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European Spine Journal

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https://www.readbyqxmd.com/read/29779056/posterior-only-versus-combined-anterior-posterior-fusion-in-scheuermann-disease-a-large-retrospective-study
#1
Guillaume Riouallon, Christian Morin, Yann-Philippe Charles, Pierre Roussouly, Gaby Kreichati, Ibrahim Obeid, Stéphane Wolff
PURPOSE: The literature shows controversies concerning surgical treatment of Scheuermann's kyphosis between posterior-only fixation and combined anterior/posterior fusion. The aim of this study is to compare the clinical and radiological results and the rate of complications between these two techniques. METHODS: We performed a multicentric retrospective review of 131 patients who underwent primary fusion for Scheuermann's kyphosis divided into two groups: 67 patients operated via posterior approach only and 64 operated via combined anterior/posterior approach...
May 19, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29774412/hybrid-constructs-pedicle-screw-with-apical-sublaminar-bands-versus-pedicle-screws-only-for-surgical-correction-of-adolescent-idiopathic-scoliosis
#2
Matteo Palmisani, Eugenio Dema, Stefano Cervellati, Rosa Palmisani
PURPOSE: To compare the 2-year minimum postoperative results of posterior correction and spinal arthrodesis using translational correction with hybrid (sublaminar bands on concave side and pedicle screw) constructs versus correction with intermediate density pedicle screw-only constructs in the treatment of AIS (Lenke 1). METHODS: A total of 37 patients with AIS at single institutions who underwent posterior spinal arthrodesis pedicle screw with sublaminar bands at the apex (19 patients) (Group A) or pedicle screw-only (18) constructs (Group B) were selected and matched according to similar age at surgery 13...
May 17, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29761236/different-pedicle-osteosynthesis-for-thoracolumbar-vertebral-fractures-in-elderly-patients
#3
Massimo Girardo, Alessandro Rava, Federico Fusini, Giosuè Gargiulo, Angela Coniglio, Pasquale Cinnella
INTRODUCTION: Pedicle screws' stability, especially in osteoporotic fractures, is a really problem for spinal surgeons. Nowadays, little is known about the influence of different screw types and amount of cement applied. This single-center retrospective observational study has the aim of evaluating the middle- to long-term mechanical performances of different types of screws in elderly patients with thoracolumbar fractures. MATERIALS AND METHODS: A total of 91 patients (37 males and 54 females), treated between 2011 and 2016, affected by somatic osteoporotic fractures aged over 65 years were treated...
May 14, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29752555/minimally-invasive-surgery-procedure-in-isthmic-spondylolisthesis
#4
Francesco Ciro Tamburrelli, Maria Concetta Meluzio, Aaron Burrofato, Andrea Perna, Luca Proietti
PURPOSE: The aim of the study was to evaluate the efficacy and safety of the direct lateral approach to the lumbar spine in the treatment of painful isthmic spondylolisthesis in adults. METHODS: Twenty-one patients affected by isthmic spondylolisthesis and treated with extreme lateral interbody fusion and posterior percutaneous pedicle screw fixation were enrolled. All included patients were clinically evaluated with Oswestry Disability Index, SF36 and Visual Scale Anatomy (VAS) for back pain at 1, 3 months and at 1 year...
May 11, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29748903/sagittal-classification-in-adolescent-idiopathic-scoliosis-original-description-and-therapeutic-implications
#5
K Abelin-Genevois, D Sassi, S Verdun, P Roussouly
INTRODUCTION: Surgical treatment of AIS aims to correct the coronal and sagittal alignment of the spine. The global alignment of the spine may be normalized through reciprocal changes between the fused spine and adjacent segments. We propose a new classification system describing the specific sagittal patterns induced by AIS to define reproducible guidelines for the surgical strategy. METHODS: We analyzed 100 consecutive AIS patients aged between 12 and 18 years candidate for spinal fusion...
May 10, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29740675/biomechanical-advantages-of-supplemental-accessory-and-satellite-rods-with-and-without-interbody-cages-implantation-for-the-stabilization-of-pedicle-subtraction-osteotomy
#6
Luigi La Barbera, Marco Brayda-Bruno, Christian Liebsch, Tomaso Villa, Andrea Luca, Fabio Galbusera, Hans-Joachim Wilke
PURPOSE: To investigate the effect of anterior interbody cages, accessory and satellite rods usage on primary stability and rod strains for PSO stabilization. METHODS: Seven human cadaveric spine segments (T12-S1) underwent PSO at L4 with posterior fixation from L2 to S1. In vitro flexibility tests were performed under pure moments in flexion/extension (FE), lateral bending (LB) and axial rotation (AR) to determine the range of motion, while measuring the strains on the primary rods with strain gauge rosettes...
May 8, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29736803/titanium-granules-pre-treated-with-hydrogen-peroxide-inhibit-growth-of-bacteria-associated-with-post-operative-infections-in-spine-surgery
#7
Acke Ohlin, Emma Mattsson, Matthias Mörgelin, Julia R Davies, Gunnel Svensäter, Stéphane Corvec, Pentti Tengvall, Kristian Riesbeck
PURPOSE: Post-operative infections are relatively common after posterior spine surgery, and there are several observations reflecting different infection complications related to various metals implanted. Here, we selected an array of different bacterial species that are often found in infections associated with orthopaedic implants and tested for inhibition by hydrogen peroxide-treated titanium (Ti-peroxy). METHODS: To study the possibility of using Ti-peroxy as an antimicrobial prophylaxis, we developed a protocol for standardized susceptibility testing of bacteria...
May 7, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29736802/management-of-aortic-injury-during-minimally-invasive-lateral-lumbar-interbody-fusion
#8
REVIEW
Michael M Safaee, Devin Zarkowsky, Charles M Eichler, Murat Pekmezci, Aaron J Clark
PURPOSE: Minimally invasive lateral approaches to the lumbar spine allow for interbody fusion with good visualization of the disk space, minimal blood loss, and decreased length of stay. Major neurologic, vascular, and visceral complications are rare with this approach; however, the steps in management for severe vascular injuries are not well defined. We present a case report of aortic injury during lateral interbody fusion and discuss the use of endovascular repair. METHODS: This study is a case report of an intraoperative aortic injury...
May 7, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29730723/characteristic-morphological-patterns-within-adolescent-idiopathic-scoliosis-may-be-explained-by-mechanical-loading
#9
Benedikt Schlager, Florian Krump, Julius Boettinger, Frank Niemeyer, Michael Ruf, Sebastian Kleiner, Meinrad Beer, Hans-Joachim Wilke
PURPOSE: Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spine which exhibits morphological changes during growth. The goal of this study was to identify morphological patterns that could be explained by different loading patterns for AIS. METHODS: Computed tomography data of 21 patients with diagnosed AIS and 48 patients without any visual spinal abnormalities were collected prospectively. The bony structures were reconstructed, and landmarks were placed on characteristic morphological points on the spine...
May 5, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29728924/the-impact-of-deep-surgical-site-infection-on-surgical-outcomes-after-posterior-adult-spinal-deformity-surgery-a-matched-control-study
#10
Sleiman Haddad, Susana Núñez-Pereira, Carlos Pigrau, Dolors Rodríguez-Pardo, Alba Vila-Casademunt, Ahmet Alanay, Emre R Acaroglu, Frank S Kleinstueck, Ibrahim Obeid, Francisco Javier Sanchez Perez-Grueso, Ferran Pellisé
PURPOSE: The impact of deep surgical site infection (SSI) on surgical outcomes after adult spinal deformity (ASD) surgery is still unclear. We aimed to study the morbidity of SSI in ASD and its impact on deformity correction and functional outcome. METHODS: Prospective multicenter matched-cohort study including consecutively enrolled ASD patients. Patients developing SSI were matched to similar controls in terms of age, gender, ASA, primary or revision, extent of fusion, and use of tri-columnar osteotomies...
May 4, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29728923/association-between-polymorphisms-in-vitamin-d-receptor-gene-and-adolescent-idiopathic-scoliosis-a-meta-analysis
#11
Jun Dai, Zheng-Tao Lv, Jun-Ming Huang, Peng Cheng, Huang Fang, An-Min Chen
PURPOSE: This meta-analysis was performed to clarify whether the two single nucleotide polymorphisms (ApaI and BsmI) in vitamin D receptor (VDR) gene conferred susceptibility to adolescent idiopathic scoliosis (AIS). METHODS: A comprehensive literature search in five online databases (PubMed, EMBASE, ISI Web of Science, CNKI, and Wanfang) was performed to identify studies that analyzed the association between VDR gene polymorphisms and risk of AIS. Observational studies met the predetermined inclusion criteria were selected for meta-analysis...
May 4, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29725823/esophageal-perforation-caused-by-a-thoracic-pedicle-screw
#12
REVIEW
Stanislas Marouby, Clément Jeandel, Djamel Louahem M'Sabah, Marion Delpont, Jérôme Cottalorda
This grand round raises the risk of a rare complication that can be avoided with the knowledge of the particular anatomy of scoliosis vertebra. Transpedicular screws have been reported to enhance the operative correction in scoliosis surgery. The narrow and inconsistent shape of the thoracic pedicles makes the placement of pedicle screws technically challenging. Furthermore, in thoracic curves, the close proximity of the spinal cord and major soft tissue structures also adds a greater risk to the procedure...
May 3, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29721861/lumbar-epidural-lipomatosis-is-associated-with-visceral-fat-and-metabolic-disorders
#13
Shingo Morishita, Yoshiyasu Arai, Toshitaka Yoshii, Kenichiro Sakai, Takashi Hirai, Atsushi Okawa
PURPOSE: Lumbar spinal epidural lipomatosis (LEL) is a condition characterized by excessive deposition of epidural fat in the spinal canal. Metabolic abnormalities may be associated with LEL, but few validated reports exist. Thus, we investigated the association between LEL and metabolic disorders in this study. METHODS: A total of 218 patients who had neurological symptoms due to neural compression in the lumbar spinal canal were examined by magnetic resonance imaging (MRI), abdominal computed tomography (CT) scans and blood tests...
May 2, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29721860/correction-to-cervical-pedicle-screw-instrumentation-is-more-reliable-with-o-arm-based-3d-navigation-analysis-of-cervical-pedicle-screw-placement-accuracy-with-o-arm-based-3d-navigation
#14
Sourabh Chachan, Hamid Rahmatullah Bin Abd Razak, Wee Lim Loo, John Carson Allen, Dinesh Shree Kumar
Unfortunately, the second author name of the above-mentioned article was incorrectly published in original publication. The complete correct name is given below: Hamid Rahmatullah Bin Abd Razak. The original article has been corrected.
May 2, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29705918/expert-s-comment-concerning-grand-rounds-case-entitled-low-energy-chronic-traumatic-spondylolisthesis-of-the-axis-by-c-j-dunn-s-mease-k-issa-k-sinha-a-emami-eur-spine-j-2017-doi-10-1007-s00586-017-5206-4
#15
LETTER
https://www.readbyqxmd.com/read/29700619/analysis-of-radiological-parameters-associated-with-decreased-fractional-anisotropy-values-on-diffusion-tensor-imaging-in-patients-with-lumbar-spinal-stenosis
#16
Xiandi Wang, Hongli Wang, Chi Sun, Shuyi Zhou, Tao Meng, Feizhou Lv, Xiaosheng Ma, Xinlei Xia, Jianyuan Jiang
PURPOSE: Previous studies have indicated that decreased fractional anisotropy (FA) values on diffusion tensor imaging (DTI) are well correlated with the symptoms of nerve root compression. The aim of our study is to determine primary radiological parameters associated with decreased FA values in patients with lumbar spinal stenosis involving single L5 nerve root. METHODS: Patients confirmed with single L5 nerve root compression by transforaminal nerve root blocks were included in this study...
April 26, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29696391/the-use-of-vacuum-assisted-closure-in-spinal-wound-infections-with-or-without-exposed-dura
#17
Robert Lee, Daniel Beder, John Street, Michael Boyd, Charles Fisher, Marcel Dvorak, Scott Paquette, Brian Kwon
INTRODUCTION: The treatment of postoperative deep spinal wound infection involves debridement and intravenous antibiotics. Authors have previously reported success in a small series of patients treated with vacuum-assisted closure (VAC) therapy, but its use over exposed dura is controversial and the outcome has not been reported in large series. PURPOSE: To review the outcomes following the treatment of postoperative spinal infections with VAC therapy, particularly those with exposed dura...
April 25, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29693200/preliminary-experience-with-spineeos-a-new-software-for-3d-planning-in-ais-surgery
#18
Emmanuelle Ferrero, Keyvan Mazda, Anne-Laure Simon, Brice Ilharreborde
PURPOSE: Preoperative planning of scoliosis surgery is essential in the effective treatment of spine pathology. Thus, precontoured rods have been recently developed to avoid iatrogenic sagittal misalignment and rod breakage. Some specific issues exist in adolescent idiopathic scoliosis (AIS), such as a less distal lower instrumented level, a great variability in the location of inflection point (transition from lumbar lordosis to thoracic kyphosis), and sagittal correction is limited by both bone-implant interface...
April 24, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29687181/expert-s-comment-concerning-grand-rounds-case-entitled-aneurysmal-bone-cyst-of-c2-treated-with-novel-anterior-reconstruction-and-stabilization-by-s-rajasekaran-et-al-eur-spine-j-2016-doi-10-1007-s00586-016-4518-0
#19
LETTER
https://www.readbyqxmd.com/read/29687180/extremely-high-preoperative-c7-slope-limits-compensatory-cervical-lordosis-after-muscle-preserving-selective-laminectomy
#20
Satoshi Nori, Tateru Shiraishi, Ryoma Aoyama, Ken Ninomiya, Junichi Yamane, Kazuya Kitamura, Seiji Ueda
PURPOSE: A high C7 slope induces C2-C7 lordosis to compensate for cervical sagittal balance adjustments. A muscle-preserving selective laminectomy (SL) can maintain this compensation postoperatively. This study evaluated the effect of an extremely high C7 slope on C2-C7 lordotic compensation following SL. METHODS: This study enrolled 151 cervical compressive myelopathy patients who underwent SL. Lateral cervical spine radiographs were taken before surgery and during final follow-up...
April 23, 2018: European Spine Journal
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