Global Spine Journal最新文献

{"title":"Artificial Intelligence vs Human Authorship in Spine Surgery Fellowship Personal Statements: Comment.","authors":"Amnuay Kleebayoon, Viroj Wiwanitkit","doi":"10.1177/21925682251357015","DOIUrl":"10.1177/21925682251357015","url":null,"abstract":"","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251357015"},"PeriodicalIF":2.6,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527552","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}

{"title":"Letter to \"Incidence of and Risk Factors for Neurological Deficits Associated With Percutaneous Vertebral Augmentation\".","authors":"Liu Rj, Wang Q, Liu Gj","doi":"10.1177/21925682251343858","DOIUrl":"10.1177/21925682251343858","url":null,"abstract":"","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251343858"},"PeriodicalIF":2.6,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527553","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}

{"title":"Response to Letter to \"Incidence of and Risk Factors for Neurological Deficits Associated With Percutaneous Vertebral Augmentation\".","authors":"Xianyang Zhu, Zhaorui Wang, Jian Bian, Chunmao Chen, Aibing Huang","doi":"10.1177/21925682251344216","DOIUrl":"10.1177/21925682251344216","url":null,"abstract":"","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251344216"},"PeriodicalIF":2.6,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527554","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}

{"title":"Comparison of the Biportal Endoscopic Versus Tubular Approach for the Treatment of Lumbar Degenerative Disease: A Systematic Review and Meta-Analysis.","authors":"Mark Kurapatti, Alexander Yu, Hamza Ahmed, Charu Jain, Ryan Hoang, Gray W Ricca, Junho Song, Daniel Berman, Joshua Lee, Samuel K Cho","doi":"10.1177/21925682251356220","DOIUrl":"10.1177/21925682251356220","url":null,"abstract":"<p><p>Study DesignSystematic Review and Meta-analysis.ObjectivesLumbar degenerative disease (LDD) is prevalent among aging adults. While tubular retraction is a widely used minimally invasive approach, biportal endoscopic spine surgery has emerged as a potential alternative. This systematic review and meta-analysis compares the clinical outcomes of tubular retraction and biportal endoscopy for decompression procedures (discectomy, laminectomy, laminotomy) and transforaminal lumbar interbody fusion (TLIF) in LDD patients.MethodsA systematic review and meta-analysis of comparative studies was conducted per PRISMA guidelines. A comprehensive search of PubMed, Embase, and Scopus identified relevant studies published before October 7, 2024. Data were analyzed using a random-effects model to assess Oswestry Disability Index (ODI), visual analog scale (VAS) scores for back and leg pain, complication rates, operative time, and length of stay at preoperative, ≤2-weeks postoperative, and ≥1-year postoperative time points.ResultsA total of 772 patients were included (400 tubular, 372 biportal). Biportal endoscopic surgery was associated with a lower complication rate (10.73% vs 15.94%; <i>P</i> < .001) and lower ≤2-week postoperative VAS back pain (2.70 ± 0.27 vs 3.55 ± 0.49; <i>P</i> < .001) relative to tubular spine surgery. Biportal decompression had a lower complication rate (15.13% vs 22.34%; <i>P</i> = .006) but similar patient-reported outcomes. Biportal TLIF had longer operative times (189.93 ± 25.90 vs 145.1 ± 14.90 min; <i>P</i> = .026) but lower complication rates (6.33% vs 9.55%; <i>P</i> = .026) and ≥1-year VAS leg pain (1.88 ± 0.29 vs 2.02 ± 0.26; <i>P</i> < .001).ConclusionsBiportal endoscopy for LDD had lower complication rates and similar patient-reported outcomes relative to tubular retraction, though longer operative times in TLIF subanalysis. Future studies are necessary to validate findings and guide patient-specific decision-making.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251356220"},"PeriodicalIF":2.6,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144495842","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}

{"title":"Predictive Factors and Impact of Delayed Spine Surgery: A Nationwide Retrospective Cohort.","authors":"Sina Zoghi, Stefan T Prvulovic, Cameron J Sabet, Akshay Warrier, S Farzad Maroufi, Joanna M Roy, Meic H Schmidt, Christian A Bowers, Marc D Moisi","doi":"10.1177/21925682251356219","DOIUrl":"10.1177/21925682251356219","url":null,"abstract":"<p><p>Study DesignRetrospective Cohort Study.ObjectivesThis study sought to analyze predictors of delayed spine surgery and their impact on postoperative adverse outcomes.MethodsThis retrospective cohort study analyzed patients who underwent spine surgery from the National Surgical Quality Improvement Program database from 2015 to 2020. Delayed spine surgery was defined as the interval from admission to operation exceeding the 95th percentile of the total population or lasting >3 days. Multivariate regression models were used to estimate probabilities of outcomes after adjusting for individual risk factors. The primary outcome included mortality, along with secondary measures including nonroutine discharge, extended length of stay (LOS), major and minor postoperative complications, Clavien-Dindo grade IV complications (CDIV), readmission, and reoperation rates.ResultsOf 362 788 patients, 16 664 (4.59%) experienced a delay in surgery. The adjusted odds ratios for outcomes predicted by delayed surgery were mortality (1.452, 1.251-1.685), nonroutine discharge destination (3.447, 3.285-3.618), extended LOS (3.650, 3.473-3.837), minor postoperative complications (1.462, 1.370-1.559), major postoperative complications (1.607, 1.511-1.709), Clavien-Dindo grade IV complications (1.469, 1.356-1.592), readmission (1.499, 1.401-1.604), and reoperation (1.420, 1.303-1.547). ROC analysis showed that GNRI has an excellent discriminative power (C-statistic = 0.801) for delayed surgery. There is little incremental gain from adding other indices including frailty and perioperative conditions and status to GNRI (C-statistic of the compound index = 0.809).ConclusionsPre-operative delays in spine surgery independently predict increased postoperative morbidity and mortality. Surgical delay was associated with higher GNRI. These findings highlight the importance of timely surgeries to minimize complications and reduce healthcare costs.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251356219"},"PeriodicalIF":2.6,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144495843","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}

{"title":"Geographic and Socioeconomic Disparities in Robotic Spine Surgery Access in the Continental United States: A Cross-Sectional Ecological Analysis.","authors":"Paul G Mastrokostas, Leonidas E Mastrokostas, Ahmed K Emara, Jonathan Dalton, Rajkishen Narayanan, Christopher K Kepler, Alan S Hilibrand, Alexander R Vaccaro, Jad Bou Monsef, Afshin E Razi, Mitchell K Ng","doi":"10.1177/21925682251356218","DOIUrl":"10.1177/21925682251356218","url":null,"abstract":"<p><p>Study DesignCross-sectional ecological analysis.ObjectivesThis study aims to assess the availability of robotic spine surgery across the United States and identify disparities in access.MethodsWe utilized provider-finding functions from major medical equipment manufacturers to identify robotic spine surgeons and categorized affiliated hospitals. Geospatial analyses combined with socioeconomic indicators, Rural-Urban Continuum Codes, and the Area Deprivation Index (ADI) provided insights into access disparities. Multivariate logistic regression and Student's t-tests were used to identify county-level variables associated with hotspots and coldspots. Statistical significance was set at the <i>P</i> < .05 level.ResultsNinety-one robotic spine surgeons were identified. Robotic spine surgeons were predominantly affiliated with nonteaching hospitals (50.55%), followed by minor teaching (38.46%) and major teaching (10.99%) hospitals. Access hotspots are in the Northeast and Southeast, with rural areas showing 22% lower odds of being hotspots (OR = 0.78, <i>P</i> < .001). Factors increasing the odds of being a hotspot include higher disability prevalence (OR = 1.19, <i>P</i> < .001), lack of insurance (OR = 1.18, <i>P</i> < .001), and older median age (OR = 1.17, <i>P</i> < .001). Educational attainment and ADI, despite being significant, had lower predictive values for access.ConclusionsDisparities in access to robotic spine surgery are associated with socioeconomic, demographic, and geographic factors. The concentration of surgeons in nonteaching hospitals and higher-income areas may reflect market dynamics. Efforts to improve access should consider regional resources, hospital type, and community disadvantage.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251356218"},"PeriodicalIF":2.6,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144484126","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}

{"title":"Is Anchored Stand-Alone ALIF Effective and Safe for the Treatment of Low-Grade L5-S1 Isthmic Spondylolisthesis? A Comparative Study With Posterior Lumbar Interbody Fusion.","authors":"Marco Ajello, Stefano Colonna, Ayoub Saaid, Enrico Lo Bue, Alberto Morello, Ludovico Comite, Luca Ceroni, Diego Garbossa, Fabio Cofano, Nicola Marengo","doi":"10.1177/21925682251356221","DOIUrl":"10.1177/21925682251356221","url":null,"abstract":"<p><p>Study DesignRetrospective comparative study.ObjectivesOptimal surgical treatment for low-grade L5-S1 isthmic spondylolisthesis (IS) is still subject of debate. While various surgical approaches exist, anchored stand-alone (SA) ALIF has emerged as a promising alternative technique. This study aimed to compare the efficacy, as well as the clinical and radiological outcomes of anchored SA-ALIF and posterior lumbar interbody fusion in the management of low-grade L5-S1 IS.MethodsA total of 53 patients, 26 from the anterior group and 27 from the posterior group, met the inclusion criteria. Intraoperative blood loss, operative time, radiation exposure and postoperative length of hospitalization were retrospectively evaluated. Clinical outcomes were assessed using the ODI and VAS scales. Upright lumbosacral X-ray and lumbosacral CT scan were used to evaluate spinopelvic parameters and intersomatic fusion according to Brantigan-Steffee-Fraser (BSF) scale, respectively.ResultsThe mean postoperative follow-up was 39 months. Intraoperative blood loss, radiation exposure, operative time, and postoperative length of hospitalization were significantly lower in the anterior group. Effective ODI and VAS improvement was achieved in both anterior and posterior groups. No significant differences were observed between the two groups in postoperative spinopelvic parameters assessment. Effective spinal fusion was achieved in 23 patients (88.4%) in the anterior group, and in 21 patients (77.8%) in the posterior group.ConclusionWhile both techniques effectively achieve spinal fusion and symptom relief, anchored SA-ALIF offers significant advantages over posterior fusion techniques in terms of intraoperative blood loss, radiation exposure, operative time, and postoperative length of hospitalization.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251356221"},"PeriodicalIF":2.6,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144484127","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}

{"title":"An Assessment of the World's Contribution to Osteoporotic Vertebral Compression Fractures: A Bibliometric Analysis of Surgical Management; An AO Spine Knowledge Forum Trauma and Infection Initiative.","authors":"Harvinder Singh Chhabra, Jitesh Manghwani, Vandana Phadke, Gregory Schroeder, Mohammad El-Sharkawi, Andrei Fernandes Joaquim, Klaus John Schnake, Olesja Hazenbiller, Richard Bransford","doi":"10.1177/21925682251353137","DOIUrl":"10.1177/21925682251353137","url":null,"abstract":"<p><p>Study DesignBibliometric analysis.ObjectivesAnalysis of literature on surgical management of osteoporotic vertebral compression fractures to identify the top contributing authors, countries, collaborators and the trends of research.MethodsA search to identify original articles published in English between 2011 and 2020 was done using specific keywords in the Web of Science database. After screening, 442 articles met the criteria which were analysed using Biblioshiny R software.ResultsThe top contributing authors were Yang HL (first), Wang H (second) and Hao DJ (third). Amongst the universities, the major contributing ones were Soochow University (first), Guangzhou University of Chinese Medicine (second) and University of Toronto (third). China (first), USA (second) and South Korea (third) were the top contributing countries. The maximum articles were published in Spine, Osteoporosis International and European Spine Journal. The most common articles were on comparisons between kyphoplasty and vertebroplasty, the associated complications and newer modalities of investigations of osteoporosis. Major work surrounds the keywords kyphoplasty and vertebroplasty which are significantly clustered as compared to others.ConclusionsThe study identified the most prolific contributing authors (Yang HL, Wang H) and universities (Soochow University, Guangzhou University of Chinese Medicine), the journals where this work is considered more impactful (Spine, Osteoporosis International) and the top contributing countries (China, USA) and collaborations. This study showed that major work is regarding the cement augmentation techniques of kyphoplasty/vertebroplasty and the attempts at establishing newer techniques of diagnosis of osteoporosis. The study also brought out major differences in findings from that of the previously published study on spine trauma bibliometrics.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251353137"},"PeriodicalIF":2.6,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474941","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}

{"title":"Risk Factors for Nonunion Following Posterior Lumbar Interbody Fusion at L5-S1: Importance of Bilateral Bicortical Purchase of S1 Pedicle Screws.","authors":"Arnold Joseph Cagulada, Jae Hwan Cho, Jekyun Kim, Sehan Park, Chang Ju Hwang, Dong-Ho Lee","doi":"10.1177/21925682251353218","DOIUrl":"10.1177/21925682251353218","url":null,"abstract":"<p><p>Study DesignA retrospective comparative study.ObjectiveThis study explored the factors influencing L5-S1 fusion success following posterior lumbar interbody fusion (PLIF) and identified risk factors for symptomatic nonunion.MethodsThe cohort comprised 134 patients who underwent single- or multiple-level lumbar fusion, including PLIF at L5-S1, due to degenerative spine disease. Radiographic fusion was assessed using 1-year postoperative CT scans. Demographic, clinical (VAS, ODI, and EQ-5D), and radiological data were compared based on fusion status using univariate and multivariate logistic regression analyses. Subgroup analysis was performed in patients exhibiting nonunion with or without symptoms.ResultsFusion was achieved in 98 (73.1%) out of 134 patients, whereas 36 (26.9%) patients exhibited nonunion at the 1-year follow-up. Factors associated with nonunion included a higher body mass index [BMI; <i>P</i> = .020; 95% confidence interval (CI): .702, .971] and longer fusion levels (<i>P</i> = .032; 95% CI: .345, .952). Bilateral bicortical purchase of S1 pedicle screws significantly improved fusion outcomes (<i>P</i> = .014; 95% CI: 1.281, 9.047). Among the 36 nonunion cases, symptomatic patients showed significantly worse clinical assessment in terms of VAS, ODI, and every domain of EQ-5D. However, radiological parameters exhibited no differences based on the presence of symptoms.ConclusionThe radiological nonunion rate at L5-S1 was 27%. Higher BMI and longer fusion levels were identified as risk factors, whereas bicortical screw placement at S1 emerged as a protective factor against L5-S1 nonunion. Therefore, bilateral anterior cortical purchase of S1 pedicle screws is recommended, particularly in patients undergoing longer fusion procedures.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251353218"},"PeriodicalIF":2.6,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474942","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}

{"title":"Letter to the editor: 'Vancomycin Antibiotic Prophylaxis Compared to Cefazolin Increases Risk of Surgical Site Infection Following Spine Surgery' by Brandon J. Herrington et al.","authors":"Yabin Liu, Xiaohua Jiang, Xicun Han, Guowu Chen","doi":"10.1177/21925682251352850","DOIUrl":"10.1177/21925682251352850","url":null,"abstract":"","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251352850"},"PeriodicalIF":2.6,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12182555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340007","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}