Global Spine Journal最新文献_第5页

Predictive Factors of Cloxacillin Susceptibility in Primary Bacterial Spinal Infection. 原发性脊柱细菌感染对氯唑西林敏感性的预测因素

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-04-01 Epub Date: 2024-05-06 DOI: 10.1177/21925682241251814

Chris Yuk Kwan Tang, Pak Leung Ho

{"title":"Predictive Factors of Cloxacillin Susceptibility in Primary Bacterial Spinal Infection.","authors":"Chris Yuk Kwan Tang, Pak Leung Ho","doi":"10.1177/21925682241251814","DOIUrl":"10.1177/21925682241251814","url":null,"abstract":"Study DesignPrognostic study.ObjectivesThe objective of this study is to identify predictive factors for cloxacillin susceptibility in spinal infections.MethodsA retrospective analysis was conducted using data from January 1, 1997, to December 31, 2021. The study included patients presenting with back pain and either a positive bacterial culture from the spine or radiological evidence of spinal infection (spondylodiscitis and/or epidural abscess) along with positive bacterial blood culture.ResultsAmong 171 patients (127 males, 44 females), 53.2% had Staphylococcus isolates, with 40.4% showing cloxacillin resistance. Lower globulin levels (<33.5 g/L), recent hospitalization within 90 days, and residence in an old age home predicted gram-positive bacteria with cloxacillin resistance and gram-negative bacteria as causative organisms (P<.05). The 30-day and 1-year all-cause mortality rates were 0% and 8.2%, respectively. Higher red cell distribution width (RDW >16.1%) and Charlson comorbidity index (CCI) scores predicted 1-year all-cause mortality (P<.05). Intensive care unit admission was required for 9.9% of patients.ConclusionsThis study identified predictive factors for spinal infection by gram-positive bacteria with cloxacillin resistance and gram-negative bacteria. Patients with lower globulin levels (<33.5 g/L), recent hospitalization within 90 days, or residency in an old age home upon admission should avoid standalone cloxacillin therapy and consider antibiotics with gram-negative coverage. Higher RDW (>16.1%) and CCI scores were associated with increased 1-year all-cause mortality. These findings contribute to treatment decision-making and improving patient outcomes in spinal infections.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"1572-1581"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863970","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

Sickle Cell Disease Has No Impact on 10-Year Cumulative Incidence and Indications for Revision Lumbar Fusion. 镰状细胞病对腰椎融合术十年累积发病率和翻修指征没有影响。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-04-01 Epub Date: 2024-05-09 DOI: 10.1177/21925682241253154

B Tanner Seibold, Abhisri Ramesh, Philip M Parel, Theodore Quan, Rachel A Ranson, Addisu Mesfin, Tushar Ch Patel

{"title":"Sickle Cell Disease Has No Impact on 10-Year Cumulative Incidence and Indications for Revision Lumbar Fusion.","authors":"B Tanner Seibold, Abhisri Ramesh, Philip M Parel, Theodore Quan, Rachel A Ranson, Addisu Mesfin, Tushar Ch Patel","doi":"10.1177/21925682241253154","DOIUrl":"10.1177/21925682241253154","url":null,"abstract":"Study DesignRetrospective Cohort Study.ObjectivesPatients with sickle cell disease (SCD) experience distinct physiological challenges that may alter surgical outcomes. There has been no research establishing 10-year lumbar fusion (LF) implant survivorship rates among individuals with SCD. This study aims to determine the 10-year cumulative incidence and indications for revision LF between patients with and without SCD.MethodsA national database was queried to identify patients with and without SCD who underwent primary LF. SCD patients undergoing LF were propensity-score matched in a 1:4 ratio by age, gender, and Charlson Comorbidity Index (CCI) to a matched LF control. In total, 246 SCD patients were included along with 981 and 100,000 individuals in the matched and unmatched control cohorts, respectively. Kaplan-Meier survival analysis was utilized to determine the 10-year cumulative incidence rates of revision LF. Furthermore, multivariable analysis using Cox proportional hazard modeling was performed to compare indications for revisions and surgical complications between cohorts including hardware removal, drainage and evacuation, pseudoarthrosis, and mechanical failure.ResultsNo significant differences were found in the cumulative incidence of 10-year all-cause revision LF between patients in the SCD cohort and either of the control cohorts (P > .05 for each). Additionally, there were no significant differences between the SCD cohort and either of the control cohorts in regards to the indications for revision or surgical complications in LF (P > .05 for each).ConclusionsThis study indicates that SCD patients do not have increased risk for revision LF, nor any of its indications.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"1592-1597"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140896907","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

Effectiveness of a Preoperative Bowel Preparation Protocol for Patients With Adolescent Idiopathic Scoliosis to Decrease Postoperative Gastrointestinal Morbidities and the Hospital Length of Stay. 青少年特发性脊柱侧凸患者术前肠道准备方案对减少术后胃肠道疾病和住院时间的效果。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-04-01 Epub Date: 2024-05-20 DOI: 10.1177/21925682241249107

Alzakri Abdulmajeed

{"title":"Effectiveness of a Preoperative Bowel Preparation Protocol for Patients With Adolescent Idiopathic Scoliosis to Decrease Postoperative Gastrointestinal Morbidities and the Hospital Length of Stay.","authors":"Alzakri Abdulmajeed","doi":"10.1177/21925682241249107","DOIUrl":"10.1177/21925682241249107","url":null,"abstract":"Study DesignRandomised controlled trial.ObjectiveThis study aimed to determine the effectiveness of a preoperative bowel preparation protocol comprising bisacodyl to minimize postoperative gastrointestinal morbidities and the hospital length of stay for patients with adolescent idiopathic scoliosis.Summary of Background DataPatients who undergo scoliosis correction surgery frequently experience postoperative gastrointestinal morbidities and a prolonged hospital length of stay. Emesis, paralytic ileus and constipation are the most common gastrointestinal morbidities. Opioid medication is a well-known risk factor for gastrointestinal complications after scoliosis correction surgery.MethodsEighty-seven patients (22 boys [25.3%] and 65 girls [74.7%]) with a mean age of 17.7 years (standard deviation [SD], ±2.2 years) diagnosed with adolescent idiopathic scoliosis were enrolled in this study and randomized into 2 groups. Group A comprised 44 patients who received a preoperative bowel preparation comprising bisacodyl. Group B comprised 43 patients who did not receive any preoperative medication. Demographic data, height, weight, medical and surgical comorbidities, Risser status, number of instrumented levels and preoperative opioid consumption of all patients were evaluated.ResultsGroup A experienced fewer postoperative abdominal symptoms than group B. The mean hospital length of stay was 4.1 days (SD, ±.6 days; median, 4 days; range, 3-5 days) for group A; however, it was 5.3 days (SD, ±.8 days; median, 5 days; range, 4-7 days) for group B (P = .01).ConclusionThe use of a bowel preparation protocol before scoliosis correction surgery for patients with adolescent idiopathic scoliosis can effectively decrease postoperative gastrointestinal morbidities and the hospital length of stay.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"1552-1555"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141065119","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

Reduced Subsidence With PEEK-Titanium Composite Versus 3D Titanium Cages in a Retrospective, Self-Controlled Study in Transforaminal Lumbar Interbody Fusion. 在经椎间孔腰椎椎体融合术的回顾性自我控制研究中，PEEK-钛复合材料与三维钛椎体笼相比下沉更少。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-04-01 Epub Date: 2024-05-23 DOI: 10.1177/21925682241253168

Ali Chahlavi

{"title":"Reduced Subsidence With PEEK-Titanium Composite Versus 3D Titanium Cages in a Retrospective, Self-Controlled Study in Transforaminal Lumbar Interbody Fusion.","authors":"Ali Chahlavi","doi":"10.1177/21925682241253168","DOIUrl":"10.1177/21925682241253168","url":null,"abstract":"Study DesignRetrospective Study.ObjectivesTo compare subsidence and radiographic fusion rates of titanium-surface polyetheretherketone (PEEK-Ti) and 3D-Titanium (3D-Ti) cages, implanted within the same patient concurrently, during multi-level transforaminal lumbar interbody fusions (TLIF).MethodsForty-eight patients were treated with both PEEK-Ti and 3D-Ti cages during 2- or 3-level TLIF and instrumented posterolateral fusion (108 spinal levels in all). Equivalent bone graft material was implanted within each patient. Radiographic analysis of CT and/or X-ray imaging was performed retrospectively for each spinal level throughout 12-month follow-up period. Fusion was defined as bridging trabecular bone and subsidence was incursion into one/both vertebral bodies >20% cage height. Outcomes were analyzed with Fisher's exact test.ResultsAt 6-months post-operative follow-up, incidence of subsidence was significantly lower for PEEK-Ti cages, with 4.8% subsidence, compared to a 27.9% subsidence rate for 3D-Ti cages (P = .007). Fusion rates were comparable at 100% for PEEK-Ti and 95.5% for 3D-Ti. Results at 12-months showed similar but not statistically significant trends of less subsidence with PEEK-Ti than 3D-Ti cages (14.3% PEEK-Ti, 37.5% 3D-Ti), and similar fusion rates of 100% for PEEK-Ti and 91.7% for 3D-Ti. Thirty-nine out of 48 total patients were available for follow-up at 6 months and 20 patients at 12 months. CT availability at 6 and 12-months was 100% and 90%, respectively.ConclusionsA significantly lower subsidence rate was associated with a PEEK-Ti cage, compared to 3D-Ti, 6 months after TLIF. Results may not be generalized across technologies due to differences in cage designs; additional research studies are warranted.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"1598-1607"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081223","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

Is Endoscopic Surgery a Safe and Effective Treatment for Lumbar Disc Herniation? A Meta-Analysis of Randomized Controlled Trials. 内窥镜手术是腰椎间盘突出症安全有效的治疗方法吗？随机对照试验的元分析。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-04-01 Epub Date: 2024-11-04 DOI: 10.1177/21925682241299326

Bo-Tao Cai, Fan Yang, Deng-Chao Wang

{"title":"Is Endoscopic Surgery a Safe and Effective Treatment for Lumbar Disc Herniation? A Meta-Analysis of Randomized Controlled Trials.","authors":"Bo-Tao Cai, Fan Yang, Deng-Chao Wang","doi":"10.1177/21925682241299326","DOIUrl":"10.1177/21925682241299326","url":null,"abstract":"Study DesignSystematic Review.ObjectiveThis meta-analysis systematically evaluates the safety and effectiveness of endoscopic techniques in the treatment of lumbar disc herniation (LDH).MethodsA comprehensive computerized search was conducted on PubMed, Embase, Cochrane Library, China National Biomedical Literature Database (CBM), VIP Database, China National Knowledge Infrastructure (CNKI) and Wanfang Database. Randomized controlled trials (RCTs) comparing endoscopic techniques with non-endoscopic techniques for the treatment of LDH were identified. Meta-analysis was performed using RevMan 5.4 software.ResultsSeventeen RCTs involving 1748 LDH patients were analyzed. The meta-analysis revealed that, compared to the non-endoscopic discectomy (NED) group, the endoscopic discectomy (ED) group exhibited significantly lower intraoperative blood loss [MD = -74.45 mL, 95% CI (-124.88, -24.02), P = .004], shorter hospitalization duration [MD = -4.07 days, 95% CI (-6.67, -1.48), P = .002], lower Visual Analogue Scale (VAS) pain scores at the last follow-up [MD = -.35, 95% CI (-.63, -.07), P = .01], and a lower incidence of complications [RR = .35, 95% CI (.25, .48), P < .00001]. Moreover, the ED group exhibited a higher ratio of excellent and good therapeutic effects postoperatively [RR = 1.05, 95% CI (1.01, 1.10), P = .01]. However, there were no statistically significant differences between the 2 groups in terms of the Oswestry Disability Index (ODI) scores at the last follow-up [SMD = -.49, 95% CI (-1.14, .17), P = .14] and operation time [MD = -10.17 min, 95% CI (-27.05, 6.71), P = .24].ConclusionEndoscopic techniques in the treatment of LDH exhibit significant superiority in intraoperative blood loss, hospitalization duration, postoperative pain, complication rates, and postoperative therapeutic effects. This provides patients with a safer and more effective treatment option.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"1855-1868"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142566975","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

Mapping the Degenerative Cervical Myelopathy Research Landscape: Topic Modeling of the Literature. 绘制颈椎退行性脊髓病研究地图：文献主题建模。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-04-01 Epub Date: 2024-05-17 DOI: 10.1177/21925682241256949

Mert Karabacak, Pemla Jagtiani, Carl Moritz Zipser, Lindsay Tetreault, Benjamin Davies, Konstantinos Margetis

{"title":"Mapping the Degenerative Cervical Myelopathy Research Landscape: Topic Modeling of the Literature.","authors":"Mert Karabacak, Pemla Jagtiani, Carl Moritz Zipser, Lindsay Tetreault, Benjamin Davies, Konstantinos Margetis","doi":"10.1177/21925682241256949","DOIUrl":"10.1177/21925682241256949","url":null,"abstract":"Study DesignTopic modeling of literature.ObjectivesOur study has 2 goals: (i) to clarify key themes in degenerative cervical myelopathy (DCM) research, and (ii) to evaluate the current trends in the popularity or decline of these topics. Additionally, we aim to highlight the potential of natural language processing (NLP) in facilitating research syntheses.MethodsDocuments were retrieved from Scopus, preprocessed, and modeled using BERTopic, an NLP-based topic modeling method. We specified a minimum topic size of 25 documents and 50 words per topic. After the models were trained, they generated a list of topics and corresponding representative documents. We utilized linear regression models to examine trends within the identified topics. In this context, topics exhibiting increasing linear slopes were categorized as \"hot topics,\" while those with decreasing slopes were categorized as \"cold topics\".ResultsOur analysis retrieved 3510 documents that were classified into 21 different topics. The 3 most frequently occurring topics were \"OPLL\" (ossification of the posterior longitudinal ligament), \"Anterior Fusion,\" and \"Surgical Outcomes.\" Trend analysis revealed the hottest topics of the decade to be \"Animal Models,\" \"DCM in the Elderly,\" and \"Posterior Decompression\" while \"Morphometric Analyses,\" \"Questionnaires,\" and \"MEP and SSEP\" were identified as being the coldest topics.ConclusionsOur NLP methodology conducted a thorough and detailed analysis of DCM research, uncovering valuable insights into research trends that were otherwise difficult to discern using traditional techniques. The results provide valuable guidance for future research directions, policy considerations, and identification of emerging trends.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"1662-1675"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140957143","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

Does the Lumbar Paraspinal Muscle Status Have a Role in Predicting Mechanical Complications After Adult Spinal Deformity Surgery? 腰椎棘旁肌状态在预测成人脊柱畸形手术后机械并发症中的作用吗？

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-03-31 DOI: 10.1177/21925682251330830

Ganesh Kumar, Vikas Tandon, Ankur Nanda, Gururaj Mallikarjun, Rajat Mahajan, Bibhudendu Mohapatra, Tarush Rustagi, Kalidutta Das, Murari Lal Bansal, Neeraj Gupta, Jitesh Manghwani

{"title":"Does the Lumbar Paraspinal Muscle Status Have a Role in Predicting Mechanical Complications After Adult Spinal Deformity Surgery?","authors":"Ganesh Kumar, Vikas Tandon, Ankur Nanda, Gururaj Mallikarjun, Rajat Mahajan, Bibhudendu Mohapatra, Tarush Rustagi, Kalidutta Das, Murari Lal Bansal, Neeraj Gupta, Jitesh Manghwani","doi":"10.1177/21925682251330830","DOIUrl":"10.1177/21925682251330830","url":null,"abstract":"Study designRetrospective analysis.ObjectivesTo assess the role of paraspinal muscle morphology in predicting complications after adult spinal deformity (ASD) surgery.Materials and MethodsA total of 93 patients who underwent surgery for ASD from 2017 to 2022 were enrolled. Using early postoperative X-ray, they were divided into proportioned (P), moderately proportioned (MP), and severely proportioned (DP) groups based on the Global Alignment and Proportion (GAP) scores. Further, they were classified into two groups: Group A (presence of mechanical complications) and Group B (no mechanical complications). In addition, other parameters including preoperative BMI, smoking status, cross-sectional area (CSA), and grades of paraspinal muscle fatty infiltration (FI) were calculated in all patients using preoperative MRI. These parameters were compared across the groups using a one-way analysis of variance (ANOVA). Post-hoc pairwise testing was done using Bonferroni's method. These were also compared between groups A and B using a 2-sample t-test.ResultsThe mean follow-up period was 32.7 months (24-64 months). 27 (29%) of 93 patients developed mechanical complications following ASD surgery. Of the 27 patients, 6 (22.2%) were proportioned, 10 (37%) were from MP and 11 (40.7%) were from the DP group. Group A had low CSA (P = 0.014), and high FI (P = 0.003) grades compared to group B. Further, 22.2% (6/27) had a history of smoking before surgery (OR = 6.57).ConclusionsWe recommend consideration of preoperative smoking, CSA, and FI of paraspinal muscles in addition to the GAP score to minimize mechanical complications in patients undergoing ASD surgery.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251330830"},"PeriodicalIF":2.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752381","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

Surgeon-Guided Fluoroscopic Erector Spinae Plane Block (ESPB) versus Anesthetist-Guided Ultrasonic ESPB for Perioperative Analgesia in Lumbar Fusion Surgery- a Prospective Randomized Control Study. 外科医生引导的透视下脊柱竖立器平面阻滞（ESPB）与麻醉师引导的超声ESPB在腰椎融合术围手术期镇痛的比较——一项前瞻性随机对照研究。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-03-29 DOI: 10.1177/21925682251333407

Gnanaprakash G, Rishi Mugesh Kanna, J Balavenkat Subramanian, Sekar Chelliah, Ajoy Prasad Shetty, S Rajasekaran

{"title":"Surgeon-Guided Fluoroscopic Erector Spinae Plane Block (ESPB) versus Anesthetist-Guided Ultrasonic ESPB for Perioperative Analgesia in Lumbar Fusion Surgery- a Prospective Randomized Control Study.","authors":"Gnanaprakash G, Rishi Mugesh Kanna, J Balavenkat Subramanian, Sekar Chelliah, Ajoy Prasad Shetty, S Rajasekaran","doi":"10.1177/21925682251333407","DOIUrl":"10.1177/21925682251333407","url":null,"abstract":"Study designProspective, randomized control study.ObjectiveTo assess the safety and efficacy of fluoroscopy-guided vs ultrasound-guided Erector Spinae Plane Block (ESPB) for perioperative analgesia in lumbar fusion surgery.Materials and Methods66 patients requiring single-level lumbar fusion were randomized into 2 groups. One group had fluoroscopy-guided ESPB by the surgeon (Fluoro-ESPB group) and the other group had Ultrasound-guided ESPB by the anesthetist (USG-ESPB). Demographic details, intraoperative parameters (perioperative total opioid consumption, muscle relaxants used, heart rate, blood pressure), and postoperative parameters (VAS score, alertness, satisfaction score) were recorded and analyzed.ResultsDuring the initial 48 hours following the surgery, both groups provided good perioperative analgesia, and reported very low and comparable postoperative pain scores (VAS scale). The mean VAS score was 2.7 ± 0.5 in the Fluoro-ESPB group and 2.7 ± 0.5 in the USG-ESPB group (P = 0.91). The average time taken to deliver the block in the Fluoro-ESPB group (3.01 ± 0.97 mins) was significantly less than in the USG-ESPB group (4.74 ± 1.49 mins) (P = 0.00). The total perioperative opioid consumption (TOC), total intraoperative muscle relaxant consumption, and intraoperative blood loss were similar in both groups (Fluoro- ESPB, USG ESPB) (P > 0.05). The postoperative MOASS score was consistently high across both groups. The satisfaction scores were high and comparable (P = 0.403).ConclusionThe fluoroscopy-guided ESPB is a safe and effective alternative to the traditional ultrasound-guided technique. It can be performed by the surgeon, reducing overall procedure time, and improving workflow.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251333407"},"PeriodicalIF":2.6,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742779","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 AO Spine Upper Cervical Injury Classification System (AO UCIC) - An Umbrella Review of Traumatic Axis Injuries Factors that May Affect Treatment Decision. AO脊柱上颈椎损伤分类系统(AO UCIC) -可能影响治疗决策的外伤性轴损伤因素综述。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-03-29 DOI: 10.1177/21925682251333300

Andrei F Joaquim, Sebastian F Bigdon, Gaston Camino-Willhuber, Cumhur F Öner, Klaus J Schnake, Richard Bransford, Harvinder Singh Chhabra, Mohammad El-Skarkawi, Alexander R Vaccaro, Gregory D Schroeder

{"title":"The AO Spine Upper Cervical Injury Classification System (AO UCIC) - An Umbrella Review of Traumatic Axis Injuries Factors that May Affect Treatment Decision.","authors":"Andrei F Joaquim, Sebastian F Bigdon, Gaston Camino-Willhuber, Cumhur F Öner, Klaus J Schnake, Richard Bransford, Harvinder Singh Chhabra, Mohammad El-Skarkawi, Alexander R Vaccaro, Gregory D Schroeder","doi":"10.1177/21925682251333300","DOIUrl":"10.1177/21925682251333300","url":null,"abstract":"Study designAn umbrella systematic review.ObjectiveTo identify historically recognized injury characteristics that may affect treatment decisions of traumatic C2 injuries and help improve the description of the \"modifiers\" presented in the AO Upper Cervical Injury Classification (UCIC).MethodsWe performed an umbrella review of systematic reviews evaluating studies about the management of axis fractures that identify potential modifiers in the treatment of these injuries. These modifiers were grouped according to the new AO UCIC.ResultsEight systematic reviews were included. They were divided into three groups: (1) Axis body fractures - one study, (2) Hangman´s fractures - one study, and (3) Odontoid fractures, six studies. For axis body fractures, most injuries were treated non-operatively, except some Benzel type 3 fractures (AO Type A) with displacement or severe comminution (M1). Hangman´s fractures classified as Effendi I and Levine-Edwards I and II were treated non-operatively with success, with no modifiers identified for non-union or instability. For Levine-Edwards type IIA and III surgery was generally recommended, but these should be classified as AO type B and C respectively without a need for modifiers. For odontoid fractures, fractures in the dens base, with displacement, or in elderly patients were associated with non-union (M1) and patients' specific factors (surgical condition) seem to affect the decision of treatment (M3) for considering surgery.ConclusionsWe identified from the literature some axis injury characteristics that seem to affect the treatment decision in historical series. Knowledge of these modifiers may further enhance the system's clinical utility.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251333300"},"PeriodicalIF":2.6,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742781","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

Utility of Routine Preoperative Urinalysis in Elective Lumbar Spine Fusion Surgery. 术前常规尿分析在择期腰椎融合术中的应用。

IF 2.6 3区医学

Global Spine Journal Pub Date : 2025-03-28 DOI: 10.1177/21925682251330593

Stevin Lu, Ian Marquez, Hania Shahzad, Jonathan Ochoa, Kanwar Parhar, Muhammad Jawad, Rolando Roberto, Yashar Javidan, Safdar Khan, Eric Klineberg, Hai Le

{"title":"Utility of Routine Preoperative Urinalysis in Elective Lumbar Spine Fusion Surgery.","authors":"Stevin Lu, Ian Marquez, Hania Shahzad, Jonathan Ochoa, Kanwar Parhar, Muhammad Jawad, Rolando Roberto, Yashar Javidan, Safdar Khan, Eric Klineberg, Hai Le","doi":"10.1177/21925682251330593","DOIUrl":"10.1177/21925682251330593","url":null,"abstract":"Study DesignA retrospective cohort study.ObjectiveTo evaluate the utility of routine preoperative urinalysis as a predictor of postoperative complications following elective lumbar fusion surgery (ELFS).MethodsThis study included a retrospective review of patients aged ≥18 years-old who underwent ELFS for degenerative pathology between 2018 to 2022 at a single academic institution. Patients were categorized into 3 groups: No Urinalysis (No-UA), Negative Urinalysis (Negative-UA), and Positive Urinalysis (Positive-UA). A retrospective review of medical records was conducted including patient characteristics and clinical factors of interest. Emergency department (ED) visits and return to the operating room (OR) within 3-months postoperatively were recorded. Statistical analyses were performed using bivariate and multivariate analysis.ResultsA total of 493 patients were included. Despite having higher rates of preoperative antibiotics administered, patients with a positive urinalysis were significantly more likely to present with postoperative urinary tract infections (UTIs) than the No-UA and Negative-UA groups. No significant differences were seen in other types of complications including pneumonia, bacteremia, superficial wound infections, deep wound infections, and wound dehiscence between the 3 groups. Additionally, rates of return to OR, return to ED, reinsertion of foley catheters, duration of indwelling catheterization, and hospital length of stay had no significant differences between the groups.ConclusionThis study suggests there may be a limited role in performing routine preoperative urinalysis prior to ELFS. This study may help further improve preoperative assessment guidelines and assist with patient counseling and considerations prior to elective lumbar fusion surgery.","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251330593"},"PeriodicalIF":2.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729421","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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