varied etiology. The differentiation between infective and inflammatory causes for US based on MRI alone is often difficult. We studied the efficacy of MRI findings in comparison with tissue studies in the diagnosis of US. METHODS: A retrospective analysis of patients who presented with US and evaluated with MRI, biopsy for histopathology and tissue cultures was performed. Patients with bilateral sacroiliitis, traumatic and postpartum sacroiliitis were excluded...
October 23, 2018: European Spine Journal
J Štulík, G Hodasová, M Podhráský, P Nesnídal, P Fojtík, O Naňka
PURPOSE: The most common injuries to the upper cervical spine are fractures of the dens axis. Therefore, the purpose of our study was to answer three questions, namely (1) whether the size of the dens is adequate at all levels to accommodate two screws, (2) what the angle of the posterior tilt of the dens is in a healthy individual and (3) compare the measured variables between the sexes. METHODS: The cohort comprised 50 males and 50 females CT examination of the craniocervical junction...
October 22, 2018: European Spine Journal
Dietmar Krappinger, Richard A Lindtner, Michael J Zegg, Benjamin Henninger, Verena Kaser, Anna Spicher, Rene Schmid
PURPOSE: To revisit the concept of spondylotic traumatic central cord syndrome (TCCS) by assessing the frequency of discoligamentous injury and to correlate magnetic resonance imaging (MRI) and intraoperative findings. METHODS: A retrospective analysis of twenty-three consecutive patients (mean age: 62.7 ± 14.8 years) with profound spondylotic TCCS after acute cervical hyperextension trauma but without signs of instability on initial CT scans who underwent anterior surgical decompression and fusion was performed...
October 19, 2018: European Spine Journal
Bernhard Wilhelm Ullrich, Philipp Schenk, Ulrich J Spiegl, Thomas Mendel, Gunther Olaf Hofmann
STUDY DESIGN: A retrospective, longitudinal cohort study. OBJECTIVE: The purpose of this study was to examine whether Hounsfield units (HUs), as an alternative bone mineral density measurement to dual-energy X-ray absorptiometry and quantitative computed tomography, which lead to additional radiation exposure for patients, has an effect on the maintenance of reduction in bisegmental Cobb angle (CA) and cage subsidence in patients who receive bisegmental spine stabilization after traumatic thoracolumbar spine fractures...
October 19, 2018: European Spine Journal
Chi-An Luo, Arun-Kumar Kaliya-Perumal, Meng-Ling Lu, Lih-Huei Chen, Wen-Jer Chen, Chi-Chien Niu
PURPOSE: Tandem spinal stenosis (TSS) refers to lumbar and cervical spinal canal stenosis. Staged surgery is often chosen, but sometimes, mere decompression of one stenosis is adequate to relieve symptoms. Therefore, we intend to analyze whether starting with the cervical or the lumbar region is the most logical option. METHODS: We retrospectively reviewed the data of 47 patients with TSS, having first-stage decompression for the most symptomatic stenosis, and classified into two groups (Group A: lumbar decompression first, Group B: cervical decompression first)...
October 17, 2018: European Spine Journal
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