Journal of Spine Practice (JSP)最新文献

{"title":"Does Routine Post-Operative Use of Drainage in Minimally Invasive Lumbar Spine Surgery Offer Better Results?","authors":"Alexandros Moniakis MD, MSc, Niels Pacheco-Barrios MSc, Esteban Quiceno MD, Amna Hussein MD, Annie Pico MS, Ebtesam Abdulla MD, Isabel L. Bauer MS, Kristin Nosova MD, Monis Ahmed Khan MD, Dara S. Farhadi MD, Michael Prim MD, Ali Baaj MD","doi":"10.18502/jsp.v3i2.14802","DOIUrl":"https://doi.org/10.18502/jsp.v3i2.14802","url":null,"abstract":"Objective: The advantages of minimally invasive spine surgery (MISS) in lumbar degenerative diseases have been well described (less tissue damage, shorter hospital stay, better results in pain assessment). One aspect that has not yet been studied enough is the usage of a post-operative drain in MISS. The aim of this study was to determine whether drainage in MISS is necessary or not and what advantages or disadvantages its use offers. \u0000Materials - Methods: We conducted a systematic review of the published literature, searching articles published on Pubmed and Embasse until December 1st 2022, regarding MISS in the lumbar region and post-operative drain usage. Our inclusion criteria were original articles written in English and articles using minimally invasive techniques (usage of tubular retractors along with an endoscope or microscope, paramedian incision, percutaneous screw placement). 42 articles were assessed, and after careful examination and duplication exclusion, 26 research papers were included. Usage, type and duration of postoperative drainage, length of hospital stay, ambulation time and complications were extracted, and relevant results were pooled. \u0000Results: The majority of the included articles (80.7 %) reported using a negative-pressure post-operative drain tube. Drains were removed either 48 hours after surgery or when the drainage volume was less than 50ml/24h. Hospital stays and time to ambulation were shorter in cases where drainage was not used. There was no difference in complications between cases where drainage was used and those that it was not. \u0000Conclusion: The rationale behind post-operative drainage in MISS is to protect from surgical site infections and hematoma creation. Based on our study there is no evidence to support this hypothesis. On the contrary, our results suggest that the drawbacks of using a drain (pain, discomfort, anxiety, inconvenience of mobilisation, prolongation of hospitalisation) outweigh the advantages, thus making the routine use of postoperative drainage in MISS unnecessary.","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"16 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141814582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traumatic Lateral Spondyloptosis of the Lumbar Spine: A Case Series and Comprehensive Literature Review","authors":"L. E. Miller MD, Emal Lesha MD, Jordan T. Roach MS, Garrett T. Venable MD, William Mangham MD, Mallory Dacus MD, Deke Blum MD, Michael S. Muhlbauer MD, Raul J. Cardenas MD","doi":"10.18502/jsp.v3i2.14646","DOIUrl":"https://doi.org/10.18502/jsp.v3i2.14646","url":null,"abstract":"Introduction: Lateral spondyloptosis of the lumbar spine is a rare and devastating form of traumatic spinal injury. Given the paucity of lumbar lateral spondyloptosis case reports in the literature, the authors seek to inform readers of the clinical, radiological, and operative considerations for three patients with this uncommon clinical presentation, as well as provide a comprehensive review of the literature on this topic. \u0000Methods: A retrospective chart review of three patients admitted to Regional One Health Elvis Presley Memorial Trauma Center in Memphis, TN, with traumatic lateral spondyloptosis of the lumbar spine over a three-year period was performed. We also conducted a comprehensive review of the literature on traumatic lateral lumbar spondyloptosis. \u0000Results: Three cases of traumatic lateral lumbar spondyloptosis were identified. Clinical presentation, radiographic findings, and operative considerations are presented. \u0000Conclusions: Traumatic lateral lumbar spondyloptosis is a rare form of translation injury associated with severe neurological deficits. Our experience and thorough literature review broadly advocate for early surgical intervention in these patients. Regardless of whether a neurologic exam is presented, this management strategy may improve neurologic motor outcomes.","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"29 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141815456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The 7th Saudi Spine Society Annual Conference Proceedings in November 2023 in Riyadh, Saudi Arabia","authors":"Abdulkarim Al Rabie, F. Konbaz","doi":"10.18502/jsp.v3i1.14568","DOIUrl":"https://doi.org/10.18502/jsp.v3i1.14568","url":null,"abstract":"The Saudi Spine Society’s (SSS) 7th annual conference will be hosted in Riyadh November 17th - 19th, 2023 and is expected to have more than 550 attendees worldwide. The first day will include seven workshops covering spine diseases and management, including physical therapy, pain management, surgical treatment, evolving technology, and innovation in spine care and research. In the morning, three workshops will be conducted. These workshops will be about ultrasoundguided interventions as a treatment for common spine problems and intraoperative neurophysiological monitoring (IONM). The remaining workshops will be held in the afternoon. They will be about innovative techniques and technologies in spine surgery, neuro life-cervical spine trauma, clinical neurodynamics for the neuromusculoskeletal system and the essentials of writing medical research papers. This will be followed by two days of the main conference with several local, regional and international speakers. The keynote speaker will be Prof. Khahled Kebaish, who will speak about adult deformity surgery. Also, 45 lectures, including several keynotes from national and international leaders in spine, and 24 peer-reviewed abstracts will be presented. The conference halls will include new technologies and the latest surgical and nonsurgical equipment updates.","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139255897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traumatic C2-C3 Coronal Dislocation with Vertebral Artery Injury: Case Report and Literature Review","authors":"Abdulhadi Y. Algahtani, Alaa Ashqar, Abdulkarim Al Rabie, Jehad Ahmed","doi":"10.18502/jsp.v3i1.14566","DOIUrl":"https://doi.org/10.18502/jsp.v3i1.14566","url":null,"abstract":"Introduction: The coronal subluxation of C2-C3 (lateral leisthesis or non-hangman fracture) is extremely rare and difficult to manage. In this paper, we report a case of a 21-year-old male who came to the ER after a motor vehicle accident (MVA) with C2-C3 lateral leisthesis and, surprisingly, mild neurological symptoms. Method: This systematic review was conducted following the recommendations of the preferred reporting items for systematic reviews and meta‐analyses (PRISMA) checklist. On January 1, 2022, a comprehensive electronic search was conducted through Scopus, PubMed, and Web of Science databases to retrieve original studies. Results: Seven articles were found reporting on non-hangman traumatic C2/C3 subluxation, with only two cases reporting coronal subluxation or lateral listhesis of C2 over C3. The first case was reported by Rajasekaran et al. Singh reported the second case. Both cases were unilateral facet dislocations with no radiological evidence of intervertebral disc disruption or herniation. We will report the third case in the literature of a non-hangman C2/C3 coronal dislocation. The patient underwent intraoperative manual traction under continuous neurophysiology monitoring. After the satisfactory reduction, fixation was carried out using lateral mass and pars screws from C1 to C3. Postoperatively, the patient recovered well, showed no signs of motor impairment during examination, and was discharged on the fifth day. Conclusion The impact of cervical spine injury is tremendous at every level. Management of cervical spine dislocation injury is full of controversies. The C2/C3 traumatic coronal translation with no disc involvement and unilateral facet dislocation may have a better outcome.","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"20 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139257064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation of Lumbar Spine Fat Thickness and Surgical Site Infection in Degenerative Lumbar Spine Surgery","authors":"S. Aleissa, F. Konbaz, Fahad H. Alhelal, Majid Abalkhail, Mohammad AlSalman, Mutlaq AlMutlaq, N. Shaheen, Abdullah AlMahayni, Fahad AlTheneyan, Tariq Jawadi","doi":"10.18502/jsp.v3i1.14564","DOIUrl":"https://doi.org/10.18502/jsp.v3i1.14564","url":null,"abstract":"Introduction: Surgical site infection (SSI) is a serious and common complication following any surgery. Patientsundergoing lumbar surgery have a higher risk for SSI. Therefore, it is essential to accurately identifythe risk factors of SSIs to prevent them. There is an insufficient number of studies internationally andonly one to our knowledge nationally that studied the correlation between lumbar fat thickness andSSI in patients undergoing lumbar spine surgery. Our aim was to identify the correlation betweenlumbar fat thickness and SSI and determine its predictive value compared to other risk factors inpredicting the incidence of SSI. Methods: This retrospective cohort study involved all patients aged 18 and above who underwent primary elective degenerative lumbar spine surgery in National Guard Health Affairs (NGHA) from 2016 to 2020 at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia. All trauma and oncology cases, patients with previous spine surgery, non-instrumented cases, and emergency cases without preoperative radiological images were excluded. The pre-operative and post-operative measurements were assessed using the sagittal MRI images on the T1 view to measure the fat length of the lumbar spine from L2 to S1. Two observers evaluated the films, and the average measurement was documented for each level. Results: 151 patients were included in our study, four of whom developed SSI. When comparing the demographics of both groups, BMI was found to be a significant variable between both groups, with a P-value of 0.013. However, there was no significance regarding age, gender, DM, HTN, steroid use, and level of stay for each group. Furthermore, there was no significance in all vertebrae levels except for L4 fat thickness, which was significantly higher in the SSI group with a P value of 0.0264. Conclusion: Surgical site infection (SSI) is a serious and common complication following any surgical operation. Patients undergoing lumbar surgery have a higher risk for SSI. In this study, we concluded that an increased L4 fat thickness was a significant predictor of SSI.","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139256955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extreme Lateral Interbody Fusion: An Observational Study of Functional and Radiological Outcome","authors":"Dana Abdel Hafeez, Hosam Abdel Hafeez, Omar A. Al-Mohrej, Mohammed A. Al-Rabiah, Hamzah M. F. Magableh, Ibrahim Bin Ahmed, Nazir Khan, Anwar M. Al-Rabiah","doi":"10.18502/jsp.v3i1.14565","DOIUrl":"https://doi.org/10.18502/jsp.v3i1.14565","url":null,"abstract":"Introduction: Extreme lateral interbody fusion (XLIF) constitutes a minimally invasive procedure employed to address a spectrum of conditions including degenerative disc disorders, trauma, infections, and deformities. Despite its potential, there exists a scarcity of studies exploring perioperative functional and radiological outcomes. This prospective observational study seeks to address this gap by reporting these outcomes in patients treated at the King Faisal Specialist Hospital & Research Centre (KFSHRC) over a mean follow-up period of 5 years. Methods This case series amassed baseline patient data, encompassing gender, age, body mass index (BMI), American Society of Anesthesiology (ASA) classification, operated level, and posterior fixation type. Primary outcome measures encompassed the Oswestry Disability Index (ODI), Roland-Morris Disability Index (RMDI), Euro-Qol (EQ)-5D, visual analog scale (VAS), and EQ-5D index scores. Additionally, the study delved into secondary outcomes encompassing radiological parameters such as sagittal balance, lumbar lordosis, sacral slope, pelvic tilt, and pelvic incidence. Results: The study embraced 51 patients, comprising 9 females and 42 males, with a mean age of 58.6 years and a mean BMI of 29.3. The patients were followed for an average of 5.2 years. Stratification according to ASA classification revealed that 11.8% of patients were classified as ASA I, 52.9% as ASA II, and 35.3% as ASA III. The levels of operation included 60.8% at L4-L5, 33.3% at L3-L4, and 5.9% at L2-L3. The fixation techniques employed encompassed 58.8% bilateral and 41.2% unilateral approaches. The analysis of the primary clinical outcomes unveiled statistically significant enhancements in ODI, RMDI, EQ-5D VAS, and EQ-5D index scores. While lumbar lordosis registered a significant decrease, radiological parameters indicated non-significant shifts in pelvic incidence, pelvic tilt, and sacral slope. Conclusion The XLIF procedure emerges as an efficacious and minimally invasive avenue for managing degenerative disc disorders. The reported functional and radiological outcomes prove satisfactory. However, while demonstrably effective, the generation of clinical recommendations necessitates the compilation of results from randomized clinical trials.","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"148 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139259167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial – Spine surgeon’s virtual assistant ChatGPT incorporation into spine surgery patients’ care","authors":"Saleh S. Baeesa","doi":"10.18502/jsp.v2i2.13532","DOIUrl":"https://doi.org/10.18502/jsp.v2i2.13532","url":null,"abstract":"This is an Editorial and does not have an abstract. Please download the PDF or view the article in HTML.","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126671287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regional anesthesia in spine surgery: A narrative review","authors":"David S. Salven, D. Sykes, Melissa M. Erickson, Khoi D. Than, P. Grossi, C. Crutcher, M. Berger, W. Bullock, J. Gadsden, M. Abd-El-Barr","doi":"10.18502/jsp.v2i2.13223","DOIUrl":"https://doi.org/10.18502/jsp.v2i2.13223","url":null,"abstract":"Background: Regional anesthesia, which refers to the use of anesthetics to provide analgesia to a specific body part or nervous innervation territory, has become increasingly popular in the field of spine surgery. With the application of these techniques, it has been postulated that patients will require less systemic analgesia, intraoperatively and postoperatively. The authors of this narrative review discuss the common regional anesthetic modalities applied to spine surgery, in addition to patient selection criteria, success in patients with multiple comorbid illnesses, and its adoption by surgeons. \u0000Materials and Methods: An advanced search was performed in the PubMed database to obtain Englishlanguage articles discussing regional anesthesia, awake spine surgery, and postoperative complications. Articles were screened for relevance, and 47 articles were incorporated into this narrative review. \u0000Results: Classic neuraxial and paraspinal techniques have allowed surgeons to perform posterior decompression, fusion, and revision procedures. Transversus abdominus plane and quadratus lumborum blocks have enabled better pain control in patients undergoing surgeries requiring anterior or lateral approaches. Documented benefits of regional anesthesia include shorter operative time, improved pain control and hemodynamic stability, as well as decreased cost and length of stay. Several case series have demonstrated the success of these techniques in highly comorbid patients. \u0000Conclusion: Regional anesthesia provides an exciting opportunity to make surgical treatment possible for spine patients with significant comorbidities. Although additional randomized controlled trials are necessary to further refine patient selection criteria, current data demonstrates its safety and efficacy in the operating room.","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115135550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Three decades of spine surgery research evolution in Saudi Arabia: A bibliometric analysis","authors":"Yazid Maghrabi, Mowadah Ashgar, S. Aljohani, Razan Alqarni, Saleh Salem Baeesa","doi":"10.18502/jsp.v2i2.12627","DOIUrl":"https://doi.org/10.18502/jsp.v2i2.12627","url":null,"abstract":"Background: Over recent decades, there has been a constant increase in the numbers and quality of spine surgery research. We herein plan to analyze the evolution of spine surgery-related publications from Saudi Arabia for three decades. Materials and Methods: A systematic review of the literature with predefined inclusion criteria was carried out, utilizing multiple significant databases (PubMed, Google Scholar, and Embase). Multiple search terms were used to retrieve related articles. Numerous variables were collected and analyzed, such as articles’ level of evidence, citation numbers, study design, and author-related information. For comparison, the study period was divided into three time frames: 1990–2000, 2001–2010, and 2011–2022. Results: Out of 2969 articles, only 254 met the inclusion criteria of the current study. During the period 2011–2022, an increase of 41% was observed in the number of publications. The highest number of publications was in 2020 (n = 36, 14.2%). Level IV comprised the highest percentage (n = 130, 51%). High-quality articles (Levels I and II) had increased (11%) from 2011 to 2022. The most commonly utilized study design was case reports (44%). Seven randomized controlled trials were identified during the study period. Most of the included articles were from Riyadh province (65%). Research interest revolved around general spine care, trauma, and oncology in 2011–2022. Conclusion: This is the first study to quantitatively analyze spine surgery-related research in Saudi Arabia. However, there has been significant development in several publications in the last decade, but the quality still needs to be improved. Therefore, we should aim to produce higher-quality studies to meet the country’s 2030 vision goals to be one of the leading nations in spine surgery practice.","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"54 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120883996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proceedings of the 6th Saudi Spine Society Annual Conference on December 2022, Jeddah, Saudi Arabia","authors":"Fahad H Abduljabbar","doi":"10.18502/jsp.v2i2.13177","DOIUrl":"https://doi.org/10.18502/jsp.v2i2.13177","url":null,"abstract":"The 6th Annual Meeting of the Saudi Spine Society (SSS) was held in Jeddah, Saudi Arabia, on the 18th–20th of December 2022. The meeting was attended by over 500 participants. The title of the meeting was “Promoting Excellence in Spine Care,” and it was hosted by Dr. Mahdi Bassi, the president of the meeting, and Dr. Fahad Abduljabbar, the chairman of the scientific committee. \u0000The meeting was preceded by five workshops, including Neurolife cervical spine trauma, intraoperative neurophysiological monitoring, spine radiology for nonradiologists, clinical classification of age-related low back pain, and finally, a hands-on workshop on “Enabling technology in spine surgery: Robotic, navigation and endoscopy.” The main conference was enriched by the participation of nine different national and international societies. \u0000Sixty-four speakers shared their experiences through the conference from different specialties to emphasize the importance of multidisciplinary care in spine surgery. In addition, a special session was dedicated to spine care evolution after the pandemic. \u0000A total of 66 lectures were delivered in addition to 16 podium presentations for the accepted abstracts. ","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127779850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}