Spine Surgery and Related Research最新文献

{"title":"Impact of Growing Rod Surgery for Early-Onset Scoliosis on Cervical Sagittal Alignment.","authors":"Shuhei Ito, Satoshi Suzuki, Yohei Takahashi, Masahiro Ozaki, Osahiko Tsuji, Narihito Nagoshi, Mitsuru Yagi, Morio Matsumoto, Masaya Nakamura, Kota Watanabe","doi":"10.22603/ssrr.2024-0022","DOIUrl":"https://doi.org/10.22603/ssrr.2024-0022","url":null,"abstract":"<p><strong>Study design: </strong>Single-institution retrospective study.</p><p><strong>Objective: </strong>To assess the impact of growing rods (GRs) on postoperative cervical sagittal alignment in patients with early-onset scoliosis (EOS).</p><p><strong>Summary of background data: </strong>Cervical sagittal malalignment is associated with neck and cervical spine dysfunction. The impact of surgery for adolescent idiopathic scoliosis on postoperative changes in cervical spine alignment has been reported by studies. Nevertheless, research on sagittal and spinopelvic parameters in patients with EOS is limited.</p><p><strong>Methods: </strong>In this study, 28 patients who underwent GR and were followed up until final fusion or bone maturity were included. Standing whole-spine radiographs obtained before GR, after the initial GR surgery, and at the final follow-up were utilized to measure the radiographic parameters. Patients with one or more of the previously reported poor prognostic factors were included in the cervical malalignment (CM) group (<i>n</i>=13), and those with none of the factors were included in the non-CM group (<i>n</i>=15) at the final follow-up, which was followed by correlation analysis and multivariate logistic regression analysis.</p><p><strong>Results: </strong>No significant change in sagittal alignment between preoperative and final follow-up measurements was found. Pearson correlation analysis revealed a significant positive correlation between the change in the C2-7 angle and T1 slope (T1S) or thoracic kyphosis and a negative correlation between the change in the C2-7 angle and T1S minus C2-7 angle (T1S-CL). The percentage of patients in the CM group increased from 25% preoperatively to 46% at the final follow-up but without significant change. The CM group had significantly smaller preoperative C2-7 angles and lumbar lordosis (LL) and larger T1S-CL and pelvic incidence minus LL (PI-LL) values than the non-CM group.</p><p><strong>Conclusion: </strong>Smaller preoperative C2-7 angles and larger T1S-CL values were identified as risk factors for CM. Postoperative CM is more likely to occur in patients with reduced compensatory function to maintain preoperative cervical kyphosis.</p>","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"9 2","pages":"148-156"},"PeriodicalIF":1.2,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hypertrophic Spinal Pachymeningitis in a Patient with Chronic Antineutrophil Cytoplasmic Antibody-Associated Nephritis: A Case Report.","authors":"Gentaro Kumagai, Kanichiro Wada, Yohshiro Nitobe, Kotaro Aburakawa, On Takeda, Akira Kurose, Yasuyuki Ishibashi","doi":"10.22603/ssrr.2024-0185","DOIUrl":"https://doi.org/10.22603/ssrr.2024-0185","url":null,"abstract":"","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"9 2","pages":"266-268"},"PeriodicalIF":1.2,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of Poor Recordability of Intraoperative Neurophysiological Monitoring during Metastatic Spinal Tumor Surgery: A Multicenter Study.","authors":"Naoki Segi, Hiroaki Nakashima, Masahiro Funaba, Jun Hashimoto, Shigenori Kawabata, Masahito Takahashi, Go Yoshida, Hiroki Ushirozako, Kenta Kurosu, Hideki Shigematsu, Tsunenori Takatani, Shinji Morito, Kei Yamada, Hiroshi Iwasaki, Yasushi Fujiwara, Akimasa Yasuda, Muneharu Ando, Shinichirou Taniguchi, Kanichiro Wada, Nobuaki Tadokoro, Kazuyoshi Kobayashi, Naoya Yamamoto, Kazuyoshi Nakanishi, Tsukasa Kanchiku, Katsushi Takeshita, Yukihiro Matsuyama, Shiro Imagama","doi":"10.22603/ssrr.2024-0260","DOIUrl":"https://doi.org/10.22603/ssrr.2024-0260","url":null,"abstract":"<p><strong>Introduction: </strong>The objective of this study is to investigate the poor recordability characteristics of intraoperative neurophysiological monitoring (IONM) for metastatic spinal tumors, focusing on tumor status or preoperative muscle weakness.</p><p><strong>Methods: </strong>A total of 132 patients (age 65.3±11.8 years; 82 men) with or without preoperative lower extremity muscle weakness were included in this study. The patients' background characteristics, the presence and degree of pre- and postoperative muscle weakness, and the IONM outcome, including the availability of transcranial motor evoked potential (Tc-MEP) recording and the occurrence of Tc-MEP alarms, were investigated. The data between the groups with and without preoperative muscle weakness were compared. Logistic regression analysis was performed to identify the risk factors for unrecordable Tc-MEP.</p><p><strong>Results: </strong>Sixty-seven patients with muscle weakness had significantly more unrecordable Tc-MEP (19% vs. 5%, p=0.009) than the 65 patients without muscle weakness. The highest percentage of recordable Tc-MEP in the group with muscle weakness was noted in the plantar muscle (72%). Multivariate analysis identified manual muscle test (MMT) score of ≤3 (odds ratio [OR] 4.529) and ventral spinal cord compression by metastatic tumor (OR 3.924) as independent significant factors for unrecordable Tc-MEP.</p><p><strong>Conclusions: </strong>IONM for metastatic spinal cord tumors with muscle weakness had a high rate of unrecordable Tc-MEP. Additionally, Tc-MEP may not be detectable in cases of ventral spinal cord compression by a tumor; therefore, preoperative imaging should be thoroughly evaluated.</p>","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"9 2","pages":"164-172"},"PeriodicalIF":1.2,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy and Reliability of Physical Signs as a Diagnostic Tool for Cervical Cord Compression: A Cross-Sectional Study.","authors":"Yoshinobu Kato, Eiichiro Iwata, Yudai Yano, Munehisa Koizumi, Masafumi Araki, Takuya Sada, Takahiro Mui, Keisuke Masuda, Sachiko Kawasaki, Akinori Okuda, Hideki Shigematsu, Yasuhito Tanaka","doi":"10.22603/ssrr.2024-0187","DOIUrl":"https://doi.org/10.22603/ssrr.2024-0187","url":null,"abstract":"<p><strong>Introduction: </strong>Cervical myelopathy diagnosis is based on specific symptoms, physical signs, and imaging findings. However, information on the accuracy and reliability of physical signs, particularly the Wartenberg reflex and the finger escape sign (FES), is lacking. Therefore, this study aimed to assess the validity and reliability of the Hoffmann and Trömner signs, FES, Wartenberg reflex, and combination of any one positive of these four physical signs.</p><p><strong>Methods: </strong>We reviewed the Hoffmann and Trömner signs, FES, and Wartenberg reflex from the medical records of patients with cervical cord compression who underwent surgery. We included those who underwent lumbar spine surgery as controls, except those with upper extremity symptoms or a history of cerebrospinal disease. Subsequently, we calculated the sensitivity and specificity of cervical cord compression. The primary and secondary observers performed two and one trial, respectively, to measure the intra- and interobserver reliabilities.</p><p><strong>Results: </strong>This study included 46 cases and 42 controls. The diagnostic sensitivities for the Hoffmann sign, Trömner sign, Wartenberg reflex, FES, and combination of any one positive were 46%, 72%, 63%, 22%, and 83%, respectively; the diagnostic specificities were 98%, 79%, 95%, 98%, and 79%, respectively; the intraobserver kappa value (κ) was 0.80, 0.82, 0.86, 0.66, and 0.95, respectively; and the interobserver κ was 0.84, 0.51, 0.51, -0.02, and 0.60, respectively. Notably, all κ values, except the interobserver κ for the FES, were obtained with <i>P</i><0.01.</p><p><strong>Conclusions: </strong>Each physical sign had high specificity but low sensitivity in predicting cervical cord compression. Therefore, they may be useful for definitive diagnosis but not for screening tests. The combination of the four physical signs exhibited improved sensitivity and may be useful for screening tests. However, the results of these physical signs should be carefully interpreted owing to the low level of interobserver reliability.</p>","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"9 2","pages":"157-163"},"PeriodicalIF":1.2,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age-specific Comparative Clinical Outcomes of Chemonucleolysis with Condoliase versus Microendoscopic Discectomy in Patients with Lumbar Disc Herniation.","authors":"Tomohiro Banno, Takuya Takahashi, Shunichi Fujii, Kentaro Sakaeda, Yohei Takahashi, Kota Watanabe, Kyohei Sakaki, Yoshiyasu Arai, Yuichi Takano, Yawara Eguchi, Yuki Taniguchi, Satoshi Maki, Yasuchika Aoki, Hiroshi Yamada, Takashi Kaito, Yutaka Hiraizumi, Masatune Yamagata, Masaya Nakamura, Hirotaka Haro, Seiji Ohtori, Takashi Hirai","doi":"10.22603/ssrr.2024-0201","DOIUrl":"https://doi.org/10.22603/ssrr.2024-0201","url":null,"abstract":"<p><strong>Introduction: </strong>Condoliase-based chemonucleolysis and microendoscopic discectomy (MED) are considered to be minimally invasive treatments for lumbar disc herniation (LDH). The aim of this study was to compare the clinical outcomes of both treatments, specifically focusing on whether the outcomes vary by age group.</p><p><strong>Methods: </strong>Patients with LDH who received intradiscal condoliase injections (condoliase group) or underwent MED (MED group) with 1-year follow-up were enrolled in this study. A numerical rating scale (NRS) was developed for leg and back pains. Using magnetic resonance imaging, changes in disc height and degeneration were evaluated. The data were assessed at baseline and at 3-month and 1-year follow-ups. The therapy was considered effective in patients whose NRS for leg pain improved by ≥50% at 1 year from baseline and for whom surgery was not required. Comparative analyses were conducted between the condoliase and MED groups and among the <20, 20-39, 40-59, and ≥60 year age groups.</p><p><strong>Results: </strong>In this study, a total of 345 patients (condoliase group, n=233; MED group, n=112) were enrolled. Subsequent surgery was required in 23 patients (9.9%) in the condoliase group because of the ineffectiveness of the condoliase therapy. Because of herniation recurrence, reoperation was required in five patients (4.5%) in the MED group. The efficacy rates were respectively 74.4% and 74.6% in the condoliase and MED groups, and no intergroup or age-group differences were found. The condoliase group had a significantly higher decrease in disc height when compared with the MED group (9.0% vs. 4.4%, p<0.05). Compared with the older age group, the younger age group had a greater decrease in disc height and disc degeneration; however, their recovery was better than that of the older age group. Among the age groups, the herniation reduction rate did not significantly vary.</p><p><strong>Conclusions: </strong>Condoliase and MED had equivalent 1-year outcomes, with no differences observed in efficacy across age groups. For informed decision-making, the advantages and disadvantages of each treatment must be understood.</p>","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"9 2","pages":"251-257"},"PeriodicalIF":1.2,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clay Shoveler's Fracture: A Pain in the Neck.","authors":"Marc Boutros, Maria R Karam, Maria El Asmar, Emmanuelle Wakim, Labib Chebli, Pierre Maurice Doumit Bader Tarabay, Sami Roukoz","doi":"10.22603/ssrr.2024-0164","DOIUrl":"10.22603/ssrr.2024-0164","url":null,"abstract":"<p><p>Clay shoveler's fracture is a stable spinous process fracture commonly occurring at the seventh cervical vertebrae. The name originated in Australia during the 1930s, after many reports of similar injuries among clay workers who suffered fractures due to a sudden flexion force on their neck and back muscles, hence the name \"clay shoveler's fracture.\" This fracture may occur as a consequence of a direct blow/trauma, a contraction of the shoulder muscles, and sudden extreme movements of the neck influenced by additional factors presented throughout the article. Clay shoveler's fracture mechanisms vary among different age groups; Schmitt's disease is the juvenile version. Although this fracture was initially associated with clay shoveling, it occurs in modern-day sports and activities such as paddling, weightlifting, volleyball, Wii gaming, and many more. A rare occurrence, clay shoveler's fracture is frequently misdiagnosed. Hence, many characteristics were pinpointed to help distinguish it from other differential diagnostics. What does a clay shoveler's fracture patient feel? What are the best tools for the physical exam and imaging? These questions will be answered and developed in this article to reach the right diagnosis and correct treatment for the patient.</p>","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"9 1","pages":"11-21"},"PeriodicalIF":1.2,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prediction Tools in Spine Surgery: A Narrative Review.","authors":"Martin Coia Jadresic, Joseph F Baker","doi":"10.22603/ssrr.2024-0189","DOIUrl":"10.22603/ssrr.2024-0189","url":null,"abstract":"<p><p>There have been increasing reports on prediction models in spine surgery. Interest in prognostic tools or risk calculators can facilitate shared decision-making about treatment between patients and clinicians. In recent years, there has been a steady increase in the number of models developed using varying methods. External validation is an essential component of prediction model testing to ensure the appropriate use of these models in populations outside of the developing center. This narrative review aimed to provide an overview of the literature describing the development and validation of prediction models in the field of spine surgery.</p>","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"9 1","pages":"1-10"},"PeriodicalIF":1.2,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Venous Thromboembolism in Spinal Fusion Surgery: A Literature Review of Economic Impact, Risk Factors, and Preoperative Management.","authors":"Sai Suraj Kollapaneni, Malek Moumne, Henry Twibell, John DeVine","doi":"10.22603/ssrr.2024-0220","DOIUrl":"https://doi.org/10.22603/ssrr.2024-0220","url":null,"abstract":"<p><strong>Study design: </strong>Literature Review.</p><p><strong>Objectives: </strong>To conduct a comprehensive literature review about the risk factors and preoperative considerations that are related to postoperative venous thromboembolisms (VTEs) in patients who undergo spinal fusion.</p><p><strong>Results: </strong>Postoperative VTEs are associated with higher costs and longer hospital stays for patients, in comparison to those who did not develop VTEs. Spinal level and multilevel fusion are risk factors for postoperative VTE. The effect of the surgical approach on VTE risk is unclear. Elevated BMI and age, kidney dysfunction, previous VTE, and primary hypercoagulability are preoperative risk factors for developing VTE. Intraoperative and postoperative risk factors for VTE include prolonged procedure time, discharge to inpatient facilities, and length of hospital stay. The effects of hypertension (HTN), sex, and dural tears on VTE risk in spinal fusion patients are uncertain. Chemoprophylaxis reduced the incidence of VTE. Tranexamic acid was not associated with an increase in VTE postoperatively. The American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator served as a poor predictor of VTE incidence in spinal fusion. Preoperative D-dimer levels may help as a predictive tool.</p><p><strong>Conclusions: </strong>To elucidate the effects of surgical approach, revision surgery, HTN, and dural tears on postoperative VTE risk, further research is warranted. To help identify high-risk patients, a risk calculator sensitive to VTE must be developed.</p>","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"9 2","pages":"112-119"},"PeriodicalIF":1.2,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Factors Associated with Recurrent Herniation and Revision Surgery following Lumbar Microdiscectomy.","authors":"Ryan Hoang, Junho Song, Justin Tiao, Alex Ngan, Timothy Hoang, John J Corvi, Nikan K Namiri, Saad Chaudhary, Samuel K Cho, Andrew C Hecht, David Essig, Sohrab Virk, Austen D Katz","doi":"10.22603/ssrr.2024-0148","DOIUrl":"https://doi.org/10.22603/ssrr.2024-0148","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Lumbar microdiscectomy is a commonly conducted surgical procedure for treating symptomatic lumbar disc herniations. Recurrence of herniation is a common cause of poor outcomes and the need for revision surgery, which occurs in as many as 21% of patients following primary discectomy. Identifying factors that are associated with the recurrence of herniation may be valuable for risk stratification and patient counseling. This study aimed to explore the relationship between various patient demographic variables and comorbidities and rates of reoperation after primary lumbar microdiscectomy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The American College of Surgeons National Surgical Quality Improvement Program database was queried for patients who were undergoing single-level primary lumbar microdiscectomy between 2016 and 2022. Eligibility for inclusion was determined by age &gt;18 years and current procedural terminology codes 63030 and 63042. Patients with preoperative sepsis or cancer were excluded. Patient demographics, including age, race, ethnicity, and body mass index (BMI), and various comorbidities were compared between cohorts. To determine factors independently associated with the need for revision microdiscectomy, multivariable Poisson regressions were utilized.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In this study, a total of 65,121 primary discectomy patients were included, with a separate cohort of 6,971 patients undergoing revision discectomy. In comparison with primary patients, the revision cohort was older and had higher proportions of female and non-Hispanic White patients (all &lt;i&gt;c&lt;/i&gt;0.001). The odds ratio for revision discectomy was greater in patients aged ≥65 years (1.577, 95% CI [1.480, 1.680]) than in those aged &lt;45 years (&lt;i&gt;p&lt;/i&gt;&gt;0.001). The odds ratio for revision was lower in Black (0.821, 95% CI [0.738, 0.914]) and Hispanic patients (0.819, 95% CI [0.738, 0.909]) when compared with non-Hispanic White patients (&lt;i&gt;p&lt;/i&gt;&lt;0.001). Obese patients with BMI ≥35 (1.193, 95% CI [1.103, 1.290]) were at greater risk of revision than those with BMI &lt;25 (&lt;i&gt;p&lt;/i&gt;&lt;0.001). Diabetes (1.326, 95% CI [1.242, 1.416], &lt;i&gt;p&lt;/i&gt;&lt;0.001), functional dependence (1.411, 95% CI [1.183, 1.683], &lt;i&gt;p&lt;/i&gt;&lt;0.001), chronic obstructive pulmonary disorder (1.315, 95% CI [1.137, 1.512], &lt;i&gt;p&lt;/i&gt;&lt;0.001), hypertension (1.398, 95% CI [1.330, 1.470], &lt;i&gt;p&lt;/i&gt;&lt;0.001), and smoking (1.082, 95% CI [1.018, 1.151], &lt;i&gt;p&lt;/i&gt;=0.012) were associated with greater risk of revision. Poisson log-linear regression demonstrated sex (&lt;i&gt;χ&lt;/i&gt; &lt;sup&gt;2&lt;/sup&gt;=19.9, &lt;i&gt;p&lt;/i&gt;&lt;0.001), race (&lt;i&gt;χ&lt;/i&gt; &lt;sup&gt;2&lt;/sup&gt;=39.5, &lt;i&gt;p&lt;/i&gt;&lt;0.001), diabetes (&lt;i&gt;χ&lt;/i&gt; &lt;sup&gt;2&lt;/sup&gt;=10.1, &lt;i&gt;p&lt;/i&gt;=0.001), smoking (&lt;i&gt;χ&lt;/i&gt; &lt;sup&gt;2&lt;/sup&gt;=18.5, &lt;i&gt;p&lt;/i&gt;&lt;0.001), hypertension (&lt;i&gt;χ&lt;/i&gt; &lt;sup&gt;2&lt;/sup&gt;=16.4, &lt;i&gt;p&lt;/i&gt;&lt;0.001), age (&lt;i&gt;χ&lt;/i&gt; &lt;sup&gt;2&lt;/sup&gt;=102.4, &lt;i&gt;p&lt;/i&gt;&lt;0.001), and BMI (&lt;i&gt;χ&lt;/i&gt; &lt;sup&gt;2&lt;/sup&gt;=4.7, &lt;i&gt;p&lt;/i&gt;=0.029) as significant predictors of revision, with steroid use (&lt;i&gt;χ&lt;/i&gt; &lt;s","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"9 2","pages":"244-250"},"PeriodicalIF":1.2,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intramedullary Spinal Cord Abscess due to Traumatic Esophageal Perforation Associated with Cervicothoracic Anterior Osteophytes: A Case Report.","authors":"Naotoshi Kumagai, Hiroaki Hirata, Hiroyuki Takayama, Akihiro Maruo, Hirotsugu Muratsu","doi":"10.22603/ssrr.2024-0194","DOIUrl":"10.22603/ssrr.2024-0194","url":null,"abstract":"","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"9 1","pages":"100-103"},"PeriodicalIF":1.2,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}