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Asian Spine Journal

Haley M McKissack, Howard Benjamin Levene
This literature review examines the relative placement of the interbody cage with respect to the unilateral screw construct to address the need for bilateral screw placement versus unilateral screw placement. Transforaminal lumbar interbody fusion (TLIF) has become a widely used technique for correcting lumbar intervertebral pathologies. This review addresses the necessity for further study on the effects of the relative position of intervertebral cage placement on the outcome of lumbar spine surgery after TLIF with unilateral pedicle screw fixation...
December 7, 2018: Asian Spine Journal
Han Chang, Jong-Beom Park, Byung-Wan Choi, Jong-Won Kang, You-Seung Chun
Study Design: Retrospective case analysis. Purpose: We retrospectively evaluated the clinical and radiological outcomes of posterior sublaminar wiring (PSLW) and/or transarticular screw fixation (TASF) for reducible atlantoaxial instability (AAI) secondary to os odontoideum. Overview of Literature: Limited information is available about the surgical outcomes of symptomatic os odontoideum with AAI. Methods: We examined 23 patients (12 women and 11 men) with os odontoideum and reducible AAI...
December 7, 2018: Asian Spine Journal
Keishi Maruo, Toshiya Tachibana, Fumihiro Arizumi, Kazuki Kusuyama, Kazuya Kishima, Shinichi Yoshiya
Study Design: Retrospective case review. Purpose: To assess the incidence and effect of teriparatide (TP) on subsequent vertebral fractures following a long-instrumented fusion surgery for osteoporotic vertebral fractures (OVFs). Overview of Literature: TP treatment may be a useful strategy for patients with OVFs treated with a long-instrumented surgery. Methods: Overall, 47 patients who underwent long-instrumented fusion surgery (≥3 levels) for OVFs with neurological deficits between 2010 and 2013 were enrolled...
November 29, 2018: Asian Spine Journal
Mehdi Afathi, Nacer Mansouri, Kaissar Farah, Victor Benichoux, Benjamin Blondel, Stéphane Fuentes
Study Design: Retrospective case series observational study. Purpose: Cancer patients are often aged and are further weakened by their illness and treatments. Our goal was to evaluate the efficiency and safety of using minimally invasive techniques to operate on spinal fractures in these patients. Overview of Literature: Vertebroplasty is now considered to be a safe technique that allows a significant reduction of the pain induced by a spinal tumoral fracture...
November 29, 2018: Asian Spine Journal
Masayuki Ohashi, Toru Hirano, Kei Watanabe, Kazuhiro Hasegawa, Takui Ito, Keiichi Katsumi, Hirokazu Shoji, Tatsuki Mizouchi, Ikuko Takahashi, Takao Homma, Naoto Endo
Study Design: Retrospective case series. Purpose: To investigate the oncological outcomes, including distant relapse, after en bloc spondylectomy (EBS) for spinal metastases in patients with a minimum of 2-year follow-up. Overview of Literature: Although EBS has been reported to be locally curative and extend survival in select patients with spinal metastases, detailed reports regarding the control of distant relapse after EBS are lacking...
November 29, 2018: Asian Spine Journal
Serkan Bayram, Turgut Akgül, Murat Altan, Tuna Pehlivanoğlu, Özcan Kaya, Mustafa Abdullah Özdemir, Cüneyt Şar
Study Design: Single-center, retrospective cohort study. Purpose: We aimed to evaluate and compare the clinical outcomes in patients who underwent palliative posterior instrumentation (PPI) versus those who underwent corpectomy with cage reconstruction (CCR) for thoracolumbar pathological fracture. Overview of Literature: The requirement for anterior support after corpectomy has been emphasized in the treatment of pathological fractures of the vertebrae...
November 29, 2018: Asian Spine Journal
Hironobu Sakaura, Atsunori Ohnishi, Akira Yamagishi, Tetsuo Ohwada
Study Design: Retrospective cohort study. Purpose: We recently reported that when compared to posterior lumbar interbody fusion (PLIF) using traditional pedicle screw fixation, PLIF with cortical bone trajectory screw fixation (CBT-PLIF) provided favorable clinical outcomes and reduced the incidence of symptomatic adjacent segment pathology, but resulted in relatively lower fusion rates. Since titanium-coated polyetheretherketone (PEEK) cages (TP) could improve and accelerate fusion status after CBT-PLIF, early fusion status was compared between CBT-PLIF using TP and carbon PEEK cages (CP)...
November 29, 2018: Asian Spine Journal
Hesam Akbari, Mohammad Ghasemi, Taha Yegani, Mohammad Gholami Fesharaki, Maryam Saraei, Yalda Barsam, Hamed Akbari
Study Design: Descriptive cross-sectional study. Purpose: To validate the Persian version of the Million Visual Analogue Scale Questionnaire (MVAS), a self-administered low back pain (LBP) questionnaire. Overview of Literature: The majority of LBP questionnaires translated into Persian evaluate the impact of LBP on daily living. The MVAS is one of the most commonly used self-administered LBP questionnaires, and was developed to assess a different direction and effect of activities of daily living on LBP intensity...
November 29, 2018: Asian Spine Journal
Bong-Seong Ko, Kyu-Jung Cho, Jae-Woo Park
Study Design: Retrospective cohort study. Purpose: To evaluate the incidence and risk factors for early adjacent vertebral fractures following balloon kyphoplasty (KP). Overview of Literature: KP is a safe and effective treatment for pain alleviation in patients with osteoporotic vertebral compression fractures (OVCF). However, some studies have reported that the risk of newly developed fractures increases at the adjacent vertebra after KP...
November 29, 2018: Asian Spine Journal
Amarnath Chellathurai, Balaji Ayyamperumal, Rajakumari Thirumaran, Gopinathan Kathirvelu, Priya Muthaiyan, Sivakumar Kannappan
Study Design: Retrospective single institutional observational study. Purpose: Segmental spinal dysgenesis (SSD), a complex spinal dysraphic state caused by notochord malformation disorders, is named after its morphological presentation where a spine segment is dysgenetic, malformed or absent. This study's objective was to examine and reassess SSD imaging findings and correlate them with an embryological explanation. Overview of Literature: Scott and his colleagues defined SSD as segmental agenesis or dysgenesis of the lumbar or thoracolumbar vertebrae and underlying spinal cord...
November 27, 2018: Asian Spine Journal
Chris Yin Wei Chan, Siti Mariam Abd Gani, Min Yuen Lim, Chee Kidd Chiu, Mun Keong Kwan
Study Design: Prospective study. Purpose: To compare patients' and parents' perceptions of physical attributes (PAs) of adolescent idiopathic scoliosis (AIS) patients and to report any correlations between their perceptions and Scoliosis Research Society-22r (SRS-22r) scores. Overview of Literature: Few studies have looked into the differences between patients' and parents' perceptions of their appearance. Methods: AIS patient-parent pairs (n=170) were recruited...
November 27, 2018: Asian Spine Journal
Bharat Rajendraprasad Dave, Puspak Samal, Romin Sangvi, Devanand Degulmadi, Denish Patel, Ajay Krishnan
Study Design: A retrospective comparative analysis of 64 patients with cauda equina syndrome (CES), who underwent either decompression alone (NF) or fusion (F) surgery. Purpose: We compared the outcomes and timing effects. Overview of Literature: CES can cause loss of autonomic control of vesicular function and lower limb neurological deficits. Prompt diagnosis and emergency surgery markedly improve outcome. Although decompression only is a mainstream technique, there is guarded recovery of vesicular dysfunction...
November 27, 2018: Asian Spine Journal
Jae Chul Lee, Hae-Dong Jang, Joonghyun Ahn, Sung-Woo Choi, Deokwon Kang, Byung-Joon Shin
Study Design: A retrospective cohort study. Purpose: To compare the clinical and radiological outcomes of patients who underwent anterior cervical discectomy and fusion (ACDF) supplemented with plate fixation using allograft with those who underwent ACDF using tricortical iliac autograft. Overview of Literature: As plate fixation is becoming popular, it is reported that ACDF using allograft may have similar outcomes compared with ACDF using autograft...
November 27, 2018: Asian Spine Journal
Eugene Pak-Lin Ng, Andrew Siu-Leung Yip, Keith Hay-Man Wan, Michael Siu-Hei Tse, Kam-Kwong Wong, Tik-Koon Kwok, Wing-Cheung Wong
Study Design: A retrospective review of patients who underwent 2-level anterior cervical discectomy and fusion (ACDF) with standalone polyetheretherketone (PEEK) cages for cervical spondylotic myelopathy (CSM). Purpose: To evaluate the efficacy of stand-alone PEEK cage in 2-level cervical interbody fusion for CSM. Overview of Literature: ACDF is a standard surgical procedure to treat degenerative disc disease. However, the use of additional anterior plating for 2-level ACDF remains controversial...
November 27, 2018: Asian Spine Journal
Kang Taek Lim, Han Ga Wi Nam, Soo Beom Kim, Hyung Suk Kim, Jin Soo Park, Chun-Kun Park
Study Design: This retrospective study involved 450 consecutive cases of degenerative lumbar stenosis treated with percutaneous stenoscopic lumbar decompression (PSLD). Purpose: We determined the feasibility of PSLD for lumbar stenosis at single and multiple levels (minimum 1-year follow-up) by image analysis to observe postoperative widening of the vertebral canal in the area. Overview of Literature: The decision not to perform an endoscopic decompression might be due to the surgeon being uncomfortable with conventional microscopic decompression or unfamiliar with endoscopic techniques or the unavailability of relevant surgical tools to completely decompress the spinal stenosis...
November 27, 2018: Asian Spine Journal
Hironobu Ueshima, Mayumi Inagaki, Tomoaki Toyone, Hiroshi Otake
Study Design: A retrospective study. Purpose: The first research on the erector spinae plane (ESP) block was published in 2016. To our knowledge, no cohort studies or randomized controlled trials of the ESP block were performed in 2016 and 2017. Overview of Literature: This study retrospectively investigated the efficacy of the ESP block in pain management after lumbar spinal surgery. Methods: Patients who underwent lumbar spinal surgery in 2017 were enrolled in the study...
November 15, 2018: Asian Spine Journal
Akira Iwata, Kuniyoshi Abumi, Masahiko Takahata, Hideki Sudo, Katsuhisa Yamada, Tsutomu Endo, Norimasa Iwasaki
Study Design: Retrospective case-control study, level 4. Purpose: To clarify the risk factors for late subaxial lesion after occipitocervical (O-C) reconstruction. We examined cases requiring fusion-segment-extended (FE) reconstruction in addition to/after O-C reconstruction. Overview of Literature: Patients with rheumatoid arthritis (RA) frequently require O-C reconstruction surgery for cranio-cervical lesions. Acceptable outcomes are achieved via indirect decompression using cervical pedicle screws and occipital plate-rod systems...
November 15, 2018: Asian Spine Journal
Rafael García Moreno, Luis Miguel Bernal García, Hyaissa Ippolito Bastidas, Carlos Andrés Mondragón Tirado, Aurora Moreno Flores, Juan Pablo Sosa Cabezas, José Manuel Cabezudo Artero
Study Design: A retrospective study. Purpose: We report our experience with 5-aminolevulinic acid (5-ALA)-assisted resection of spinal cord ependymomas in adults. Overview of Literature: Ependymoma is the most frequent primary spinal cord tumor in adults. Surgery is the treatment of choice in most cases. However, while complete resection is achieved in approximately 80% of cases, clinical improvement is achieved in 15% only. Five-ALA fluorescence-guided surgery seems to be useful for this tumor type...
October 24, 2018: Asian Spine Journal
Weera Sudprasert, Terdpong Tanaviriyachai, Kongtush Choovongkomol, Sarut Jongkittanakul, Urawit Piyapromdee
Study Design: Prospective, randomized controlled trial. Purpose: To evaluate the effect of topically applied tranexamic acid (TXA) on postoperative blood loss of neurologically intact patients with thoracolumbar spine trauma. Overview of Literature: Few articles exist regarding the use of topical TXA for postoperative bleeding and blood transfusion in spinal surgery. Methods: A total of 57 patients were operated on with long-segment instrumented fusion without decompression...
October 24, 2018: Asian Spine Journal
Vibhu Krishnan Viswanathan, Rajasekaran Shanmuganathan, Siddharth Narasimhan Aiyer, Rishi Kanna, Ajoy Prasad Shetty
Study Design: Prospective cohort study. Purpose: The study was aimed at evaluating clinicoradiological factors affecting recovery of neurological deficits in cases of lumbar disc herniation (LDH) treated by lumbar microdiscectomy. Overview of Literature: The majority of the available literature on neurological recovery following neurodeficit is limited to retrospective series. The literature is currently limited regarding variables that can help predict the recovery of neurodeficits following LDH...
October 24, 2018: Asian Spine Journal
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