Seminars in Spine Surgery最新文献_第9页

Evolution of distributional alignment goals 分配协调目标的演变

Seminars in Spine Surgery Pub Date : 2023-12-01 DOI: 10.1016/j.semss.2023.101063

Mohammad Daher , Mariah Balmaceno-Criss , Virginie Lafage , Bassel Diebo , Alan H. Daniels , Michael P. Kelly , Robert K. Eastlack

引用次数: 0

Hip-spine syndrome in adult spinal deformity patients 成年脊柱畸形患者的髋椎综合征

Seminars in Spine Surgery Pub Date : 2023-12-01 DOI: 10.1016/j.semss.2023.101066

Mariah Balmaceno-Criss , Mohammad Daher , Jake R. McDermott , Anna Rezk , Makeen Baroudi , Jerzy A. Gregorczyk , Jacob Laperche , Renaud Lafage , Russell J. Bodner , Eric M. Cohen , Thomas J. Barrett , Shay Bess , Virginie Lafage , Bassel G. Diebo , Alan H. Daniels

{"title":"Hip-spine syndrome in adult spinal deformity patients","authors":"Mariah Balmaceno-Criss , Mohammad Daher , Jake R. McDermott , Anna Rezk , Makeen Baroudi , Jerzy A. Gregorczyk , Jacob Laperche , Renaud Lafage , Russell J. Bodner , Eric M. Cohen , Thomas J. Barrett , Shay Bess , Virginie Lafage , Bassel G. Diebo , Alan H. Daniels","doi":"10.1016/j.semss.2023.101066","DOIUrl":"10.1016/j.semss.2023.101066","url":null,"abstract":"<div><p>With the increasing prevalence of hip-spine syndrome, it is crucial to appreciate the biomechanical interplay between hip and spine degeneration or deformity and the consequential compensatory changes. Adult spinal deformity<span> (ASD) patients are uniquely affected as a concomitant hip osteoarthritis<span> (HOA) may impact their baseline and postoperative sagittal alignment. Similarly, severe HOA patients undergoing total hip replacement with concomitant spinal deformity<span> may require personalized surgical planning for the placement of their acetabular component. If surgical intervention is required in ASD patients, the authors’ preferred sequence is to perform spinal realignment first. If major realignment is not planned, we recommend treating the most symptomatic pathology. Further investigation is required to evaluate the impact of hip pathology on radiographic and patient-reported outcomes following ASD surgery and vice versa.</span></span></span></p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"35 4","pages":"Article 101066"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134914870","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}

引用次数: 0

Patient-reported outcomes measures in adult spinal deformity 成人脊柱畸形的患者报告结果衡量标准

Seminars in Spine Surgery Pub Date : 2023-12-01 DOI: 10.1016/j.semss.2023.101056

Michael P. Kelly , Justin S. Smith , Peter Passias , Jeffrey L. Gum , Shay Bess , International Spine Study Group

引用次数: 0

Proximal junctional kyphosis: What we didn't know, what we think we know, and what we need to know 近端交界性脊柱后凸：我们不知道的，我们认为我们知道的，以及我们需要知道的

Seminars in Spine Surgery Pub Date : 2023-12-01 DOI: 10.1016/j.semss.2023.101065

Austin C. Kaidi , Justin S. Smith , Han Jo Kim

引用次数: 0

Management of postoperative infections after oblique lateral interbody fusion: A case series 斜侧椎体间融合术后感染的处理：病例系列

Seminars in Spine Surgery Pub Date : 2023-12-01 DOI: 10.1016/j.semss.2023.101040

Émilie RENAUD-CHAREST , Van Tri TRUONG , Nicholas NEWMAN , Daniel SHEDID , Zhi WANG

{"title":"Management of postoperative infections after oblique lateral interbody fusion: A case series","authors":"Émilie RENAUD-CHAREST , Van Tri TRUONG , Nicholas NEWMAN , Daniel SHEDID , Zhi WANG","doi":"10.1016/j.semss.2023.101040","DOIUrl":"10.1016/j.semss.2023.101040","url":null,"abstract":"<div><h3>Background</h3><p><span>Oblique lateral interbody fusion (OLIF) is an effective surgical treatment for scoliosis<span>, degenerative disc disease, and spondylolisthesis and is associated with a reported incidence of infection between 0.0 and 4.4%. Recent studies have reported </span></span>perioperative complications<span> associated with OLIF surgery including surgical site infections, but none described the management of these in detail. The present study describes the management of infections following OLIF surgery.</span></p></div><div><h3>Methods</h3><p>We performed a retrospective study of all adult patients (≥18 y-o) who had surgical site infection after undergoing OLIF surgery in combination with posterior long segment spinal fusion for degenerative scoliosis correction in a single spine unit from January 2013 to December 2020 with a minimal two-year follow-up.</p></div><div><h3>Results</h3><p>Among thirty patients who underwent OLIF surgery in combination with posterior long segment spinal fusion for degenerative scoliosis correction, four patients (2 males, 2 females, mean age: 64.5 years) suffered from surgical site infection. All patients had radiological signs of deep surgical site infection and had positive bacterial culture<span> results. Patients were treated with revision surgery combined with antimicrobial therapy. At follow up all four showed major improvement in pain, ambulatory status, and infection status.</span></p></div><div><h3>Conclusion</h3><p>We showed that aggressive surgical debridement, drainage, and irrigation combined with 6-8 weeks of intravenous antibiotics; followed by long-term oral antibiotics in most severe cases; are effective for the management of surgical site infections associated with OLIF surgery. Retention of stable hardware and replacement of unstable fixation in cases of spinal instability and progressive deformity is an adequate strategy.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"35 4","pages":"Article 101040"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55152750","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}

引用次数: 0

Advanced technologies for lumbar spondylolisthesis 腰椎滑脱的先进技术

Seminars in Spine Surgery Pub Date : 2023-09-01 DOI: 10.1016/j.semss.2023.101045

Vignessh Kumar, Michael Y Wang

引用次数: 0

What is the cost-effectiveness of adding a fusion to a decompression when treating degenerative lumbar spondylolisthesis? 在治疗退行性腰椎滑脱时，在减压中加入融合器的成本效益是多少？

Seminars in Spine Surgery Pub Date : 2023-09-01 DOI: 10.1016/j.semss.2023.101046

Julie L. Chan, Robert G. Whitmore

引用次数: 0

Machine learning and lumbar spondylolisthesis 机器学习与腰椎滑脱

Seminars in Spine Surgery Pub Date : 2023-09-01 DOI: 10.1016/j.semss.2023.101048

Salim Yakdan , Kathleen Botterbush , Ziqi Xu , Chenyang Lu , Wilson Z. Ray , Jacob K. Greenberg

{"title":"Machine learning and lumbar spondylolisthesis","authors":"Salim Yakdan , Kathleen Botterbush , Ziqi Xu , Chenyang Lu , Wilson Z. Ray , Jacob K. Greenberg","doi":"10.1016/j.semss.2023.101048","DOIUrl":"https://doi.org/10.1016/j.semss.2023.101048","url":null,"abstract":"<div><p><span><span>While lumbar spondylolisthesis is one of the most common conditions cared for by spine surgeons, there remains limited evidence guiding its diagnosis, classification, and management. The diversity in its underlying causes, clinical manifestations, and spinal anatomical variations poses a particular challenge in making informed clinical decisions. Machine learning (ML) methods offer novel opportunities to address these challenges by leveraging data-driven approaches. This chapter provides a comprehensive overview of the potential applications of ML in the field of lumbar spondylolisthesis. ML is a branch of artificial intelligence that employs statistical algorithms to mimic human learning behavior. In the domain of diagnosis, ML methods have been applied to detect spondylolisthesis using medical imaging. In particular, deep learning models have shown high accuracy in detecting spondylolisthesis from X-rays and MRIs, suggesting ML's potential as a diagnostic tool. Additionally, ML can aid in distinguishing spondylolisthesis grades and subtypes. Although automatic grading remains challenging, recent advances suggest that emerging ML techniques may be effective in classifying spondylolisthesis subtypes and guiding subsequent decision-making. Already, ML has been used to predict spondylolisthesis </span>treatment outcomes, such as functional recovery and hospital length of stay. While promising, most of these prediction studies used \"shallow\" ML techniques, suggesting that further gains may be realized by applying deep learning methods to larger, complex datasets. In conclusion, ML advances hold promise in spondylolisthesis diagnosis, classification, and </span>outcome prediction. In the future, these methods may help support more personalized and effective management of lumbar spondylolisthesis.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"35 3","pages":"Article 101048"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50191370","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}

引用次数: 0

Wearable technology and measurement of outcomes from lumbar spondylolisthesis surgery 腰椎滑脱手术的可穿戴技术和疗效测量

Seminars in Spine Surgery Pub Date : 2023-09-01 DOI: 10.1016/j.semss.2023.101047

Megan Tang, Karen Malacon, Gavin Touponse, Corinna Zygourakis

{"title":"Wearable technology and measurement of outcomes from lumbar spondylolisthesis surgery","authors":"Megan Tang, Karen Malacon, Gavin Touponse, Corinna Zygourakis","doi":"10.1016/j.semss.2023.101047","DOIUrl":"10.1016/j.semss.2023.101047","url":null,"abstract":"<div><p><span>Accurate assessment markers are crucial in the management of lumbar spondylolisthesis, particularly after surgical intervention. Traditional methods to track surgical outcomes primarily rely on patient-reported outcome measures (PROMs), which capture patients’ perspectives on their health and recovery. However, PROMs are subjective and susceptible to bias, affecting their reliability. To overcome these limitations, </span>wearable devices<span> have emerged as valuable tools for tracking real-life mobility and objectively assessing surgical outcomes. These devices provide continuous, remote collection of various health metrics and have been shown to have high efficacy and patient compliance. This chapter reviews the current landscape of combining wearable technology data and PROMs in assessing lumbar surgery outcomes, with a focus on spondylolisthesis patients. Both objective physical activity data and subjective clinical scores demonstrate similar trends in postoperative recovery. However, attempts to correlate these metrics have produced mixed results due to the variation in devices and PROMs used. Establishing standardized protocols for wearable usage and data reporting is crucial for maximizing their utility in monitoring spine patients effectively. Overall, integrating wearable technology with PROMs holds significant potential to enhance postoperative monitoring, improve personalized care, and optimize patient recovery. Future applications may involve predicting outcomes and tailoring interventions based on objective activity data in the early postoperative stage, ultimately leading to better patient outcomes and improved healthcare delivery.</span></p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"35 3","pages":"Article 101047"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45489316","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}

引用次数: 0

Non-operative treatment of degenerative spondylolisthesis 退行性脊柱炎的非手术治疗

Seminars in Spine Surgery Pub Date : 2023-09-01 DOI: 10.1016/j.semss.2023.101043

Heather Theobald, D. Scott Kreiner

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