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Asian Spine Journal

Matteo Formica, Andrea Zanirato, Luca Cavagnaro, Marco Basso, Stefano Divano, Carlo Formica, Lamberto Felli
Osteonecrosis (ON) is a clinical entity characterized by a pattern of cell death and complex process of bone resorption and formation. Studies related to ON have largely focused on certain anatomical sites; however, the evidence on vertebral body ON (VBON) is largely inconsistent and fragmented. The aim of this study was to clarify the pathophysiology, risk factors, imaging findings, and available treatment modalities for VBON. A systematic review of the relevant articles published in English was performed using PubMed, Embase, Medline, Google Scholar, Cochrane Central Register of Controlled Trials (CENTRAL), and CINAHL databases...
June 2018: Asian Spine Journal
Amer Sebaaly, Marie-José Lahoud, Maroun Rizkallah, Gaby Kreichati, Khalil Kharrat
The study aimed to review the etiology of failed back surgery syndrome (FBSS) and to propose a treatment algorithm based on a systematic review of the current literature and individual experience. FBSS is a term that groups the conditions with recurring low back pain after spine surgery with or without a radicular component. Since the information on FBSS incidence is limited, data needs to be retrieved from old studies. It is generally accepted that its incidence ranges between 10% and 40% after lumbar laminectomy with or without fusion...
June 2018: Asian Spine Journal
Dae-Jung Choi, Ju-Eun Kim, Je-Tea Jung, Yong-Sang Kim, Han-Jin Jang, Bang Yoo, Il-Ho Kang
The stenosing foramen of L5-S1 by several degenerative diseases is one of the challenging areas on surgical approaching because of the deeper depth and steep slope in the lumbosacral junction. The floating view using unilateral biportal endoscopic spine surgery rather than docking into the Kambin's zone can make the foraminal structures seen panoramically and permit dynamic handling of various instruments without destroying the facet joint and causing iatrogenic instability. Fine discrimination of structural margins in helps of the higher magnification and gentle manipulation of neural structures just as in open spine surgery could be guaranteed using floating technique from the target structures...
June 2018: Asian Spine Journal
Yogesh Kishorkant Pithwa
STUDY DESIGN: Retrospective analysis of prospectively collected data. PURPOSE: To assess the relative advantages of implant constructs with and without pedicle screws in the concave apex for correcting scoliosis. OVERVIEW OF LITERATURE: Concave apical pedicles in scoliosis can be narrow and dysplastic. Neural structures also migrate toward concavity, leaving little room for error while inserting pedicle screws into the concave apex. METHODS: Patients (n=35) undergoing scoliosis surgery from September 2004 to September 2009 with minimum 5-year follow-up period were included...
June 2018: Asian Spine Journal
Yawara Eguchi, Munetaka Suzuki, Hajime Yamanaka, Hiroshi Tamai, Tatsuya Kobayashi, Sumihisa Orita, Kazuyo Yamauchi, Miyako Suzuki, Kazuhide Inage, Kazuki Fujimoto, Hirohito Kanamoto, Koki Abe, Masaki Norimoto, Tomotaka Umimura, Yasuchika Aoki, Masao Koda, Takeo Furuya, Tomoaki Toyone, Tomoyuki Ozawa, Kazuhisa Takahashi, Seiji Ohtori
STUDY DESIGN: Retrospective observational study. PURPOSE: We considered the relationship between spinal alignment and skeletal muscle mass on clinical outcomes following a surgery for lumbar spinal stenosis (LSS). OVERVIEW OF LITERATURE: There are no reports of preoperative factors predicting residual low back pain following surgery for LSS. METHODS: Our target population included 34 women (mean age, 74.4 years) who underwent surgery for LSS...
June 2018: Asian Spine Journal
Toshitaka Seki, Kazutoshi Hida, Shunsuke Yano, Kiyohiro Houkin
STUDY DESIGN: A retrospective cohort study. PURPOSE: To examine the validity of prophylactic surgery for children with tethered cord syndrome (TCS). OVERVIEW OF LITERATURE: Prophylactic surgery for pediatric patients with TCS remains controversial. METHODS: We retrospectively analyzed the surgical outcomes of 14 children (nine boys and five girls) with asymptomatic TCS who were surgically treated at Hokkaido University Hospital between 1989 and 2015...
June 2018: Asian Spine Journal
Sudhir Ganesan, Vignesh Jayabalan, Venkatesh Kumar, Karthik Kailash
STUDY DESIGN: Retrospective cohort study. PURPOSE: To compare the clinical and radiological outcomes of modified mini-open transforaminal lumbar interbody fusion (modMOTLIF) and open TLIF (OTLIF). OVERVIEW OF LITERATURE: Minimally invasive transforaminal lumbar interbody fusion (MTLIF) is associated with less blood loss, shorter hospital stay, and less pain. However, it has concerns like increased radiation exposure, steep learning curve, and instrumentation cost...
June 2018: Asian Spine Journal
Shilabant Sen Sribastav, Jun Long, Peiheng He, Wei He, Fubiao Ye, Zemin Li, Jianru Wang, Hui Liu, Hua Wang, Zhaomin Zheng
STUDY DESIGN: A prospective cross-sectional study. PURPOSE: To evaluate the risk factors associated with the severity of pain intensity in patients with non-specific low back pain (NSLBP) in Southern China. OVERVIEW OF LITERATURE: Low back pain (LBP) is the leading cause of activity limitation and work absence throughout the world, so a firm understanding of the risk factor associated with NSLBP can provide early and prompt interventions that are aimed at attaining long-term results...
June 2018: Asian Spine Journal
Seok Han, Il-Tae Jang
STUDY DESIGN: Retrospective study. PURPOSE: This retrospective study aimed to determine the incidence of adjacent level new fractures in a sandwich constellation (one or two untreated vertebrae between two cemented vertebrae) compared with that in other constellations formed by two-level percutaneous vertebroplasty (PVP). It also aimed to investigate the potential factors contributing to adjacent new fractures in a sandwich constellation. OVERVIEW OF LITERATURE: There are few studies regarding the intervening intact vertebral body between two cemented vertebrae...
June 2018: Asian Spine Journal
Rushama Tandon, Vivek Kiyawat, Neeraj Kumar
STUDY DESIGN: Single-surgeon, single-center prospective study with prospective data collection. PURPOSE: To clinically evaluate muscle damage after open lumbar surgery and its relationship to functional activity and to validatethe improvement in function as indicated by improved Oswestry Disability Index (ODI) score despite muscle damage. OVERVIEW OF LITERATURE: Few studies have analyzed the functional loss and recovery pattern of muscles after open lumbar surgery...
June 2018: Asian Spine Journal
Ratish Singh, Gao Zeng Xin, Mangal Prasad Hirachan, Lin Yu Cheng
STUDY DESIGN: Retrospective study. PURPOSE: To evaluate the outcome of percutaneous transforaminal endoscopic lumbar surgery (PTELS) and to evaluate the efficacy of this technique in the treatment of lumbar disc herniation (LDH) and lumbar spine stenosis (LSS) in >60-year-old patients. OVERVIEW OF LITERATURE: There has been number of studies done in aspect of PTELS. All those studies focused on overall clinical aspect with no any age specific analysis...
June 2018: Asian Spine Journal
Parneet Kaur Bedi, Narkeesh Arumugam, Harvinder Singh Chhabra
STUDY DESIGN: A multi-centric randomized controlled trial to be conducted at two sites, department of phyhysiotherapypy, Punjabi University, Patiala and rehabilitation department, Indian Spinal Injury Centre, New Delhi, India. PURPOSE: To determine the effectiveness of activity-based therapy in comparison with surface spinal stimulation (SSS) in traumatic incomplete spinal cord injury (SCI) with special reference to locomotion-a central pattern generator controlled function...
June 2018: Asian Spine Journal
Pardis Noormohammadpour, Mahla Kordi, Mohammad Ali Mansournia, Maryam Akbari-Fakhrabadi, Ramin Kordi
STUDY DESIGN: Single-blinded randomized controlled trial. PURPOSE: To evaluate the effects of a multi-step core stability exercise program in nurses with chronic low back pain (CLBP). OVERVIEW OF LITERATURE: CLBP is a common disorder among nurses. Considering that patient-handling activities predispose nurses to CLBP, core stability exercises suggested for managing CLBP in the general population may also be helpful in nurses. However, sufficient evidence is not available on whether a multi-step core stability exercise program affects pain, disability, quality of life, and the diameter of lateral abdominal muscles in nurses with CLBP...
June 2018: Asian Spine Journal
Moslem Shakeri, Firooz Salehpour, Ghaffar Shokouhi, Kamkar Aeinfar, Javad Aghazadeh, Farhad Mirzaei, Seyed Ahmad Naseri Alavi
STUDY DESIGN: A randomized double-blind placebo controlled study. PURPOSE: In the present study, we aimed to assess the efficacy of tranexamic acid (TXA) in reducing blood loss after laminectomy and posterolateral fusion of the spine. OVERVIEW OF LITERATURE: Blood loss is the most significant complication involved with surgery, especially in spinal surgery. Multilevel laminectomy and laminectomy with instrumentation (pedicle screws and rods) are complex spine surgeries and are considered as medium-risk procedures for bleeding...
June 2018: Asian Spine Journal
Min-Woo Kim, Kyu Yeol Lee, Seunghyun Lee
STUDY DESIGN: A retrospective cohort study. PURPOSE: To investigate the factors affecting symptoms in young adults with L5 spondylolysis. OVERVIEW OF LITERATURE: L5 spondylolysis is a common disease. However, not all patients diagnosed with L5 spondylolysis exhibit symptoms. This study examined the factors associated with the symptoms of young adults with L5 spondylolysis. METHODS: The medical records of 70 young adults (mean age, 31...
June 2018: Asian Spine Journal
Manoj Singrakhia, Nikhil Malewar, Sonal Deshmukh, Shivaji Deshmukh
STUDY DESIGN: Prospective case series. PURPOSE: To study the safety, efficacy, and long-term outcomes of single-stage surgical intervention for congenital spinal deformity and intraspinal anomalies. OVERVIEW OF LITERATURE: Congenital spinal deformities associated with intraspinal anomalies are usually treated sequentially, first by treating the intraspinal anomalies followed by deformity correction after a period of 3-6 months. Recently, a single-stage approach has been reported to show better postoperative results and reduced complication rates...
June 2018: Asian Spine Journal
Majid Rezvani, Reza Abbasi, Homayoon Tabesh, Leila Dehghani, Shahab Dolatkhah, Maryam Nasri, Mohsen Kolahdouzan, Rokhsareh Meamar
STUDY DESIGN: Randomized clinical trial. PURPOSE: In this study, we evaluated the effect of mechanical evacuation of the bowels prior to operation on intraoperative bleeding. OVERVIEW OF LITERATURE: Bleeding is the most significant complication in patients undergoing spinal surgery. METHODS: We randomly divided 108 individuals planned to undergo spinal surgery into two age-, sex-, and co-morbidity (especially preoperative hemoglobin [Hb])-matched groups of 54...
June 2018: Asian Spine Journal
Kelly J Bridges, Lauren N Simpson, Carli L Bullis, Andy Rekito, Christina M Sayama, Khoi D Than
STUDY DESIGN: A literature review. PURPOSE: To explore the utility of laminoplasty in combination with instrumented fusion, with a focus on neurological outcomes and changes in kyphotic deformity. OVERVIEW OF LITERATURE: Management of cervical spondylotic myelopathy (CSM) to reduce morbidity within the neurosurgical population. METHODS: A US National Library of Medicine PubMed search was conducted for manuscripts pertaining to cervical laminoplasty and fusion for the management of CSM...
June 2018: Asian Spine Journal
Kazuyoshi Kobayashi, Shiro Imagama, Kei Ando, Kenyu Ito, Mikito Tsushima, Masayoshi Morozumi, Satoshi Tanaka, Masaaki Machino, Kyotaro Ota, Yoshihiro Nishida, Naoki Ishiguro
STUDY DESIGN: Single-center retrospective study. PURPOSE: To optimize the perioperative management of patients with hemophilia who are undergoing spinal surgery. OVERVIEW OF LITERATURE: Hemophilia is a rare disease in which there is a tendency of bleeding because of a congenital deficiency in blood coagulation factor activity. There has been no previous report on spinal surgery in patients with hemophilia. METHODS: The subjects were five patients (all males) with hemophilia who underwent spinal surgery at Nagoya University Hospital...
June 2018: Asian Spine Journal
Kazuhiro Kai, Ko Ikuta, Keigo Masuda, Takahiro Kitamura, Hideyuki Senba, Satoshi Shidahara
STUDY DESIGN: A retrospective study. PURPOSE: To evaluate the clinical and radiological outcomes of ankylosing spinal disorder (ASD) patients with spinal fractures treated by minimally invasive stabilization (MISt) using percutaneous pedicle screws (PPSs). OVERVIEW OF LITERATURE: ASDs, such as ankylosing spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH), increase susceptibility to spinal fractures because of extremely decreased spinal flexibility...
June 2018: Asian Spine Journal
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