European Spine Journal最新文献_第6页

Spinopelvic fixation surgery in relation to the femoroacetabular impingement syndrome under the ultrasound. 超声下脊柱骨盆固定手术与股髋臼撞击综合征的关系。

IF 2.6 3区医学

European Spine Journal Pub Date : 2025-07-07 DOI: 10.1007/s00586-025-09055-w

Takahiro Kozaki, Takuhei Kozaki, Yuyu Ishimoto, Hiroshi Iwasaki, Hiroshi Hashizume, Shunji Tsutsui, Masanari Takami, Keiji Nagata, Masatoshi Teraguchi, Daisuke Nishiyama, Daisuke Fukui, Manabu Yamanaka, Tsuyoshi Deguchi, Ryuichiro Nakanishi, Ryo Miyake, Yuta Yamamoto, Hiroshi Yamada

{"title":"Spinopelvic fixation surgery in relation to the femoroacetabular impingement syndrome under the ultrasound.","authors":"Takahiro Kozaki, Takuhei Kozaki, Yuyu Ishimoto, Hiroshi Iwasaki, Hiroshi Hashizume, Shunji Tsutsui, Masanari Takami, Keiji Nagata, Masatoshi Teraguchi, Daisuke Nishiyama, Daisuke Fukui, Manabu Yamanaka, Tsuyoshi Deguchi, Ryuichiro Nakanishi, Ryo Miyake, Yuta Yamamoto, Hiroshi Yamada","doi":"10.1007/s00586-025-09055-w","DOIUrl":"https://doi.org/10.1007/s00586-025-09055-w","url":null,"abstract":"Purpose: Spinopelvic fixation surgery is widely used for adult spinal deformity, but its impact on hip joint pathology remains unclear. This study investigates its association with femoroacetabular impingement syndrome (FAIS) using ultrasonography.Methods: This retrospective study included 80 patients (160 hips) who underwent spinal fusion for adult spinal deformity. Patients were categorized based on sacroiliac joint fixation into fixation (group F) and non-fixation (group N). Ultrasonography was performed to assess hip morphology, including labral degeneration, cam lesions, and acetabular osteophytes. The Kellgren-Lawrence (KL) grade, and alpha angle were measured on standing radiographs. The anterior impingement test was conducted to evaluate clinical symptoms, and prevalence was statistically compared.Results: We analyzed 151 hips (26 males, 125 females) with a mean follow-up of 52.7 ± 39.6 months. After excluding 27 hips with advanced hip osteoarthritis (KL grade ≥ 2), labral degeneration (69.5% vs. 37.9%, p = 0.0076) and cam lesions (30.5% vs. 6.9%, p = 0.01) were significantly more prevalent in group F than group N. The mean alpha angle did not significantly differ between two groups at the time of surgery, but significantly greater in group F compared to group N (48.7 ± 3.9° vs. 46.7 ± 4.7°, p = 0.01) at final follow-up.Conclusion: Spinopelvic fixation may contribute to FAIS-related hip abnormalities by increasing mechanical stress. Ultrasonography may aid in early detection of hip joint changes after adult spinal deformity surgery.","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144575160","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}

引用次数: 0

Length of mobile phone use mediating the effect of major depression on low back pain/sciatica: a mendelian randomization study. 手机使用时长介导重度抑郁对腰痛/坐骨神经痛的影响：一项孟德尔随机研究

IF 2.6 3区医学

European Spine Journal Pub Date : 2025-07-05 DOI: 10.1007/s00586-025-09099-y

Wangmi Liu, Xiaxuan Zhang, Yuejian Wang, Dechao Chen, Kongjun Zhao, Jianjun Liang

{"title":"Length of mobile phone use mediating the effect of major depression on low back pain/sciatica: a mendelian randomization study.","authors":"Wangmi Liu, Xiaxuan Zhang, Yuejian Wang, Dechao Chen, Kongjun Zhao, Jianjun Liang","doi":"10.1007/s00586-025-09099-y","DOIUrl":"https://doi.org/10.1007/s00586-025-09099-y","url":null,"abstract":"Purpose: Accumulating evidence indicates an association between major depression (MD) and the occurrence of low back pain/sciatica (LBP/S). In order to examine this association, we conducted a Mendelian randomization (MR) study, further evaluating the extent to which the length of mobile phone use mediates the impact of MD on the risk of developing LBP/S.Methods: Genetic instruments and association estimates for MD, LBP/S, and length of mobile phone use were extracted from existing Genome-wide Association Study (GWAS) summary data. Bidirectional two-sample MR analyses were conducted to investigate the influence of MD on the risk of LBP/S. Furthermore, MR mediation analyses were executed to evaluate whether the length of mobile phone use mediates any effect of MD on LBP/S.Results: MR analyses showed that a higher genetic risk for MD increased the odds of LBP/S (odds ratio [OR] 1.241; 95% confidence interval [CI], 1.065-1.446). The mediation analysis, employing a two-step MR approach, indicated that the observed effect was partially mediated by the length of mobile phone use, accounting for a mediated proportion of 12.0% (95% CI, 2.3-25.0%).Conclusion: These findings may serve as a foundation for devising preventive strategies and interventions aimed at regulating the length of mobile phone use for individuals grappling with LBP/S in the context of MD.","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567338","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}

引用次数: 0

Factors associated with failure to achieve Scoliosis Research Society-22r minimal clinically important difference despite achieving optimal global alignment in adult spinal deformity surgery. 尽管在成人脊柱畸形手术中实现了最佳的整体对齐，但未能实现脊柱侧凸研究协会-22r的相关因素的临床重要差异最小。

IF 2.6 3区医学

European Spine Journal Pub Date : 2025-07-04 DOI: 10.1007/s00586-025-09043-0

Se-Jun Park, Jin-Sung Park, Dong-Ho Kang, Yun-Mi Lim, Hyun-Jun Kim, Chong-Suh Lee

{"title":"Factors associated with failure to achieve Scoliosis Research Society-22r minimal clinically important difference despite achieving optimal global alignment in adult spinal deformity surgery.","authors":"Se-Jun Park, Jin-Sung Park, Dong-Ho Kang, Yun-Mi Lim, Hyun-Jun Kim, Chong-Suh Lee","doi":"10.1007/s00586-025-09043-0","DOIUrl":"https://doi.org/10.1007/s00586-025-09043-0","url":null,"abstract":"Purpose: To identify factors associated with failure to achieve the minimal clinically important difference (MCID) in the Scoliosis Research Society-22r (SRS-22r) despite achieving optimal global alignment in adult spinal deformity (ASD) surgery.Methods: This study analyzed consecutive patients who underwent ≥ 5-level fusion for ASD and achieved optimal global alignment at a minimum of 2-year follow-up. Patients were divided into two groups based on whether they reached the MCID threshold (1.05) for the SRS-22r subtotal score. Demographic, surgical, radiographic, and mechanical complication data were compared between the groups. Multivariate logistic regression analysis was performed to identify independent predictors of MCID failure.Results: A total of 259 patients were included in this study (female, 88.0%; mean age, 69.0 years; mean follow-up duration, 36.5 months). At the final follow-up, 117 patients (45.2%) failed to achieve the SRS-22r MCID. Multivariate analysis identified a high preoperative SRS-22r pain score (odds ratio [OR] = 1.988, P = 0.003) and high preoperative self-image score (OR = 2.597, P = 0.006) as independent predictors of MCID failure. The cutoff values for preoperative pain and self-image scores were 2.50 and 1.70, respectively (area under the curve [AUC] = 0.674 for pain subdomain; AUC = 0.656 for self-image subdomain).Conclusions: Despite achieving optimal global alignment, nearly half of the patients (45.2%) failed to reach the MCID in the SRS-22r score. Higher preoperative SRS-22r pain and self-image scores were significant predictors of failure. Therefore, these two factors should be primary considerations in surgical decision-making to improve patient-reported outcomes.","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559616","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}

引用次数: 0

Association between eveningness and low back pain among public servants in Japan: a cross-sectional analysis of the Aichi Workers' Cohort Study. 日本公务员夜间活动与腰痛之间的关系：爱知工人队列研究的横断面分析。

IF 2.6 3区医学

European Spine Journal Pub Date : 2025-07-03 DOI: 10.1007/s00586-025-09048-9

Mika Matsunaga, Ryusei Okegawa, Nobuyuki Fujita, Tsuyoshi Kitajima, Hiroshi Yatsuya, Atsuhiko Ota

{"title":"Association between eveningness and low back pain among public servants in Japan: a cross-sectional analysis of the Aichi Workers' Cohort Study.","authors":"Mika Matsunaga, Ryusei Okegawa, Nobuyuki Fujita, Tsuyoshi Kitajima, Hiroshi Yatsuya, Atsuhiko Ota","doi":"10.1007/s00586-025-09048-9","DOIUrl":"https://doi.org/10.1007/s00586-025-09048-9","url":null,"abstract":"Purpose: Low back pain (LBP) is a common occupational health problem. Chronotype, an individual's preferred timing of activity and sleep, has been linked to pain perception. Previous studies have found a potential association between chronotype and LBP, although the findings were limited by small sample sizes and restricted population types. We investigated the association between evening chronotype (eveningness) and LBP in a cohort comprising public servants of various ages.Methods: We conducted a cross-sectional analysis of 4728 full-time public servants in Japan. LBP was assessed using a self-reported question. Individuals' chronotypes were determined using the reduced Morningness-Eveningness Questionnaire. The association between chronotype and LBP was analyzed using the chi-squared test and multiple logistic regression models adjusted for age, sex, occupation, overtime work, use of the internet/email, body mass index, smoking status, exercise habits, sedentary behavior, sleep duration, sleep medication use, and depressive symptoms.Results: In total, 30% of the subjects reported LBP. The most common chronotype was intermediate type (51%), followed by morningness (38%) and eveningness (11%). A significant association between eveningness and LBP was observed. After adjusting for potential confounders, individuals with eveningness had a higher prevalence of LBP than those with morningness (36.2% vs. 28.7%; odds ratio: 1.46; 95% confidence interval: 1.16-1.83).Conclusion: Eveningness was statistically associated with LBP in a cohort of public servants. The present findings would strengthen the association's generalizability to more varied populations.","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144552807","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}

引用次数: 0

A structural description for severe degeneration of intervertebral discs to computationally interpret experimental results obtained by stress profilometry. 椎间盘严重退变的结构描述，以计算解释应力轮廓术获得的实验结果。

IF 2.6 3区医学

European Spine Journal Pub Date : 2025-07-03 DOI: 10.1007/s00586-025-09108-0

Ali Reza Nazari

{"title":"A structural description for severe degeneration of intervertebral discs to computationally interpret experimental results obtained by stress profilometry.","authors":"Ali Reza Nazari","doi":"10.1007/s00586-025-09108-0","DOIUrl":"https://doi.org/10.1007/s00586-025-09108-0","url":null,"abstract":"In this paper, reduction of load carrying capacity in severely degenerated intervertebral discs (IVDs) was attributed to structural damage to the tissues involved with IVDs. Damage to the collagen fibers was blamed for degradation of the annulus fibrosus (AF) and dehydration of nucleus pulposus (NP) was adopted for losing its incompressibility and unstable migration in a degenerated condition. The change of the mechanical properties in the tissues due to degeneration was referred to various experimental reports that were used to simulate a computational model from a lumbar vertebral segment for a patient with degenerated IVDs. In the first phase of the study, the most accurate mechanical properties, suggested for the tissues by the various references, were selected for simulation of the stress diagrams, obtained by stress profilometry. Then in the second phase, reliability of some damage scenarios according to the pathophysiological descriptions for the tissues in a severely degenerated condition was examined. The results of the model showed that the incompressible response of NP which was taking 79% of a compression load for a normal condition of IVD, took just 40% of the load in a degenerated condition. The models postulated the residual stiffness of a severely degenerated IVD equal to 13% of its original value.","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144552806","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}

引用次数: 0

Perioperative recognition and management of rare irrigation-related complications in unilateral biportal endoscopy under general anesthesia: two case reports. 全麻下单侧双门静脉内窥镜手术围手术期罕见冲洗并发症的识别与处理：2例报告。

IF 2.6 3区医学

European Spine Journal Pub Date : 2025-07-03 DOI: 10.1007/s00586-025-09077-4

Wenwen Jiang, Yuhui Zhao, Yankun Du, Kai Cui, Chunhe Yang, Zhanzhi Zhao

{"title":"Perioperative recognition and management of rare irrigation-related complications in unilateral biportal endoscopy under general anesthesia: two case reports.","authors":"Wenwen Jiang, Yuhui Zhao, Yankun Du, Kai Cui, Chunhe Yang, Zhanzhi Zhao","doi":"10.1007/s00586-025-09077-4","DOIUrl":"https://doi.org/10.1007/s00586-025-09077-4","url":null,"abstract":"Background: Unilateral biportal endoscopy (UBE) is a widely used minimally invasive technique for treating lumbar disc herniation, employing continuous fluid infusion to maintain a clear surgical field. However, complications related to fluid infusion can occur rarely during or after the procedure, presenting significant challenges in perioperative management.Case presentations: Here, we report two cases of postoperative irrigation-related complications. The first patient developed autonomic dysregulation, which rapidly progressed to a seizure. The second patient experienced acute respiratory failure, which posed an immediate life threat. Both patients were conservatively managed with sedation, analgesia, and respiratory support. The key therapeutic intervention was prompt dehydration to reduce spinal cord pressure. Both patients had a favorable recovery with no long-term sequelae.Conclusions: UBE is a highly effective, minimally invasive treatment, but irrigation-related complications can be life-threatening. This report highlights the need for anesthesiologists to promptly identify and manage such complications, offering valuable insights for clinical care in similar high-risk situations.","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144552808","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}

引用次数: 0

The clinical impact of MRI-based vertebral bone quality score for assessment of bone quality. mri椎体骨质量评分对骨质量评价的临床影响。

IF 2.6 3区医学

European Spine Journal Pub Date : 2025-07-01 DOI: 10.1007/s00586-025-09096-1

Xingxiao Pu, Tian Tian, Xuejun Dai, Daxing Wang, Weiping Xiao, Shao Gu, Chengwei Liu, Bailian Liu, Pengde Kang, Haifeng Li

{"title":"The clinical impact of MRI-based vertebral bone quality score for assessment of bone quality.","authors":"Xingxiao Pu, Tian Tian, Xuejun Dai, Daxing Wang, Weiping Xiao, Shao Gu, Chengwei Liu, Bailian Liu, Pengde Kang, Haifeng Li","doi":"10.1007/s00586-025-09096-1","DOIUrl":"https://doi.org/10.1007/s00586-025-09096-1","url":null,"abstract":"Purpose: The purpose of this search was to evaluate the clinical significance of the MRI-based vertebral bone quality (VBQ) score for assessment of bone quality.Methods: We searched all published articles regarding the clinical impact of VBQ score in Embase, Cochrane library, and PubMed before June 1st, 2023.Results: The calculational method of VBQ has gradually been standardized. The association between the VBQ score and bone mineral density (BMD) is well established, and the VBQ score is verified to assess the bone condition. The quantitative computed tomography (QCT) BMD as the gold standard to determine the diagnostic threshold of the VBQ score is recommended. Moreover, the VBQ score is a good predictor for some osteoporosis-related postoperative complications. However, there are still some influential factors for the VBQ score that have not fully understood.Conclusion: VBQ score is a simple and reproducible method to assess bone quality that can be achieved on the lumbar MRI. Preoperative VBQ score can predict some osteoporosis-related postoperative complications precisely. However, the diagnostic threshold value VBQ score and the effect of influential factors on the VBQ score may need to be further explored in the future.","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539709","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}

引用次数: 0

Answer to the letter to the editor of H. Wang, et al. concerning "Comparison of the immobilizing effect of soft, semi-rigid and rigid neck orthoses" by M. Schulz et al. (Eur spine J [2025]: doi: 10.1007/s00586-025-08854-5). 答复M. Schulz等人关于“软性、半刚性和刚性颈部矫形器的固定效果比较”的编辑（Eur spine J [2025]: doi: 10.1007/s00586-025-08854-5）。

IF 2.6 3区医学

European Spine Journal Pub Date : 2025-07-01 DOI: 10.1007/s00586-025-09042-1

Dina W Wiersbicki, Maxi Schulz, Martin Heilemann, Toni Wendler, Christoph-Eckhard Heyde, Stefan Schleifenbaum, Georg Osterhoff

引用次数: 0

Risk factors associated with distal junctional kyphosis and failure after surgical management of adult cervical deformity: a systematic review. 成人颈椎畸形手术治疗后与远端关节后凸和失败相关的危险因素：系统回顾。

IF 2.6 3区医学

European Spine Journal Pub Date : 2025-07-01 DOI: 10.1007/s00586-025-09104-4

Davin C Gong, Anthony N Baumann, Zhaorui Wang, Omkar S Anaspure, Muhammad Waheed, Evan J Beck, Rakesh D Patel, Ilyas S Aleem

引用次数: 0

Comparison of a progressive bone drilling system and a visualized reaming system in percutaneous transforaminal endoscopic discectomy: a comparative study. 渐进式骨钻孔系统与可视化扩孔系统在经皮椎间孔内镜椎间盘切除术中的比较研究。

IF 2.6 3区医学

European Spine Journal Pub Date : 2025-07-01 DOI: 10.1007/s00586-025-09061-y

Yang Yu, Meng Li, Kuilin Zhang, Qiang Shi

{"title":"Comparison of a progressive bone drilling system and a visualized reaming system in percutaneous transforaminal endoscopic discectomy: a comparative study.","authors":"Yang Yu, Meng Li, Kuilin Zhang, Qiang Shi","doi":"10.1007/s00586-025-09061-y","DOIUrl":"https://doi.org/10.1007/s00586-025-09061-y","url":null,"abstract":"Background: Percutaneous transforaminal endoscopic discectomy (PTED) is an alternative, minimally invasive procedure for the treatment of symptomatic lumbar disc herniation (LDH). Two foraminoplasty techniques exist, however, insufficient literature exists highlighting the differences between these procedures.Methods: A multicentre retrospective study was conducted in consecutive patients diagnosed with symptomatic LDH who received PTED at spine centres from March 2015 to June 2019. A total of 798 patients were recruited, of whom 432 underwent progressive bone drilling system (PBDS) for foraminoplasty and 366 received a visualized reaming system (VRS).Results: The average radiation exposure and operative time in the PBDS group were significantly greater than those in the VRS group (P < 0.05). Compared with those before the operation, the postoperative VAS and ODI scores in both groups were significantly improved (P < 0.05). Additionally, the VAS score for leg pain and the JOA/ODI score in the PBDS group were significantly lower than those in the VRS group at both the 1-week and 1-month follow-up (P < 0.05). The good-to-excellent rates of the PBDS group and VRS group were 90.97% and 81.14%, whereas the complication occurrence rates were 11.80% and 15.30% in the PBDS group and VRS group, respectively.Conclusion: PBDS and VRS have acceptable efficacy at a midterm follow-up of 2 years in treating LDH with PTED. Although PBDS is associated with longer intraoperative fluoroscopy and operative times, it should still be considered superior to VRS considering the benefits of fewer complications, quicker pain relief, and functional recovery.","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539674","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}

引用次数: 0