{"title":"The default mode of chronic pain: What does it mean and how should we frame it to our patients?","authors":"Elin Johansson, I. Coppieters, J. Nijs","doi":"10.18502/jsp.v2i2.12678","DOIUrl":"https://doi.org/10.18502/jsp.v2i2.12678","url":null,"abstract":"The brain can be organised into defined networks based on the coherent activity fluctuations between certain regions at rest when no external task or stimuli are applied. In patients with chronic pain, alterations in the way these networks act and interact become apparent, especially within the default mode network (DMN) and in the way it functionally interacts with the salience network (SN). However, the implications of these cortical alterations remain speculative, and a clear framework for how we might explain the meaning of them to the patient with chronic pain is lacking. Therefore, here we provide an up-to-date theoretical model for the implications of the DMN alterations observed in the state of chronic pain, and to integrate the key points of this model into an explanatory framework to use in the clinical meeting with chronic pain patients (e.g., during pain neuroscience education).","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"39 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":"133133784","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}
N. Alabdulkarim, Sarah Aljasser, Mohannad Awwad, H. Alshaalan, Reema Alshayie, Fatimah Alibrahim, W. Awwad
{"title":"The point prevalence and factors associated with neck pain","authors":"N. Alabdulkarim, Sarah Aljasser, Mohannad Awwad, H. Alshaalan, Reema Alshayie, Fatimah Alibrahim, W. Awwad","doi":"10.18502/jsp.v2i1.10679","DOIUrl":"https://doi.org/10.18502/jsp.v2i1.10679","url":null,"abstract":"Background: Neck pain is a significant disabling condition. Prevalence of neck pain is still not clearly stated in the literature due to the variation of its definition. It has a unique number of risk factors like history of neck pain, trauma, and certain sports injuries. In this study we measured the point prevalence of neck pain and the factors associated with it. \u0000Materials and Methods: This cross-sectional observational study included a total of 461 participants. The collected data comprised participant characteristics: demographic, socioeconomical status, and nature of work. The Arabic Neck Disability Index was used to assess neck pain. Specific questions about possible associated factors were asked, such as duration of using electronics, type of posture, duration of reading. \u0000Results: The neck pain was stated by 64.6% of the study participants. The results demonstrated that participants who reported neck pain were mostly females (70.5%), single (56.6%), or had high educational level (70.2%). Slight infrequent headaches were the most significant Neck Disability Index indicator in 39.5% of the study participants. \u0000Conclusion: The prevalence of neck pain was 64.6%, of which, mostly were females. Body postures, reading hours, work-type, and self-rated use of cellphones and PCs were all significantly associated with neck pain. Moreover, headache, concentration, and working habits were the top most significant indicators of the NDI. However, headache was the most significant.","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128043994","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 – Moving toward open science","authors":"Hana Alsobayel","doi":"10.18502/jsp.v2i1.12421","DOIUrl":"https://doi.org/10.18502/jsp.v2i1.12421","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":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131512490","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}
Marian J. Cavagnaro, Amna Hussein, J. Orenday-Barraza, Nayef Bin Dajim, A. Al-Rabie, R. Crone, Saleh S. Baeesa, A. Baaj
{"title":"Optimizing outcomes and experience for patients traveling abroad for spine surgery: A survey of neurosurgeons and orthopedic spine surgeons in Saudi Arabia","authors":"Marian J. Cavagnaro, Amna Hussein, J. Orenday-Barraza, Nayef Bin Dajim, A. Al-Rabie, R. Crone, Saleh S. Baeesa, A. Baaj","doi":"10.18502/jsp.v2i1.11177","DOIUrl":"https://doi.org/10.18502/jsp.v2i1.11177","url":null,"abstract":"Background: It is widely accepted that patients with complex medical diagnoses and those with the means will travel for specialized medical care abroad. For various reasons, patients from the Gulf countries, including the Kingdom of Saudi Arabia (KSA), have comprised a significant proportion of patients traveling abroad for care. Rarely, however, have local physicians and surgeons been involved at the granular level in these decisions. This study aims to better understand the opinions, insights, and suggestions of local spine surgeons in KSA on the outbound surgical services provided to their patients. \u0000Materials and Methods: A cross-sectional study was conducted from April 11 to April 27, 2022. An electronic Qualtrics online survey with 12 items was sent to all spine surgeons from KSA, identified by the local neurosurgery, orthopedics, and spine societies. \u0000Results: A total of 110 participants were identified with 86 responses. The patient’s perception of the local system, the complexity of the case, and the opportunity for tourism, in that order, were selected as the main reasons for patients traveling abroad. The top three destinations for spine surgery were Germany (31%), the USA (23%), and Egypt (16%). Hospital and surgeon’s reputations were chosen as the most likely factors for patients to select their destination. The quality of care received abroad was considered fair (49%) or good (31%), while the communication between stakeholders and the patient was considered poor by 72% and 52% of the respondents, respectively. \u0000Conclusion: This study highlights the need to engage local physicians in the conversation involving destination services. While most Saudi surgeons surveyed consider the care abroad acceptable for their patients, the vast majority have identified a gap in communication among treating physicians, local physicians, and patients. Many have also suggested a need for better education and awareness locally to improve the perception of the local capabilities.","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130060035","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}
M. Rashid, Majed Aljohani, B. Al Mufareh, Omar Alkharraz
{"title":"Atlas fracture after electroconvulsive therapy","authors":"M. Rashid, Majed Aljohani, B. Al Mufareh, Omar Alkharraz","doi":"10.18502/jsp.v2i1.11202","DOIUrl":"https://doi.org/10.18502/jsp.v2i1.11202","url":null,"abstract":"Background: Since the first-time electroconvulsive therapy was performed in 1938, it remains to this day as one of the most effective forms of treatment for patients with major depression and other psychiatric conditions. It works by a controlled electric current passed through the scalp and selected parts of the brain to induce a grand mal seizure. Due to its mechanism of action, the possibility of developing a physical trauma although rare, especially if done under an adequate modified form, is still possible. \u0000Case: A young male presented to our Emergency Department after his routine electroconvulsive therapy with neck pain. Imaging of the neck showed fracture of the Atlas bone. Patient was treated conservatively. \u0000Conclusion: Electroconvulsive therapy is one of the safe and common treatment modalities used for mental health issues around the world. However, injuries such as fractures have been reported following the procedure. As per our literature review, this is the first instance of Atlas fracture reported after electroconvulsive therapy worldwide.","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122753915","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}
Taif Alqahtani, F. Konbaz, S. Aleissa, Fahad H. Alhelal, Majed S. Abalkhail
{"title":"A case report of Scoliosis secondary to herniated lumbar disc in an adolescent: A case report","authors":"Taif Alqahtani, F. Konbaz, S. Aleissa, Fahad H. Alhelal, Majed S. Abalkhail","doi":"10.18502/jsp.v1i2.10497","DOIUrl":"https://doi.org/10.18502/jsp.v1i2.10497","url":null,"abstract":"Background: Herniated nucleus pulposus is infrequent among children and adolescents. The first case of surgical intervention for disc herniation was reported in a 12-year-old child. Since then, very few cases or series of cases have been published. The current case report is of a 15-year-old girl with no history of spinal ailment, who presented with a large disc herniation in the L4–L5 region, associated with reactive secondary scoliosis and resolved following a successful surgical intervention. \u0000Case Description: A 15-year-old female with a known case of scoliosis and a history of lower back pain for nine months following a fall while playing football, without any past account of the spinal disease, was presented at the outpatient clinic. After a series of proper imaging, a large L4/5 HNP with positional secondary scoliosis was diagnosed. However, due to the persistence of symptoms for more than two months in radiculopathy and reactive scoliosis, the decision was made to proceed with L4/5 microscopic discectomy. After six months, the neurological examination was normal, with a significant improvement of scoliosis with the restoration of normal spine alignment seen in plain X-ray films. The right leg radiculopathy improved as well. \u0000Conclusion: Lumbar disc herniation in association with scoliosis needs a vigilant evaluation of signs and symptoms and appropriate diagnostic imaging. Imaging is vital in diagnosing underlying disease states and helps in clinical management and surgical planning. The appropriate treatment is a discectomy.","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134354187","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 – Scientific Life Post-COVID-19 Pandemic","authors":"Saleh S. Baeesa","doi":"10.18502/jsp.v1i2.11471","DOIUrl":"https://doi.org/10.18502/jsp.v1i2.11471","url":null,"abstract":"This is an Editorial and does not have an abstract. Please download the PDF or view the article HMTL.","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133648202","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}
Abdulrahman Jafar Sabbagh, R. Moshref, Faisal Asiri, A. Basurrah, Abdulrahman Arafah, J. Kamal
{"title":"Association between cloacal exstrophy and two limited dorsal myeloschisis lesions: A case report and literature review","authors":"Abdulrahman Jafar Sabbagh, R. Moshref, Faisal Asiri, A. Basurrah, Abdulrahman Arafah, J. Kamal","doi":"10.18502/jsp.v1i2.10492","DOIUrl":"https://doi.org/10.18502/jsp.v1i2.10492","url":null,"abstract":"Background: The term limited dorsal myeloschisis (LDM) was coined by Pang in 1993. It involves incomplete obliteration of the dorsal neural fold in primary neurulation. On the other hand, Cloacal Exstrophy is one of the most complex endodermal anomalies and is usually associated with spinal anomalies; hence, the term OEIS complex was coined (Omphalocele, Exstrophy of the cloaca, Imperforate anus, and Spinal deformities complex). \u0000Case Description: We report the coexistence of two LDM lesions in tandem (originating at L2 and S2 levels) in a child diagnosed with cloacal exstrophy. Initially, prenatal ultrasound detected the lumbar but not the sacral lesion. The patient was surgically untethered under intraoperative neurophysiologic monitoring (IOM) at four years of age, and this paper reports his one-year follow-up. \u0000Conclusion: Cases of cloacal exstrophy must always be investigated for spinal cord malformations. LDM is rare and requires careful diagnosis. MRI should be done for the whole neuroaxis to rule out associated conditions, including multiplicity. Surgery should be done under IOM to avoid long-term complications.","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116005520","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":"We are back to life, Are you? The 16th annual meeting of the Saudi Association of Neurological Surgery (SANS), Riyadh, March 25th–27th, 2022","authors":"A. Alkhani, Ahmed Aloraidi","doi":"10.18502/jsp.v1i2.10919","DOIUrl":"https://doi.org/10.18502/jsp.v1i2.10919","url":null,"abstract":"This is a Conference Report and does not have an abstract. Please download the PDF or view the article HTML.","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"231 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116309996","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":"SPINE20 – A global advocacy group to reduce disability and improve function of spine patients","authors":"M. Nordin","doi":"10.18502/jsp.v1i2.11380","DOIUrl":"https://doi.org/10.18502/jsp.v1i2.11380","url":null,"abstract":"This is a Short Communication and does not have an abstract. Please download the PDF or view the article HTML.","PeriodicalId":199836,"journal":{"name":"Journal of Spine Practice (JSP)","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133853162","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}