European Spine Journal最新文献

{"title":"Letter to the editor concerning \"comparison of the efficacy of arthroscopic-assisted uni-portal spinal surgery and percutaneous endoscopic lumbar discectomy in the treatment of far lateral lumbar disc herniation: a retrospective controlled study\" by J. Li et al. (Eur Spine J [2025]: doi: 10.1007/s00586-025-08998-4).","authors":"Menglong Zhang, Qi Zhang, Enpeng Gu","doi":"10.1007/s00586-025-09249-2","DOIUrl":"10.1007/s00586-025-09249-2","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4826-4827"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144803925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quadroiliac plane block for postoperative pain management in a pediatric patient undergoing tethered cord release surgery: a case report.","authors":"Engin Ihsan Turan, Ruşen Alakuştekin, Mahmut Sami Semih, Nuri Serdar Baş, Ayça Sultan Şahin","doi":"10.1007/s00586-025-09247-4","DOIUrl":"10.1007/s00586-025-09247-4","url":null,"abstract":"<p><strong>Background: </strong>Opioid-free analgesia is critical in pediatric patients with complex comorbidities to avoid adverse effects, such as respiratory depression. Patients with tethered cord syndrome (TCS), often presenting with conditions like spina bifida, renal impairment, and musculoskeletal deformities, pose unique perioperative challenges that demand alternative pain management strategies.</p><p><strong>Case: </strong>We present the case of an 11-year-old male with spina bifida and chronic kidney disease (CKD) undergoing tethered cord release surgery. Due to her renal impairment and the need to minimize opioid use, a Quadro-Iliac Plane Block (QIPB) was chosen for postoperative analgesia. General anesthesia was induced with midazolam, fentanyl, propofol, and rocuronium, and maintained with sevoflurane in oxygen-air mixture. Bilateral QIPB was performed with a total of 0.3 ml/kg of 0.25% bupivacaine (divided to both sides) under ultrasound guidance before extubation. Pain was assessed using the FLACC scale at 1, 6, 12, and 24 h postoperatively. The patient's initial FLACC score was 0 at both rest and movement, remaining consistently low at 0 until the 24-hour mark, where it was recorded as 1. Throughout the postoperative period, the patient did not require any opioids, achieving effective analgesia without additional analgesic interventions. Notably, no motor block or common side effects like nausea, vomiting, or hematoma were observed, contributing to a smooth and comfortable recovery as reported by both the patient and her family.</p><p><strong>Discussion: </strong>The Quadro-Iliac Plane Block (QIPB), first described by Tulgar et al., has shown potential for epidural spread, making it suitable for lumbar surgeries. Although no randomized controlled trials exist, QIPB has demonstrated efficacy in various clinical contexts, including single-level lumbar discectomy, renal transplantation, and proximal femoral nidus surgeries. This case represents the first documented use of QIPB in a pediatric patient, highlighting its potential as an opioid-sparing analgesic technique with minimal complications.</p><p><strong>Conclusion: </strong>QIPB provided effective postoperative pain control in an 8-year-old with TCS and CKD, supporting its application in pediatric patients who benefit from opioid-free analgesia. This case underscores the potential of QIPB as a component of multimodal analgesia strategies, especially in high-risk pediatric cases. Further studies are needed to confirm its safety and efficacy in larger pediatric populations.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4333-4336"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Answer to the letter to the editor of J. Deng, et al. concerning \"Relationship between posterior paraspinal muscle fat infiltration and early conversion to lumbar spinal fusion following decompression surgery\" by Chiapparelli E, et al. (Eur spine J [2025]: doi: 10.1007/s00586-025-09030-5).","authors":"Alexander Hughes","doi":"10.1007/s00586-025-09149-5","DOIUrl":"10.1007/s00586-025-09149-5","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4788"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144706888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Answer to the letter to the editor of K. Zhang, et al. concerning \"Impact of coexisting lumbar spinal stenosis and sleep disorders on fall risk: a cross-sectional study of community-dwelling residents (locomotive syndrome and health outcome in Aizu cohort study)\" by H. Kobayashi et al. (Eur Spine J [2025]; doi: 10.1007/s00586-025-09208-x).","authors":"Hiroshi Kobayashi","doi":"10.1007/s00586-025-09310-0","DOIUrl":"10.1007/s00586-025-09310-0","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4846-4847"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic and therapeutic outcomes in spinal tuberculosis: a retrospective study integrating GeneXpert MTB/RIF, histopathology, and clinical management strategies.","authors":"Prashant Adhikari, Isha Amatya, Pradeep Regmi, Jeevan Kumar Sharma, Raju Pangeni, Nishma Pokharel, Smriti Bhatta, Deepak Shrestha, Bhaskar Raj Pant, Sandeep Bhandari, Arun Dhakal, Eldin Karaikovic, Emre Acaroğlu","doi":"10.1007/s00586-025-09315-9","DOIUrl":"10.1007/s00586-025-09315-9","url":null,"abstract":"<p><strong>Purpose: </strong>Spinal tuberculosis (STB) remains prevalent in developing nations and significantly contributes to morbidity, often resulting in kyphotic deformity and neurological deficits. In this study, we correlate the diagnostic, therapeutic and prognostic factors according to the current standard of management of STB.</p><p><strong>Methods: </strong>This retrospective study evaluated diagnostic and prognostic factors in 77 patients with STB treated surgically (37.7%) or non-surgically (62.3%) between 2018 and 2023. Diagnostic tools included GeneXpert MTB/RIF(GXMTB/RIF)- a rapid molecular test for detecting Mycobacterium tuberculosis and rifampicin resistance- and histopathological confirmation via biopsy. Clinical outcomes were assessed using Visual Analogue Scale, Oswestry Disability Index, inflammatory markers (ESR, CRP), kyphotic deformity correction, and neurological improvement.</p><p><strong>Results: </strong>GeneXpert MTB/RIF detected Mycobacterium tuberculosis in 94.8% of cases, with 5.2% showing rifampicin resistance. Histopathology revealed granulomatous infiltration in 96.1% of biopsies, underscoring the importance of combining diagnostic methods. Both groups showed significant improvement over 12 months, with surgical patients exhibiting higher baseline kyphosis angles (47.41° vs. 19.27°, p < 0.001) and greater post-treatment correction (14.14° vs. 2.71°, p = 0.04). Neurological status, evaluated via ASIA Impairment Scale improved post-treatment, with 93.5% achieving normal neurology. Deformity presence strongly correlated with surgical intervention (51.9% vs. 8%, p < 0.001).</p><p><strong>Conclusion: </strong>The study highlights the efficacy of anti-tubercular therapy (ATT) and the role of surgery in severe deformity or neurological compromise. Notably, rare discrepancies between GXMTB/RIF and histopathology (5.2% GXMTB/RIF - negative but histopathology- positive) emphasize the need for clinical judgment alongside laboratory findings. Surgical intervention is pivotal for deformity correction and neurological recovery, while ATT remains the cornerstone.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4740-4748"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Answer to the Letter to the Editor of X. Sun, et al. concerning \"Automated extraction of vertebral bone mineral density from imaging with various scan parameters: A cadaver study with correlation to quantitative computed tomography\" by C. Ramschütz et al. (Eur Spine J [2025]; doi: 10.1007/s00586-025-09146-8).","authors":"Nico Sollmann, Constanze Ramschütz","doi":"10.1007/s00586-025-09355-1","DOIUrl":"10.1007/s00586-025-09355-1","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4772-4773"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posterior-only hemivertebra bone-disc-bone osteotomy (BDBO) without internal fixation in a 15-day-old neonate with 18-year follow-up.","authors":"Cefei Zhang, Weiming Hu, Fuyun Liu, Ke Xu, Bing Xia, Yufeng Zhao","doi":"10.1007/s00586-025-08801-4","DOIUrl":"10.1007/s00586-025-08801-4","url":null,"abstract":"<p><strong>Purpose: </strong>To report the long-term follow-up outcome of a 15-day-old neonate with congenital scoliosis treated with posterior-only hemivertebra bone-disc-bone osteotomy (BDBO) without internal fixation.</p><p><strong>Methods: </strong>A 15-day-old neonate presented with a lumbar dorsal bulge exhibiting central ulceration and fluid discharge, necessitating emergency hospital admission. The comprehensive imaging study showed a fully segmented right L5 hemivertebra, L3-L4 fusion, and anterior bone bar of T10-T11, syringomyelia at the L2 level, type I diastematomyelia at the L3-L4 level, open spinal meningocele, and tethered cord. Prior to surgery, the patient received a 3-day course of antibiotics to address potential infection concerns. Subsequently, the patient underwent concurrent procedures including repair of the spinal meningocele, resection of the bone crest, release of tethering, and posterior-only hemivertebra type 1 BDBO without internal fixation.</p><p><strong>Results: </strong>The surgical procedure lasted 165 min, accompanied by an intraoperative blood loss of approximately 50 mL and a blood transfusion of 50 mL. Preoperatively, the patient's hemoglobin level was 159 g/L, which decreased to 138 g/L postoperatively, with no complications. After the operation, the patient achieved a good correction of the spinal curve. The 18-year postoperative follow-up showed further improvement in the correction with good coronal and sagittal balance. The facet joint between the residual L5 hemivertebra and S1, as well as the contralateral facet joint was well preserved, with no pseudoarthrosis formation and a good spinal range of motion.</p><p><strong>Conclusion: </strong>Posterior-only hemivertebra BDBO without internal fixation might be a simple, safe, effective and feasible surgical procedure for managing lumbosacral hemivertebra in very young children.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4337-4343"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterizing gait abnormalities in patients with symptomatic lumbar degenerative disc disease.","authors":"Ram Haddas, Haseeb E Goheer, Cindy Wang, Paul Rubery, Gabriel Ramirez, Varun Puvanesarajah","doi":"10.1007/s00586-025-08887-w","DOIUrl":"10.1007/s00586-025-08887-w","url":null,"abstract":"<p><strong>Purpose: </strong>To quantify and evaluate gait spatiotemporal and kinematic parameters in patients with symptomatic lumbar degeneration disc disease(LDD) with unilateral radiculopathy and/or neurogenic claudication.</p><p><strong>Methods: </strong>Seventy-eight pre-operative patients with LDD and 27 healthy adult volunteers were identified at a single institution. Participants were fitted with a full-body external reflective marker set for gait analysis using a three-dimensional motion capture system. Participants performed a series of over-ground walking trials at a self-selected speed. Spatiotemporal and kinematic parameters of gait were compared between cohorts using linear mixed-effects regression models.</p><p><strong>Results: </strong>Compared with healthy participants, LDD patients had reduced cadence (101.3 steps/min vs. 110.9 steps/min, p < 0.001), step width (0.2 m vs. 0.1 m, p < 0.019), and step length (0.6 m vs. 0.7 m, p < 0.001). During the stance (ST) and swing (SW) phases of the gait cycle, LDD patients had significantly reduced hip extension (ST: 0.7° vs. 12.2° and SW: -7.6° vs. 3.8°) and sagittal plane hip range of motion (ST: 36.1° vs 42.5° and SW: 30.2° vs. 35.8°) on the symptomatic side compared to healthy subjects (p < 0.001). Furthermore, LDD patients had significantly greater anterior and posterior pelvic tilt when compared to healthy controls in both the swing and stance phases of the gait cycle.</p><p><strong>Conclusion: </strong>Patients with LDD demonstrate significantly altered gait including reduced cadence and step-specific gait parameters compared to healthy controls. Additionally, LDD patients experienced modified hip excursion during both the swing and stance phases compared to healthy participants on the symptomatic side. This study comprehensively assesses clinically measurable spatiotemporal and kinematic gait parameters in patients with LDD and may provide further insight into disease-specific effects and compensatory mechanisms associated with symptomatic LDD.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4462-4474"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in pelvic measurements and lumbar lordosis with age in children and adolescents.","authors":"Atakan Küskün, Ahmet Celal İplikçioğlu, Muzaffer Savaş Tepe","doi":"10.1007/s00586-025-09219-8","DOIUrl":"10.1007/s00586-025-09219-8","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the changes in pelvic measurements and lumbar lordosis with age in children and adolescents and to find a relationship between pelvic parameters and lumbar lordosis to estimate appropriate lordosis in the adolescent idiopathic scoliosis surgery.</p><p><strong>Methods: </strong>A retrospective analysis of 382 abdominal-pelvic CT scans was conducted, with pelvic incidence, sacral slope, pelvic tilt, supine lumbar lordosis, and a derived parameter L1 slope measurements performed. Participants were divided into three age groups: 3-10, 11-15, and 16-18 years. Statistical correlations are performed among parameters and between age groups.</p><p><strong>Results: </strong>Showed that pelvic incidence, sacral slope, pelvic tilt and supine lumbar lordosis increased significantly with age, with pelvic incidence rising by 7.2° from childhood to late adolescence. Notably, L1 slope remained constant across age groups, suggesting its potential as a stable parameter during growth. Strong correlations were observed between sacral slope and supine lumbar lordosis (R = 0.904). Mathematical formulas for estimating supine lumbar lordosis from pelvic incidence (SLL = 0.714xPI + 12.297) and sacral slope (SLL = 1.19xSS + 2.22) were derived.</p><p><strong>Conclusion: </strong>L1 slope as a stable parameter during the growth period is a potentially overlooked but critical parameter in pediatric spinal assessments. Derived mathematical formulas may offer clinical utility for surgical planning in adolescent idiopathic scoliosis.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4344-4352"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144774958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the editor concerning \"comparative analysis of the correlation between paraspinal muscles fat infiltration and vertebral bone quality in patients with lumbar degenerative diseases\" by wang et al. (Eur spine J [2025]: doi: 10.1007/s00586-025-09142-y).","authors":"Xiangge Liu","doi":"10.1007/s00586-025-09266-1","DOIUrl":"10.1007/s00586-025-09266-1","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4830"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}