European Spine Journal最新文献

{"title":"Comparison of paraspinal muscle changes after biportal endoscopic and microscopic lumbar discectomy or decompression.","authors":"Ki-Han You, Sang-Min Park, Daniel Park, Min-Seok Kang, Seung-Yeon Jeong, Sun-Ho Cha, Samuel Cho, Hyun-Jin Park","doi":"10.1007/s00586-026-09845-w","DOIUrl":"10.1007/s00586-026-09845-w","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"6071-6081"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147288966","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":"3D virtual models versus 2D imaging in preoperative planning for spinal En bloc resections: a comparative cohort study.","authors":"Miki Shikanai, Aditya Swaminathan, Ilijana Sumonja Zisakis, Siu Li Boo, Melvin Grainger, Huma Haseeb, Thomas Land, Jonathan Shadwell, Hussein Shoukry, Wai Cheong Soon, Sophie Walters, Marcin Czyz","doi":"10.1007/s00586-025-09729-5","DOIUrl":"10.1007/s00586-025-09729-5","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"6316-6329"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145959093","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 association between trunk muscle stiffness measured using shear wave elastography and VF in women aged 60 and over: a cross-sectional study.","authors":"Handan Elif Nur Bayraktar, İpek Okutan, Enes Gürün, Gamze Nur Duman, Pınar Borman","doi":"10.1007/s00586-025-09726-8","DOIUrl":"10.1007/s00586-025-09726-8","url":null,"abstract":"<p><strong>Purpose: </strong>Vertebral fracture (VF) is a significant public health issue that frequently occurs in postmenopausal women, leading to a decrease in quality of life and an increase in healthcare costs. Therefore, it is important to identify factors associated with VF. Even with high bone mineral density (BMD), VF can still occur, indicating that non-bone factors also play a significant role. Therefore, investigating the relationship between the trunk muscles involved in spinal stabilization and balance and VF is important for preventing VF. The aim of this study is to investigate the relationship between the stiffness of trunk muscles measured by elastography and VF in postmenopausal women over 60 years of age, controlling for the potential confounding effect of BMD.</p><p><strong>Method: </strong>This cross-sectional study included 81 women who visited the outpatient clinic between November 2024 and January 2025. Participants included those with VF (n = 41) and those without VF (n = 40). The group with VF was divided into two groups: those with osteopenia (n = 19) and those with osteoporosis (n = 22). Analyses were then performed on these three groups. The stiffness of the rectus abdominis (RA), obliquus externus (OE), obliquus internus (OI), transversus abdominis (TA), multifidus (MF), and erector spinae (ES) muscles of all participants was evaluated by calculating the Young's modulus using shear wave elastography. Functional assessment included the Berg Balance Scale (BBS), Time Up Go test (TUG), Functional Reaching Test (FRT), and QUELLEFFO-41.</p><p><strong>Results: </strong>There were no differences between groups in terms of demographic data, age, and body mass index (p > 0.05). No significant differences were found between groups in terms of the stiffness of the RA, OE, OI, and TA muscles (p > 0.05). In the analysis controlling for the covariate effect of BMD, there was a significant difference between groups in the stiffness values of the MF and ES muscles (p < 0.05); it was lower in the osteopenic group with VF than in the group without VF. There was a significant difference between the groups in the FRT (p < 0.05); it was highest in the group without VF and similar in the other two groups. There was no difference between the groups in terms of BBS, TUG, and QUALLEFFO-41 (p > 0.05).</p><p><strong>Conclusion: </strong>In this study, the stiffness of the multifidus and erector spinae muscles was found to be lower in the osteopenic group with VF compared to the group without VF, after adjustment for the covariate effect of BMD. This finding suggests that trunk muscle stiffness is associated with VF in postmenopausal osteopenic women, after adjustment for lumbar spine BMD. Furthermore, the higher level of functional reach test in the group without VF suggests that paraspinal muscle stiffness may be related to trunk balance and reach function.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"6410-6422"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145905832","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":"Improvement in physical and mental quality of life following reduction of lumbar spondylolisthesis using chiropractic BioPhysics^® corrective spinal rehabilitation: a case series of 117 patients with lumbar anterolisthesis(es).","authors":"Curtis A Fedorchuk, Douglas F Lightstone, Cole G Fedorchuk, Christian J Fernandez, Samantha M DeGeorge, Deed E Harrison","doi":"10.1007/s00586-026-09774-8","DOIUrl":"10.1007/s00586-026-09774-8","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"6283-6294"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146104443","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":"Radiological analysis of congenital spinal deformities in patients associated with anorectal malformations: a cross-sectional study of 86 patients.","authors":"Fei Wang, Cheng Zhang, Weiwei Jiang, Yue Lou, Weibin Tang, Wei Li, Gang Lin","doi":"10.1007/s00586-026-09839-8","DOIUrl":"10.1007/s00586-026-09839-8","url":null,"abstract":"<p><strong>Objective: </strong>To propose a morphologic-phenotypic stratification and investigate the radiological characteristics for the patients with anorectal malformation (ARM) associated with congenital spinal deformities.</p><p><strong>Methods: </strong>A retrospective review was conducted on ARM patients who had received treatment in the neonatal surgery department of our hospital from January 2008 to December 2022. A total of 86 patients diagnosed with spinal deformities were enrolled, including 49 males and 37 females. We classified the patients included into three groups according to the range vertebral anomalies involving: Group Ⅰ: Patients with thoracic/lumbar vertebral anomalies but no sacral agenesis (SA). Group Ⅱ: Patients with isolated SA. Group Ⅲ: Patients with both SA and thoracic/lumbar vertebral anomalies. Their demographic characteristics, ARM type, type and location of the vertebral anomalies, sacral agenesis and rib anomalies, and concomitant defects of other systems were analyzed.</p><p><strong>Results: </strong>There were 33 (38.4%), 41 (47.7%), and 12 (13.9%) patients in the Group Ⅰ, Group Ⅱ and Group Ⅲ, respectively. The average evaluation age of Group Ⅱ patients was 120.000 (90.000, 150.000) days, which was significantly older than the other two groups (P = 0.008). There was no gender difference and ARM type difference among three groups. The spinal deformity mainly occurred in main thoracic region (25/33) and proximal thoracic region (18/33) in Group Ⅰ, whereas in Group Ⅲ the spinal deformity mainly occurred in lumbar region (11/12) and thoracolumbar region (9/12) (P < 0.05). There was no significant difference of the type for vertebral anomaly, levels of vertebral anomaly involved and the percentage of the multiple anomalies between Group Ⅰ and Group Ⅲ. Group Ⅱ patients had more serious sacral agenesis than Group Ⅲ (P = 0.013). The prevalence of associated rib anomalies was higher in Group Ⅰ patients than Group ⅠI (P = 0.002). Besides, the patients of Group Ⅰ had lower incidence of intraspinal anomalies (P < 0.001) compared with the other two groups.</p><p><strong>Conclusion: </strong>This study proposes a morphologic-phenotypic stratification for patients with anorectal malformations associated with congenital spinal deformities. Differences in clinical and radiological characteristics among the three groups have important implications for evaluation and treatment.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"5901-5909"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147316833","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 Hsu-lace: A novel technique to prevent PJF.","authors":"Brian Hsu, Jennyfer Paulla Galdino Chaves, Stone Sima, Bhisham Singh, Ashish Diwan","doi":"10.1007/s00586-026-09746-y","DOIUrl":"10.1007/s00586-026-09746-y","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"5917-5927"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147354467","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":"Is the zero-profile anchored cage sufficient and safe for Microscope-assisted anterior cervical discectomy and fusion with oblique resection of posterior endplate in the treatment of degenerative cervical disease? A preliminary study.","authors":"Zi-Quan Shen, Sheng Shi, Dian-Bo Chai, Guang-Bin Ma, Zhao-Qun Gao, Jing-De Xu","doi":"10.1007/s00586-026-09770-y","DOIUrl":"10.1007/s00586-026-09770-y","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"6165-6175"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147354476","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":"Reliability and validity of adolescent idiopathic scoliosis diagnosis based on mobile phone AI scoliosis screening algorithm and infrared 3D spine assessment system.","authors":"Runting Ma, Qiang Wu, Zhenda Xu, Yixin Wei, Yitong Qiu, Qiang Gao","doi":"10.1007/s00586-026-09871-8","DOIUrl":"10.1007/s00586-026-09871-8","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"5949-5958"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147473153","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":"MR spectroscopy in differentiating spinal atypical hemangioma from metastasis: preliminary results.","authors":"Anousheh Sayah, Ayat Sharif, Clark Restrepo, Erini Makariou","doi":"10.1007/s00586-026-09811-6","DOIUrl":"10.1007/s00586-026-09811-6","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the accuracy of magnetic resonance (MR) spectroscopy in differentiating vertebral hemangiomas from spinal metastases.</p><p><strong>Background: </strong>MR spectroscopy (MRS) quantifies lesion composition, particularly lipid and water content. This study investigates the use of MRS-derived lipid-to-water ratios (LWRs) to distinguish typical and atypical vertebral hemangiomas (VHs) from spinal metastases.</p><p><strong>Methods: </strong>In this IRB-approved, HIPAA-compliant prospective study, 77 vertebral regions of interest were evaluated via MRS. Lesions included typical VHs, atypical VHs, metastases, and normal bone marrow. Lipid and water spectral peaks were analyzed to calculate LWRs. ANOVA with Bonferroni correction assessed statistical significance across lesion types.</p><p><strong>Results: </strong>Mean (SD) LWRs were control 0.98 (0.59), typical VH 3.37 (2.31), atypical VH 1.34 (1.77), and metastases 1.22 (1.58). ANOVA confirmed a significant effect of lesion type on LWR (p < .001). Pairwise comparisons showed significant differences between typical VH and all other groups, while atypical VH and metastases were not significantly different.</p><p><strong>Conclusion: </strong>MRS effectively differentiates typical VH from metastases and atypical VH based on LWR. The modality shows promise as a non-invasive tool in lesion characterization.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"6385-6390"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146149578","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":"A retrospective review of single-position lateral decubitus oblique lumbar interbody fusion combined with percutaneous pedicle screw fixation cases: early learning curve and screw placement accuracy.","authors":"Yuan Gao, Yanbing Liu, Zhenfang Gu, Zhengqi Zhao, Fengyu Liu, Zhao Liu, Xianze Sun","doi":"10.1007/s00586-026-09789-1","DOIUrl":"10.1007/s00586-026-09789-1","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to present our experience with oblique lateral interbody fusion combined with percutaneous bilateral pedicle screw fixation (OLIF + PPSF) performed under C-arm assistance in a single-position lateral decubitus position, and to report the accuracy of screw placement.</p><p><strong>Methods: </strong>A prospective analysis was conducted on patients undergoing OLIF+PPSF by a single surgical team between October 2021 and November 2023. Patients were categorized into single-position or dual-position groups based on intraoperative positioning for screw insertion. Data collected included demographics, operative duration, blood loss, and complications. Clinical outcomes were assessed using ODI and VAS scores. Radiographic assessments included segmental lordosis (SL), lumbar lordosis (LL), and CT-based screw accuracy grading.</p><p><strong>Results: </strong>The single-position group included 47 patients (80 levels), and the dual-position group 44 patients (71 levels). The single-position group had a significantly shorter mean operative time (P < 0.05). Postoperative CT revealed an overall screw accuracy of 98% in the single-position group, with no significant difference from the dual-position group. All suboptimal screws (5/248, Grade B/C) occurred within the first 18 cases, none requiring revision or causing neurological symptoms. A learning curve analysis identified 18 cases as the inflection point for operative time stabilization. Both SL and LL improved significantly postoperatively, with no difference between groups.</p><p><strong>Conclusion: </strong>Our experience demonstrates that although screw placement time was relatively longer and accuracy relatively lower during the initial phase of the learning curve for single-position lateral decubitus screw insertion, this was associated with the surgeon's adaptation process. After 18 cases, both screw placement time and accuracy significantly improved. This technique avoids intraoperative repositioning, reduces operative time, improves surgical efficiency, and demonstrates high reproducibility, making it suitable for widespread adoption.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"6185-6198"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146104440","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}