Global Spine Journal最新文献_第5页

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

The Variability of the Cervicothoracic Inflection Point: A Cohort Analysis of the Multi-Ethnic Asymptomatic Normative Study (MEANS). 颈胸椎拐点的可变性：多种族无症状常模研究 (MEANS) 的队列分析。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-05-01 Epub Date: 2024-11-15 DOI: 10.1177/21925682241300985

Justin L Reyes, Roy Miller, Matan Malka, Josephine Coury, Yong Shen, Natalia Czerwonka, Alexandra Dionne, Jean-Charles Le Huec, Stephane Bourret, Kazuhiro Hasegawa, Hee Kit Wong, Gabriel Liu, Hwee Weng Dennis Hey, Hend Riahi, Michael Kelly, Lawrence G Lenke, Zeeshan M Sardar

{"title":"The Variability of the Cervicothoracic Inflection Point: A Cohort Analysis of the Multi-Ethnic Asymptomatic Normative Study (MEANS).","authors":"Justin L Reyes, Roy Miller, Matan Malka, Josephine Coury, Yong Shen, Natalia Czerwonka, Alexandra Dionne, Jean-Charles Le Huec, Stephane Bourret, Kazuhiro Hasegawa, Hee Kit Wong, Gabriel Liu, Hwee Weng Dennis Hey, Hend Riahi, Michael Kelly, Lawrence G Lenke, Zeeshan M Sardar","doi":"10.1177/21925682241300985","DOIUrl":"10.1177/21925682241300985","url":null,"abstract":"Study DesignCross-sectional Cohort Study.ObjectiveTo determine the cervicothoracic inflection point in an asymptomatic, adult population.IntroductionThe cervicothoracic inflection point (CTIP) is an important sagittal marker to understand for patients with cervical deformities. We aimed to identify the CTIP and understand the relationship to other sagittal alignment markers.Methods468 adult asymptomatic volunteers (18-80 years) from 5 countries (United States, France, Japan, Singapore, Tunisia). All volunteers underwent standing full body, low dose stereo radiographs. The CTIP was identified by measuring the cervical sagittal angle (CSA) and thoracic kyphosis maximum angle (TKMax), using the end vertebra concept. The CTIP was defined as the vertebra or disc between the lower end vertebra of the CSA and upper end vertebra of TKMax. A correlation matrix was utilized to identify the relationship between the CTIP and spinopelvic sagittal parameters of interest.ResultsThe most common CTIP value was the T1 vertebra. CTIPs ranged from C5 to T4, respectively. CTIP showed a weak positive correlation to age (r = 0.10, P = 0.03) and negative correlation to BMI (r = -0.11, P = 0.04). Additionally, CTIP had a minor positive correlation with OC2-CL, C7 slope, T1 slope, T1PA, T1-T12 TK, and T4-T12 TK, all statistically significant. Linear regression demonstrated increased cervical lordosis and increased TK was associated with more caudal CTIP segments.ConclusionCTIP segments ranged from C5 to T4, with the most common segment being T1. Understanding the relationship of the CTIP to other sagittal variables is critical to patients with CD.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"2409-2414"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11565506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638684","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

The Association Between Hounsfield Units and Mechanical Failure in ASD Patients. ASD 患者 Hounsfield 单位与机械故障之间的关系

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-05-01 Epub Date: 2024-10-13 DOI: 10.1177/21925682241291519

Martin Heegaard, Kristin Ingadottir, Lærke Ragborg, Benny Dahl, Lars Valentin Hansen, Søren Ohrt-Nissen, Martin Gehrchen

{"title":"The Association Between Hounsfield Units and Mechanical Failure in ASD Patients.","authors":"Martin Heegaard, Kristin Ingadottir, Lærke Ragborg, Benny Dahl, Lars Valentin Hansen, Søren Ohrt-Nissen, Martin Gehrchen","doi":"10.1177/21925682241291519","DOIUrl":"10.1177/21925682241291519","url":null,"abstract":"Study designRetrospective Cohort Study.ObjectivesLow bone mineral density (BMD) is a known risk factor for revision surgery in patients with adult spinal deformity (ASD). Hounsfield units (HUs) on CT scans have been suggested as a proxy for assessing BMD. This study aimed to determine HUs in the lumbar region and their association with mechanical failure in patients undergoing ASD surgery.MethodsWe included ASD patients undergoing surgery from 2010-2020 with minimum 2-year follow-up. We excluded patients without preoperative CT scans, or a CT scan more than 1 year before surgery. Mechanical failure was defined as proximal junctional failure, pseudarthrosis, or implant failure requiring revision surgery. On preoperative CT scans, HUs were measured on 3 axial slices on each vertebra from L1-L5 and, if available, at UIV and UIV + 1.ResultsWe included 170 patients, mean age 63 (±12) years, with 108 (64%) females, and 13 [IQR 10-16] instrumented levels. Mechanical failure occurred in 27% (n = 46) of patients at 2-year follow-up. Mean lumbar HUs were 146 (±51) in the mechanical failure group and 135 (±52) in those without revision (P = .232). Area under the curve was 0.58 (95% CI: 0.48-0.68), corresponding to no to low discriminatory power in predicting mechanical failure using lumbar HUs. Univariate logistic regression revealed no significant difference between mechanical failure and lumbar HUs (OR = 1.00, 95% CI: 1.00-1.01, P = .239).ConclusionsWe found no association between mechanical failure and HUs on preoperative CT scans in ASD patients. Thus, we cannot recommend using HUs to predict mechanical failure in these patients.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"2218-2225"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142463181","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

Controlling the Apex in Early Onset Scoliosis Through Active Apex Correction (APC) Non Fusion Growth Modulating Technique, Is It a Myth? 通过主动顶点矫正（APC）非融合生长调节技术控制早发脊柱侧凸的顶点，这是神话吗？

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-05-01 Epub Date: 2024-09-29 DOI: 10.1177/21925682241289902

Alaaeldin Ahmad, Majed Dwaik, Nam Vo, Abdullah Shah, Walid Yaseer, Mohammad Armouti, Farah Shahin, Mohammad Awad, Haya Warasna, Mohamad Banat, Bashar Awad, Ahmad Hammad, Yehia Bromboly

{"title":"Controlling the Apex in Early Onset Scoliosis Through Active Apex Correction (APC) Non Fusion Growth Modulating Technique, Is It a Myth?","authors":"Alaaeldin Ahmad, Majed Dwaik, Nam Vo, Abdullah Shah, Walid Yaseer, Mohammad Armouti, Farah Shahin, Mohammad Awad, Haya Warasna, Mohamad Banat, Bashar Awad, Ahmad Hammad, Yehia Bromboly","doi":"10.1177/21925682241289902","DOIUrl":"10.1177/21925682241289902","url":null,"abstract":"Study DesignA multicenter retrospective study.ObjectivesTo determine the rate of Apex facet fusion in children with Early Onset Scoliosis treated surgically with the Active Apex Correction (APC) technique.MethodsSeventeen patients were treated with the APC technique as index surgery for Early Onset Scoliosis with more than 1 year of follow-up. A 3D CT scan was done to determine the facet fusion rate in the deformity's apex controlled with posterior tethering.ResultsThe average follow-up time was 26.4 months (12-56), Average age at index surgery was 81.2 months (30-132), and average number of surgeries done 1.3. Apical vertebrae studied for facet fusion were the 3 vertebrae in the apex in each patient that were subjected to posterior tethering according to the APC technique. In total they were 86 apical vertebrae (172 Facets studied with 86 convex side, 86 concave side). Our observations showed that 29 facet joints were fused (16% of the total facets studied),15 were on the convex, 14 on the concave side (no statistically significant difference). Regarding the facet joint distance in the non-fused facets was 0.99 mm on the convex side and 1.08 mm on the concave side with no statistical significance difference.ConclusionAPC for Early Onset Scoliosis achieves apical growth modulation and control utilizing posterior tethering without inducing fusion. This study demonstrated that APC is an effective non-fusion technique through the low incidence of facet fusion levels at the Apex, limiting the crankshaft phenomena seen in cases with apex control through arthrodesis.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"2176-2182"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142345022","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

Effect of Paravertebral Muscle Degeneration on Lumbar and Pelvic Sagittal Alignment in Patients With Degenerative Scoliosis. 椎旁肌肉退化对退行性脊柱侧凸患者腰椎和骨盆矢状位对齐的影响

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-05-01 Epub Date: 2024-08-13 DOI: 10.1177/21925682241274729

Linyan Liu, Zehua Jiang, Xuanhao Fu, Yuelin Cheng, Sa Feng, Mengmeng Zhou, Xinyan Zhao, Rusen Zhu

{"title":"Effect of Paravertebral Muscle Degeneration on Lumbar and Pelvic Sagittal Alignment in Patients With Degenerative Scoliosis.","authors":"Linyan Liu, Zehua Jiang, Xuanhao Fu, Yuelin Cheng, Sa Feng, Mengmeng Zhou, Xinyan Zhao, Rusen Zhu","doi":"10.1177/21925682241274729","DOIUrl":"10.1177/21925682241274729","url":null,"abstract":"Study DesignRetrospective study.ObjectivesTo explore the relationship between lumbar spine muscle mass and lumbar pelvic sagittal parameters in patients with degenerative scoliosis.MethodsThis study included ADS patients who were treated in our hospital from 2019 to 2023. The spinal parameters were evaluated through X-rays, and the relative muscle volume (RMV) and fat infiltration (FI) were measured through three-dimensional reconstruction. Patients were categorized into 3 groups based on SRS-Schwab sagittal balance correction (0, +, ++), and into 3 groups based on GAP score (proportioned, moderately dis-proportioned, severely dis-proportioned). Finally, patients were classified into low-quality and high-quality groups based on the FI of Paraspinal muscles (PSM).ResultsThe study included a total of 63 patients. Significant statistical differences were observed in the FI and RMV of MF, ES and PS among patients classified by SRS-Schwab PT classification. Additionally, significant statistical differences were found in the RMV of MF and PS among patients classified by SRS-Schwab PI-LL classification and GAP score. Furthermore, a significant correlation was found between the FI and RMV of PSM and lumbopelvic sagittal parameters. The ordinal regression model analysis revealed that FI of ES significantly impacted PT imbalance, while RMV of MF significantly impacted PI-LL imbalance. Moreover, significant differences were noted in PT and PI between the low-quality and high-quality multifidus groups.ConclusionsAs sagittal imbalance worsens, PSM degeneration also intensifies, primarily characterized by an increase in FI and a decrease in RMV. Notably, PT and PI-LL are positively correlated with RMV and negatively correlated with FI.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"1976-1984"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141970986","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

A Cadaver Study: The Relationship of Vital Organs of the Thoracolumbar Junction During a far Lateral Approach Using a T-12 Corpectomy Model. 尸体研究：使用T-12椎体切除术模型进行远侧入路时胸腰段连接处重要器官的关系。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-05-01 Epub Date: 2024-12-03 DOI: 10.1177/21925682241299333

Gerrit Lewik, Clifford Pierre, James W Hicks, Gautam K Rao, Neel T Patel, Bryan G Anderson, Donald D Davis, Jens R Chapman, Rod J Oskouian

{"title":"A Cadaver Study: The Relationship of Vital Organs of the Thoracolumbar Junction During a far Lateral Approach Using a T-12 Corpectomy Model.","authors":"Gerrit Lewik, Clifford Pierre, James W Hicks, Gautam K Rao, Neel T Patel, Bryan G Anderson, Donald D Davis, Jens R Chapman, Rod J Oskouian","doi":"10.1177/21925682241299333","DOIUrl":"10.1177/21925682241299333","url":null,"abstract":"Study DesignHuman cadaver study.ObjectivesTo provide a qualitative and quantitative evaluation by demonstrating measurements of the proximity of vital structures involved and assessed injuries during a T12-corpectomy and cage implantation via a far lateral approach.Material and MethodsSix fresh-frozen adult cadaveric specimens were dissected according to standardized protocol. A formal left-sided far lateral T12-corpectomy was carried out by trained experienced spine fellows. Upon completion of the procedure, a cage was placed between T11 and L1. We then turned the patient supine and performed a formal celiotomy and sternotomy to allow for an open anterior central inspection of all structures concerned. Vital structures as in vessels, diaphragm, pleural membranes, neural elements, important foramina of the diaphragm (Bochdalek, Morgagni) and the thoracic duct were identified. Any injuries to these structures were recorded and proximity to key relevant structures to this exposure were measured.ResultsWe were able to quantify the actual diaphragm excursions and describe its origins to the spine. There was no actual diaphragm injury in any of the cadavers and there were no injuries to the neurovascular structures. We found expected parietal but no visceral pleural injuries.ConclusionOur cadaver study identified the feasibility of performing a T12-corpectomy through a far lateral approach with no violation of the actual diaphragm and expected limited injuries to the parietal pleura only.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"2326-2339"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11615908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142768339","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

Using Machine Learning Algorithms to Predict Postoperative Anterior Bone Loss Following Anterior Cervical Disc Replacement. 使用机器学习算法预测颈椎前路椎间盘置换术后前路骨质流失。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-05-01 Epub Date: 2024-10-15 DOI: 10.1177/21925682241293712

Rui Zong, Can Guo, Jun-Bo He, Ting-Kui Wu, Hao Liu

{"title":"Using Machine Learning Algorithms to Predict Postoperative Anterior Bone Loss Following Anterior Cervical Disc Replacement.","authors":"Rui Zong, Can Guo, Jun-Bo He, Ting-Kui Wu, Hao Liu","doi":"10.1177/21925682241293712","DOIUrl":"10.1177/21925682241293712","url":null,"abstract":"Study DesignMachine learning model.ObjectivesThis study aimed to develop and validate a machine learning (ML) model to predict moderate-severe anterior bone loss (ABL) following anterior cervical disc replacement (ACDR).MethodsA retrospective review of patients undergoing ACDR or Hybrid surgery (HS) at a single center was performed. Patients diagnosed as C3-7 single- or multi-level cervical disc degenerative diseases (CDDD) with more than 2 years of follow-up and complete pre- and postoperative radiological imaging were included. An ML-based algorithm was developed to predict moderate-severe ABL based on perioperative demographic, clinical, and radiographic parameters. Model performance was evaluated in terms of discrimination and overall performance.ResultsA total of 339 ACDR segments were included (61.65% female, mean age 45.65 ± 8.03 years). During a follow-up period of 45.65 ± 8.03 months, 103 (30.38%) segments developed moderate-severe ABL. The model demonstrated good discrimination and overall performance according to precision (moderate-severe ABL: 0.71 ± 0.07, none-mild ABL: 0.73 ± 0.08), recall (moderate-severe ABL: 0.69 ± 0.08, none-mild ABL: 0.75 ± 0.07), F1-score (moderate-severe ABL: 0.70 ± 0.08, none-mild ABL: 0.74 ± 0.07), and area under the curve (AUC) (0.74 ± 0.10). The most important predictive features were higher height change, higher post-segmental angle, and longer operation time.ConclusionsUtilizing a ML approach, this study successfully identified risk factors and accurately predicted the development of moderate-severe ABL following ACDR, demonstrating robust discrimination and overall performance. By overcoming the limitations of traditional statistical methods, ML can enhance discovery, clinical decision-making, and intraoperative techniques.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"2236-2245"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142463192","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

Artificial Intelligence for Cervical Spine Fracture Detection: A Systematic Review of Diagnostic Performance and Clinical Potential. 人工智能用于颈椎骨折检测：诊断性能和临床潜力的系统综述。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-05-01 Epub Date: 2025-01-12 DOI: 10.1177/21925682251314379

Wongthawat Liawrungrueang, Watcharaporn Cholamjiak, Arunee Promsri, Khanathip Jitpakdee, Sompoom Sunpaweravong, Vit Kotheeranurak, Peem Sarasombath

{"title":"Artificial Intelligence for Cervical Spine Fracture Detection: A Systematic Review of Diagnostic Performance and Clinical Potential.","authors":"Wongthawat Liawrungrueang, Watcharaporn Cholamjiak, Arunee Promsri, Khanathip Jitpakdee, Sompoom Sunpaweravong, Vit Kotheeranurak, Peem Sarasombath","doi":"10.1177/21925682251314379","DOIUrl":"10.1177/21925682251314379","url":null,"abstract":"Study DesignSystematic review.ObjectiveArtificial intelligence (AI) and deep learning (DL) models have recently emerged as tools to improve fracture detection, mainly through imaging modalities such as computed tomography (CT) and radiographs. This systematic review evaluates the diagnostic performance of AI and DL models in detecting cervical spine fractures and assesses their potential role in clinical practice.MethodsA systematic search of PubMed/Medline, Embase, Scopus, and Web of Science was conducted for studies published between January 2000 and July 2024. Studies that evaluated AI models for cervical spine fracture detection were included. Diagnostic performance metrics were extracted and included sensitivity, specificity, accuracy, and area under the curve. The PROBAST tool assessed bias, and PRISMA criteria were used for study selection and reporting.ResultsEleven studies published between 2021 and 2024 were included in the review. AI models demonstrated variable performance, with sensitivity ranging from 54.9% to 100% and specificity from 72% to 98.6%. Models applied to CT imaging generally outperformed those applied to radiographs, with convolutional neural networks (CNN) and advanced architectures such as MobileNetV2 and Vision Transformer (ViT) achieving the highest accuracy. However, most studies lacked external validation, raising concerns about the generalizability of their findings.ConclusionsAI and DL models show significant potential in improving fracture detection, particularly in CT imaging. While these models offer high diagnostic accuracy, further validation and refinement are necessary before they can be widely integrated into clinical practice. AI should complement, rather than replace, human expertise in diagnostic workflows.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"2547-2558"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11726500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970459","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

Coin Test: A Complementary Examination for Assessing Upper Extremity Function in Cervical Myelopathy. 硬币测试：评估颈椎病患者上肢功能的辅助检查。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-05-01 Epub Date: 2024-11-21 DOI: 10.1177/21925682241301687

Xudong J Li, Lawal Labaran, Vishal Talla, Zach Donato, Milos Lesevic, Benjamin Wang, Francis Shen, Adam Shimer, Stephen Lockey, Anuj Singla, Shawn Russell, Wendy Novicoff, Li Jin

{"title":"Coin Test: A Complementary Examination for Assessing Upper Extremity Function in Cervical Myelopathy.","authors":"Xudong J Li, Lawal Labaran, Vishal Talla, Zach Donato, Milos Lesevic, Benjamin Wang, Francis Shen, Adam Shimer, Stephen Lockey, Anuj Singla, Shawn Russell, Wendy Novicoff, Li Jin","doi":"10.1177/21925682241301687","DOIUrl":"10.1177/21925682241301687","url":null,"abstract":"Study DesignA prospective observational study.ObjectivesTo explore the potential utility of the Coin Test as a valuable tool for assessing and diagnosing cervical spondylotic myelopathy (CSM).MethodsIn the first cohort, 36 patients with balance issues were assessed for CSM using the new Coin Test. In the second cohort, the Coin Test and mJOA scores were compared in 36 CSM patients before and 6 weeks after surgery.ResultsAmong the 36 patients with balance problems who failed tandem gait test, 15 out of 16 (94%) CSM patients failed the Coin Test. The other 20 patients (56%) without CSM completed the Coin Test successfully but failed the tandem gait test for various reasons. The Coin Test demonstrated high specificity (100%) and sensitivity (94%) for diagnosing CSM in patients who failed tandem gait test. In the second cohort, the mJOA score improved significantly from 12 to 15 6 weeks postoperatively, and the Coin Test completion time decreased from 29.5 seconds to 16.4 seconds postoperatively (P < 0.0001). Higher mJOA scores correlate with better performance (shorter time) on the Coin Test, both at baseline and 6 weeks post-surgery.ConclusionThe Coin Test is a useful tool for evaluating hand fine motor and sensory function in CSM patients with high specificity. It also can serve as a tool for assessing surgical outcomes in patients with CSM.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"2415-2424"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11582992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681558","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}

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