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Global Spine Journal

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https://www.readbyqxmd.com/read/27904834/ebsj-evidence-assessment
#1
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27904833/moving-forward-into-the-future
#2
EDITORIAL
Jeffrey C Wang, Jens R Chapman, Karsten Wiechert
No abstract text is available yet for this article.
December 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27853668/the-effectiveness-and-safety-of-exoskeletons-as-assistive-and-rehabilitation-devices-in-the-treatment-of-neurologic-gait-disorders-in-patients-with-spinal-cord-injury-a-systematic-review
#3
Christian Fisahn, Mirko Aach, Oliver Jansen, Marc Moisi, Angeli Mayadev, Krystle T Pagarigan, Joseph R Dettori, Thomas A Schildhauer
Study Design Systematic review. Clinical Questions (1) When used as an assistive device, do wearable exoskeletons improve lower extremity function or gait compared with knee-ankle-foot orthoses (KAFOs) in patients with complete or incomplete spinal cord injury? (2) When used as a rehabilitation device, do wearable exoskeletons improve lower extremity function or gait compared with other rehabilitation strategies in patients with complete or incomplete spinal cord injury? (3) When used as an assistive or rehabilitation device, are wearable exoskeletons safe compared with KAFO for assistance or other rehabilitation strategies for rehabilitation in patients with complete or incomplete spinal cord injury? Methods PubMed, Cochrane, and Embase databases and reference lists of key articles were searched from database inception to May 2, 2016, to identify studies evaluating the effectiveness of wearable exoskeletons used as assistive or rehabilitative devices in patients with incomplete or complete spinal cord injury...
December 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27853667/resection-of-beak-type-thoracic-ossification-of-the-posterior-longitudinal-ligament-from-a-posterior-approach-under-intraoperative-neurophysiological-monitoring-for-paralysis-after-posterior-decompression-and-fusion-surgery
#4
Shiro Imagama, Kei Ando, Zenya Ito, Kazuyoshi Kobayashi, Tetsuro Hida, Kenyu Ito, Yoshimoto Ishikawa, Mikito Tsushima, Akiyuki Matsumoto, Satoshi Tanaka, Masayoshi Morozumi, Masaaki Machino, Kyotaro Ota, Hiroaki Nakashima, Norimitsu Wakao, Yoshihiro Nishida, Yukihiro Matsuyama, Naoki Ishiguro
Study Design Prospective clinical study. Objective Posterior decompression and fusion surgery for beak-type thoracic ossification of the posterior longitudinal ligament (T-OPLL) generally has a favorable outcome. However, some patients require additional surgery for postoperative severe paralysis, a condition that is inadequately discussed in the literature. The objective of this study was to describe the efficacy of a procedure we refer to as "resection at an anterior site of the spinal cord from a posterior approach" (RASPA) for severely paralyzed patients after posterior decompression and fusion surgery for beak-type T-OPLL...
December 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27853666/outcome-instruments-in-spinal-trauma-surgery-a-bibliometric-analysis
#5
REVIEW
Holt S Cutler, Javier Z Guzman, James Connolly, Motasem Al Maaieh, Branko Skovrlj, Samuel K Cho
Study Design Literature review. Objective To identify outcomes instruments used in spinal trauma surgery over the past decade, their frequency of use, and usage trends. Methods Five top orthopedic journals were reviewed from 2004 to 2013 for clinical studies of surgical intervention in spinal trauma that reported patient-reported outcome instruments use or neurologic function scale use. Publication year, level of evidence (LOE), and outcome instruments were collected for each article and analyzed. Results A total of 58 studies were identified...
December 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27853665/systematic-review-and-meta-analysis-of-en-bloc-vertebrectomy-compared-with-intralesional-resection-for-giant-cell-tumors-of-the-mobile-spine
#6
REVIEW
Panya Luksanapruksa, Jacob M Buchowski, Weerasak Singhatanadgige, David B Bumpass
Study Design Systematic review and meta-analysis. Objective To compare the recurrence and perioperative complication rate of en bloc vertebrectomy (EV) and intralesional resection (IR) in the giant cell tumor of the mobile spine (SGCT). Methods We systematically searched publications in the PubMed and Embase databases for reports of SGCTs, excluding the sacrum. Two reviewers independently assessed all publications. A meta-analysis was performed using local recurrence and postoperative complications as the primary outcomes of interest...
December 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27853664/return-to-play-after-cervical-spine-injuries-a-consensus-of-opinion
#7
John C France, Michael Karsy, James S Harrop, Andrew T Dailey
Study Design Survey. Objective Sports-related spinal cord injury (SCI) represents a growing proportion of total SCIs but lacks evidence or guidelines to guide clinical decision-making on return to play (RTP). Our objective is to offer the treating physician a consensus analysis of expert opinion regarding RTP that can be incorporated with the unique factors of a case for clinical decision-making. Methods Ten common clinical scenarios involving neurapraxia and stenosis, atlantoaxial injury, subaxial injury, and general cervical spine injury were presented to 25 spine surgeons from level 1 trauma centers for whom spine trauma is a significant component of their practice...
December 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27853663/impact-of-surgical-approach-on-clinical-outcomes-in-the-treatment-of-lumbar-pseudarthrosis
#8
R Kirk Owens, Mladen Djurasovic, Charles H Crawford, Steven D Glassman, John R Dimar, Leah Y Carreon
Study Design Retrospective comparative cohort. Objective Pseudarthrosis following fusion for degenerative lumbar spine pathologies remains a substantial problem. Current data shows that patients who develop a pseudarthrosis have suboptimal outcomes. This study evaluates if treatment of pseudarthrosis can be affected by surgical approach. Methods Medical records of 63 female and 65 male patients (mean age 50.37) who were treated for nonunion following lumbar fusion were reviewed. Sixty patients underwent posterolateral fusion (PSF), 18 underwent PSF with transforaminal interbody fusion (TLIF), 32 underwent anterior and posterior spinal fusion (AP), and 24 underwent anterior lumbar interbody fusion (ALIF)...
December 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27853662/postoperative-cerebrospinal-fluid-leak-rates-with-subfascial-epidural-drain-placement-after-intentional-durotomy-in-spine-surgery
#9
Tianyi Niu, Derek S Lu, Andrew Yew, Darryl Lau, Haydn Hoffman, David McArthur, Dean Chou, Daniel C Lu
Study Design Retrospective chart review. Objective Postoperative cerebrospinal fluid (CSF) leak is a known complication of intraoperative durotomy. Intraoperative placement of subfascial epidural drains following primary dural repair has been proposed as a potential management strategy to prevent formation of CSF cutaneous fistula and symptomatic pseudomeningocele. Here we describe our experience with subfascial drain after intentional durotomy. Methods Medical records of patients who underwent placement of subfascial epidural drains during spinal procedures with intentional intraoperative durotomies over a 4-year period at two institutions were retrospectively reviewed...
December 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27853661/cell-therapy-with-human-dermal-fibroblasts-enhances-intervertebral-disk-repair-and-decreases-inflammation-in-the-rabbit-model
#10
Ana Chee, Peng Shi, Thomas Cha, Ting-Hsien Kao, Shu-Hua Yang, Jun Zhu, Ding Chen, Yejia Zhang, Howard S An
Study Design Pilot study using the rabbit model. Objective Low back pain is often associated with disk degeneration. Cell therapy for degenerating disks may promote tissue regeneration and repair. Human dermal fibroblasts, obtained from the patient's skin tissue or donated tissue, may be a promising cell therapy option for degenerating disks. The objective of these studies is to determine the effects of intradiscal transplantation of neonatal human dermal fibroblasts (nHDFs) on intervertebral disk (IVD) degeneration by measuring disk height, magnetic resonance imaging (MRI) signal intensity, gene expression, and collagen immunostaining...
December 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27853660/segmental-surface-referencing-during-intraoperative-three-dimensional-image-guided-spine-navigation-an-early-validation-with-comparison-to-automated-referencing
#11
Amro F Al-Habib, Salah Al-Akkad
Study Design Interventional human cadaver study. Objective Intraoperative three-dimensional (3-D)-guided navigation improves spine instrumentation accuracy. However, image acquisition may need to be repeated with segment hypermobility or distant target from reference frame (RF). The current study evaluates the usefulness of internal metal fiducials (IMFs) as surface references in enhancing registration accuracy and avoiding repeating imaging. Methods Six fresh-frozen cadaveric human torsos were utilized...
December 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27853659/incidence-predictors-and-postoperative-complications-of-blood-transfusion-in-thoracic-and-lumbar-fusion-surgery-an-analysis-of-13-695-patients-from-the-american-college-of-surgeons-national-surgical-quality-improvement-program-database
#12
Ahmed Aoude, Anas Nooh, Maryse Fortin, Sultan Aldebeyan, Peter Jarzem, Jean Ouellet, Michael H Weber
Study Design Retrospective cohort study. Objective To identify predictive factors for blood transfusion and associated complications in lumbar and thoracic fusion surgeries. Methods The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was used to identify patients who underwent lumbar or thoracic fusion from 2010 to 2013. Multivariate analysis was used to determine predictive factors and postoperative complications associated with transfusion. Results Out of 13,695 patients, 13,170 had lumbar fusion and 525 had thoracic fusion...
December 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27853658/analysis-of-recombinant-human-bone-morphogenetic-protein-2-use-in-the-treatment-of-lumbar-degenerative-spondylolisthesis
#13
Qingqiang Yao, Jeremiah R Cohen, Zorica Buser, Jong-Beom Park, Darrel S Brodke, Hans-Joerg Meisel, Jim A Youssef, Jeffrey C Wang, S Tim Yoon
Study Design Retrospective database review. Objective To identify trends of the recombinant human bone morphogenetic protein-2 (rhBMP-2) use in the treatment of lumbar degenerative spondylolisthesis (LDS). Methods PearlDiver Patient Record Database was used to identify patients who underwent lumbar fusion for LDS between 2005 and 2011. The distribution of bone morphogenetic protein use rate (BR) in various surgical procedures was recorded. Patient numbers, reoperation numbers, BR, and per year BR (PYBR) were stratified by geographic region, gender, and age...
December 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27853657/the-effect-of-obesity-on-the-improvement-in-health-state-outcomes-following-minimally-invasive-transforaminal-interbody-fusion
#14
Steven J McAnany, Diana C Patterson, Samuel Overley, Daniel Alicea, Javier Guzman, Sheeraz A Qureshi
Study Design Observational study. Objective Studies have shown a correlation between obesity and lumbar spine pathology, but also that obese patients have higher rates of complication following lumbar spine surgery. It is unknown if obese patients have clinical gains following lumbar spine surgery comparable to the gain of normal-weight patients. This study investigated the correlation of obesity and the delta change in outcomes in a single surgeon's cohort of normal-weight and obese patients undergoing minimally invasive (MIS) transforaminal lumbar interbody fusion (TLIF)...
December 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27853656/risk-factors-for-venous-thromboembolism-following-thoracolumbar-surgery-analysis-of-43-777-patients-from-the-american-college-of-surgeons-national-surgical-quality-improvement-program-2005-to-2012
#15
Arjun S Sebastian, Bradford L Currier, Sanjeev Kakar, Emily C Nguyen, Amy E Wagie, Elizabeth S Habermann, Ahmad Nassr
Study Design Retrospective clinical study of a prospectively collected, national database. Objective Determine the 30-day incidence, timing, and risk factors for venous thromboembolism (VTE) following thoracolumbar spine surgery. Methods The American College of Surgeons National Surgical Quality Improvement Program Participant Use File identified 43,777 patients who underwent thoracolumbar surgery from 2005 to 2012. Multiple patient characteristics were identified. The incidence and timing (in days) of deep vein thrombosis (DVT) and pulmonary embolus (PE) were determined...
December 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27800295/ebsj-evidence-assessment
#16
(no author information available yet)
No abstract text is available yet for this article.
November 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27800294/updates-from-aospine
#17
EDITORIAL
Jeffrey C Wang, Jens R Chapman, Karsten Wiechert
No abstract text is available yet for this article.
November 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27781193/catastrophic-cervical-spine-injuries-in-contact-sports
#18
Michael James Hutton, Robert A McGuire, Robert Dunn, Richard Williams, Peter Robertson, Bruce Twaddle, Patrick Kiely, Andrew Clarke, Keyvan Mazda, Paul Davies, Krystle T Pagarigan, Joseph R Dettori
Study Design Systematic review. Objectives To determine the incidence of catastrophic cervical spine injuries (CCSIs) among elite athletes participating in contact team sports and whether the incidence varies depending on the use of protective gear or by player position. Methods Electronic databases and reference lists of key articles published from January 1, 2000, to January 29, 2016, were searched. Results Fourteen studies were included that reported CCSI in rugby (n = 10), American football (n = 3), and Irish hurling (n = 1)...
November 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27781192/staged-correction-of-severe-thoracic-kyphosis-in-patients-with-multilevel-osteoporotic-vertebral-compression-fractures
#19
Eyal Behrbalk, Ofir Uri, Yoram Folman, Marcus Rickert, Radek Kaiser, Bronek Maximilian Boszczyk
Study Design Technical report. Objective Multilevel osteoporotic vertebral compression fractures may lead to considerable thoracic deformity and sagittal imbalance, which may necessitate surgical intervention. Correction of advanced thoracic kyphosis in patients with severe osteoporosis remains challenging, with a high rate of failure. This study describes a surgical technique of staged vertebral augmentation with osteotomies for the treatment of advanced thoracic kyphosis in patients with osteoporotic multilevel vertebral compression fractures...
November 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27781191/outcomes-following-laminoplasty-or-laminectomy-and-fusion-in-patients-with-myelopathy-caused-by-ossification-of-the-posterior-longitudinal-ligament-a-systematic-review
#20
REVIEW
Weerasak Singhatanadgige, Worawat Limthongkul, Frank Valone, Wicharn Yingsakmongkol, K Daniel Riew
Study Design Systematic review. Objective To compare laminoplasty versus laminectomy and fusion in patients with cervical myelopathy caused by OPLL. Methods A systematic review was conducted using PubMed/Medline, Cochrane database, and Google scholar of articles. Only comparative studies in humans were included. Studies involving cervical trauma/fracture, infection, and tumor were excluded. Results Of 157 citations initially analyzed, 4 studies ultimately met our inclusion criteria: one class of evidence (CoE) II prospective cohort study and three CoE III retrospective cohort studies...
November 2016: Global Spine Journal
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