European Spine Journal最新文献

{"title":"Answer to the letter to the editor of W. Fang, et al. concerning \"erector spinae could be the game changer in surgical decision-making in patients with lumbar spondylolisthesis: a cross-sectional analysis of an age-, sex, subtype-, level-matched patients with similar spinopelvic parameters received surgical or conservative management\" by M.S. Eksi, et al. (Eur Spine J [2024]: doi: 10.1007/s00586-024-08341-3).","authors":"Murat Şakir Ekşi, Emel Ece Özcan-Ekşi","doi":"10.1007/s00586-024-08607-w","DOIUrl":"10.1007/s00586-024-08607-w","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"793-794"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799992","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":"The predictive power of the Roussouly classification on mechanical complications after surgery for adult spinal deformity: systematic review and meta-analysis.","authors":"Marven Aoun, Mohammad Daher, Alan H Daniels, Gaby Kreichati, Khalil Kharrat, Amer Sebaaly","doi":"10.1007/s00586-024-08596-w","DOIUrl":"10.1007/s00586-024-08596-w","url":null,"abstract":"<p><strong>Background: </strong>With the increasing prevalence of adult spinal deformity (ASD) in the aging population, the need for corrective surgery has surged, highlighting the importance of preventing mechanical complications (MC) such as junctional kyphosis/failure and rod breakage. The Roussouly classification, which categorizes natural variations in spinal posture, may hold predictive value in assessing the risk of these complications, as it guides the restoration of sagittal alignment based on a patient's preoperative spinal shape.</p><p><strong>Methods: </strong>PubMed, Cochrane, and Google Scholar (pages 1-20) were searched through August 2024 to find articles comparing the incidence of mechanical complications between patients who were matched and mismatched to their ideal Roussouly shape after surgery for ASD. Extracted data consisted of the risk of mechanical complications, and the risk of reoperations.</p><p><strong>Results: </strong>10 retrospective studies were included in this meta-analysis, with 1454 patients divided into 2 groups, the first group matching Roussouly classification (716 patients, 49%) and the second unmatched (738 patients, 51%). A 5-times lower rate of mechanical complication (Odds-Ratio = 0.22; 95% CI: 0.12-0.41, p < 0.001) was found in the matched group at an average follow-up of 3.6 years. Furthermore, when examining specific mechanical complications, there were higher rates of both PJK (Odds-Ratio = 1.59; 95% CI: 1.07-2.38, p = 0.02) and rod breakages (Odds-Ratio = 1.75; 95% CI: 1.15-2.66, p = 0.01) in the unmatched group. However, no difference in the rate of reoperations was observed between the two groups (Odds-Ratio = 0.48; 95% CI: 0.18-1.28, p = 0.14).</p><p><strong>Conclusion: </strong>Matching patients to their ideal Roussouly type in adult spinal deformity surgery significantly reduces mechanical complications making it a secure and efficient method. Future studies should compare the Roussouly classification to other alignment models to determine optimal alignment for ASD correction surgery.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"741-747"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812657","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 \"the test-retest reliability of frontal, sagittal, and transverse spinal measurements during three standing arm positions in adolescents with idiopathic scoliosis measured using ultrasound imaging\" by B.J. Fehr, et al. (Eur Spine J [2024]: doi: 10.1007/s00586-024-08576-0).","authors":"Shangxian Pan, Kuangyang Yang, Kexin Wang","doi":"10.1007/s00586-024-08633-8","DOIUrl":"10.1007/s00586-024-08633-8","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"800-801"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909391","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":"Scoliosis development in 5q-spinal muscular atrophy under disease modifying therapies.","authors":"Tu-Lan Vu-Han, Claudia Weiß, Paul Köhli, Lukas Schönnagel, Carsten Perka, Matthias Pumberger","doi":"10.1007/s00586-024-08586-y","DOIUrl":"10.1007/s00586-024-08586-y","url":null,"abstract":"<p><strong>Purpose: </strong>5q-spinal muscular atrophy (SMA) is a treatable neuromuscular disorder associated with scoliosis in up to 90% of patients. New SMA therapies could mark a paradigm shift in scoliosis management, but their effects on scoliosis development remain unclear. This study aims to observe scoliosis progression in the current treatment landscape to inform management strategies.</p><p><strong>Methods: </strong>We conducted a cross-sectional retrospective analysis of 94 SMA patients treated at our center. Scoliosis development was evaluated in 75 patients using spine radiographs and electronic health records. Statistical analysis was performed using Python and GraphPad Prism. One-way ANOVA and Pearson correlation were used for group comparisons and correlation analysis, respectively.</p><p><strong>Results: </strong>Scoliosis parameters in 5q-SMA patients who had received either nusinersen, onasemnogene abeparvovec, risdiplam, or their combinations showed mean ages at scoliosis detection were 23.94, 55.52, and 168.11 months for SMA types 1, 2, and 3, respectively. Cobb angles at detection showed no significant intergroup differences. The mean ages at scoliosis surgery were 60, 88.43, and 124.8 months. Pelvic obliquity (PO) was highest in type 1 and lowest in type 3. A strong correlation (r = 0.9) was found between PO measurement techniques. HFMSE scores correlated moderately with scoliosis severity (r = -0.38), while CHOP-INTEND showed no correlation.</p><p><strong>Conclusion: </strong>The observations made in this study suggest that the effects of SMA therapies do not prevent scoliosis development. The improved prognosis may lead to a growing cohort of SMA type 1 and 2 patients with early onset scoliosis who require early growth-friendly surgical interventions.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"546-555"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909413","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":"Trigeminal neuralgia as a presentation of high cervical stenosis: a systematic review of the literature.","authors":"G Barbagli, O Aglan, A Hussein, D Soto-Rubio, N Pacheco-Barrios, C Li, A Al-Arfaj, J Kelbert, N Dholaria, A Pico, C M Deaver, I Alhalal, M Prim, A A Baaj","doi":"10.1007/s00586-024-08614-x","DOIUrl":"10.1007/s00586-024-08614-x","url":null,"abstract":"<p><strong>Purpose: </strong>An atypical presentation of cervical spondylopathy (CS), trigeminal neuralgia (TN) is attributable to the extension of trigeminal nuclei into the spinal cord and is frequently overlooked, leading to limited discussion with patients regarding potential anterior cervical surgery. Our systematic review assesses the effectiveness of cervical surgery for concurrent trigeminal neuralgia in cases of cervical spondylopathy.</p><p><strong>Methods: </strong>A systematic review exploring cases of trigeminal neuralgia related to cervical spondylopathy was conducted searching on PubMed, Scopus and Embase databases for article in English. The authors excluded literature reviews and paediatric studies. Abstracts from articles were initially screened, followed by a detailed review of full-text papers. We included studies that documented cases of trigeminal neuralgia unrelated to cranial pathologies in patients with cervical spondylopathy.</p><p><strong>Results: </strong>Following the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) protocol, 6 studies were included covering 30 patients (20 male, 10 female) with a mean age of 60.75 years and average symptom duration was 18 months. The most affected branches were V2 (41%) and V3 (49%), evenly distributed between left and right sides (55% vs 45%). Motor weakness (60%) and paresthesia (27%) were common non-trigeminal symptoms. The predominant compression levels were C2-C3 (38%) and C3-C4 (34%). After anterior cervical surgery (30% of patients), 100% experienced immediate resolution of trigeminal neuralgia, with no recrudescence at an average 7-month follow-up.</p><p><strong>Conclusion: </strong>Besides common manifestations, high cervical stenosis can cause trigeminal neuralgia. This case report and systematic review confirms spinal decompression and fusion surgery may be effective in select cases. Surgeons should raise the possibility of cervical spine involvement when counseling patients with this disease.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"707-718"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142946784","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":"The aortic-vertebral distance is more associated with axial plane deformities than coronal and sagittal deformities in idiopathic scoliosis patients of Lenke types I and II.","authors":"Joost A Burger, Luis Alexander Becker, Zhao Li, Zhen Wang, Hendrik Schmidt, Friederike Schömig, Matthias Pumberger","doi":"10.1007/s00586-025-08663-w","DOIUrl":"10.1007/s00586-025-08663-w","url":null,"abstract":"<p><strong>Purpose: </strong>Although idiopathic scoliosis is a common three-dimensional deformity, there is a lack of studies evaluating the associations between the aortic-vertebral distance (AVD) and spinal deformities in all planes. The study therefore aimed to evaluate how the coronal and sagittal curvature, vertebral rotation and aortic-vertebral angle (AVA) affect the AVD in idiopathic scoliosis.</p><p><strong>Methods: </strong>The AVD, AVA, vertebral rotation and curve angles were measured on preoperative magnetic resonance imaging and radiographs in 46 patients who underwent posterior spinal fusion with pedicle screw instrumentation for idiopathic scoliosis Lenke types 1 and 2. Associations between variables were examined using correlation and multivariable regression analyses.</p><p><strong>Results: </strong>A significant weak to strong correlation was found between the AVD and AVA, and the AVD and vertebral rotation (r = 0.315 to 0.712) within the thoracic curve. The sagittal kyphosis and coronal Cobb angles showed weak correlations with the AVD (r = -0.311 to 0.338). The regression model for the apical vertebral level, which included the four variables, explained 40% (R²=0.40) of the variation in AVD. AVA and vertebral rotation were significantly associated with AVD (p < 0.01 for each), together accounting for 34% (R²=0.34) of the variation.</p><p><strong>Conclusion: </strong>The shortest distance from the aortic wall to the vertebral body wall is primarily influenced by vertebral rotation and the AVA within the thoracic curve. Thus, these factors need to be taken into consideration when planning pedicle screw placement especially in freehand techniques.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"593-601"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142983186","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":"CT-based radiomics predicts adjacent vertebral fracture after percutaneous vertebral augmentation.","authors":"Jin Yang, Shu-Bao Zhang, Shuo Yang, Xiao-Yong Ge, Chang-Xu Ren, Shan-Jin Wang","doi":"10.1007/s00586-024-08579-x","DOIUrl":"10.1007/s00586-024-08579-x","url":null,"abstract":"<p><strong>Background: </strong>Adjacent vertebral fracture (AVF) is a frequent complication following percutaneous vertebral augmentation (PVA). While radiomics is widely utilized in the field of spinal medicine, its application for assessing the risk of AVF in post-PVA patients remains limited.</p><p><strong>Objective: </strong>We aim to develop and validate predictive models using machine learning algorithms for radiomics and clinical risk factors to assess the risk of AVF after PVA.</p><p><strong>Materials and methods: </strong>This retrospective study included 158 patients with osteoporotic vertebral compression fractures who underwent PVA at our hospital, of which 48 patients had AVF within 2 years. The patients were divided into train and test cohorts in a ratio of 7:3. Radiomics features of the surgically intervened vertebrae were extracted from CT images, and selected using Mann-Whitney U-test and LASSO regression to construct a radiomic signature. Machine learning algorithms (SVM and LR) were then employed to integrate the radiomics signature with clinical data to develop predictive models. The performance of the model was assessed using Receiver Operating Characteristic (ROC) curves and calibration curves.</p><p><strong>Results: </strong>Nine optimal radiomics features were selected to form the radiomics model, while five clinical features were identified for the clinical model. The AUCs of the radiomics, clinical, and combined models developed using the SVM algorithm were 0.77, 0.77, and 0.83 on the test cohort, and those of the LR algorithm were 0.78, 0.81, and 0.86.</p><p><strong>Conclusion: </strong>Radiomics and machine learning modeling using postoperative CT images demonstrate noteworthy capability in assessing the risk of AVF following PVA.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"528-536"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767762","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 \"Erector Spinae could be the game changer in surgical decision-making in patients with lumbar spondylolisthesis: a cross-sectional analysis of an age-, sex-, subtype-, level-matched patients with similar spinopelvic parameters received surgical or conservative management\" by M.S. Eksi, et al. (Eur Spine J [2024]: doi: 10.1007/s00586-024-08341-3).","authors":"Weijing Fang, Zhan Wang","doi":"10.1007/s00586-024-08604-z","DOIUrl":"10.1007/s00586-024-08604-z","url":null,"abstract":"<p><p>The letter responds to a study on the role of erector spinae muscle quality in surgical decision-making for lumbar spondylolisthesis. It highlights the potential of paraspinal muscle fatty infiltration as a predictive factor, suggesting that early rehabilitation targeting these muscles may reduce the need for surgery. The authors propose improvements for future research, such as using advanced MRI techniques for better fat infiltration assessment, controlling patient activity levels, and incorporating multidimensional imaging analyses with machine learning. These advancements could support more personalized treatment strategies for lumbar spondylolisthesis.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"791-792"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784784","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":"Association between vertebral bone quality score and residual back pain following percutaneous vertebroplasty for osteoporotic vertebral compression fractures.","authors":"Chonggang Chen, Baofang Wu, Haiming Yu, Zhangsheng Dai, Lisheng Yan, Donglu Cai, Shoubo Chen, Lijiang He, Sanfu Lin, Jinzhi Yao, Jinnan Shi, Xiaocong Lin, Jinghu Qiu, Yuxi Lin, Xiaolin Liu, Wenhua Wu","doi":"10.1007/s00586-024-08619-6","DOIUrl":"10.1007/s00586-024-08619-6","url":null,"abstract":"<p><strong>Background: </strong>Residual back pain (RBP) is one of the complications following percutaneous vertebroplasty (PVP) in older people with osteoporotic vertebral compression fractures (OVCFs). The vertebral bone quality (VBQ) score obtained from magnetic resonance imaging (MRI) can be used to evaluate bone quality. The objective of this study aimed to explore the potential relationship between the VBQ score and RBP after PVP.</p><p><strong>Methods: </strong>From January 2018 to January 2022, patients with OVCFs who underwent PVP in our hospital were retrospectively reviewed. Each patient's lumbar VBQ score was recorded. The RBP was defined as a visual analog scale (VAS) score ≥ 4 for back pain postoperatively. Other variables included demographic, clinical, radiological, and surgical data. The univariate and multivariate logistic regression analyses were used to determine the independent risk factors.</p><p><strong>Results: </strong>The incidence of RBP was 8.0% among 598 patients. The results of the multivariate regression analysis showed that preoperative VBQ score (OR 3.295, P < 0.001), BMD (OR 0.545, P = 0.007), lumbodorsal fascia contusion (OR 4.297, P = 0.034), and cement distribution (OR 4.556, P = 0.006) were risk factors associated with RBP after PVP.</p><p><strong>Conclusions: </strong>The preoperative high VBQ score was an independent risk factor associated with RBP after PVP. Moreover, other risk factors included low BMD, lumbodorsal fascia contusion, and cement distribution. The MRI-VBQ score may serve as a useful tool for assisting in evaluating patients at risk of RBP following PVP.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"537-545"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834440","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":"Bone density as a risk of early loss of correction after percutaneous posterior spinal fixation for traumatic thoracolumbar fracture: a study on the usefulness of Hounsfield unit values on computed tomography scan.","authors":"Takeru Akabane, Tomoto Suzuki, Yuki Konno, Hiromori Sagae, Makoto Sugita, Hiroshi Hasegawa, Shikou Takada, Tamon Asano, Michiaki Takagi","doi":"10.1007/s00586-024-08508-y","DOIUrl":"10.1007/s00586-024-08508-y","url":null,"abstract":"<p><strong>Purpose: </strong>Vertebral Hounsfield unit values on computed tomography scan (CT values) have been found to be correlated with bone density measured using dual-energy X-ray absorptiometry. We hypothesized that low preoperative CT values are risk factors for early loss of correction after percutaneous posterior spinal fixation (PPSF). This study aimed to evaluate the usefulness of measuring preoperative CT values.</p><p><strong>Methods: </strong>In total, 104 patients underwent PPSF due to traumatic thoracolumbar fracture. Among them, 53 with a range of fixation that was within two vertebrae above and below the fractured vertebra were selected. CT values were measured preoperatively from the most cephalad vertebrae on the fixed vertebrae. Vertebral wedge angle (VWA) and local kyphosis angle (LKA) were measured before and after surgery. participants were classified into progression (P) and nonprogression (NP) groups. The P group comprised patients with LKA progressing > 10° from the immediate postoperative period to 3 months postoperatively. Meanwhile, the NP group included patients without progression.</p><p><strong>Results: </strong>Eight (15.1%) patients were included in the P group. The vertebral CT values were 102.2 ± 36.7 in the P group and 162.4 ± 59.7 in the NP group (p < 0.01). The pedicle CT values were 114.4 ± 45.9 in the P group and 170.8 ± 72.3 in the NP group (p < 0.05). At 2 weeks postoperatively, VWA and LKA of the P group progressed to 9.8° ± 7.0° and 10.9° ± 7.6°, respectively.</p><p><strong>Conclusion: </strong>CT values can predict progressive loss of correction after PPSF.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"498-505"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142377837","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}