Journal of spine research and surgery最新文献_第2页

Rehabilitation Protocol for spondylolisthesis Patients: A Treatment Protocol 脊柱滑脱患者的康复治疗方案:一种治疗方案

Journal of spine research and surgery Pub Date : 2023-01-01 DOI: 10.26502/fjsrs0055

Md. Majidur Rahman, Md.Zahid Hasan, A. Islam, S. Afridi, Mayesa Nujhat

引用次数: 0

Analysing the clinical relevance and impact of subsidence seen with standalone cages for cervical disc surgeries – A study of fusion rates in 118 patients 分析独立椎弓根固定架在颈椎间盘手术中下沉的临床意义和影响——对118例患者融合率的研究

Journal of spine research and surgery Pub Date : 2023-01-01 DOI: 10.26502/fjsrs0058

Vishnu Vikraman Nair, Vishal G. Kundnani, Mukul Jain, Sunil Shamjibhai Chodavadiya, A. Shetty, Jenil R. Patel, Nikhil Dewnany

{"title":"Analysing the clinical relevance and impact of subsidence seen with standalone cages for cervical disc surgeries – A study of fusion rates in 118 patients","authors":"Vishnu Vikraman Nair, Vishal G. Kundnani, Mukul Jain, Sunil Shamjibhai Chodavadiya, A. Shetty, Jenil R. Patel, Nikhil Dewnany","doi":"10.26502/fjsrs0058","DOIUrl":"https://doi.org/10.26502/fjsrs0058","url":null,"abstract":"Background and Aim: The objective of this study is to examine the short and long term impact of subsidence after anterior cervical discectomy and fusion for compressive cervical disc disease, utilizing solely non-locking stand-alone titanium cage and to analyze the fusion rates. Methods: The single-center retrospective study included one and two-level Anterior cervical discectomy and fusion (ACDF) cases from July 2014 to June 2019. Minimum 2-year follow-up was included and titanium cage with autologous bone graft was used. Interbody height (IBH), subsidence and fusion rates were analysed at follow up. Clinically, VAS score for neck and arm, mJOA score for myelopathy, C2-C7 cobb angle for lordosis improvement were analyzed. Results: A sample of 118 patients, was subjected to analysis. The fusion rate was observed to be 96.6%. Eleven instances of subsidence were observed at the 3-month follow-up (p= 0.89). All 11 patients with subsidence had excellent/good functional outcomes on analyzing Odom’s criteria. The study observed a noteworthy enhancement in the (VAS) for neck and arm pain, as well as in the (mJOA) score among patients with myelopathy, with a statistical significance of p<0.05. There was significant reduction in IBH in the subsidence group in comparison to non-subsidence group. Segmental kyphosis angles were also seen to be higher in the subsidence group(p<0.05) Conclusion: According to our study, the subsidence observed did not have a significant clinical impact on outcome scores or patient satisfaction. The utilisation of a stand-alone cage devoid of screw or plate instrumentation","PeriodicalId":73951,"journal":{"name":"Journal of spine research and surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69348239","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

Advances in Extracellular Vesicles in the Treatment of Osteosarcoma 细胞外囊泡治疗骨肉瘤的研究进展

Journal of spine research and surgery Pub Date : 2023-01-01 DOI: 10.26502/fjsrs0064

Zhefei Du, Lixin Xie, Daihan Xie, Kesheng Wang, Qiuxia Peng, Chao Fang

引用次数: 0

Anterior Lumbar Interbody Fusion (ALIF): Complications and radiological outcomes 腰椎前路椎体间融合术(ALIF):并发症和放射学结果

Journal of spine research and surgery Pub Date : 2023-01-01 DOI: 10.26502/fjsrs0059

A. Demirel, Renata Terzic, J. Kaspersen, E. Aras, Søren Peter Eiskjær

{"title":"Anterior Lumbar Interbody Fusion (ALIF): Complications and radiological outcomes","authors":"A. Demirel, Renata Terzic, J. Kaspersen, E. Aras, Søren Peter Eiskjær","doi":"10.26502/fjsrs0059","DOIUrl":"https://doi.org/10.26502/fjsrs0059","url":null,"abstract":"Introduction: Anterior lumbar interbody fusion (ALIF) is a well-established treatment. Using poly-ether-ether-ketone (PEEK) cages for ALIF procedure take advantage of the relative radiolucency of PEEK cages .The goal of this study was to determine the radiological outcomes and complications after ALIF surgery. Materials & Methods: Retrospective review of patients with ALIF (PEEK cage) surgery. Complications were noted. Bone union determined with Bridwell classification. Pre and post-operative X-rays, X-rays at the last follow-up reviewed. Anterior-posterior disc space height, segmental lordosis at the ALIF levels and global lumbar lordosis were measured. Results: 56 patients (M:25, F:31) and 80 ALIF cages were reviewed. The respective median age of surgery and follow-up duration (months) for the 3 subgroups were as follows: 47(37-54) /14(12-24) (disc degeneration), 45(40-52) /22(14-27) (listhesis), 57(51-62) /17(16-25) (non-union). Number of complications associated with the anterior approach was 9/56 or 16%. Bridwell fusion status was classified as 1 in 72 cages, 2 in 6 cages and 4 in 2 cages. The anterior disc space height and posterior disc space height L3/L4, L4/L5, L5/S1 significantly increased from preoperatively to immediately postoperatively and compared to the distance at last follow up. The anterior disc space height and posterior disc space height L4/L5, L5/S1 decreased significantly from immediately postoperatively to last follow-up. Only for the L5/S1 level did the segmental lordosis increase significantly from preoperatively to immediately postoperatively and compared to the angle at last follow-up. Conclusions: The use of ALIF (PEEK cage) with posterior fixation resulted in very low non-union rate (2.5%). The approach related complications are comparable to the literature.","PeriodicalId":73951,"journal":{"name":"Journal of spine research and surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69348244","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

Traumatic Spondylolisthesis of the Axis without Fracture: Case Report and Literature Review 外伤性脊柱滑脱无骨折:1例报告及文献复习

Journal of spine research and surgery Pub Date : 2023-01-01 DOI: 10.26502/fjsrs0063

Lívio Pereira de Macêdo, MD, João Batista Monte Freire, MD

引用次数: 0

Outcome of Surgical Management in Lumber Disc Prolapse: A Study in Dhaka Medical College Hospital, Dhaka, Bangladesh 腰椎间盘脱垂的外科治疗效果:孟加拉国达卡医学院医院的一项研究

Journal of spine research and surgery Pub Date : 2022-01-01 DOI: 10.26502/fjsrs0038

S. Islam, M. Shahiduzzaman, Ferdous Ara Banu, M. Hasan, Shamiul Alam Siddique, Fatema Sultana Sumi, T. Akhter, Abu Hena Md Atiquzzaman

引用次数: 0

ImPACT® Assessment of Photobiomodulation Therapy for Post-Concussion Syndrome 脑震荡后综合征光生物调节治疗的ImPACT®评估

Journal of spine research and surgery Pub Date : 2022-01-01 DOI: 10.26502/fjsrs0037

Ronaldo Santiago, J. Ozsarfati, H. Shulman, R. Valenzuela, Michael Zitney

{"title":"ImPACT® Assessment of Photobiomodulation Therapy for Post-Concussion Syndrome","authors":"Ronaldo Santiago, J. Ozsarfati, H. Shulman, R. Valenzuela, Michael Zitney","doi":"10.26502/fjsrs0037","DOIUrl":"https://doi.org/10.26502/fjsrs0037","url":null,"abstract":"Background: Several studies have detailed the efficacy of Photobiomodulation Therapy (PBMT) as a treatment for concussions [1]. As there are no widely accepted imaging or laboratory modalities that document concussive injuries, monitoring improvement objectively proves difficult. ImPACT® is a computer based neurocognitive assessment tool meant to measure cognitive performance and subjective symptoms for concussion injuries. This study uses ImPACT® as a means to document an improvement in symptomatology for patients with persistent post-concussion symptoms pre and post-treatment with PBMT [2]. Methods: This retrospective study reviews patient performance in the ImPACT® test in a cohort of 35 patients who are diagnosed with mild Traumatic Brain Injuries (mTBI) and experiencing persistent post-concussive symptoms. Patients initially took the Post Injury 1 test then underwent PBMT therapy using the BIOFLEX DUO+ system three times a week for 4 weeks using approved parameters for treatment of the cervical spine soft tissue injuries. Journal Surgery After the 4 week treatment, patients took the Post Injury 2 test and the results were compared. Results: All patients improved clinically after PBMT and their Post injury 2 ImPACT® test results were significantly better compared to their Post injury 1 ImPACT® test results. Conclusion: PBMT may provide neurological rehabilitation in patients with persistent post-concussion symptoms and ImPACT® is an appropriate and objective measure to monitor and assess improvement.","PeriodicalId":73951,"journal":{"name":"Journal of spine research and surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69348069","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

Late onset posttraumatic vascular myelopathy without spinal chord injury – a case report 无脊髓损伤的迟发性创伤后血管性脊髓病1例报告

Journal of spine research and surgery Pub Date : 2022-01-01 DOI: 10.26502/fjsrs0049

Maria Erika Hevia Vaca, M. Frink, Maximilian Schulze, S. Ruchholtz, M. Bäumlein

引用次数: 0

Minimally Invasive Approach of Lumbar Plasmacytoma: Case Report 腰椎浆细胞瘤的微创入路1例

Journal of spine research and surgery Pub Date : 2022-01-01 DOI: 10.26502/fjsrs0046

A. Guimarães, R. Sousa, S. Neves, P. Gomes, L. Castelo

{"title":"Minimally Invasive Approach of Lumbar Plasmacytoma: Case Report","authors":"A. Guimarães, R. Sousa, S. Neves, P. Gomes, L. Castelo","doi":"10.26502/fjsrs0046","DOIUrl":"https://doi.org/10.26502/fjsrs0046","url":null,"abstract":"Solitary Bone Plasmacytoma is a subtype of Solitary Plasmacytoma characterized by a mass of monoclonal plasma cells with involvement of bony structures. This pathology presents a high risk of progression to Multiple Myeloma with systemic involvement. In vertebral involvement it can lead to lytic lesions with progression to vertebral collapse and instability. The clinical case is a female patient with no medical history, with a clinic of low back pain with evolution for more than 1 month, radiography showed wedge of L4 and computed tomography a lytic lesion of that level, was hospitalized for pain control and study. The Magnetic Resonance came to discard the compression of noble parts. She was admitted for surgery due to vertebral instability and minimally invasive L2-L3-L5 posterolateral fixation was performed with transpedicular bars and screws, tissue biopsy and decompression with L4 partial facetectomy laminectomy. Surgery was uneventful and the patient was discharged 3 days after a complementary study of the disease. After 1 month, the patient showed clear improvement in pain and after half a year, the fixation was stable without instability or deformities. The patient was followed up by Orthopedics and Hematology. Plasmacytoma is an uncommon neoplasm and the main symptoms are low back pain, as in the case described. Radiotherapy is the treatment of choice, however surgery has been growing as an adjuvant and clinical improvement. This case demonstrates a unique treatment, not previously described with a percutaneous fixation with good results. plasmacytoma: Case Report.","PeriodicalId":73951,"journal":{"name":"Journal of spine research and surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69348129","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

CHL1-Deficient and Wild-Type Male Mice do Not Differ in Locomotor Recovery from Spinal Cord Injury. chl1缺失和野生型雄性小鼠在脊髓损伤后的运动恢复方面没有差异。

Journal of spine research and surgery Pub Date : 2022-01-01 Epub Date: 2022-09-20 DOI: 10.26502/fjsrs0047

Thomas Theis, Carlos Ayala, Monica Tschang, Michele Philip, Vini Nagaraj, Anil Shrirao, Gregory Voronin, Wise Young, Melitta Schachner

{"title":"CHL1-Deficient and Wild-Type Male Mice do Not Differ in Locomotor Recovery from Spinal Cord Injury.","authors":"Thomas Theis, Carlos Ayala, Monica Tschang, Michele Philip, Vini Nagaraj, Anil Shrirao, Gregory Voronin, Wise Young, Melitta Schachner","doi":"10.26502/fjsrs0047","DOIUrl":"https://doi.org/10.26502/fjsrs0047","url":null,"abstract":"<p><p>CHL1 is a close homolog of L1, a cell adhesion molecule that plays major roles in neural and tumor cell functions. We had found that young adult female mice deficient in CHL1 recovered better than their wild-type female littermates after thoracic Spinal Cord Injury (SCI). This observation was surprising, because CHL1 increases neurite outgrowth in vitro. Injury of adult mouse central and peripheral nervous systems upregulate CHL1 expression in neurons and astrocytes, consistent with CHL1's pro-active, homophilic interaction between CHL1 surface molecules in wild-type mice. After SCI, CHL1 expression was observed to increase in the glial scar, areas of axonal regrowth and remodeling of neural circuits. These observations were made only in females, and we therefore sought to analyze SCI in CHL1-deficient male mice. We now show that CHL1-deficient males did not recover better or worse than their male wild-type littermates. Primary and secondary lesion volumes were similar in the two genotypes, as seen in female mice which were studied in parallel with male mice. Assessment of peripheral leukocytes showed a significant increase in numbers of blood neutrophils at 24 h after SCI in males, but not in females. Lymphocyte numbers in mutant males increased slightly, but numbers of lymphocytes or monocytes did not differ significantly between males or females. These results indicate that CHL1-deficient males and females differ in the number of neutrophils but not lymphocytes or monocytes, suggesting that the difference between males and females is unlikely due to differences in leukocytes.</p>","PeriodicalId":73951,"journal":{"name":"Journal of spine research and surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9676075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40718990","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}

引用次数: 1