European Spine Journal最新文献

{"title":"Does disc consistency matter? a comparative series on calcified and soft thoracic disc herniations.","authors":"Chinedu Egu, P S Ratnayake, I M Alrabi, N S Jayalath, Neel Badhe, Eduardo Muscogliati, Weronika Nocun, N A Quraishi, Elie Najjar","doi":"10.1007/s00586-025-09069-4","DOIUrl":"10.1007/s00586-025-09069-4","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4386-4394"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316284","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":"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.","authors":"Jianmin Li, Zhichao Ge, Dong Zhang, Kai Lv, Hao Sun, Jiajun Wu, En Song, Tao Li, Shuqiang Wang","doi":"10.1007/s00586-025-08998-4","DOIUrl":"10.1007/s00586-025-08998-4","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the clinical efficacy of arthroscopic-assisted uni-portal spinal surgery (AUSS) in the treatment of far lateral lumbar disc herniation (FLLDH).</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 120 cases of FLLDH patients. The patients were divided into two groups based on the treatment methods: the control group (CG, n = 68) underwent percutaneous endoscopic lumbar discectomy (PELD), while the study group (SG, n = 52) received nucleus pulposus removal under the AUSS technique. Perioperative indicators, 6-month postoperative efficacy rate, and postoperative complications were collected and compared between the two groups. Additionally, preoperative and postoperative patient assessments included pain levels [Visual Analogue Scale (VAS)], Oswestry Disability Index (ODI), Japanese Orthopaedic Association (JOA) score and lumbar mobility.</p><p><strong>Results: </strong>Compared to the CG, the SG demonstrated a shorter operative time, as well as reduced time to ambulation and postoperative hospital stay (P < 0.05), while there was no statistically significant difference in intraoperative blood loss between the two groups (P > 0.05). The overall efficacy rate at 6 months postoperatively in the SG (94.23%) was higher than that in the CG (79.41%) (P < 0.05). The incidence of postoperative complications in the SG (5.77%) was lower than that in the CG (19.12%) (P < 0.05). At 3 and 6 months postoperatively, the SG showed lower VAS and ODI scores and higher JOA scores than the CG (P < 0.05). The ranges of motion for left lateral bending, flexion, extension, and right lateral bending of the SG were greater than those of the CG at 3 and 6 months postoperatively (P < 0.05).</p><p><strong>Conclusion: </strong>The AUSS technique demonstrates superior efficacy over PELD in the treatment of FLLDH, effectively alleviating pain, enhancing functional outcomes, and improving quality of life, with a lower incidence of complications. Its minimally invasive nature and remarkable recovery efficiency highlight its promising clinical potential, warranting further validation of long-term outcomes through prospective follow-up studies.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4415-4427"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283171","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":"Correction: Spike-shaped ossification of the posterior longitudinal ligament combined with dural ossification: a case report and literature review on imaging diagnosis and pathogenesis.","authors":"Kaishuai Zhao, Zhan Peng, Jin Li, Pu Wang, Zukun Song, Zhuobin Liu, Guangye Wang","doi":"10.1007/s00586-025-09181-5","DOIUrl":"10.1007/s00586-025-09181-5","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4866"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144811994","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 M. Zhang, et al. 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":"Shuqiang Wang","doi":"10.1007/s00586-025-09252-7","DOIUrl":"10.1007/s00586-025-09252-7","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4828-4829"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816086","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":"Vanishing vacuum disc phenomenon: A diagnostic key in spinal infection.","authors":"Fee C Keil, Benjamin Simon Finger, Niklas Laasch, Leonhard Mann, Fatma Kilinc, Marcus Czabanka, Elke Hattingen, Markus Bruder, Christophe T Arendt","doi":"10.1007/s00586-025-09196-y","DOIUrl":"10.1007/s00586-025-09196-y","url":null,"abstract":"<p><strong>Objectives: </strong>Differentiating between pyogenic spondylodiscitis (SD) and degenerative disc disease (DDD) can be challenging due to overlapping clinical and radiological features. However, accurate distinction is critical to ensure timely and appropriate treatment and to avoid serious complications. This study aimed to identify imaging features that reliably distinguish pyogenic SD from DDD, including its erosive subtype, in clinical practice.</p><p><strong>Methods: </strong>A total of 163 patients (mean age 62.43 years; 97 males) were evaluated between April 2007 and January 2024: 92 cases with SD (mean age: 67.03 years; 63 males) and 71 controls with DDD (mean age: 57.82 years; 34 males). This retrospective diagnostic accuracy study was conducted at a single centre, using pathogen-confirmed SD as the reference standard. Participants were selected from radiological and clinical databases. Imaging modalities included CT and MRI, with vanishing vacuum disc phenomenon (VVDP) assessed on CT scans obtained prior to the final diagnosis. Statistical comparisons were performed using Chi-squared and Fisher's exact tests.</p><p><strong>Results: </strong>No significant differences were observed in the frequency of intervertebral gas between SD and DDD with or without erosive changes (27% vs. 39%, P = 0.137). 99% of SD cases had adjacent phlegmons or abscesses, but none of DDD cases (P < 0.001). Elevated C-reactive protein (CRP) and white blood cell (WBC) counts differentiated SD from DDD. In a subgroup of 19 subjects with repeated CT scans, VVDP showed 100% diagnostic accuracy in distinguishing SD (10/10) from DDD (0/9) (95% CI: 82.4-100%).</p><p><strong>Conclusions: </strong>By integrating clinical, serological, and imaging findings, VVDP on repeated scans potentially offers a promising tool for earlier and more accurate diagnosis of infectious spinal conditions.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4650-4660"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816173","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 E. Yıldırım, et al. concerning \"MRI in early stages of adolescent idiopathic scoliosis indicates a neuro-osseous growth mismatch associated with curve progression\" by S. Ohrt-Nissen (Eur spine J [2025]; doi.org/10.1007/s00586-024-08640-9).","authors":"Søren Ohrt-Nissen","doi":"10.1007/s00586-025-09277-y","DOIUrl":"10.1007/s00586-025-09277-y","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4839-4840"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144872203","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. Liu 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":"Siyi Wang, Ganjun Feng","doi":"10.1007/s00586-025-09268-z","DOIUrl":"10.1007/s00586-025-09268-z","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4831-4832"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948477","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 \"Can surface topography reliably determine the Rigo classification system?\" by N. Schmidt, et al. (Eur spine J [2025]: doi: 10.1007/s00586-024-08611-0).","authors":"Manjiang Cao, Shuya Jiao","doi":"10.1007/s00586-025-08892-z","DOIUrl":"10.1007/s00586-025-08892-z","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4774-4775"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992194","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 \"patients on antidepressants are more likely to be discharged to inpatient rehabilitation after lumbar fusion\" by J. Dalton, et al. (Eur spine J 2025: doi: 10.1007/s00586-025-08815-y).","authors":"Tatsuya Tanaka, AKira Matsuno","doi":"10.1007/s00586-025-09200-5","DOIUrl":"10.1007/s00586-025-09200-5","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4813"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144764805","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 \"Quadratus lumborum muscle stiffness in chronic non-specific low back pain: a diagnostic accuracy study\" by M. López-Redondo, et al. (Eur spine J [2025]; doi: 10.1007/s00586-025-09114-2).","authors":"Enes Gurun","doi":"10.1007/s00586-025-09224-x","DOIUrl":"10.1007/s00586-025-09224-x","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"4816-4817"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144774963","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}