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Spine Journal: Official Journal of the North American Spine Society

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https://www.readbyqxmd.com/read/28970074/effect-of-patients-functional-status-on-satisfaction-with-outcomes-12-months-after-elective-spine-surgery-for-lumbar-degenerative-disease
#1
Silky Chotai, Clinton J Devin, Kristin R Archer, Mohamad Bydon, Matthew J McGirt, Hui Nian, Frank E Harrell, Robert S Dittus, Anthony L Asher
BACKGROUND: Comprehensive assessment of quality of care includes patient-reported outcomes, safety of care delivered, and patient satisfaction. The impact of the patient-reported ODI (baseline and 12-month) scores on satisfaction with outcomes following spine surgery is not well documented. PURPOSE: To determine the impact of patient disability [Oswestry disability index (ODI) scores] at baseline and 12-months on satisfaction with outcomes following surgery. STUDY DESIGN: Analysis of prospectively collected longitudinal web-based multicenter data...
September 29, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28964824/spine-kinematics-exhibited-during-the-stop-jump-by-physically-active-individuals-with-adolescent-idiopathic-scoliosis-and-spinal-fusion
#2
Rumit Singh Kakar, Yumeng Li, Cathleen N Brown, Seock-Ho Kim, Timothy S Oswald, Kathy J Simpson
BACKGROUND CONTEXT: After spinal fusion, adolescent idiopathic scoliosis individuals (SF-AIS) often return to exercise and sport. However, the movements SF-AIS use to compensate for the loss of spinal flexibility during high-effort tasks are not known. PURPOSE: To compare, between SF-AIS and healthy controls (CON) groups, the spinal kinematics of the trunk segments displayed during the stop-jump, a maximal effort task. STUDY DESIGN: Case Controlled design METHODS: Ten SF-AIS (physically active; posterior-approach spinal fusion: 11...
September 27, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28962914/objective-measurement-of-function-following-lumbar-spinal-stenosis-decompression-reveals-improved-functional-capacity-with-stagnant-real-life-physical-activity
#3
Matthew Smuck, Amir Muaremi, Patricia Zheng, Justin Norden, Aman Sinha, Richard Hu, Christy Tomkins-Lane
BACKGROUND CONTEXT: Lumbar spinal stenosis (LSS) is a prevalent and costly condition associated with significant dysfunction. Alleviation of pain and improvement of function are the primary goals of surgical intervention. While prior studies have measured subjective improvements in function after surgery, few have examined objective markers of functional improvement. PURPOSE: We aimed to objectively measure and quantify changes in physical capacity and physical performance following surgical decompression of LSS...
September 26, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28962913/analysis-of-cervical-spine-alignment-in-currently-asymptomatic-individuals-prevalence-of-kyphotic-posture-and-its-relationship-with-other-spinopelvic-parameters
#4
Seok Woo Kim, Tae-Hwan Kim, Do Hee Bok, Chulyoung Jang, Myung Ho Yang, Seonjong Lee, Je Hyun Yoo, Yoon Hae Kwak, Jae Keun Oh
BACKGROUND CONTEXT: Many studies tend to characterize cervical kyphosis as a significant clinical condition that needs to be treated. Moreover, opinions vary on whether cervical kyphosis should be considered a pathologic status or a natural occurrence in asymptomatic people. PURPOSE: This study aimed to determine the frequency of kyphotic posture of the cervical spine in currently asymptomatic individuals and to ascertain its relation with other spinopelvic parameters...
September 26, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28962912/a-minimum-of-5-year-follow-up-after-lumbar-transforaminal-epidural-steroid-injections-in-patients-with-lumbar-radicular-pain-due-to-intervertebral-disc-herniation
#5
David J Kennedy, Patricia Z Zheng, Matthew Smuck, Zachary L McCormick, Lisa Huynh, Byron J Schneider
BACKGROUND CONTEXT: Patients with lumbosacral radiculopathy from a intervertebral disc herniation are frequently treated by transforaminal epidural steroid injections (TFESIs). The long-term outcomes of these patients are poorly described. PURPOSE: To determine the long-term outcomes for a homogenous group of patients with acute unilateral lumbar radicular pain due to single level herniated nucleus after lumbar epidural steroid injection at ≥5 years. DESIGN: Prospective cohort study...
September 26, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28962911/from-the-international-space-station-to-the-clinic-how-prolonged-unloading-may-disrupt-lumbar-spine-stability
#6
Jeannie F Bailey, Stephanie L Miller, Kristine Khieu, Conor W O'Neill, Robert M Healey, Dezba G Coughlin, Jojo V Sayson, Douglas G Chang, Alan R Hargens, Jeffrey C Lotz
Background context Prolonged microgravity exposure is associated with localized low back pain and an elevated risk of post-flight disc herniation. Though the mechanisms by which microgravity impairs the spine are unclear, they should be foundational for developing in-flight countermeasures for maintaining astronaut spine health. Because human spine anatomy has adapted to upright posture on Earth, observations of how spaceflight affects the spine should also provide new and potentially important information on spine biomechanics that benefit the general population...
September 26, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28962910/occipital-and-external-acoustic-meatus-to-axis-angle-as-a-predictor-of-the-oropharyngeal-space-in-healthy-volunteers-a-novel-parameter-for-craniocervical-junction-alignment
#7
Kazuaki Morizane, Mitsuru Takemoto, Masashi Neo, Shunsuke Fujibayashi, Bungo Otsuki, Tomotoshi Kawata, Shuichi Matsuda
BACKGROUND CONTEXT: The occipito-C2 angle (O-C2a) influences the oropharyngeal space. However, O-C2a has several limitations. There is no normal value of O-C2a due to wide individual variations, and O-C2a does not reflect translation of the cranium to the axis, another factor influencing the oropharyngeal space in patients with atlantoaxial subluxation. PURPOSE: To propose a novel parameter that accounts for craniocervical junction alignment (CJA) and the oropharyngeal space...
September 26, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28962909/phase-i-ii-trial-of-combined-kyphoplasty-and-intraoperative-radiotherapy-in-spinal-metastases
#8
Frederic Bludau, Grit Welzel, Tina Reis, Frank Schneider, Elena Sperk, Christian Neumaier, Michael Ehmann, Sven Clausen, Udo Obertacke, Frederik Wenz, Frank A Giordano
BACKGROUND CONTEXT: Spinal metastases occur in 30-50% of patients with systemic cancer. The primary goals of palliation are pain control and prevention of local recurrence. PURPOSE: To test the safety and efficacy of a combined modality approach consisting of kyphoplasty and intraoperative radiotherapy (kypho-IORT). STUDY DESIGN/SETTING: Kypho-IORT was a prospective, single center phase I/II trial. Patients were enrolled in a classical 3+3 scheme within the initial phase I part, where Kypho-IORT was applied using a needle-shaped 50 kV X-ray source at three radiation dose levels (8 Gy in 8 mm, 8 Gy in 11 mm and 8 Gy in 13 mm depth)...
September 26, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28962908/should-long-segment-cervical-fusions-be-routinely-carried-into-the-thoracic-spine-multi-center-analysis
#9
Eeric Truumees, Devender Singh, Matthew J Geck, John K Stokes
BACKGROUND CONTEXT: While recommendations for caudal "end level" in posterior cervical reconstruction remain highly variable, the benefits of routine extension of posterior cervical fusions into the thoracic spine remain unclear. PURPOSE: Compare clinical and radiographic outcomes in patients in whom posterior fusions ended in the cervical spine versus those in whom the fusion was extended into the thoracic spine. STUDY DESIGN/SETTING: Multi-center retrospective analysis of prospectively followed patients...
September 26, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28962907/effect-of-pre-injection-opioid-use-on-post-injection-patient-reported-outcomes-following-epidural-steroid-injections-for-radicular-pain
#10
Johnny J Wei, Silky Chotai, Ahilan Sivaganesan, Kristin R Archer, Byron J Schneider, Aaron J Yang, Clinton J Devin
BACKGROUND CONTEXT: Chronic opioid therapy is associated with worse patient-reported outcomes (PROs) following spine surgery. However, little literature exists on the relationship between opioid use and patient-reported outcomes following epidural steroid injections for radicular pain. PURPOSE: We evaluated the association between pre-injection opioid use and patient-reported outcomes following spine epidural steroid injection. STUDY DESIGN: This study is a retrospective analysis of a prospective longitudinal registry database...
September 26, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28870836/patients-experience-with-non-surgical-treatment-for-lumbar-spinal-stenosis-a-qualitative-study
#11
Allyn M Bove, Andrew D Lynch, Carlo Ammendolia, Michael Schneider
BACKGROUND CONTEXT: Lumbar spinal stenosis (LSS) is a highly prevalent disease in older adults that causes significant limitations in walking and other daily activities. There is a lack of research into optimal non-surgical treatment approaches for LSS. PURPOSE: The purpose of this qualitative study is to assess the opinions of participants in a randomized clinical trial of nonsurgical LSS treatments regarding the interventions they received, factors contributing to adherence to the interventions, and methods of outcomes assessment...
September 21, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28939171/radiological-and-clinical-long-term-results-of-heterotopic-ossification-following-lumbar-total-disc-replacement
#12
Hyun-Jin Park, Chong-Suh Lee, Sung-Soo Chung, Se-Jun Park, Wan-Seok Kim, Jin-Sung Park, Kyung-Joon Lee, Chan-Ha Hwang
BACKGROUND: The long-term results of heterotopic ossification (HO) following lumbar total disc replacement (TDR) and the corresponding clinical and radiological outcomes are unclear. PURPOSE: To report the long-term results of HO following lumbar TDR and to analyze the clinical and radiological outcomes. STUDY DESIGN/SETTING: A retrospective case review was performed for the consecutive patients who underwent lumbar TDR. PATIENT SAMPLE: The study included 48 patients(60 segments) who underwent lumbar TDR OUTCOME MEASURES: The time and location of HO development, segmental range of motion (ROM) of index level, the visual analog scale (VAS) and the Oswestry disability index (ODI) were analyzed...
September 19, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28939170/anterior-release-may-not-be-necessary-for-idiopathic-scoliosis-with-large-curve-of-more-than-75%C3%A2-and-flexibility-less-than-25
#13
Ming Fai Cheng, Hsiao-Li Ma, Hsi-Hsien Lin, Po-Hsin Chou, Shih-Tien Wang, Chien-Lin Liu, Ming-Chou Chang
BACKGROUND: In order to improve the correction and fusion rates, an anterior release is often needed for treatment of idiopathic scoliosis with a curve of more than 75° before posterior correction, instrumentation and fusion. However, there are disadvantages to anterior release, and we are concerned about whether it is necessary for anterior/posterior spinal fusion in these patients. PURPOSE: To compare the surgical results for idiopathic scoliosis with curve of more than 75° and flexibility less than 25% between using posterior-only approach and combined anterior release followed by posterior correction with a hybrid construct (hooks and pedicle screws) and spinal fusion...
September 19, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28939169/immunomodulation-of-mesenchymal-stem-cells-in-discogenic-pain
#14
Laura Miguélez-Rivera, Saúl Pérez-Castrillo, Maria Luisa González-Fernández, Julio Gabriel Prieto-Fernández, María Elisa López-González, José García-Cosamalón, Vega Villar-Suárez
BACKGROUND CONTEXT: Back pain is a highly prevalent health problem in the world today and has a great economic impact on the healthcare budgets. Intervertebral disc degeneration has been identified as a main cause of back pain. Inflammatory cytokines produced by macrophages or disc cells in an inflammatory environment play an important role in painful progressive degeneration of intervertebral disc. Mesenchymal stem cells (MSCs) have shown to have immunosuppressive and anti-inflammatory properties...
September 19, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28939168/clinical-relation-among-dural-adhesion-dural-ossification-and-dural-laceration-in-the-removal-of-ossification-of-the-ligamentum-flavum
#15
Jeong-Hyuk Ju, Sung-Jun Kim, Kyung-Hyun Kim, Dal-Sung Ryu, Jeong-Yoon Park, Dong-Kyu Chin, Keun-Su Kim, Yong-Eun Cho, Sung-Uk Kuh
BACKGROUND CONTEXT: Dural laceration frequently occurs during surgery in patients with OLF, mainly due to dural adhesion (DA) and dural ossification (DO) between the ligamentum flavum and dura mater. However, the radiologic predictive factors of DA in OLF have rarely been reported. PURPOSE: To determine the preoperative radiologic signs for predicting intraoperative DA in ossification of the ligamentum flavum (OLF), by using preoperative magnetic resonance imaging (MRI) and computed tomography (CT)...
September 19, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28939167/the-importance-and-impact-of-patients-health-literacy-on-low-back-pain-management-a-systematic-review-of-literature
#16
REVIEW
Jean Edward, Leah Yacat Carreon, Mark V Williams, Steven Glassman, Jing Li
OF BACKGROUND DATA: Health literacy (HL) and the overall ability of patients to seek, understand and apply health information play an important role in the management of chronic pain conditions. Awareness of how patients' health literacy skills influence their pain experience and how their ability to understand the treatment regimen and manage chronic pain may allow physicians to adjust clinical treatment accordingly. Despite the prevalence and substantial economic impact of chronic low back pain (LBP), little is known about the relationship between health literacy and the treatment and management of this common disease entity...
September 19, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28939166/spinal-cord-mri-signal-changes-at-one-year-after-cervical-decompression-surgery-is-useful-for-predicting-mid-term-clinical-outcome-an-observational-study-using-propensity-scores
#17
Shota Ikegami, Jun Takahashi, Hiromichi Misawa, Takahiro Tsutsumimoto, Mutsuki Yui, Shugo Kuraishi, Toshimasa Futatsugi, Masashi Uehara, Hiroki Oba, Hiroyuki Kato
BACKGROUND CONTEXT: There is little information on the relationship between magnetic resonance imaging (MRI) T2-weighted high signal change (T2HSC) in the spinal cord and surgical outcome for cervical myelopathy. We therefore examined whether T2HSC regression at one year postoperatively reflected 5-year prognosis after adjustment using propensity scores for potential confounding variables, which have been a disadvantage of earlier observational studies. PURPOSE: Clarify the usefulness of MRI signal changes for the prediction of mid-term surgical outcome in cervical myelopathy patients...
September 19, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28890223/a-new-iphone-%C3%A2-application-for-measuring-active-craniocervical-range-of-motion-in-patients-with-non-specific-neck-pain-a-reliability-and-validity-study
#18
Mohammad Reza Pourahmadi, Rasool Bagheri, Morteza Taghipour, Ismail Ebrahimi Takamjani, Javad Sarrafzadeh, Mohammad Ali Mohseni-Bandpei
BACKGROUND CONTEXT: Measurement of cervical spine range of motion (ROM) is often considered to be an essential component of cervical spine physiotherapy assessment. PURPOSE: To investigate the reliability and validity of an iPhone(®) app (Goniometer Pro(©)) for measuring active craniocervical ROM (ACCROM) in patients with non-specific neck pain. STUDY DESIGN/SETTING: A cross-sectional study was conducted at the musculoskeletal biomechanics laboratory located at Iran University of Medical Sciences...
September 7, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28890222/identifying-subsets-of-patients-with-single-level-degenerative-disc-disease-for-lumbar-fusion-the-value-of-prognostic-tests-in-surgical-decision-making
#19
Victor E Staartjes, Pieter-Paul A Vergroesen, Dick J Zeilstra, Marc L Schröder
BACKGROUND CONTEXT: Fusion surgery for degenerative disc disease (DDD) has become a standard of care, albeit not without controversy. Outcomes are inconsistent and a superiority over conservative treatment is debatable. Proper patient selection is key to clinical success, and a comprehensive understanding of prognostic tests does not currently exist. PURPOSE: To investigate the value of prognostic tests and sociodemographic factors in predicting outcomes following lumbar fusion surgery for DDD...
September 7, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28888674/geographical-variations-in-clinical-presentation-and-outcomes-of-decompressive-surgery-in-patients-with-symptomatic-degenerative-cervical-myelopathy-analysis-of-a-prospective-international-multicenter-cohort-study-of-757-patients
#20
Michael G Fehlings, Branko Kopjar, Ahmed Ibrahim, Lindsay A Tetreault, Paul M Arnold, Helton Defino, Shashank Sharad Kale, S Tim Yoon, Giuseppe M Barbagallo, Ronald H M Bartels, Qiang Zhou, Alexander R Vaccaro, Mehmet Zileli, Gamaliel Tan, Yasutsugu Yukawa, Darrel S Brodke, Christopher I Shaffrey, Osmar Santos de Moraes, Eric J Woodard, Massimo Scerrati, Masato Tanaka, Tomoaki Toyone, Rick C Sasso, Michael E Janssen, Ziya L Gokaslan, Manuel Alvarado, Ciaran Bolger, Christopher M Bono, Mark B Dekutoski
BACKGROUND CONTEXT: Degenerative cervical myelopathy (DCM) is a progressive degenerative spine disease and the most common cause of spinal cord impairment in adults worldwide. There is a paucity of studies reporting on regional variations in demographics, clinical presentation, disease causation and surgical effectiveness. PURPOSE: To evaluate differences in demographics, causative pathology, management strategies, surgical outcomes, length of hospital stay and complications across four geographic regions...
September 6, 2017: Spine Journal: Official Journal of the North American Spine Society
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