{"title":"Comparative cohort study of paraspinal muscle volume change between uniportal full endoscopic and mini open posterolateral transforaminal lumbar interbody fusion","authors":"Hyeun Sung Kim , Pang Hung Wu","doi":"10.1016/j.semss.2024.101081","DOIUrl":"10.1016/j.semss.2024.101081","url":null,"abstract":"<div><h3>Background</h3><p>Recent literature of uniportal full endoscopic posterolateral transforaminal lumbar interbody fusion<span> demonstrates good clinical and radiological outcomes with minimally invasive benefits of potentially preserving paraspinal muscle. There is no literature on paraspinal muscle volume change between the endoscopic and microscopic mini open interbody fusion.</span></p></div><div><h3>Methods</h3><p><span>We included patients who met the indication criteria for lumbar fusion and underwent either uniportal full endoscopic posterolateral transforaminal lumbar interbody fusion or open transforaminal lumbar interbody fusion. Clinical parameters of visual analog scale<span> and Oswestry disability index were measured at preoperative, postoperative 1 week, 3 months postoperative and final follow up. Magnetic Resonance Imaging measurement of preoperative and postoperative Kjaer grade, right and left </span></span>psoas muscle mass area, right and left paraspinal muscle mass area were performed.</p></div><div><h3>Results</h3><p>74 levels of Endo-TLIF and 42 patients with mini open TLIF (MIS-TLIF) were included. There was statistically significant greater improvement in VAS and ODI in Endo-TLIF cohort at 1 week significant improvement of Kjaer grade at postoperative 1 year in Endo-TLIF compared to MIS-TLIF. There is statistically significant improvement in paraspinal muscle mass area in Endo-TLIF (104.83 ± 316.45) mm2 compared to MIS-TLIF (89.88 ± 185.14) mm2</p></div><div><h3>Conclusion</h3><p>Uniportal Endoscopic Posterolateral Lumbar Transforaminal Interbody Fusion achieved improved paraspinal and psoas muscle bulk and less fatty infiltration in the operated level as compared to mini open Transforaminal Lumbar Interbody Fusion while both cohorts achieved equivalent positive clinical outcomes.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 1","pages":"Article 101081"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139393781","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}
Pang Hung Wu , Rohit Akshay Kavishwar , Hyeun Sung Kim
{"title":"A narrative review of current and future of Unilateral Biportal Endoscopic (UBE) transforaminal lumbar interbody fusion","authors":"Pang Hung Wu , Rohit Akshay Kavishwar , Hyeun Sung Kim","doi":"10.1016/j.semss.2024.101084","DOIUrl":"10.1016/j.semss.2024.101084","url":null,"abstract":"<div><p><span><span>With the ongoing development of Unilateral Biportal Endoscopic (UBE) spine surgery, it has become standard of care at many centers across the globe for lumbar decompressions and discectomies<span><span> due to minimal muscle damage, minimal postoperative back pain and early recovery. In UBE, the separation of viewing portal and working portal allows greater freedom of movement for the surgical instruments as the camera and instruments move independently providing unrestricted vision. Moreover, the continuous </span>irrigation fluid pressure decreases bleeding and helps to irrigate out the bone debris. Hence, UBE spine surgery has become quite popular and has expanded its indications to lumbar </span></span>spinal fusion. The adoption of UBE for conventional spine surgeons into their routine practice is relatively easier than uniportal </span>endoscopy<span> because of use of standard arthroscopic lenses, familiar view of anatomy<span>, and use of conventional open spinal instruments. In this article, we review the current literature and discuss the indications, contraindications, clinical outcomes, complications and compare it with existing minimally invasive transforaminal lumbar interbody fusion.</span></span></p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 1","pages":"Article 101084"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139394074","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}
Winward Choy , Tej D Azad , Justin K Scheer , Michael M Safaee , Christopher P Ames
{"title":"Biomarkers in adult spinal deformity surgery","authors":"Winward Choy , Tej D Azad , Justin K Scheer , Michael M Safaee , Christopher P Ames","doi":"10.1016/j.semss.2023.101058","DOIUrl":"10.1016/j.semss.2023.101058","url":null,"abstract":"<div><p>Outcomes following adult spinal deformity (ASD) surgery vary, despite technical advances and improved patient selection. Current prediction models, comprised of clinical and radiographic parameters, do not fully explain observed variation in patient outcomes. Objective biomarkers have fundamentally improved prediction, prognostication, and risk-stratification in other disease states and warrant further exploration in the care of ASD patients. In this review, we provide an overview of the need for objective biomarkers in the management of ASD. We detail advances in biomarker development for patient frailty, biological age, sarcopenia, bone quality, and nutritional status and consider how these biomarkers might be integrated into the management of ASD patients.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"35 4","pages":"Article 101058"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1040738323000527/pdfft?md5=18e79302d2caaf0de5fe0394503991fd&pid=1-s2.0-S1040738323000527-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135434208","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":"Complications in adult spinal deformity: Current concepts","authors":"Alex Soroceanu , James Showery , Eric Klineberg","doi":"10.1016/j.semss.2023.101064","DOIUrl":"10.1016/j.semss.2023.101064","url":null,"abstract":"<div><p>Surgical treatment for adult spinal deformity is associated with improved surgical alignment and improved outcome measures. Unfortunately, complications are a common consequence following surgery for adult spinal deformity. This article reviews the current concepts in complications including trends in complication profile over the past decade, classification of complications and risk calculators to help with complication stratification. The goal of this article is to identify the current best practices and to provide the reader with objective information to identify risk factors for complications and their prevention.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"35 4","pages":"Article 101064"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134917987","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":"Contributors to authors","authors":"","doi":"10.1053/S1040-7383(23)00066-7","DOIUrl":"https://doi.org/10.1053/S1040-7383(23)00066-7","url":null,"abstract":"","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"35 4","pages":"Article 101072"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1040738323000667/pdfft?md5=0b0b2d394694e36b5fa2f1612d182ce8&pid=1-s2.0-S1040738323000667-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138549265","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}
Lawrence G. Lenke , Fthimnir M. Hassan , Sarthak Mohanty , Munish Gupta , Christopher Ames , International Spine Study Group
{"title":"Three-Column Osteotomies: Past, Present, and Future","authors":"Lawrence G. Lenke , Fthimnir M. Hassan , Sarthak Mohanty , Munish Gupta , Christopher Ames , International Spine Study Group","doi":"10.1016/j.semss.2023.101059","DOIUrl":"10.1016/j.semss.2023.101059","url":null,"abstract":"<div><p><span>Three-Column Osteotomies (3CO's) refer to osteotomies that involve surgical removal of parts or all of the posterior, middle and anterior columns of the spine. The indications for using a 3CO in the surgical treatment of </span>Adult Spinal Deformity (ASD) have slowly evolved over time but remains idiosyncratic for surgeons treating complex ASD patients. This manuscript will focus on the past and present use of 3CO's to highlight the changes over time in the indications, techniques, surgical results, complications and outcomes to place these procedures in the proper context to then discuss their probable use among ASD patients in the future.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"35 4","pages":"Article 101059"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134962144","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}
Nina Lara, Alex Pu, Navid Chowdhury, Jacob J. Bruckner, Ivan B. Ye, Alexandra E. Thomson, Ryan A. Smith, Tyler J. Pease, Brittany Oster, Vincent Miseo, Daniel L. Cavanaugh, Eugene Y. Koh, Daniel E. Gelb, Steven C. Ludwig
{"title":"Non-cannulated S2AI screws have higher rates of hardware failure compared to cannulated S2AI screws","authors":"Nina Lara, Alex Pu, Navid Chowdhury, Jacob J. Bruckner, Ivan B. Ye, Alexandra E. Thomson, Ryan A. Smith, Tyler J. Pease, Brittany Oster, Vincent Miseo, Daniel L. Cavanaugh, Eugene Y. Koh, Daniel E. Gelb, Steven C. Ludwig","doi":"10.1016/j.semss.2023.101024","DOIUrl":"10.1016/j.semss.2023.101024","url":null,"abstract":"","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"35 4","pages":"Article 101024"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47614446","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}
Jay D. Turner , Alexander J. Schupper , Praveen V. Mummaneni , Juan S. Uribe , Robert K. Eastlack , Gregory M. Mundis Jr. , Peter G. Passias , Joseph D. DiDomenico , S. Harrison Farber , Mohammed A.R. Soliman , Christopher I. Shaffrey , Eric O. Klineberg , Alan H. Daniels , Thomas J. Buell , Douglas C. Burton , Jeffrey L. Gum , Lawrence G. Lenke , Shay Bess , Jeffrey P. Mullin
{"title":"Evolving concepts in pelvic fixation in adult spinal deformity surgery","authors":"Jay D. Turner , Alexander J. Schupper , Praveen V. Mummaneni , Juan S. Uribe , Robert K. Eastlack , Gregory M. Mundis Jr. , Peter G. Passias , Joseph D. DiDomenico , S. Harrison Farber , Mohammed A.R. Soliman , Christopher I. Shaffrey , Eric O. Klineberg , Alan H. Daniels , Thomas J. Buell , Douglas C. Burton , Jeffrey L. Gum , Lawrence G. Lenke , Shay Bess , Jeffrey P. Mullin","doi":"10.1016/j.semss.2023.101060","DOIUrl":"10.1016/j.semss.2023.101060","url":null,"abstract":"<div><p>Long-segment adult spinal deformity<span> (ASD) constructs carry a high risk of mechanical complications. Pelvic fixation was introduced to improve distal construct mechanics and has since become the standard for long constructs spanning the lumbosacral junction. Pelvic fixation strategies have evolved substantially over the years. Numerous techniques now use a variety of entry points, screw trajectories, and construct configurations. We review the various strategies for pelvic fixation in ASD in a systematic review of the literature and update the techniques employed in the International Spine Study Group Complex Adult Deformity Surgery database.</span></p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"35 4","pages":"Article 101060"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134917664","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}
Nima Alan , Juan S. Uribe , Jay D. Turner , Paul Park , Neel Anand , Robert K. Eastlack , David O. Okonkwo , Vivian P. Le , Pierce Nunley , Gregory M. Mundis , Peter G. Passias , Dean Chou , Adam S. Kanter , Kai-Ming G. Fu , Michael Y. Wang , Richard G. Fessler , Christopher I. Shaffrey , Shay Bess , Praveen V. Mummaneni , International Spine Study Group (ISSG)
{"title":"“Selection, planning and execution of minimally invasive surgery in adult spinal deformity correction”","authors":"Nima Alan , Juan S. Uribe , Jay D. Turner , Paul Park , Neel Anand , Robert K. Eastlack , David O. Okonkwo , Vivian P. Le , Pierce Nunley , Gregory M. Mundis , Peter G. Passias , Dean Chou , Adam S. Kanter , Kai-Ming G. Fu , Michael Y. Wang , Richard G. Fessler , Christopher I. Shaffrey , Shay Bess , Praveen V. Mummaneni , International Spine Study Group (ISSG)","doi":"10.1016/j.semss.2023.101061","DOIUrl":"10.1016/j.semss.2023.101061","url":null,"abstract":"<div><p><span><span>Minimally invasive surgery (MIS) for correction of </span>adult spinal deformity was developed to address the high rate of medical and </span>surgical complications<span> rate in open surgical treatment of increasingly aging and frail patient population. In the past decade, MIS group within the International Spine Study Group (ISSG) has been in the forefront of the application of MIS techniques to fulfill the well-established principles of ASD surgery. These efforts have resulted in landmark studies. Here, we review these studies that encompass all aspects of MIS surgical treatment of ASD including patient selection with Minimally Invasive Spinal Deformity Surgery (MISDEF) and MISDEF-2 algorithms, surgical planning with anterior column realignment classification and the Minimally Invasive Interbody Selection Algorithm (MIISA), and surgical execution with Spinal Deformity Complexity Checklist (SDCC). We will highlight that with careful selection, diligent planning and meticulous execution the MIS techniques can treat patients with ASD, abiding to correction principles and radiographic parameters.</span></p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"35 4","pages":"Article 101061"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135605537","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":"Background to the international spine study group and dedication to Douglas Burton, MD","authors":"Shay Bess","doi":"10.1016/j.semss.2023.101055","DOIUrl":"10.1016/j.semss.2023.101055","url":null,"abstract":"","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"35 4","pages":"Article 101055"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135484366","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}