Global Spine Journal最新文献

{"title":"Letter to \"Effect of Baseline Adjacent Segment Degeneration on Clinical Outcomes After Lumbar Fusion\".","authors":"Zeyu Wang, Jinhua Zhao, Xiangzheng Qin","doi":"10.1177/21925682251330285","DOIUrl":"https://doi.org/10.1177/21925682251330285","url":null,"abstract":"","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251330285"},"PeriodicalIF":2.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742777","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":"AO Spine Clinical Practice Recommendations: Current Systemic Oncological Treatments with the Largest Impact on Patients with Metastatic Spinal Disease.","authors":"Marcin Czyz, Emerens G Wensink, Brian Coimbra, Michael Galgano, Shreyaskumar Patel, Kristin Redmond, Joost Rutges, Jiong Hao Jonathan Tan, Ori Barzilai, Nicolas Dea, Alessandro Gasbarrini, Ilya Laufer, Aron Lazary, Cordula Netzer, Jeremy J Reynolds, Laurence D Rhines, Arjun Sahgal, Charles G Fisher, Jorrit-Jan Verlaan","doi":"10.1177/21925682251324138","DOIUrl":"10.1177/21925682251324138","url":null,"abstract":"<p><p>Study DesignLiterature review with clinical recommendation.ObjectiveTo provide the readers with a concise curation of the latest literature in recent advances in systemic oncological therapies and their implications for decision-making in patients with metastatic spinal disease. This review aims to enhance spine specialist's understanding of modern oncological treatments to facilitate optimal timing and planning of local interventions.MethodsThe latest literature in the topic of advances in oncology was reviewed by a multidisciplinary group of experts in metastatic spinal disease and clinical recommendations were formulated. The recommendations were dichotomously graded into strong and conditional (weak) based on the integration of scientific methodology and content expert opinion. This opinion considered experience and practical issues such as risks, burdens, costs, patient values, and circumstances.ResultsFour high-impact studies were reviewed, demonstrating significant advancements in systemic treatments for metastatic cancers commonly affecting the spine. These studies showed improved survival outcomes and efficacy across breast cancer, colorectal cancer, prostate cancer, and renal cell carcinoma. The findings have important implications for surgical/radiotherapy planning, including considerations for timing of interventions, wound healing, and the potential for extended survival affecting construct durability requirements.ConclusionsRecent advances in systemic oncological treatments have important implications for managing metastatic spinal disease. Understanding these developments is crucial for spine specialists to optimize decision-making through a multidisciplinary approach, particularly regarding timing of local interventions, strategy of the surgical approach and reconstruction.[Formula: see text].</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251324138"},"PeriodicalIF":2.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735762","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":"Obstructive Sleep Apnea is Associated With Increased Rates of Acute Respiratory Failure, Length of Stay, and Hospital Costs in Patients Undergoing Elective Single-Level Anterior Cervical Discectomy and Fusion.","authors":"Paul G Mastrokostas, Mohamed Said, Christian Cassar, Leonidas E Mastrokostas, Aaron B Lavi, Arya Varthi, Jad Bou Monsef, Afshin E Razi, Mitchell K Ng","doi":"10.1177/21925682251333324","DOIUrl":"10.1177/21925682251333324","url":null,"abstract":"<p><p>Study designRetrospective cohort study.ObjectivesTo examine differences in postoperative complications, recovery course, and costs between patients with and without obstructive sleep apnea (OSA) undergoing single-level anterior cervical discectomy and fusion (ACDF).MethodsThe National Inpatient Sample (NIS) database was queried to identify patients undergoing single-level ACDF between 2016 and 2022. After exclusions, patients were divided into OSA and control groups. Propensity score matching (1:2) controlled for age, sex, obesity, and year of surgery to balance characteristics. Postoperative outcomes, including complications, length of stay (LOS), hospital costs, and discharge disposition, were compared using chi-square tests for categorical variables and t-tests for continuous variables. A Bonferroni correction was applied, with significance set at <i>P</i> < 0.002.ResultsA total of 36,000 matched cases were analyzed (12,000 OSA and 24,000 controls). OSA patients had significantly higher rates of acute respiratory failure (4.7% vs 1.9%; <i>P</i> < 0.001) and mechanical ventilation (1.5% vs 0.6%; <i>P</i> < 0.001). The OSA cohort also had a longer LOS (2.3 vs 1.9 days; <i>P</i> < 0.001), higher hospital costs ($23,300 vs $21,100; <i>P</i> < 0.001), and greater non-routine discharge rates (20.4% vs 16.8%; <i>P</i> < 0.001).ConclusionsOSA is associated with increased respiratory complications, prolonged LOS, and higher costs in single-level ACDF. These findings underscore the importance of preoperative screening and tailored perioperative management to improve outcomes in this high-risk population.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251333324"},"PeriodicalIF":2.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735764","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 the Editor Regarding the Article Entitled \"Trabecular Bone Remodeling After Posterior Lumbar Interbody Fusion: Comparison of the Osseointegration in Three-Dimensional Porous Titanium Cages and Polyether-Ether-Ketone Cages\" by Segi et al.","authors":"Naoki Segi, Hiroaki Nakashima, Sadayuki Ito, Jun Ouchida, Ippei Yamauchi, Tomohiro Matsumoto, Shunsuke Kanbara, Keigo Ito, Shiro Imagama","doi":"10.1177/21925682251332558","DOIUrl":"10.1177/21925682251332558","url":null,"abstract":"","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251332558"},"PeriodicalIF":2.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729374","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":"Minimally Invasive Transpedicular Posterolateral Approach (MITPA) Corpectomy in the Treatment of Traumatic or Metastatic Vertebral Collapse With Kyphosis.","authors":"Wiktor Urbanski, Rafal Zaluski","doi":"10.1177/21925682251325167","DOIUrl":"10.1177/21925682251325167","url":null,"abstract":"<p><p>Study DesignRetrospective observational cohort study.Vertebral body collapse with subsequent kyphosis, compression of neural structures usually requires surgical treatment; spinal fixation, corpectomy, decompression and realignment of the spine.The objective was to present results of corpectomies using a unilateral minimally invasive posterolateral transpedicular approach (MITPA) in patients with metastatic or posttraumatic kyphosis.Material and MethodsThe study included 28 patients: 23 with osteolytic vertebral body metastases, 5 posttraumatic kyphosis. All patients were operated by 2 surgeons, all had percutaneous pedicle fixation and unilateral single-level corpectomy using MITPA, followed by insertion of an expandable cage. Perioperative parameters were noted and radiological analysis based on CT performed before, after surgery and on the last follow up in 12 months.ResultsThe mean age of patients was 62 years, average length of surgery 263 min, with mean EBL 648 mL and average length of hospital stay 9.3 days. The local kyphosis, measured on end-plates of adjacent vertebrae, was corrected by 14.3° (from 13.1° [±9] to -1.2° [±8], <i>P</i> < .05). Complications occurred in 11 patients (39%), most of them minor, only 2 complications were major (7%): 1 deteriorated neurological deficit and 1 deep vein thrombosis. In 8 cases of preoperative paresis, 7 showed postoperative neurological improvement. In 12 months follow up, no serious mechanical complications were observed, beside minor cage subsidence in 5 cases and adjacent vertebral fracture. The anterior fusion was noted in all cases followed.ConclusionsMITPA corpectomy allows for significant correction of kyphosis, both in metastatic and posttraumatic vertebral body collapse with relatively low rate of major complications.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251325167"},"PeriodicalIF":2.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729204","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":"Effect of Different Minimally Invasive Posterior Stabilization Techniques After Direct Lateral Interbody Fusion With Long-Term Clinical and Radiological Outcomes in Railway Workers: A Retrospective Single-Center Study.","authors":"Vadim A Byvaltsev, Andrei A Kalinin, Yurii Ya Pestryakov, Marat A Aliyev, Ravshan M Yuldashev, Yermek K Dyussembekov, K Daniel Riew","doi":"10.1177/21925682251331462","DOIUrl":"10.1177/21925682251331462","url":null,"abstract":"<p><p>Study DesignRetrospective study.ObjectiveTo investigate the clinical and radiological outcomes of patients with lumbar degenerative disc disease (DDD) treated with one-level Direct lateral interbody fusion (DLIF) in combination with minimally invasive percutaneous pedicle screw fixation (PPSF) and percutaneous facet joint fixation (PFJF).MethodsThis retrospective single-center study included 98 patients (67 men, 31 women) aged 28 to 59 years with one level lumbar DDD with foraminal and central stenosis, were divided into groups after DLIF: PPSF (n = 50) and PFJF (n = 48). Intraoperative parameters, perioperative clinical data and radiological assessment with X-ray, MRI and CT were used before operation and mean 45-month follow-up. Workload intensity criteria were used to analyze return to work rate.ResultsThe DLIF-PFJF group had significantly shorter surgery time (<i>P</i> = .04), duration of anesthesia (<i>P</i> = .02), X-ray time (<i>P</i> = .02), less back pain (<i>P</i> = .03), better functional status according to ODI (<i>P</i> = .04) and SF-36 PCS (<i>P</i> = .04), less atrophic changes in the multifidus muscle compared with DLIF-PPSF. There were no statistically significant differences in the volume of blood loss, duration of inpatient treatment, VAS leg pain, SF-36 MCS, Macnab results, mean disc height, intervertebral foramen height, sagittal disc angle, global lumbar lordosis, fusion rate, and the number of complications. In heavy/very heavy workload patients, the DLIF-PFJF had a statistically significantly higher rate of return to work compared to the DLIF-PPSF group.ConclusionsDLIF-PFJF appears to be superior to DLIF-PPSF, minimizing invasiveness, which significantly reduces the damage to the paraspinal muscles and also has significant long-term clinical advantages and return to work rates. Both minimally invasive techniques have comparable radiographic parameters, including the height of the intervertebral foramen and disc, fusion rates, global and segmental sagittal correction after surgery.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251331462"},"PeriodicalIF":2.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728486","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 Editor Regarding \"Trabecular Bone Remodelling After Posterior Lumbar Interbody Fusion: Comparison of the Osseointegration in Three-Dimensional Porous Titanium Cages and Polyether-Ether-Ketone Cages\" by Segi et al.","authors":"Aditya Gupta, Vishal Kumar, Sarvdeep Singh Dhatt, Surya Teja Dunga","doi":"10.1177/21925682251332207","DOIUrl":"10.1177/21925682251332207","url":null,"abstract":"","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251332207"},"PeriodicalIF":2.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728739","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 Stand-Alone Anchored Spacer and Plate-Cage Construct for Surgical Treatment of Multilevel Cervical Degenerative Spondylopathy: A Meta-Analysis.","authors":"Chao-Jui Chang, Yuan-Fu Liu, Yu-Meng Hsiao, Wei-Lun Chang, Yi-Hung Huang, Keng-Chang Liu, Che-Chia Hsu, Ming-Long Yeh, Cheng-Li Lin","doi":"10.1177/21925682251327599","DOIUrl":"10.1177/21925682251327599","url":null,"abstract":"<p><p>Study DesignMeta-analysis study.ObjectivesWe aimed to compare clinical outcomes, radiologic parameters, and complications between the stand-alone anchored spacer and the plate-cage construct as treatment options for patients with multilevel cervical degenerative spondylopathy involving 3 or 4 levels.MethodsIn this meta-analysis, we adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The search for relevant studies covered the Embase, PubMed, and Cochrane Central Register of Controlled Trials databases, encompassing data from the inception of each database up to July 1, 2024.ResultsThe analysis included 12 studies, involving a total of 817 patients. Patients in the stand-alone anchored spacer group exhibited decreased intraoperative blood loss and shorter surgical durations. Clinical outcomes, including visual analog scale (VAS) scores, Japanese Orthopaedic Association (JOA) scores, Neck Disability Index (NDI) scores, and Odom's criteria for clinical outcomes, demonstrated no significant differences between the two groups. Radiographic outcomes revealed no statistically significant difference in fusion rates between stand-alone cages and plate-cage constructs. However, the plate-cage group exhibited more favorable maintenance of segmental angle and cervical alignment (C2-C7 angle).ConclusionsBoth stand-alone anchored spacer and plate-cage constructs are viable treatment options for patients with cervical degenerative spondylopathy involving more than two levels. Stand-alone cages have the benefit of reducing intraoperative blood loss and shortening surgical durations, but they are associated with a higher risk of cage subsidence. Plate-cage constructs offer better maintenance of segmental angle and cervical alignment; however, they carry a higher risk of dysphagia.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251327599"},"PeriodicalIF":2.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700372","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":"Global Burden of Vertebral Fractures and Spinal Cord Injuries Due to Falls From 1990 to 2021: A Population-Based Study.","authors":"Tianyu Liu, Hanlin Zou, Haibo Zou","doi":"10.1177/21925682251331442","DOIUrl":"10.1177/21925682251331442","url":null,"abstract":"<p><p>Study DesignMeta-analysis-based calculation.ObjectivesFalls are the primary cause of vertebral fractures and spinal cord injuries (SCI). We aimed to analyze the burden and trends of vertebral fractures and SCI due to falls.MethodsWe extracted data on the incidence, prevalence, and years lived with disability (YLDs) of vertebral fractures and SCI due to falls in 21 regions and 204 countries. Estimated annual percentage changes and the Joinpoint regression analysis was used to assess time trends. And we used the Bayesian Age-Period-Cohort model to project the burden for the next 15 years. Then, We developed smoothed curve models and used Spearman's correlation coefficient to analyze the relationship between the Socio-Demographic Index (SDI) and the burden. Finally, frontier analysis was applied to evaluate the effective differences.ResultsIn 2021, there were 4.73 million new cases of vertebral fractures and 3.67 million prevalent cases, and SCI accounted for .3 million new cases and 6.94 million prevalent cases. Although age-standardized rates (ASRs) showed a declining trend, absolute case numbers increased by more than 50% since 1990. Middle-aged males and elderly females are more vulnerable. A positive correlation was found between SDI and ASRs (<i>P</i> < .001), with higher burdens in high SDI regions. Burdens continue to rise in low and middle SDI regions due to limited healthcare resources and development-related risks.ConclusionsThe global burden of vertebral fractures and SCI continues to grow. Prevention of falls and musculoskeletal degeneration is critical. Urgent action is needed to improve healthcare infrastructure and preventive measures.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251331442"},"PeriodicalIF":2.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709322","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":"Complications in Full-Endoscopic Posterior Cervical Surgery: A Review of the Literature and Preventive Strategies.","authors":"Vit Kotheeranurak, Pramod V Lokhande, Thanadol Tangdamrongtham, Teerachat Tassanasoomboon, Khanathip Jitpakdee, Weerasak Singhatanadgige, Worawat Limthongkul, Wicharn Yingsakmongkol, Yanting Liu, Jin-Sung Kim, Surachat Jaroenwareekul","doi":"10.1177/21925682251328615","DOIUrl":"10.1177/21925682251328615","url":null,"abstract":"<p><p>Study DesignNarrative reviewObjectivesFull-endoscopic cervical spinal surgery via a posterior approach has gained popularity for its effectiveness in treating various cervical spine pathologies. However, this technique presents its own set of complications that need to be recognized and addressed. This review aims to comprehensively analyze the complications associated with full-endoscopic posterior cervical spine surgery and provide preventive strategies to minimize these risks and ensure successful surgical outcomes.MethodsA thorough literature search was conducted using public databases, including PubMed and SCOPUS, from January 2000 to June 2024. The review focused on analyzing complications related to full-endoscopic posterior cervical spine surgery and identifying preventive strategies using the keywords \"Complication,\" \"Endoscopic,\" \"Full-endoscopic,\" \"Endoscopy,\" \"Uniportal,\" \"Biportal,\" \"Posterior,\" \"Cervical,\" \"Spine,\" \"Surgery,\" \"Foraminotomy,\" \"Decompression,\" and \"Discectomy\".ResultsThe review identified a variety of complications associated with full-endoscopic posterior cervical spine surgery, including neurological, vascular, and structural issues. Despite the minimally invasive benefits of this approach, risks such as nerve root injury, dural tears, and epidural hematomas still exist. The study emphasizes preventive strategies like meticulous preoperative planning, refined surgical techniques, and cautious intraoperative management around neural structures to mitigate these risks.ConclusionsWhile full-endoscopic posterior cervical spine surgery provides significant advantages, such as reduced tissue disruption and quicker recovery, it also carries specific complications that must be carefully addressed and managed. Prevention is crucial for ensuring optimal outcomes. By understanding potential risks and implementing effective prevention strategies, surgeons can significantly reduce complications and enhance patient safety.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"21925682251328615"},"PeriodicalIF":2.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700349","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}