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Clinical Spine Surgery

Srikanth N Divi, Ananth S Eleswarapu, Christopher E Stout, Michael J Lee
STUDY DESIGN: Retrospective cohort study (Level of evidence-3). OBJECTIVE: The objective of this study was to investigate the real-life effectiveness of physical therapy (PT) for patients initially presenting with common neck pain diagnoses. SUMMARY OF BACKGROUND DATA: Neck pain is a common cause of morbidity and a leading cause of disability in the United States. PT is prescribed as a first-line treatment for the vast majority of patients with neck pain; however, there is limited literature supporting the effectiveness of these treatments...
July 13, 2018: Clinical Spine Surgery
Huseyin Yener Erken, Junseok Bae, Sang-Ho Lee, Jin Suk Seo, Sang Ha Shin
STUDY DESIGN: This was a prospective clinical study. OBJECTIVE: The aim of this study was to evaluate the influence of a preoperative conference on spine surgeons' decision-making in the treatment of adult spinal disorders. SUMMARY AND BACKGROUND DATA: There are several factors that spine surgeons have to consider when determining a surgical plan for the treatment of spinal disorders, which include surgical approach, application of fusion or nonfusion surgery, levels to be treated, treatment of accompanying spinal conditions, the need for further preoperative imaging, and the implant type to be used...
July 13, 2018: Clinical Spine Surgery
Casey Slattery, Kushagra Verma, Fernando Rios, Gregory M Mundis, Oheneba Boachie-Adjei, Anthony Rinella
Organizing medical research in an outreach setting can be a challenging task, especially when it involves complex spine procedures in patients whom it is difficult to follow-up for long term. Disease severity at presentation is often advanced in outreach settings due to limited local resources, surgeon expertise, and hospital infrastructure. Case complexity can present a challenge to local and outreach surgeons alike. This article will describe what encompasses an ideal outreach program as it relates to spine, how to manage cost in an outreach setting, collection of outcome data, and maintaining long-term follow-up...
July 10, 2018: Clinical Spine Surgery
Theodore Steelman, Louis Lewandowski, Melvin Helgeson, Kevin Wilson, Cara Olsen, David Gwinn
STUDY DESIGN: This is a retrospective case control study. OBJECTIVE: Identify risk factors and assess their relative impact on the development of degenerative disk disease (DDD). SUMMARY OF BACKGROUND DATA: DDD is responsible for widespread disability in the civilian and military population. Despite the impact of low back pain and DDD, its multifactorial etiology is not entirely understood. MATERIALS AND METHODS: The Defense Medical Surveillance System was searched for military members with the diagnosis of DDD as identified with the use of International Classification of Disease, 9th Revision (ICD-9) codes...
July 6, 2018: Clinical Spine Surgery
Vignesh K Alamanda, Danae L Massengill, Nigel Rozario, Charity G Moore, Brian Scannell, Brian Brighton, Kelly L Vanderhave
STUDY DESIGN: This was a retrospective cohort study. OBJECTIVE: The primary goal was to evaluate risk factors related to increased blood loss in adolescent idiopathic surgery (AIS) surgery with the secondary goal being to evaluate the financial implications around the use of intraoperative cell salvage (ICS) and the routine preallocation of autogenous blood products. SUMMARY OF BACKGROUND DATA: Deformity correction for AIS is a complex procedure and can be associated with significant blood loss...
July 3, 2018: Clinical Spine Surgery
Gabriel Makar, Carol Foltz, Mayan Lendner, Alexander R Vaccaro
With the exponential increase in research in the field of spine surgery, publishing peer-reviewed articles has become both more desirable and competitive in the past decade. Constructing an impactful manuscript has many important factors, one of which is a well-written Discussion section. A research study can ask a pressing question, have a meticulous methodology and report compelling results; however, without a thoughtful and well-informed analysis of the meaning of the study's findings and their potential influence on the field, the paper will be uninteresting and weak...
July 3, 2018: Clinical Spine Surgery
Ke-Xiao Yu, Lei Chu, Liang Chen, Lei Shi, Zhong-Liang Deng
OBJECTIVE: This report describes a novel posterior trench approach involving percutaneous endoscopic cervical discectomy (PECD) for central cervical intervertebral disc herniation (CIVDH) and an evaluation of the feasibility, safety, and short-term clinical effect of this approach. BACKGROUND CONTEXT: Central CIVDH is considered the contraindication for posterior PECD. MATERIALS AND METHODS: A single-center retrospective observational study was performed with 30 patients managed with posterior PECD using the trench approach for symptomatic single-level central CIVDH...
July 3, 2018: Clinical Spine Surgery
Alfred J Pisano, Joseph S Butler, Arjun Sebastian, Scott C Wagner, Nathan Wanderman
No abstract text is available yet for this article.
July 2, 2018: Clinical Spine Surgery
Miner N Ross, Donald A Ross
OBJECTIVE: Cervical spondylotic myelopathy is a common cause of neurological disability, especially in aging populations. There are several approaches to decompress the cervical spinal cord, including anterior cervical discectomy and fusion, corpectomy and fusion, arthroplasty, posterior cervical laminectomy with or without fusion, and laminoplasty. Less well described is minimally invasive cervical laminectomy. The authors report their technique and results for minimally invasive cervical laminectomy...
June 29, 2018: Clinical Spine Surgery
Arif Pendi, Jeffrey C Wang, Stacey Samuel Bederman, Saifal-Deen Farhan, Nitin N Bhatia, Yu-Po Lee, Jahanzeb Ashraf, Frank L Acosta
STUDY DESIGN: This was a cross-sectional study. OBJECTIVE: The objective of this study was to determine spine surgeons' preferences for the intraoperative and postoperative management of intraoperative durotomy (IDT) in decompression and spinal fusion surgeries. SUMMARY OF BACKGROUND DATA: Management guidelines for IDT remain elusive. Traditionally, management consists of intraoperative suturing and postoperative bed rest. However, preferences of North American spine surgeons may vary, particularly according to type of surgery...
June 29, 2018: Clinical Spine Surgery
Kedar Deogaonkar, Amir A Mehbod, John M Dawson, Ensor E Transfeldt
STUDY DESIGN: This is a retrospective cohort study. OBJECTIVE: This study aimed to determine whether the Fusion Risk Score (FRS) is valid for perioperative complications. SUMMARY OF BACKGROUND DATA: The FRS was previously formulated from a retrospective review of 364 fusion surgeries in patients over age 65. Patient demographics, comorbidities, surgical approach, levels, and osteotomies are incorporated in a weighted manner. This score correlated well with the risk of perioperative complications, operative time, estimated blood loss during surgery, and length of hospital stay...
June 26, 2018: Clinical Spine Surgery
Tereza Andrasinova, Blanka Adamova, Jana Buskova, Milos Kerkovsky, Jiri Jarkovsky, Josef Bednarik
STUDY DESIGN: This was an observational cross-sectional study. OBJECTIVE: The purpose of this study was to evaluate whether the degree of stenosis on magnetic resonance imaging (MRI) relates to the severity of clinical symptoms, disability, or neurological deficit in patients with symptomatic central lumbar spinal stenosis (LSS). SUMMARY OF BACKGROUND DATA: The relationship between radiologic findings and the clinical manifestations of LSS remains unclear...
June 22, 2018: Clinical Spine Surgery
Barrett S Boody, Gregory D Schroeder, Anand H Segar, Christopher K Kepler
No abstract text is available yet for this article.
June 22, 2018: Clinical Spine Surgery
Peter Försth, Per Svedmark, Marilyn E Noz, Gerald Q Maguire, Mike P Zeleznik, Bengt Sandén
STUDY DESIGN: This was a randomized radiologic biomechanical pilot study in vivo. OBJECTIVE: The objectives of this study was to evaluate if 3-dimensional computed tomography is a feasible tool in motion analyses of the lumbar spine and to study if preservation of segmental midline structures offers less postoperative instability compared with central decompression in patients with lumbar spinal stenosis with degenerative spondylolisthesis. SUMMARY OF BACKGROUND DATA: The role of segmental instability after decompression is controversial...
June 22, 2018: Clinical Spine Surgery
Shigeyuki Kitanaka, Ryota Takatori, Yuji Arai, Masateru Nagae, Hitoshi Tonomura, Yasuo Mikami, Nozomu Inoue, Taku Ogura, Hiroyoshi Fujiwara, Toshikazu Kubo
STUDY DESIGN: This is a retrospective clinical case series (case-control study). OBJECTIVE: To clarify the influence of facet joint osteoarthritis (FJOA) on the pathology of degenerative spondylolisthesis (DS) using in vivo 3-dimensional image analysis. SUMMARY OF BACKGROUND DATA: There are no radical treatments to prevent progression of DS in patients with lumbar spinal canal stenosis associated with DS. Therefore, an effective treatment method based on the pathology of DS should be developed...
June 15, 2018: Clinical Spine Surgery
Aakash Agarwal, Adam MacMillan, Vijay Goel, Anand K Agarwal, Chris Karas
Given the complexity of the sterilization process, and the risk involved in absence of strict adherence to the protocol described by the medical device manufacturers, terminally sterilized devices are emerging and being promoted in the field of medical practices. The characteristics associated with conventional reprocessing are demanding logistics, costs of delay, operations and adverse events, and unacceptable liability. Demanding logistics were a result of decoupled staff between the operating room and sterilize processing department, understaffed and high-volume processing with an additional burden due to inventory management and inefficient training...
June 15, 2018: Clinical Spine Surgery
Xinchun Liu
Full endoscopy spine surgery is one of the minimally invasive procedures for lumbar spine disease and is especially popular in East Asia. As for the interlaminar approach, lumbar recess stenosis can be manipulated through a uniportal bigger diameter working channel spinal endoscope or a smaller one, or a biportal arthroscope. Each kind of procedure has its advantages and shortcomings. Here, a novel experience in biportal interlaminar approach for lumbar recess stenosis is presented. A smaller uniportal spinal endoscope is adopted for biportal procedures rather than the arthroscope...
June 15, 2018: Clinical Spine Surgery
Adanna R Welch-Phillips, James O'Leary, Olan Carmody, Joseph S Butler
No abstract text is available yet for this article.
June 15, 2018: Clinical Spine Surgery
Alaa E Elsharkawy, Bettina Lange, Fernando Caldas, Abdel H Alabbasi, Peter D Klassen
STUDY DESIGN: This is a retrospective, self-controlled cohort study, at a single center. OBJECTIVE: The aim of this study was to evaluate the long-term outcome of sexual function after surgical treatment of single-level lumbar disk herniation (LDH). SUMMARY OF BACKGROUND DATA: The impact of surgical treatment on sexual activity is still unknown and not well researched. MATERIALS AND METHODS: In total, 114 patients who underwent disk surgery for LDH between 2009 and 2015 were included in the study (mean age, 46...
June 15, 2018: Clinical Spine Surgery
Sina Pourtaheri, William Luo, Christina Cui, Steven Garfin
STUDY DESIGN: This is a systematic review and meta-analysis. OBJECTIVE: This study's goal was to (i) assess the clinical outcomes with and without vertebral augmentation (VA) for osteoporotic vertebral compression fractures (VCFs) with versus without correlating signs and symptoms; and (ii) acute (symptoms <3 mo duration) and subacute VCFs (3-6 mo duration) versus chronic VCFs (>6 mo). SUMMARY OF BACKGROUND DATA: Previously, a randomized controlled trial in the New England Journal of Medicine concluded that vertebroplasty for osteoporotic VCFs provided no clinical benefit over sham surgery...
June 12, 2018: Clinical Spine Surgery
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