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Seminars in Spine Surgery Pub Date : 2023-03-01 DOI: 10.1053/S1040-7383(23)00011-4
{"title":"Contributors to authors","authors":"","doi":"10.1053/S1040-7383(23)00011-4","DOIUrl":"https://doi.org/10.1053/S1040-7383(23)00011-4","url":null,"abstract":"","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"35 1","pages":"Article 101017"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50190297","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
Multilevel cervical disc arthroplasty: Safety profile and outcomes of 2 or more levels 多层颈椎间盘置换术。两个或两个以上级别的安全状况和结果
Seminars in Spine Surgery Pub Date : 2023-03-01 DOI: 10.1016/j.semss.2023.101011
Jason Ye , David Foley , Joseph D. Smucker
{"title":"Multilevel cervical disc arthroplasty: Safety profile and outcomes of 2 or more levels","authors":"Jason Ye ,&nbsp;David Foley ,&nbsp;Joseph D. Smucker","doi":"10.1016/j.semss.2023.101011","DOIUrl":"10.1016/j.semss.2023.101011","url":null,"abstract":"<div><p>For appropriately selected patients with cervical radiculopathy and myelopathy, 2-level cervical disc arthroplasty<span> (CDA) is at least statically non-inferior vs 2-level anterior cervical discectomy and fusion (ACDF) in the short term and statistically superior with long term follow up.</span></p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"35 1","pages":"Article 101011"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48720457","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: 1
Safety profile of multilevel outpatient cervical disc arthroplasty 多层门诊颈椎间盘置换术的安全性
Seminars in Spine Surgery Pub Date : 2023-03-01 DOI: 10.1016/j.semss.2023.101013
Jonathan S. Markowitz, Wesley Bronson, Samuel K. Cho
{"title":"Safety profile of multilevel outpatient cervical disc arthroplasty","authors":"Jonathan S. Markowitz,&nbsp;Wesley Bronson,&nbsp;Samuel K. Cho","doi":"10.1016/j.semss.2023.101013","DOIUrl":"10.1016/j.semss.2023.101013","url":null,"abstract":"<div><h3>Background</h3><p><span>Efforts are underway to shift an increasing number of procedures to outpatient procedures. The literature has demonstrated high rates of safety, cost savings and patient satisfaction for various spine procedures performed in the outpatient setting. Cervical Disc Arthroplasty<span> (CDA) has become an acceptable surgical treatment option for cervical myelopathy and or </span></span>radiculopathy. While this procedure has been shown to be safe when performed in an inpatient setting, the safety of performing multilevel CDA in the outpatient setting requires careful assessment.</p></div><div><h3>Methods and Results</h3><p>We searched the Pubmed database using following search keywords: “cervical disc replacement,” “cervical disc arthroplasty,” “multilevel,” “outpatient,” “ambulatory.” Four retrospective cohort studies and one meta-analysis were identified and relevant to the topic. The literature was critically evaluated.</p></div><div><h3>Conclusion</h3><p>Multilevel CDA can be safely performed in the outpatient setting, with lower complication rates, shorter operating times, and similar readmission and reoperation rates compared with inpatient CDA. When choosing to perform this procedure in the ambulatory setting each surgeon should consider their own skill set and familiarity with CDA. While no evidence-based guidelines exist regarding which patients are optimal candidates to perform this procedure on in the outpatient setting, careful patient selection is important. Further prospective randomized studies with larger sample sizes are needed to generate evidence-based protocols for patient selection in order to optimize outcomes and the safety of performing multilevel cervical disc arthroplasty in the outpatient setting.</p></div><div><h3>Level of Evidence</h3><p>V</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"35 1","pages":"Article 101013"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47467897","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
Level selection for optimal adult spinal deformity correction: A narrative review 最佳成人脊柱畸形矫正的水平选择:叙述性回顾
Seminars in Spine Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.semss.2022.100987
Jonathan Dalton , Mitchell S. Fourman , Keith Lyons , J. Manuel Sarmiento , Francis Lovecchio , Izzet Akosman , Jeremy Shaw , James Dowdell
{"title":"Level selection for optimal adult spinal deformity correction: A narrative review","authors":"Jonathan Dalton ,&nbsp;Mitchell S. Fourman ,&nbsp;Keith Lyons ,&nbsp;J. Manuel Sarmiento ,&nbsp;Francis Lovecchio ,&nbsp;Izzet Akosman ,&nbsp;Jeremy Shaw ,&nbsp;James Dowdell","doi":"10.1016/j.semss.2022.100987","DOIUrl":"10.1016/j.semss.2022.100987","url":null,"abstract":"<div><p>Adult spine deformity (ASD) is the loss of the normal sagittal and coronal alignment necessary to maintain the head over the hips. ASD increases energy expenditure to maintain normal balance and horizontal gaze, and can lead to chronic pain, fatigue, and significant functional disability. Selection of upper and lower instrumented levels for ASD constructs is critical to achieving and maintaining an optimal post-operative alignment. While classifications and recommendations have improved level selection strategies, decision-making still remains largely dependent on the individual surgeon. This work summarizes available literature on level selection for ASD constructs.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"34 4","pages":"Article 100987"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48605397","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
Use of computer navigation and robotics in adult spinal deformity 计算机导航和机器人技术在成人脊柱畸形中的应用
Seminars in Spine Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.semss.2022.100988
Gnel Pivazyan, Kelsey D. Cobourn, Jean-Marc Voyadzis, Faheem A. Sandhu
{"title":"Use of computer navigation and robotics in adult spinal deformity","authors":"Gnel Pivazyan,&nbsp;Kelsey D. Cobourn,&nbsp;Jean-Marc Voyadzis,&nbsp;Faheem A. Sandhu","doi":"10.1016/j.semss.2022.100988","DOIUrl":"10.1016/j.semss.2022.100988","url":null,"abstract":"<div><p><span>Recent years have seen significant advancements in the implementation of computer-assisted surgery in spine. Enabling technologies like robots and navigation have been refined to compliment the field's shift towards minimally invasive techniques<span> and to fit more seamlessly into the existing workflow. Robotic-surgery and navigation in deformity can be particularly helpful in cases where the severe curves of the spinal column or the abnormal pedicle </span></span>anatomy<span> make pedicle screw placement challenging with the use of traditional anatomic landmarks. Furthermore, the ability to pre-plan patient specific rods has opened the door for greater precision in rod contouring. Drawbacks of robotic-assisted surgery include the steep upfront cost, the need for additional staff and training and the lack of tactile feedback. This review will discuss the current state of navigation and robotics, with a specific focus on their applications to deformity surgery.</span></p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"34 4","pages":"Article 100988"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44290214","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: 2
The value of preoperative medical assessment for adult spinal deformity surgery: Risk determination, quality, and cost considerations 成人脊柱畸形手术术前医学评估的价值：风险确定、质量和成本考虑
Seminars in Spine Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.semss.2022.100985
Ayush Arora , Aboubacar Wague , Daniel D. Cummins , Sigurd Berven
{"title":"The value of preoperative medical assessment for adult spinal deformity surgery: Risk determination, quality, and cost considerations","authors":"Ayush Arora ,&nbsp;Aboubacar Wague ,&nbsp;Daniel D. Cummins ,&nbsp;Sigurd Berven","doi":"10.1016/j.semss.2022.100985","DOIUrl":"10.1016/j.semss.2022.100985","url":null,"abstract":"<div><p><span>Adult spinal deformity (ASD) is common and has a significant impact on health-related </span>quality of life<span>. Identification of risk factors for perioperative complications in ASD surgery is a priority for ensuring cost-effectiveness. Preoperative optimization of significant patient risk factors can benefit patient outcome. Establishing benchmarks for expected complications based upon known risk factors is an important goal for future studies on quality of care.</span></p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"34 4","pages":"Article 100985"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44436435","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
Planning and execution of osteotomies for spinal deformity 脊柱畸形截骨术的计划与实施
Seminars in Spine Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.semss.2022.100989
R Adams Cowley II , Brian Panish , Fred Mo
{"title":"Planning and execution of osteotomies for spinal deformity","authors":"R Adams Cowley II ,&nbsp;Brian Panish ,&nbsp;Fred Mo","doi":"10.1016/j.semss.2022.100989","DOIUrl":"10.1016/j.semss.2022.100989","url":null,"abstract":"<div><p>Spinal deformity<span> can occur at any age from either congenital or acquired etiologies leading to coronal or sagittal imbalance. Regardless of etiology, deformity and imbalance lead to both functional and psychological impairment. For fixed deformities, osteotomies<span><span> provide a powerful tool for realignment. In this review, the clinical and radiographic indications for osteotomies are outlined. Along with indications, specific considerations with regard to planning and executing Smith Peterson Osteotomies, Pedicle Subtraction Osteotomies, and </span>Vertebral Column Resections will be detailed.</span></span></p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"34 4","pages":"Article 100989"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42907345","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
The emerging role of artificial intelligence in adult spinal deformity 人工智能在成人脊柱畸形中的新兴作用
Seminars in Spine Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.semss.2022.100986
Izzet Akosman , Francis Lovecchio , Keith Lyons , J. Manuel Sarmiento , Amanda Lans , Hamid Ghaedina , Joseph H. Schwab , Mitchell S. Fourman
{"title":"The emerging role of artificial intelligence in adult spinal deformity","authors":"Izzet Akosman ,&nbsp;Francis Lovecchio ,&nbsp;Keith Lyons ,&nbsp;J. Manuel Sarmiento ,&nbsp;Amanda Lans ,&nbsp;Hamid Ghaedina ,&nbsp;Joseph H. Schwab ,&nbsp;Mitchell S. Fourman","doi":"10.1016/j.semss.2022.100986","DOIUrl":"10.1016/j.semss.2022.100986","url":null,"abstract":"<div><p><span><span>Artificial intelligence (AI) refers to computer-based technologies that seek to replicate human intelligence by allowing software to make decisions and provide recommendations based on the analysis of large datasets. Present applications of AI in spine deformity surgery have focused on improving safety and efficacy by automating, standardizing, and facilitating data guided approaches. In this review, the authors focus on 3 types of AI technology: 1) Surgical classification, 2) individualized </span>outcome prediction<span>, and 3) surgical planning. It is anticipated that AI will become an essential part of the preoperative, intraoperative, and postoperative phases of </span></span>adult spinal deformity surgery.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"34 4","pages":"Article 100986"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43013223","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: 1
The effectiveness of interbody fusion devices in adult spine deformity 椎体间融合装置治疗成人脊柱畸形的疗效
Seminars in Spine Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.semss.2022.100990
Timothy Choi MD , Isam Sami Moghamis MBBS , Abduljabbar Alhammoud MD, MSc , William F. Lavelle MD , Umesh S. Metkar MD
{"title":"The effectiveness of interbody fusion devices in adult spine deformity","authors":"Timothy Choi MD ,&nbsp;Isam Sami Moghamis MBBS ,&nbsp;Abduljabbar Alhammoud MD, MSc ,&nbsp;William F. Lavelle MD ,&nbsp;Umesh S. Metkar MD","doi":"10.1016/j.semss.2022.100990","DOIUrl":"10.1016/j.semss.2022.100990","url":null,"abstract":"<div><p>Adult spinal deformity<span> is a complex pathology requiring careful consideration of patient-related parameters, comorbidities, overall clinical and radiographic alignment to determine individualized treatment. There has been an advent of interbody fusion techniques, advancements in fusion devices, and various approaches to insert spacers to achieve optimal sagittal and coronal balance. However, there is lack of clear evidence to support superiority of one technique versus others with minor differences in fusion outcomes across techniques and ability to correct deformity parameters. Ultimately, the decision is based on surgeon familiarity with techniques, fusion devices, and approaches.</span></p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"34 4","pages":"Article 100990"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46254706","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
Proximal junctional kyphosis in adult spinal deformity: An up-to-date review 成人脊柱畸形中的近端关节后凸:最新综述
Seminars in Spine Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.semss.2022.100992
Abduljabbar Alhammoud , Paul D. Korytkowski , William F. Lavelle , Umesh S. Metkar
{"title":"Proximal junctional kyphosis in adult spinal deformity: An up-to-date review","authors":"Abduljabbar Alhammoud ,&nbsp;Paul D. Korytkowski ,&nbsp;William F. Lavelle ,&nbsp;Umesh S. Metkar","doi":"10.1016/j.semss.2022.100992","DOIUrl":"10.1016/j.semss.2022.100992","url":null,"abstract":"<div><p><span>Proximal junctional kyphosis<span> (PJK) is a complication following surgical treatment for adult spinal deformity<span>. Most PJK occurs early within the postoperative period<span> with reported rates ranging from 20% to 40%. Proximal junctional failure is a more severe form of PJK. Many risk factors have been identified suggesting multifactorial causation. Methods to prevent PJK include surgical techniques, reducing the rigidity of the construct, preserving surrounding tissue, constructing, and adhering to age-adjusted alignment goals, vertebroplasty, ligament augmentation, and </span></span></span></span>teriparatide. Revision surgery sometimes results in recurrent PJK and is associated with substantial surgical and financial burdens which highlight the importance of prevention strategies and continued study.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"34 4","pages":"Article 100992"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48408284","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: 1
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