Global Spine Journal最新文献_第4页

Letter to the Editor Regarding the Article"Is Overweight Protective Against Fracture Occurrence? Age and Site-dependent Different Association Between Body Mass Index and the Incidence of Hip and Vertebral Fractures". 关于《超重是否能预防骨折发生？》一文致编辑的信年龄和部位依赖的体重指数与髋部和椎体骨折发生率之间的不同关联。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-05-05 DOI: 10.1177/21925682251340344

Hongbin Wang, Xutao Fan, Jing Xu

引用次数: 0

Defining Metrics for Assessing Surgeon Performance During a Telementoring Program for Adolescent Idiopathic Scoliosis Surgery. 在青少年特发性脊柱侧凸手术的远程监控项目中，确定评估外科医生表现的指标。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-05-04 DOI: 10.1177/21925682251338832

Alaaeldin Ahmad, Engin Çetin, Steven Theiss, Selcen Yüksel, Michael Cunningham, Monica Ghidinelli, Emre Acaroğlu

{"title":"Defining Metrics for Assessing Surgeon Performance During a Telementoring Program for Adolescent Idiopathic Scoliosis Surgery.","authors":"Alaaeldin Ahmad, Engin Çetin, Steven Theiss, Selcen Yüksel, Michael Cunningham, Monica Ghidinelli, Emre Acaroğlu","doi":"10.1177/21925682251338832","DOIUrl":"https://doi.org/10.1177/21925682251338832","url":null,"abstract":"Study DesignModified Delphi study.ObjectivesTelementoring, the practice of providing remote guidance and teaching from a distance using telecommunication technology, has demonstrated feasibility and value in assisting surgeons in remote locations. However, limited evidence exists regarding its effectiveness in improving surgeon performance. This study aimed to develop metrics to assess spine surgeon performance in scoliosis surgery, potentially within the context of a telementoring training program.MethodsTen expert spine surgeons participated in a four-round modified Delphi process including both online and in-person meetings. The resulting metrics were validated for objective assessment by eleven surgeons, who reviewed and rated a video recording using the established rubric.ResultsThe final set of metrics, comprising 50 procedural steps and 28 error categories, was unanimously approved by the panel. Additionally, the panel agreed that utilizing cameras, smart lenses, and output from intraoperative imaging monitors would provide sufficient visibility for assessing both steps and errors.ConclusionsA set of assessment metrics for adolescent idiopathic scoliosis surgery was successfully defined and validated by reviewing example videos. The longer-term research objective is to employ this rubric to assess surgeon's performance throughout a telementoring program, thus assessing its educational impact. The rubric could also be used in other contexts, such as live surgical observation.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251338832"},"PeriodicalIF":2.6,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unveiling the Impact of Reciprocal Changes in Thoracic Kyphosis After Staged Corrective Surgery in Adult Deformity. 揭示成人畸形分期矫正手术后胸部后凸的相互改变的影响。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-05-03 DOI: 10.1177/21925682251340606

Yuan-Shun Lo, Erh-Ti Ernest Lin, Yi-Hsun Huang, Hung-Lun Hsieh, Chen-Wei Yeh, Michael Jian-Wen Chen, Cheng-Hung Chiang, Chun-Hao Tsai, Yi-Chin Fong, Yen-Jen Chen, Hsien-Te Chen, Xue-Peng Wei

{"title":"Unveiling the Impact of Reciprocal Changes in Thoracic Kyphosis After Staged Corrective Surgery in Adult Deformity.","authors":"Yuan-Shun Lo, Erh-Ti Ernest Lin, Yi-Hsun Huang, Hung-Lun Hsieh, Chen-Wei Yeh, Michael Jian-Wen Chen, Cheng-Hung Chiang, Chun-Hao Tsai, Yi-Chin Fong, Yen-Jen Chen, Hsien-Te Chen, Xue-Peng Wei","doi":"10.1177/21925682251340606","DOIUrl":"https://doi.org/10.1177/21925682251340606","url":null,"abstract":"Study DesignRetrospective cohort study.ObjectiveReciprocal changes (RCs) in unfused spinal segments can significantly affect the global alignment after corrective surgery. Identifying radiographic thresholds for guiding surgical strategies is critical for optimizing the outcomes.Materials and MethodsNinety-eight ASD patients who underwent staged surgeries, including lateral lumbar interbody fusion (LLIF) and posterior spinal fusion (PSF), were analyzed. According to the final follow-up image, the patients were classified into balanced (BG) and imbalanced (IG) groups, with IG further stratified into proximal junctional kyphosis/failure (IG-PJK/PJF) and non-PJK/PJF (IG-NPJK/PJF). Radiographic and clinical data were collected preoperatively, postoperatively, and at 2-year follow-up.ResultsThe IG exhibited greater RCs in thoracic kyphosis (TK) and PI-LL mismatch from postoperative to follow-up than the BG (P = .030, P = .008). Significant predictors included Age >65.5 y/o (AUC: .672) and Post-PT >17.5° (AUC: .852) for imbalance and Post-TK >34.5° (AUC: .755) for IG-PJK/PJF. IG-PJK/PJF showed poorer ODI scores than BG and IG-NPJK/PJF (P = .021 and P = .022, respectively). IG-PJK/PJF showed poorer total SRS-22 scores than IG-NPJK/PJF (P = .021).ConclusionIncreased RCs in TK was associated with adverse outcomes. Extending the upper instrumented vertebra (UIV) to the upper thoracic spine and addressing excessive TK (>34.5°) may improve alignment and reduce complications. Radiographic thresholds can provide actionable guidance in surgical planning.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251340606"},"PeriodicalIF":2.6,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spinal Cord Stimulators Adversely Affect Outcomes in Spinal Deformity Surgery. A Retrospective Case-Control Study. 脊髓刺激器对脊柱畸形手术的预后有不利影响。回顾性病例对照研究。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-05-02 DOI: 10.1177/21925682251334987

Michael S Chang, Biodun Adeniyi, Dennis G Crandall

{"title":"Spinal Cord Stimulators Adversely Affect Outcomes in Spinal Deformity Surgery. A Retrospective Case-Control Study.","authors":"Michael S Chang, Biodun Adeniyi, Dennis G Crandall","doi":"10.1177/21925682251334987","DOIUrl":"https://doi.org/10.1177/21925682251334987","url":null,"abstract":"Study DesignRetrospective comparative analysis of prospective cohort.ObjectiveTo examine clinical outcomes of patients with preexisting SCS after adult spinal deformity surgery.MethodsA total of 94 patients with and without a previous history of spinal cord stimulator placement undergoing surgery for ASD with minimum 2-year follow-up. Thirty-three patients with SCS undergoing ASD surgery with minimum 2-year follow-up were compared with a matched cohort of 61 ASD patients without SCS.ResultsDespite similar baseline ODI (56 vs 50, P = .11) and back VAS (6.8 vs 6.6, P = .52), SCS patients did worse at all post-op time intervals. At 6 months, the SCS cohort had higher ODI (48 vs 31, P < .001) and VAS (4.8 vs 3.5, P = .01). This difference persisted at 1 year for ODI (46 vs 30, P < .001) but not for VAS (4.7 vs 4.0, P = .19). At 2 years, ODI remained significantly worse in the SCS cohort (49 vs 38, P = .004). Both cohorts had significant improvement at 2 years compared to baseline (SCS: -1.6 VAS, P < .001, -7 ODI, P = .03; Control: -2.5 VAS, P < .001, -13 ODI, P < .001). Radiographic parameters such as curve magnitude, curve correction, and balance were similar between the 2 groups.ConclusionDespite having substantial improvement after ASD surgery, patients with previous SCS placement did significantly worse in both back VAS and ODI postop compared with controls. They also did not experience a decrease in narcotic use at 2 years despite having similar overall radiographic results and complication rates.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251334987"},"PeriodicalIF":2.6,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predictive Factors for Postoperative Outcomes of Cervical Spondylotic Myelopathy in Individuals With Cerebral Palsy. 脑瘫患者脊髓型颈椎病术后预后的预测因素。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-05-02 DOI: 10.1177/21925682251337396

Su Ji Lee, Jihye Hwang, Min Gyu Kang, Minjae Cho, Yoon Ha, Sung-Rae Cho

{"title":"Predictive Factors for Postoperative Outcomes of Cervical Spondylotic Myelopathy in Individuals With Cerebral Palsy.","authors":"Su Ji Lee, Jihye Hwang, Min Gyu Kang, Minjae Cho, Yoon Ha, Sung-Rae Cho","doi":"10.1177/21925682251337396","DOIUrl":"https://doi.org/10.1177/21925682251337396","url":null,"abstract":"Study DesignRetrospective cohort study.ObjectivesThis study aimed to identify factors influencing postoperative outcomes of cervical spondylotic myelopathy (CSM) in individuals with cerebral palsy (CP).MethodsData from admitted individuals were retrospectively reviewed. Individuals whose modified Barthel index score, assessed at least 6 months after surgery, declined by 1 or more grades compared to their preoperative score were classified into the poor outcome (PO) group. Multivariate logistic regression analysis was performed to assess risk factors for poor postoperative outcomes.ResultsOf the 73 participants, 15 were in the PO group and 58 in the non-PO group. Duration (OR 1.99, 95% CI 1.25-3.65, P = .01), signal change grade 2 (OR 10.44, 95% CI 1.32-118.01, P = .034), and spinal cord compression ratio, M2 (OR 0.85, 95% CI, 0.73-0.96, P = .02) on preoperative MRI were identified as significant factors associated with the risk of poor postoperative outcomes. Based on the receiver operating characteristic curve analysis, the cutoff values for duration and cord compression metric were determined as 2 years (AUC = 0.689, 95% CI 0.532-0.845) and 76.2% (AUC = 0.841, 95% CI 0.696-0.987), respectively.ConclusionsThis study identified key predictors of poor postoperative outcomes in individuals with CP undergoing surgery for CSM. Symptom duration exceeding 2 years, signal change grade 2, and spinal cord compression ratio below 76.2% on preoperative MRI were found to be predictors of poor outcome. These results underscore the importance of early intervention and detailed preoperative radiological assessment to improve surgical outcomes in this population.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251337396"},"PeriodicalIF":2.6,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes and Cost-Effectiveness of Hospital Outpatient Versus Ambulatory Surgery Center Lumbar Decompression Surgery. 医院门诊与非住院手术中心腰椎减压手术的疗效和成本效益。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-05-01 Epub Date: 2024-10-06 DOI: 10.1177/21925682241290171

Parimal Rana, Jane Brennan, Andrea Johnson, Chad M Patton, Justin J Turcotte

{"title":"Outcomes and Cost-Effectiveness of Hospital Outpatient Versus Ambulatory Surgery Center Lumbar Decompression Surgery.","authors":"Parimal Rana, Jane Brennan, Andrea Johnson, Chad M Patton, Justin J Turcotte","doi":"10.1177/21925682241290171","DOIUrl":"10.1177/21925682241290171","url":null,"abstract":"Study DesignRetrospective Chart Review.ObjectivesOutpatient spinal surgeries in Ambulatory Surgery Centers (ASCs) have gained traction due to their potential cost efficiencies and improved perioperative processes. This study aims to compare the cost-effectiveness and patient outcomes of lumbar laminectomies performed in hospital settings vs ASCs.MethodsA retrospective analysis was conducted on 771 patients who underwent 1 or 2-level outpatient laminectomy between 2019 and 2023. Patient demographics, 90-day and one-year clinical and patient-reported outcomes (PROs), and one-year episode of care costs were evaluated. A one-year cost-effectiveness analysis was performed using the EQ-5D to measure quality-adjusted life years (QALYs).ResultsASC patients demonstrated lower body mass index and American Society of Anesthesiologists (ASA) scores, with a higher prevalence of 1-level laminectomies compared to hospital patients. ASC-based laminectomy was associated with lower initial surgery cost and one-year episode of care costs ($5662 ± 4748 vs $10229 ± 9202, P < 0.001), with similar rates of complications and postoperative resource utilization. These trends remained after controlling for patient demographics, comorbidities, and number of levels treated. In patients completing baseline and 1-year EQ-5D scores, ASC-based laminectomy was over twice as cost-effective as hospital procedures ($64873/QALY gained vs $152630).ConclusionsThe findings support the safety and one-year cost effectiveness of ASCs for appropriately selected patient populations undergoing lumbar laminectomy. Additional studies are needed to replicate these findings across institutions, and to assess the cost effectiveness of ASC-based laminectomy beyond one-year postoperatively.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"2193-2200"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142380593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter Re: "Is Endoscopic Surgery a Safe and Effective Treatment for Lumbar Disc Herniation? A Meta-Analysis of Randomized Controlled Trials". 内窥镜手术是治疗腰椎间盘突出症安全有效的方法吗？随机对照试验的荟萃分析”。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-05-01 Epub Date: 2025-02-09 DOI: 10.1177/21925682251320098

Guimei Guo, Wensi Ouyang, Changwei Zhao

引用次数: 0

Global Spine Journal at Global Spine Congress 2025. 全球脊柱杂志，全球脊柱大会2025。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-05-01 DOI: 10.1177/21925682251324732

Jeffrey C Wang, Jens R Chapman, Karsten Wiechert

引用次数: 0

Clinical Utility and Patient Compliance With Mobile Applications for Home-Based Rehabilitation Following Transforaminal Lumbar Interbody Fusion. 经椎间孔腰椎椎体融合术后居家康复移动应用的临床实用性和患者依从性。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-05-01 Epub Date: 2024-09-06 DOI: 10.1177/21925682241282278

Adam Cole, Matthew W Parry, Alex Tang, Frank Vazquez, Tan Chen

{"title":"Clinical Utility and Patient Compliance With Mobile Applications for Home-Based Rehabilitation Following Transforaminal Lumbar Interbody Fusion.","authors":"Adam Cole, Matthew W Parry, Alex Tang, Frank Vazquez, Tan Chen","doi":"10.1177/21925682241282278","DOIUrl":"10.1177/21925682241282278","url":null,"abstract":"Study DesignRetrospective chart review.ObjectivesTransforaminal lumbar interbody fusion (TLIF) via open or minimally invasive (MI) techniques is commonly performed. Mobile applications for home-based therapy programs have grown in popularity. The purpose of this study was to (1) compare patient-reported outcome measures (PROMs) between postoperative patients who were the most and least compliant in using the mobile-based rehabilitation programs, (2) compare PROMs between open vs MI-TLIF cohorts, and (3) quantify overall compliance rates of home-based rehabilitation programs.MethodsA retrospective chart review was performed. Patients were automatically enrolled in the rehabilitation program. Patient-Reported Outcomes Measurement Information System (PROMIS) and Oswestry Disability Index (ODI) scores were collected. Patients were separated into two study groups. Compliance rate was calculated as the difference between the number of active participants at the preoperative phase and final follow-up.Results220 patients were included. Average follow-up time was 23.2 months. No difference was found in the change in (∆) PROMIS scores (P = 0.261) or ∆ODI scores (P = 0.690) regardless of patient compliance. No difference was found in outcome scores between open vs MI-TLIF techniques stratified by download compliance (downloaded, DL+; did not download, DL-) and phone reminder compliance (set reminder, R+; did not set reminder, R-) postoperatively. Both cohorts demonstrated clinical improvement exceeding minimal clinically important difference at final follow-up. Overall patient compliance was 71% at final postoperative follow up.ConclusionDespite high long-term compliance and rising popularity, mobile applications for home-based postoperative rehabilitation programs have low clinical utility in patients undergoing TLIF.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"2032-2041"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk Factors for Failure of Non-operative Management in Isolated Unilateral Non-displaced Facet Fractures of the Subaxial Cervical Spine: Systematic Review and Meta-Analysis. 颈椎轴下孤立性单侧非移位面骨骨折非手术治疗失败的风险因素：系统回顾与元分析》。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-05-01 Epub Date: 2024-11-26 DOI: 10.1177/21925682241304351

Ignacio Cirillo, Guillermo Alejandro Ricciardi, Juan Pablo Cabrera, Felipe Lopez Muñoz, Lyanne Romero Valverde, Andrei Joaquim, Charles Carazzo, Ratko Yurac

{"title":"Risk Factors for Failure of Non-operative Management in Isolated Unilateral Non-displaced Facet Fractures of the Subaxial Cervical Spine: Systematic Review and Meta-Analysis.","authors":"Ignacio Cirillo, Guillermo Alejandro Ricciardi, Juan Pablo Cabrera, Felipe Lopez Muñoz, Lyanne Romero Valverde, Andrei Joaquim, Charles Carazzo, Ratko Yurac","doi":"10.1177/21925682241304351","DOIUrl":"10.1177/21925682241304351","url":null,"abstract":"Study Designsystematic review.ObjectiveTo evaluate risk factors associated with failure of non-operative management of isolated unilateral facet fractures of the subaxial cervical spine in neurologically intact patients.MethodsA systematic review of the PubMed, Embase, LILACS, and Cochrane Library databases was conducted in order to determine risk factors associated with failure of non-operative management in isolated unilateral facet fractures of the subaxial cervical spine without facet and/or vertebral displacement, in neurologically intact patients. Our research was in line with the PRISMA Statement and registered on PROSPERO (CRD42023405699).ResultsA total of 1639 studies were identified through a database search on May 5, 2023. In total, 7 studies from the databases were included, along with 1 study found through a manual citation search. The evidence showed high clinical heterogeneity, a serious risk of bias according to the ROBINS-I tool, and a predominance of retrospective cohort studies. In comparison to less complex facet fractures, lateral floating mass fractures were found to have 5.41 times higher odds of failure of non-operative management (OR = 5.41; 95% CI = 1.32, 22.19). We calculated the potential association between lower absolute fracture height and non-operative treatment success [Fracture height (percentage) Mean Difference = -17.51 (-28.22, -6.79 95% CI); Absolute height Mean Difference: -0.46 (-0.60, -0.31 95% CI)]. Other risk factors were not included in the meta-analysis due to lack of data. The level of certainty was rated as \"very low\".ConclusionsLateral floating mass cervical facet fractures and larger fracture fragment size (measured either in absolute terms or as a percentage) are significant risk factors for failure of non-operative treatment.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"2467-2479"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0