keyword
https://read.qxmd.com/read/38496068/optimizing-physiotherapeutic-approaches-in-parkinson-s-disease-post-spinal-fixation-surgery-a-case-report
#21
Prajyot Ankar, Neha P Arya, Tejaswini Fating, Anam R Sasun
Patients with Parkinson's disease (PD) exhibit both a severe neuromuscular disorder and low bone quality at presentation. These issues are made worse by inactivity and a chairbound state. Each and every pathologic and degenerative process that affects the naturally aging spine also affects these individuals. Stooped posture is a symptom of a disease and can easily cause spinal degeneration. PD is associated with many physical abnormalities that cause a unique and specific need for rehabilitation. Patients' experiences highlight the challenges doctors face in diagnosis, treatment, and rehabilitation...
February 2024: Curēus
https://read.qxmd.com/read/38492662/a-whole-spine-mri-based-cross-sectional-study-of-the-clinico-radiological-association-of-lumbosacral-transitional-vertebra-with-degenerative-disc-disease-end-plate-degeneration-low-back-pain-and-facet-tropism
#22
JOURNAL ARTICLE
Chintan Bhagchandani, Chandhan Murugan, Thirumurugan Arumugam, Sri Vijay Anand K S, Ajoy Prasad Shetty, Rishi Mugesh Kanna, S Rajasekaran
BACKGROUND: The purpose of the study is to understand the LSTV-associated degenerative pathologies and their correlation to low back pain(LBP) and radicular pain(RP). METHODS: Whole spine MRIs were evaluated for disc degeneration using the Pfirrmann's grading, for endplate changes using total end plate score (TEPS), and facet tropism in patients with LBP and RP. Their association to LSTV was analyzed. RESULTS: Group 1 LSTV was seen in 15% of patients with 83% of these patients having sacralization...
March 14, 2024: World Neurosurgery
https://read.qxmd.com/read/38491846/predictive-value-of-cervical-degenerative-quantitative-scoring-system-on-postoperative-disc-height-loss-after-cervical-disc-replacement
#23
JOURNAL ARTICLE
Chunyi Yan, Hong Wang, Haimiti Abudouaini, Tingkui Wu, Beiyu Wang, Hao Liu
STUDY DESIGN: A retrospective study. OBJECTIVE: In this study, a cervical degenerative quantitative scoring system was used to identify the risk factors for disc height loss after cervical disc replacement (CDR) and to verify their accuracy. BACKGROUND: Disc height loss after CDR is drawing much attention. Preoperative cervical degeneration has been proven related to postoperative disc height loss but lacked quantitative verification. PATIENTS AND METHODS: A total of 160 patients who underwent CDR with the Prestige-LP disc at our hospital between January 2011 and December 2016 were retrospectively reviewed...
March 18, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38489044/chatgpt-versus-nass-clinical-guidelines-for-degenerative-spondylolisthesis-a-comparative-analysis
#24
JOURNAL ARTICLE
Wasil Ahmed, Michael Saturno, Rami Rajjoub, Akiro H Duey, Bashar Zaidat, Timothy Hoang, Mateo Restrepo Mejia, Zachary S Gallate, Nancy Shrestha, Justin Tang, Ivan Zapolsky, Jun S Kim, Samuel K Cho
BACKGROUND CONTEXT: Clinical guidelines, developed in concordance with the literature, are often used to guide surgeons' clinical decision making. Recent advancements of large language models and artificial intelligence (AI) in the medical field come with exciting potential. OpenAI's generative AI model, known as ChatGPT, can quickly synthesize information and generate responses grounded in medical literature, which may prove to be a useful tool in clinical decision-making for spine care...
March 15, 2024: European Spine Journal
https://read.qxmd.com/read/38484913/mental-health-after-lumbar-spine-surgery-cognitive-appraisal-processes-and-outcome-in-a-longitudinal-cohort-study
#25
JOURNAL ARTICLE
Carolyn E Schwartz, Katrina Borowiec, Sara Aman, Bruce D Rapkin, Joel A Finkelstein
BACKGROUND CONTEXT: A not uncommon finding following spine surgery is that many patients do not achieve mental health improvement up to population norms for their age cohort, despite improvement in pain and functioning. PURPOSE: This study examined how patients who were categorized as depressed vs not depressed think about health-related quality of life as assessed by cognitive-appraisal processes. It examined cross-sectional and longitudinal differences over 12 months post-surgery...
March 12, 2024: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/38480623/abdominal-aortic-calcification-is-an-independent-predictor-of-perioperative-blood-loss-in-posterior-spinal-fusion-surgery
#26
JOURNAL ARTICLE
Ali E Guven, Gisberto Evangelisti, Lukas Schönnagel, Jiaqi Zhu, Krizia Amoroso, Erika Chiapparelli, Gaston Camino-Willhuber, Soji Tani, Thomas Caffard, Artine Arzani, Jennifer Shue, Andrew A Sama, Frank P Cammisa, Federico P Girardi, Ellen M Soffin, Alexander P Hughes
OBJECTIVE: Abdominal aortic calcification (AAC), often found incidentally on lateral lumbar radiographs, is increasingly recognized for its association with adverse outcomes in spine surgery. As a marker of advanced atherosclerosis affecting cardiovascular dynamics, this study evaluates AAC's impact on perioperative blood loss in posterior spinal fusion (PSF). METHODS: Patients undergoing PSF from March 2016 to July 2023 were included. Estimated blood loss (EBL) and total blood volume (TBV) were calculated...
March 13, 2024: European Spine Journal
https://read.qxmd.com/read/38478070/retrospective-analysis-of-medium-term-outcomes-following-anterior-lumbar-interbody-fusion-surgery-performed-in-a-tertiary-spinal-surgical-centre
#27
JOURNAL ARTICLE
T Srirangarajan, K Eseonu, B Fakouri, P Liantis, P Panteliadis, J Lucas, T Ember, M Harris, M Tyrrell, B Sandford, J R Panchmatia
INTRODUCTION: Anterior lumbar interbody fusion (ALIF) can treat spondylolisthesis, degenerative disc disease and pseudoarthrosis. This approach facilitates complete discectomy, disc space distraction, indirect decompression of neural foramina and placement of large interbody devices. Several intra- and postoperative complications can be attributed to the anterior approach: vascular/visceral injury, hypogastric plexus injury and urogenital consequences. Spine-specific complications include implant migration, graft failure, pseudoarthrosis and persistent symptomology...
March 13, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38476410/pain-outcome-of-non-instrumented-lumbar-decompressive-surgery-for-degenerative-lumbar-spine-disease-using-patient-reported-pain-outcome-instruments
#28
JOURNAL ARTICLE
Moses Osaodion Inojie, Chika Anele Ndubuisi, Okwuoma Okwunodulu, Okiemute Vanita Inojie, Ned Micheal Ndafia, Samuel Chwukwunoyerem Ohaegbulam
OBJECTIVES: A clinical disorder known as degenerative lumbar spine disease (DLSD) is characterized by persistent low back pain (LBP) coupled with radiculopathy and other signs of neurologic impairment. Using patient-reported pain outcome assessment tools, this study evaluated the pain outcome of non-instrumented lumbar decompressive surgery for DLSD. MATERIALS AND METHODS: A prospective longitudinal research was conducted. Using the metric visual analog scale (VAS) score and the Oswestry disability index (ODI), consenting patients who underwent non-instrumented lumbar decompressive surgery for symptomatic DLSD were evaluated for radicular pain and LBP...
2024: Journal of Neurosciences in Rural Practice
https://read.qxmd.com/read/38471196/safety-and-efficacy-of-apixaban-vs-enoxaparin-in-thromboprophylaxis-after-spinal-stenosis-and-degenerative-spine-surgery
#29
JOURNAL ARTICLE
Ali Baradaran Bagheri, Mohammad Javad Dehghani, Sepehr Aghajanian
INTRODUCTION: Degenerative spine surgeries often require postoperative immobilization or reduced mobility, predisposing patients to the formation of thrombosis and higher risk of thromboembolic complications. Despite the significance of this issue, there remains a lack of consensus on the optimal anticoagulant agent for postoperative thromboprophylaxis in spinal stenosis and degenerative spine surgeries. Low molecular weight heparins and direct Xa inhibitors represent two anticoagulant groups with high chemoprophylactic potential...
February 28, 2024: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/38469858/radiographic-risk-factors-for-adjacent-segment-disease-following-anterior-cervical-discectomy-and-fusion-acdf-a-systematic-review-and-meta-analysis
#30
JOURNAL ARTICLE
Mohamed Kamal Mesregah, Melissa Baker, Camilla Yoon, Hans-Joerg Meisel, Patrick Hsieh, Jeffrey C Wang, S Tim Yoon, Zorica Buser
STUDY DESIGN: Systematic review and meta-analysis. OBJECTIVES: To assess the radiographic risk factors for adjacent segment disease (ASD) following anterior cervical discectomy and fusion (ACDF) for degenerative cervical spine pathologies. METHODS: PubMed, Embase and the Cochrane Library databases were searched up to December 2023. The primary inclusion criteria were degenerative spinal conditions treated with ACDF, comparing radiological parameters in patients with and without postoperative ASD...
March 12, 2024: Global Spine Journal
https://read.qxmd.com/read/38463775/bioinformatics-analysis-and-experimental-validation-of-key-genes-associated-with-lumbar-disc-degeneration-and-biomechanics
#31
JOURNAL ARTICLE
Xiyu Liu, Lipeng He, Nan Wang, Lin Xie, Bin Wu
BACKGROUND: Lumbar disc degeneration (LDD) is an important pathological basis for the development of degenerative diseases of the lumbar spine. Most clinical patients have low back pain as their main symptom. The deterioration of the biomechanical environment is an important cause of LDD. Although there is a large amount of basic research on LDD, there are fewer reports that correlate biomechanical mechanisms with basic research. Our research aims to identify 304 key genes involved in LDD due to biomechanical deterioration, using a bioinformatics approach...
March 15, 2024: Heliyon
https://read.qxmd.com/read/38457789/are-there-differences-in-the-reoperation-rates-for-operative-adjacent-segment-disease-between-alif-ps-plif-ps-tlif-ps-and-llif-ps-an-analysis-of-a-cohort-of-5291-patients
#32
JOURNAL ARTICLE
Ravinder Raj Bains, Kathryn E Royse, Jacob Fennessy, Elizabeth P Norheim, Ehsan Tabaraee, Jessica E Harris, Calvin C Kuo, Kern H Guppy
OBJECTIVE: Biomechanical factors in lumbar fusions accelerate the development of adjacent-segment disease (ASD). Stiffness in the fused segment increases motion in the adjacent levels, resulting in ASD. The objective of this study was to determine if there are differences in the reoperation rates for symptomatic ASD (operative ASD) between anterior lumbar interbody fusion plus pedicle screws (ALIF+PS), posterior lumbar interbody fusion plus pedicle screws (PLIF+PS), transforaminal lumbar interbody fusion plus pedicle screws (TLIF+PS), and lateral lumbar interbody fusion plus pedicle screws (LLIF+PS)...
March 8, 2024: Journal of Neurosurgery. Spine
https://read.qxmd.com/read/38454750/a-comparison-of-short-term-outcomes-after-surgical-treatment-of-multilevel-degenerative-cervical-myelopathy-in-the-geriatric-patient-population-an-analysis-of-the-national-surgical-quality-improvement-program-database-2010-2020
#33
JOURNAL ARTICLE
Jeffrey Hyun-Kyu Choi, Paramveer Singh Birring, Joshua Lee, Sohaib Zafar Hashmi, Nitin Narain Bhatia, Yu-Po Lee
STUDY DESIGN: Retrospective review of the American College of Surgeons-National Surgical Quality Improvement Program database from 2010 to 2020. PURPOSE: To compare the short-term complication rates of anterior cervical decompression and fusion (ACDF), posterior cervical laminoplasty (LP), and posterior cervical laminectomy and fusion (PCF) in a geriatric population. OVERVIEW OF LITERATURE: The geriatric population in the United States has increased significantly...
March 8, 2024: Asian Spine Journal
https://read.qxmd.com/read/38451339/lateral-plif-for-spinal-arthrodesis-concept-technique-results-complications-and-outcomes
#34
JOURNAL ARTICLE
Gabriele Capo, Francesco Calvanese, Alberto Vandenbulcke, Ismail Zaed, Davide Tiziano Di Carlo, Roberta Cao, Cédric Y Barrey
BACKGROUND: Posterior lumbar interbody fusion (PLIF) surgery represents an effective option to treat degenerative conditions in the lumbar spine. To reduce the drawbacks of the classical technique, we developed a variant, so-called Lateral-PLIF, which we then evaluated through a prospective consecutive series of patients. METHODS: All adult patients treated at our institute with single or double level Lateral-PLIF for lumbar degenerative disease from January to December 2017 were prospectively collected...
March 7, 2024: Acta Neurochirurgica
https://read.qxmd.com/read/38447561/-sagittal-profi-le-of-the-spine-in-patients-after-lumbar-stabilisation-surgeries
#35
JOURNAL ARTICLE
J Pešek, M Repko, L Ryba, D Matejička
PURPOSE OF THE STUDY: Spine stabilization surgery is nowadays one of the most common spinal surgical procedures. Spinopelvic alignment is considered to be an important factor impacting the patients' preoperative diffi culties as well as the outcome of surgery. In our study, the outcomes of stabilization surgeries in patients with lumbar spine disorders were evaluated - especially in those with stenosis and spondylolisthesis, in whom the importance of sagittal parameters were assessed with respect to the patients' clinical outcomes and diffi culties...
2024: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://read.qxmd.com/read/38442295/scoping-review-with-topic-modeling-on-the-diagnostic-criteria-for-degenerative-cervical-myelopathy
#36
REVIEW
Stavros Matsoukas, Carl Moritz Zipser, Freschta Zipser-Mohammadzada, Najmeh Kheram, Andrea Boraschi, Zhilin Jiang, Lindsay Tetreault, Michael G Fehlings, Benjamin M Davies, Konstantinos Margetis
STUDY DESIGN: This study is a scoping review. OBJECTIVE: There is a broad variability in the definition of degenerative cervical myelopathy (DCM) and no standardized set of diagnostic criteria to date. METHODS: We interrogated the Myelopathy.org database, a hand-indexed database of primary clinical studies conducted exclusively on DCM in humans between 2005-2021. The DCM inclusion criteria used in these studies were inputted into 3 topic modeling algorithms: Hierarchical Dirichlet Process (HDP), Latent Dirichlet Allocation (LDA), and BERtopic...
March 5, 2024: Global Spine Journal
https://read.qxmd.com/read/38440806/transforaminal-epidural-steroid-injection-for-radiculopathy-and-the-evolution-to-surgical-treatment-a-pragmatic-prospective-observational-multicenter-study
#37
JOURNAL ARTICLE
Vincent Raymaekers, Gert Roosen, Eric Put, Steven Vanvolsem, Salah-Eddine Achahbar, Sacha Meeuws, Maarten Wissels, Sven Bamps, Dirk De Ridder, Tomas Menovsky, Mark Plazier
Aim: The aim of this study is to analyze the real-world outcomes of transforaminal epidural steroid injections (TFESIs) in all patients with radiculopathy and their long-term outcomes. Methods: Patients with radiculopathy and failure of conservative treatment were included in a prospective, multicenter, observational cohort study. Results: In total, 117 patients were treated with one or two TFESIs. The mean duration of follow-up was 116 (±14) weeks. In total 19,6% (95% CI: 12.9-28.0%) patients were treated with surgery after insufficient symptom improvement...
March 5, 2024: Pain Management
https://read.qxmd.com/read/38437917/comparison-of-facet-fusion-rates-and-clinical-outcomes-between-cortical-bone-trajectory-screw-and-percutaneous-pedicle-screw-fixation-for-degenerative-lumbar-spondylolisthesis
#38
JOURNAL ARTICLE
Tomohiro Miyashita, Kei Kato, Atsushi Yunde, Hiromi Ataka, Takaaki Tanno
BACKGROUND CONTEXT: Cortical bone trajectory (CBT) screws have been introduced as an alternative technique for pedicle screw (PS) insertion because they have greater contact with the cortex and a greater uniaxial pullout load than traditional PS. CBT screwing can also minimize muscle dissection. However, CBT screws and traditional PSs have not yet been compared in terms of fusion rates and clinical outcomes for particular operative procedures. PURPOSE: This study aimed to assess the fusion rate and clinical outcomes of facet fusion (FF) fixed with CBT screws (CBT-FF) and to compare them with those of FF fixed with percutaneous PS (PPS-FF)...
March 2, 2024: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/38436876/development-of-a-novel-animal-model-of-lumbar-vertebral-endplate-lesion-by-intervertebral-disk-injection-of-monosodium-iodoacetate-in-rats
#39
JOURNAL ARTICLE
Toshiaki Maruyama, Toshio Nakamae, Naosuke Kamei, Taiki Morisako, Kazuto Nakao, Fadlyansyah Farid, Hiroki Fukui, Nobuo Adachi
PURPOSE: Vertebral endplate lesions (EPLs) caused by severe disk degeneration are associated with low back pain. However, its pathophysiology remains unclear. In this study, we aimed to develop a vertebral EPL rat model mimicking severe intervertebral disk (IVD) degeneration by injecting monosodium iodoacetate (MIA) into the IVDs and evaluating it by assessing pain-related behavior, micro-computed tomography (CT) findings, and histological changes. METHODS: MIA was injected into the L4-5 and L5-6 IVDs of Sprague-Dawley rats...
March 4, 2024: European Spine Journal
https://read.qxmd.com/read/38433432/lumbar-transforaminal-injection-of-steroids-versus-platelet-rich-plasma-for-prolapse-lumbar-intervertebral-disc-with-radiculopathy-a-randomized-double-blind-controlled-pilot-study
#40
JOURNAL ARTICLE
Anuj Gupta, Harvinder Singh Chhabra, Vishwajeet Singh, Daram Nagarjuna
STUDY DESIGN: Double-blind randomized controlled pilot study. PURPOSE: The purpose of this study was to compare outcomes of steroids with autologous platelet-rich plasma (PRP) administered by lumbar transforaminal injection (LTI) in patients with lumbar radiculopathy. OVERVIEW OF LITERATURE: Degenerative disc disease of the lumbar spine is one of the most common conditions managed by spine surgeons in routine practice. Once conservative management fails, LTI is diagnostic and often therapeutic...
February 2024: Asian Spine Journal
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