European Spine Journal最新文献

{"title":"Ten-year follow-up report of corrective fusion with 3-column osteotomy in adult patients with spinal deformities: a retrospective case series.","authors":"Yu Yamato, Tomohiko Hasaegawa, Go Yoshida, Tomohiro Banno, Hideyuki Arima, Shin Oe, Koichiro Ide, Tomohiro Yamada, Kenta Kurosu, Yusuke Murakami, Yukihiro Matsuyama","doi":"10.1007/s00586-025-09467-8","DOIUrl":"https://doi.org/10.1007/s00586-025-09467-8","url":null,"abstract":"<p><strong>Purpose: </strong>While 3-column osteotomy (3-CO) is associated with high reoperation and complication rates, long-term outcomes remain unreported. Evaluating long-term outcomes after adult spinal deformity (ASD) surgery with 3-CO is crucial to improving clinical management. In this study, we investigated 10-year postoperative outcomes of corrective fusion surgery with 3-CO in adult patients with spinal deformities, focusing on alignment changes, patient-reported outcomes, and reoperation incidence.</p><p><strong>Methods: </strong>Data were retrospectively retrieved from a single-center database of ASD surgeries. This retrospective case series included 84 patients (73 women) who underwent posterior 3-CO fusion for ASD between 2010 and 2014. Spinopelvic parameters were measured using standing whole-spine radiographs obtained from the preoperative period through 10 years postoperatively. Patient-reported outcomes were assessed at the same intervals. Surgical details, complications, and reoperations were recorded.</p><p><strong>Results: </strong>The mean age at surgery was 67.1 years. Among 49 patients with follow-up beyond 10 years, all radiographic parameters significantly improved postoperatively, although the pelvic tilt, thoracic kyphosis, and sagittal vertical axis progressively increased over time. The Oswestry Disability Index (%) improved significantly from 45.7 preoperatively to 31.2 at 2 years, 29.0 at 5 years, and 28.4 at 10 years, showing sustained benefit. The most frequent perioperative complication was postoperative delirium, observed in 10 patients. Reoperation was required in 41 patients (52.4%) for a total of 54 procedures.</p><p><strong>Conclusion: </strong>Ten-year outcomes of adult patients with spinal deformities treated with 3-CO fusion were relatively favorable. Global alignment improved postoperatively but gradually declined, while patient-reported outcomes improved and were maintained for 10 years.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307407","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: Influence of medicinal treatment on the course of nonspecific acute low back pain in older adults: generalized estimating equation using data from the BACE Study - Brazil.","authors":"Eliana Amaro de Carvalho Cardeira, Silvia Lanziotti Azevedo da Silva, Leani Souza Máximo Pereira, Isabel Cristina Gonçalves Leite","doi":"10.1007/s00586-025-09383-x","DOIUrl":"https://doi.org/10.1007/s00586-025-09383-x","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307431","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 \"Development of machine learning models for predicting patient-perceived benefit following lumbar disc herniation or spinal stenosis surgery\" by Z.A. Toh, et al. (Eur Spine J [2025]; doi:10.1007/s00586-025-09304-y).","authors":"S Dhanya Dedeepya, Vaishali Goel, Nivedita Nikhil Desai","doi":"10.1007/s00586-025-09474-9","DOIUrl":"https://doi.org/10.1007/s00586-025-09474-9","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307348","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":"Randomized controlled trial of orthosis after kyphoplasty: activity, pain and posture.","authors":"Jamil Hmida, Yorck Rommelspacher, Thomas Hilberg, Marius Brühl, Jonas Roos, Frank A Schildberg, Max Jaenisch, Andreas C Strauss","doi":"10.1007/s00586-025-09433-4","DOIUrl":"https://doi.org/10.1007/s00586-025-09433-4","url":null,"abstract":"<p><strong>Background: </strong>The successful conservative treatment of spinal osteoporotic fractures with orthoses has been extensively studied in the past, but data on the benefit of additional orthotic treatment after kyphoplasty are lacking. The aim of this study was to examine the influence of a thoracolumbar orthosis (TLO) on movement activity, pain perception, and functional parameters after kyphoplasty of osteoporotic spinal fractures.</p><p><strong>Methods: </strong>This randomized-controlled-trial included patients with osteoporotic spine fractures of the thoracal and lumbar spine with indication for primary kyphoplastic treatment. The intervention group postoperatively wore a TLO for eight weeks (controlled by a thermal sensor and diary) while the control group did not receive an orthosis. Both groups were equipped with an activity tracker to determine step activity during this time. An examination of activity, pain perception, and functional parameters was performed pre- and immediately postoperatively as well as 2/8/12/24 weeks after surgery.</p><p><strong>Results: </strong>Fifty five patients (mean age: 69 ± 7 years) were included in this study. Over the 8-week postoperative period, both groups showed significant changes in step activity (p = 0.003) but no group difference (p = 0.891). Furthermore, no group differences were seen in weekly activity, pain perception, and functional parameters (p = 0.580; 0.298; 0.529). According to the temperature measurement, participants in the intervention group wore the orthosis for an average of 2.8 h per day but stated to wear it 4-6 h per day in their diaries.</p><p><strong>Conclusions: </strong>The TLO showed no influence on postoperative physical conditions after kyphoplasty. However, tendencies of lower pain perception in the intervention group could be shown. The contrast between objective and subjective wearing time highlights the significance of sensitizing patients in wearing orthoses to achieve a clinically relevant outcome. The reduced wearing time could have influenced the results, which probably means that the effects cannot be fully utilized. For this reason, additional training in way of wearing and duration including control mechanisms as well as motivational systems are needed to improve the patient's compliance and the effect of the orthosis.</p><p><strong>Level of evidence: </strong>Therapeutic Level I.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299300","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":"Role of adverse psychological conditions in pain-related disability of adult spinal deformity.","authors":"Jiaqi Zhang, Yangxiao Li, Yan Zeng, Weishi Li","doi":"10.1007/s00586-025-09479-4","DOIUrl":"https://doi.org/10.1007/s00586-025-09479-4","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background context: &lt;/strong&gt;Current research on mental health in adult spinal deformity (ASD) patients remains relatively scarce, particularly regarding specific psychological factors including anxiety, kinesiophobia and pain catastrophizing. These negative psychological factors have been associated with worse pain and function in studies of patients with common lumbar diseases (CLD). It is currently unknown whether these psychological factors play a similar role in ASD patients. A comprehensive understanding of adverse psychological conditions within the ASD population and their associations with physical disability could enable the implementation of targeted preoperative psychological interventions, potentially improving postoperative outcomes through enhanced psychological preparedness.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;This study aimed to (1) compare the severity of anxiety, kinesiophobia, and pain catastrophizing, between ASD and CLD patients; (2) evaluate their associations with pain, disability, and quality of life (QoL); and (3) identify the psychological variables which independently associated with baseline pain-related disability in ASD patients, after controlling for clinical and demographic variables.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This cross-sectional study utilized data from a longitudinally maintained database on 121 ASD and 126 CLD patients who had posterior spinal fusion surgery between March 2023 and June 2024. Patients completed the State-Trait Anxiety Inventory (STAI), Tampa Scale of Kinesiophobia (TSK), Pain Catastrophizing Scale (PCS), Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), and 12-item Short-Form Health Survey version 2 (SF-12v2). Group comparisons, correlation analyses, and hierarchical multivariable linear regression were performed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;ASD patients reported more prevalent and severe pain catastrophizing (25.8 ± 11.9 vs. 18.7 ± 12.7, p &lt; 0.001; 36.4% vs. 23.8%, p = 0.022) and anxiety (STAI-Total: 91.9 ± 18.0 vs. 84.6 ± 20.3, p = 0.003; 71.9% vs. 59.5%, p = 0.045) than CLD. Trait-anxiety was the strongest correlated psychological factor with mental health in ASD (r = -0.545, p &lt; 0.001). Pain catastrophizing and kinesiophobia correlated significantly with VAS, ODI, and SF-12, especially for pain catastrophizing (r = 0.664 for ODI, p &lt; 0.001). After controlling for confounding variables including age and pain intensity, higher pain catastrophizing was independently associated with worse physical disability (β = 0.693, p &lt; 0.001). A hierarchical multivariable regression analysis found that 14.9% of variance in baseline ODI was explained by pain catastrophizing.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Compared to the CLD patients, patients with ASD suffer from worse mental health. A range of different psychological factors, including anxiety, kinesiophobia, and pain catastrophizing, were found to be associated with pain intensity, disability and QoL in ASD. Pain catastro","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299314","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 \"Do postoperative changes in physical function affect patient-reported outcomes in patients with lumbar spinal stenosis undergoing rehabilitation? A secondary analysis of a randomized controlled trial\" by M. Minetama, et al. (Eur Spine J [2025]; doi: 10.1007/s00586-025-09302-0).","authors":"Daquan Liao, Xuezheng Zhu, Shiye Huang, Yubin Feng, Ziye Zhuang","doi":"10.1007/s00586-025-09445-0","DOIUrl":"https://doi.org/10.1007/s00586-025-09445-0","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299288","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":"Effect of single-nanofibrous materials for epidural scar prevention after laminectomy: An experimental study in an animal model.","authors":"Pavel Trávníček, Miroslav Cihlo, Markéta Klíčová, Jakub Erben, Lenka Jandová, Tomáš Soukup, Martin Kanta, Tomáš Česák, Pavel Póczoš, Iva Selke Krulichová, Jana Horáková","doi":"10.1007/s00586-025-09471-y","DOIUrl":"https://doi.org/10.1007/s00586-025-09471-y","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299228","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 \"Decompensation of degenerative lumbar stenosis: do patients need immediate surgery?\" by M. Duigou, et al. (Eur Spine J [2025]; doi: 10.1007/s00586-025-09272-3).","authors":"Yusa Pan, Jianjun Ding","doi":"10.1007/s00586-025-09480-x","DOIUrl":"https://doi.org/10.1007/s00586-025-09480-x","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299268","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":"S2AI revision surgery - biomechanical evaluation of increased screw diameters.","authors":"Jan Wulf, Nele Baur, Manuel Kistler, Kenny Hagar, Hannes Traxler, Carl Neuerburg, Wolfgang Böcker, Boris M Holzapfel, Adrian Cavalcanti Kußmaul","doi":"10.1007/s00586-025-09469-6","DOIUrl":"https://doi.org/10.1007/s00586-025-09469-6","url":null,"abstract":"<p><strong>Purpose: </strong>This cadaveric study investigated whether, during revision surgery for S2 ala ilium (S2AI) screws, the choice of 11.5 mm diameter screws is superior to 10.5 mm screws in terms of biomechanical stability. The secondary goal was to determine whether increasing the diameter of the revision screws provided adequate stability.</p><p><strong>Methods: </strong>9.5 mm diameter S2AI screws were subjected to cyclic mechanical vertical loading until failure (loosening > 5 mm) occurred. A revision using a 10.5- or 11.5-mm diameter screw was performed, and the described vertical loading was applied again. The force in Newtons (N) until failure was assessed and subjected to matched-pair analysis.</p><p><strong>Results: </strong>10.5 mm screws demonstrated greater stability (mean + 41.9 N) compared to the 9.5 mm screws (p = 0.0205). 11.5 mm screws also demonstrated greater stability (mean + 53.9 N) compared to the 9.5 mm screws (p = 0.0242). Comparison of both 10.5 mm and 11.5 mm revision screw options showed no significant difference in absolute increase of stability (p = 0.6004). Similarly, there was no significant difference in the relative increase in stability, measured as fold change (p = 0.4052).</p><p><strong>Conclusion: </strong>Revision surgery with both screws demonstrated noteworthy enhancement in stability. However, the choice between 10.5 mm and 11.5 mm screws for optimal revision stability appears inconsequential. This suggests that factors beyond the screw diameter may play a crucial role in the stability of revision screws.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299331","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":"Oblique lateral interbody fusion with prioritized core vertebral correction technology for the treatment of lumbosacral curve-driven degenerative lumbar scoliosis.","authors":"Zuoran Fan, Dongfan Wang, Weiguo Zhu, Xiangyu Li, Yu Wang, Tao Hu, Wei Wang, Xiaolong Chen, Shibao Lu","doi":"10.1007/s00586-025-09456-x","DOIUrl":"https://doi.org/10.1007/s00586-025-09456-x","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to assess the effectiveness of oblique lateral interbody fusion, which prioritizes the correction of core distance, in comparison to traditional posterior surgery, in patients with lumbosacral curve-driven degenerative lumbar scoliosis.</p><p><strong>Methods: </strong>This retrospective study analyzed consecutive patients with lumbosacral curve-driven degenerative lumbar scoliosis at a single institution from January 2019 to December 2023. The patients were divided into two groups: the traditional posterior approach group (n = 55) (Group T) and the prioritized core vertebral correction technology group (n = 52) (Group P-CV). Preoperative and postoperative data were analyzed using the SRS-22r score and imaging. To further illustrate the significance of prioritizing the core distance, a correlation analysis was conducted between the core distance and preoperative as well as postoperative coronal parameters.</p><p><strong>Results: </strong>There was no significant difference in preoperative baseline data between two groups (P>0.05). Preoperative core distance was correlated with L4 tilt, L5 tilt, thoracolumbar Cobb, Aa, and CBD (P<0.05). Compared with Group T, intraoperative changes in core distance, change of core distance/preoperative core distance, CBD, Aa, and lumbosacral Cobb were greater in Group P-CV than in Group T. Similarly, postoperative CBD, Aa, L4 tilt, L5 tilt, core distance, and lumbosacral Cobb were smaller in Group P-CV than in Group T (P<0.05). The changes in core distance and core distance/preoperative core distance were correlated with postoperative CBD (-0.529, -0.771, P<0.05). Group P-CV had shorter operation time, less intraoperative blood loss, and fewer surgical segments (P<0.05).</p><p><strong>Conclusion: </strong>The core vertebrae of patients with lumbosacral curve-driven degenerative lumbar scoliosis can be identified by distance measurement. Oblique lateral interbody fusion with prioritized core vertebral correction technology can effectively prevent coronal imbalance after surgery, thereby improving the lumbosacral curve. This technique provides a safe and effective approach for treating lumbosacral curve-driven degenerative lumbar scoliosis.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299320","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}