Asian Spine Journal最新文献

{"title":"Letter to editor: Effect of rehabilitation timing on the functional, vocational, and psychological outcomes in patients with paraplegia secondary to traumatic spinal cord injury: a retrospective cohort study.","authors":"Sadhu Sakshi, Singh Hemant","doi":"10.31616/asj.2025.0348.r1","DOIUrl":"10.31616/asj.2025.0348.r1","url":null,"abstract":"","PeriodicalId":8555,"journal":{"name":"Asian Spine Journal","volume":" ","pages":"679-680"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144783319","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 the positional and morphological parameters of sagittal spine alignment in a cohort of 623 healthy individuals aged >50 years in China.","authors":"Wei Wang, Zheng Wang, Dongfan Wang, Chengxin Liu, Weiguo Zhu, Fumin Pan, Sitao Zhang, Xiaolong Chen, Yu Wang, Shibao Lu","doi":"10.31616/asj.2024.0466","DOIUrl":"10.31616/asj.2024.0466","url":null,"abstract":"<p><strong>Study design: </strong>A retrospective radiologic study.</p><p><strong>Purpose: </strong>To investigate the spinopelvic positional and morphological parameters of the sagittal spinal alignment in a healthy population from the community.</p><p><strong>Overview of literature: </strong>The existing parameters for spinal alignment based on the Cobb angle are the primary reference values for evaluating spinal alignment and pelvic morphology. However, they do not fully capture the comprehensive characteristics of sagittal spine alignment. More attention should be given to identifying the specific characteristics of sagittal spinal alignment by focusing on the positions of the kyphotic and lordotic apices.</p><p><strong>Methods: </strong>Among 1,250 volunteers, 623 consecutive normal community volunteers aged >50 years were recruited and underwent standing postural X-ray. A customized computer application analyzed the sagittal morphological and positional parameters, examining their normal distributions and correlations.</p><p><strong>Results: </strong>The correlation between the adjacent morphological and positional parameters was strong between the distal cervical and proximal lumbar spine. In the vertical direction, a significant association was found between the location of the thoracic kyphosis (TK) to lumbar lordosis (LL) transition point (TL point) and both the upper apex of TK (T-apex) (r=0.52) and lower apex of LL (L-apex) (r=0.64). In the horizontal direction, a moderate correlation was found between the thoracic apex offset to the femoral axis (TF) and the lumbar apex offset to the femoral axis (LF) (R2=0.314), whereas LF demonstrated a strong correlation with adjacent overhang (R2=0.685). Close correlations were observed among the morphological and positional parameters. The sacral slope exhibited significant correlations with two parameters related to the lumbar region: L-apex (r=-0.60) and LF (r=0.51).</p><p><strong>Conclusions: </strong>This study found strong correlations between spinopelvic morphology and position, which is crucial for understanding sagittal alignment. Adjacent positional parameters showed significant compliance within the sagittal spine plane from the distal cervical to proximal lumbar regions, suggesting the necessity for additional research on its clinical relevance in spinal disease surgery.</p>","PeriodicalId":8555,"journal":{"name":"Asian Spine Journal","volume":" ","pages":"619-630"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964894","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":"Risk assessment of spinal surgery in chronic kidney disease and dialysis patients: a systematic review and meta-analysis of over 5 million cases.","authors":"Jorge Campos, Jose Luis Bas, Gonzalo Mariscal, Ibrahim Khalil, Mohammad Alzoubi, Paloma Bas, Teresa Bas","doi":"10.31616/asj.2024.0553","DOIUrl":"10.31616/asj.2024.0553","url":null,"abstract":"<p><p>The purpose of this study was to conduct a systematic review and meta-analysis of the outcomes of spinal surgery in patients with chronic kidney disease (CKD), including those undergoing dialysis. A comprehensive literature search was conducted following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines. Statistical analyses were performed using Review Manager software, utilizing mean differences (MD), odds ratios (OR), and random effects models to account for heterogeneity. Heterogeneity was assessed using the I2 statistic. The primary outcomes were operative time, estimated blood loss, need for blood transfusion, length of hospital stay, and the incidence of complications, including deep vein thrombosis (DVT), pulmonary embolism (PE), surgical site infection (SSI), reoperation, and in-hospital mortality. Twelve studies involving over 5 million patients were included, comparing outcomes in CKD and dialysis patients undergoing spinal surgery to those without CKD or dialysis, respectively. CKD patients experienced a significantly shorter operative time (MD, -12.63 minutes; 95% confidence interval [CI], -14.49 to -10.78) and longer hospital stays (MD, 1.51 days; 95% CI, 1.28-1.74), with moderate heterogeneity (I2=37%). Dialysis patients showed higher odds of developing DVT (OR, 6.45; 95% CI, 1.72-24.20), PE (OR, 6.48; 95% CI, 1.13-37.14), and in-hospital mortality (OR, 16.71; 95% CI, 6.23-44.85), with substantial heterogeneity among studies (I2>95%). Additionally, dialysis patients had significantly higher odds of requiring reoperation (OR, 7.04; 95% CI, 2.49-19.86) and longer hospital stays (MD, 5.89 days; 95% CI, 3.58-8.20). CKD and dialysis patients face higher risks following spine surgery compared to their counterparts with normal kidney function. Our study highlights the need for extra care and monitoring of kidney disease patients undergoing spine surgery.</p>","PeriodicalId":8555,"journal":{"name":"Asian Spine Journal","volume":" ","pages":"652-670"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144706111","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":"Role of preoperative Hounsfield units in predicting subsidence after anterior cervical discectomy and fusion in the United States: a retrospective analysis including osteopenia diagnosis.","authors":"Wasil Ahmed, Akiro Duey, Rami Rajjoub, Timothy Hoang, Bashar Zaidat, Zachary Milestone, Jiwoo Park, Christopher Gonzalez, Pierce Jr Ferriter, Junho Song, Jun Kim, Samuel Cho","doi":"10.31616/asj.2024.0214","DOIUrl":"10.31616/asj.2024.0214","url":null,"abstract":"<p><strong>Study design: </strong>A retrospective cohort study.</p><p><strong>Purpose: </strong>This study aimed to investigate the relationship among osteopenia, bone density, and subsidence following anterior cervical discectomy and fusion (ACDF).</p><p><strong>Overview of literature: </strong>Subsidence following ACDF procedures can lead to worse clinical outcomes. Although studies have linked osteopenia to cage subsidence, no consensus has been established on the relationship between bone density and subsidence.</p><p><strong>Methods: </strong>Patients undergoing ACDF between 2016 and 2021 were included and assigned to the osteopenia cohort based on chart review and dual-energy X-ray absorptiometry scan results. Bone density at each vertebral level of the cervical fusion was assessed by measuring Hounsfield units from preoperative computed tomography (CT) scans, and disk height changes were assessed using immediate postoperative (<6 weeks) and final follow-up (>5 months) radiographs. Subsidence was quantified by the difference between the long-term and immediate postoperative anterior and posterior disk heights. A t-test was performed to evaluate the effect of prior osteopenia diagnosis on segmental subsidence. Multivariable analysis, accounting for age, sex, smoking status, and cage type, further investigated the relationship between Hounsfield units and subsidence.</p><p><strong>Results: </strong>Among the 131 patients (244 levels fused), no significant associations were found between osteopenia diagnosis and anterior (p=0.926) or posterior (p=0.918) subsidence. Preoperative CT measurements for 28 patients (54 fused levels) revealed no correlations between subsidence and Hounsfield units at the vertebral levels above and below the fusion. Of the 54 levels with preoperative CT scans, 22 patients (41%) were diagnosed with osteopenia. Osteopenia did not correlate with Hounsfield units using the endplate (superior, p=0.735; inferior, p=0.693), full vertebrae (superior, p=0.686; inferior, p=0.735), or elliptical (superior, p=0.501; inferior, p=0.465) methods.</p><p><strong>Conclusions: </strong>The results did not reveal the relationship between either the prior diagnosis of osteopenia or Hounsfield units and subsidence. These results highlight the multifactorial nature of postoperative subsidence, and osteopenia or Hounsfield units cannot be used alone to determine the subsidence risk.</p>","PeriodicalId":8555,"journal":{"name":"Asian Spine Journal","volume":" ","pages":"609-618"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144198178","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":"Effect of rehabilitation timing on the functional, vocational, and psychological outcomes in patients with paraplegia secondary to traumatic spinal cord injury: a retrospective cohort study.","authors":"R Dinesh Iyer, Pranavakumar Palaninathan, Prashasth Belludi Suresh, Vignesh Gunasekaran, Sathiyamoorthi Periyaswamy, Ajoy Prasad Shetty, K S Sri Vijayanand, Rishi Mugesh Kanna, Rajasekaran Shanmuganathan","doi":"10.31616/asj.2024.0132","DOIUrl":"10.31616/asj.2024.0132","url":null,"abstract":"<p><strong>Study design: </strong>A retrospective cohort study.</p><p><strong>Purpose: </strong>To study the effect of rehabilitation timing on the functional, psychological, and vocational outcomes of patients with paraplegia secondary to traumatic spinal cord injury (SCI).</p><p><strong>Overview of literature: </strong>Rehabilitation of patients with SCI is vital for preventing secondary complications and early reintegration into society. However, only few studies have investigated the effects of early rehabilitation.</p><p><strong>Methods: </strong>Patients with paraplegia secondary to traumatic SCI (T2-L2) who underwent rehabilitation at our SCI Rehabilitation Center between January 2018 and December 2022 and who were followed up for at least 12 months were included. Patients were divided into three groups based on the rehabilitation timing after SCI: group 1 (early, within 2 weeks); group 2 (subacute, 2-6 weeks); and group 3 (delayed, >6 weeks). The three groups were compared in terms of functional outcomes, psychological status, and socioeconomic status after injury.</p><p><strong>Results: </strong>A total of 70 patients (62 men and eight women) were included; 30 were in group 1, 18 were in group 2, and 22 were in group 3. Compared with groups 1 and 2, group 3 showed the lowest improvement in mean±standard deviation (SD) Functional Independence Measure score (67.6±14.03 vs. 64.9±8.92 vs. 44.4±12.2, respectively; p<0.05) and significantly higher number of patients with severe (n=10) and extreme depression with suicidal tendency (n=4), with a mean±SD Beck Depression Inventory score of 32.6±8.4. The proportion of unemployed persons was significantly lower in groups 1 and 2 (30% and 27.7%, respectively) than in group 3 (72.2%, 16 of 22).</p><p><strong>Conclusions: </strong>Among patients with paraplegia, rehabilitation within 6 weeks after SCI significantly improved their functional outcomes and psychological well-being and increased their chances of employment and reintegration into society.</p>","PeriodicalId":8555,"journal":{"name":"Asian Spine Journal","volume":" ","pages":"535-544"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144198174","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":"Impact of osteoporosis on perioperative complications in patients undergoing surgical treatment for lumbar spinal stenosis: a nationwide retrospective study.","authors":"Tomoyuki Tanaka, Junya Katayanagi, Hiroki Konuma, Tsukasa Yanase, Kiyohide Fushimi, Kunihiko Takahashi, Toshitaka Yoshii, Tetsuya Jinno, Hiroyuki Inose","doi":"10.31616/asj.2025.0059","DOIUrl":"https://doi.org/10.31616/asj.2025.0059","url":null,"abstract":"<p><strong>Study design: </strong>Nationwide retrospective cohort study with propensity score matching (PSM) analysis.</p><p><strong>Purpose: </strong>To investigate the impact of osteoporosis on perioperative complications in patients undergoing surgery for lumbar spinal stenosis (LSS).</p><p><strong>Overview of literature: </strong>Progressive population aging has driven an increase in surgical procedures for degenerative spinal conditions such as LSS. While previous research has examined the impact of osteoporosis on implant-related complications, its specific impact on outcomes following LSS surgeries remains unclear.</p><p><strong>Methods: </strong>This study analyzed 60,785 patients who underwent LSS surgery between April 2020 and March 2022, utilizing data from a nationwide Diagnosis Procedure Combination database. Perioperative complications, treatment costs, blood transfusion volume, and anesthesia time were compared between osteoporotic and non-osteoporotic patients. PSM was employed to account for confounding variables. Univariate and multivariate regression analyses were employed to identify risk factors for complications.</p><p><strong>Results: </strong>The prevalence of osteoporosis in this cohort was 10.6%. On regression analyses, age, sex, body mass index, admission activities of daily living (ADL) score (Barthel index), hospital type, spinal fusion, Charlson comorbidity index score, and osteoporosis showed a significant association with perioperative complications. Before PSM, osteoporotic patients were older, predominantly female, and had lower body mass index and admission ADL scores, higher spinal fusion rates, and more complications. After PSM, osteoporotic patients exhibited significantly higher complication rates, increased costs, greater blood transfusion requirements, and longer anesthesia durations compared to non-osteoporotic patients.</p><p><strong>Conclusions: </strong>This nationwide analysis identified osteoporosis as an independent risk factor for perioperative complications following LSS surgery. Our findings underline the need for careful perioperative management in this population.</p>","PeriodicalId":8555,"journal":{"name":"Asian Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144706108","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":"Comparison of full endoscopic lumbar discectomy combined with and without platelet-rich plasma injections for lumbar disc herniation: a meta-analysis.","authors":"Liangjie Lu, Keyi Xiao, Li-Ru He, Rui-Song Chen, Teng-Hui Zeng, Guang-Xun Lin","doi":"10.31616/asj.2024.0243","DOIUrl":"https://doi.org/10.31616/asj.2024.0243","url":null,"abstract":"<p><strong>Study design: </strong>A meta-analysis study.</p><p><strong>Purpose: </strong>To compare the clinical efficacy and safety of combining full endoscopic lumbar discectomy (FELD) with platelet-rich plasma (PRP) administration versus FELD alone in treating lumbar disc herniation (LDH).</p><p><strong>Overview of literature: </strong>FELD is effective for LDH, but PRP may enhance healing; evidence comparing both remains unclear.</p><p><strong>Methods: </strong>A systematic literature search was conducted in PubMed, Embase, Web of Science, China National Knowledge Infrastructure, and Wanfang Data up to December 20, 2023. Primary outcomes included postoperative Visual Analog Scale (VAS) pain scores, Oswestry Disability Index (ODI), and Japanese Orthopaedic Association (JOA) scores. Secondary outcomes included disc height, complications, and Pfirrmann grade of disc degeneration.</p><p><strong>Results: </strong>Six studies involving 433 patients were included (214 undergoing FELD combined with PRP and 219 undergoing FELD alone). Patients in the FELD+PRP group had significantly lower VAS scores for back pain after surgery compared to the FELD group (p <0.05). JOA and ODI scores showed significantly better improvement in the FELD+PRP group than in the FELD group (p <0.05). Compared to the FELD group, the FELD+PRP group had less disc height loss and a lower complication rate (p =0.0005). There was a significantly better improvement in disc degeneration (based on Pfirrmann grading) at final follow-up in the FELD+PRP group compared to the FELD group (p =0.002).</p><p><strong>Conclusions: </strong>The combination of FELD and PRP offers superior outcomes compared to FELD alone in the treatment of LDH, including a more pronounced relief from back pain, significant functional improvement, and fewer postoperative complications. Additionally, it facilitates the repair of the annulus fibrosus of the intervertebral disc and reduces the loss of disc height.</p>","PeriodicalId":8555,"journal":{"name":"Asian Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144706093","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":"Does the length of the intermediate pedicle screw influence outcome in unstable thoracolumbar burst fractures? A prospective randomized study in India.","authors":"Thirumurugan Arumugam, Karthik Ramachandran, Ajoy Prasad Shetty, Rishi Mugesh Kanna, Shanmuganathan Rajasekaran","doi":"10.31616/asj.2025.0027","DOIUrl":"https://doi.org/10.31616/asj.2025.0027","url":null,"abstract":"<p><strong>Study design: </strong>A prospective randomized study.</p><p><strong>Purpose: </strong>To investigate the impact of intermediate pedicle screw length on radiological and functional outcomes in unstable thoracolumbar burst fractures (TLF) treated with short-segment posterior fixation (SSPF).</p><p><strong>Overview of literature: </strong>Although intermediate screws confer biomechanical advantages, there is no consensus on the ideal intermediate screw length.</p><p><strong>Methods: </strong>Sixty-six patients with unstable TLF (Load Sharing Classification score ≥7) and normal neurology requiring SSPF were randomized into two groups. Group 1 (long intermediate screw [LIS]) underwent SSPF with a long intermediate screw (occupying >50% of the vertebral body, length ≥40 mm), while group 2 (short intermediate screw [SIS]) received a short intermediate screw (occupying <50% of the vertebral body, length ≤35 mm). Radiological parameters (restoration of anterior body height [ABH], posterior body height [PBH], ABH/PBH ratio, local kyphosis angle [LKA], and regional kyphosis angle [RKA]) and functional parameters (Visual Analog Scale score and Oswestry Disability Index) were evaluated.</p><p><strong>Results: </strong>Demographic variables (age, sex), mode of injury, and fracture pattern were comparable between groups. The LIS group showed a significant improvement in RKA correction in the immediate postoperative period (p =0.019), but this difference was not sustained at the final follow-up (p =0.713). Other radiological and functional parameters were comparable between the two groups at the 2-year follow-up.</p><p><strong>Conclusions: </strong>Although long intermediate pedicle screw provided better correction of regional kyphosis in the immediate postoperative period for unstable TLFs with LSC ≥7, the outcomes were comparable between both long and short intermediate pedicle screws at longterm follow-up.</p>","PeriodicalId":8555,"journal":{"name":"Asian Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144706094","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":"Immediate effects of posture correction taping on pain, cervical range of motion, and scapulothoracic muscle activity in individuals with forward head posture and mechanical neck pain: a randomized controlled trial in India.","authors":"Ganesh Balthillaya M, Shyamasunder N Bhat, Shalini H, Bhamini Krishna Rao","doi":"10.31616/asj.2024.0398","DOIUrl":"https://doi.org/10.31616/asj.2024.0398","url":null,"abstract":"<p><strong>Study design: </strong>Randomized controlled study.</p><p><strong>Purpose: </strong>To investigate the immediate effect of posture correction taping on neck pain, neck range of motion (ROM), and scapulothoracic muscle activity in individuals with forward head posture (FHP) and mechanical neck pain (MNP).</p><p><strong>Overview of literature: </strong>MNP is a common complaint among individuals with FHP. Poor posture is a major contributing factor to MNP. Taping is a treatment technique used to correct FHP with MNP, but its effectiveness in reducing neck pain, improving ROM, and altering muscle activity requires further investigation.</p><p><strong>Methods: </strong>Forty-two patients with FHP and MNP were randomly assigned to either a taping group or a control group. Both groups received common treatments including mobilization of the hypomobile joints of cervicothoracic spine and ribcage joints, stretching of shortened muscles of the upper back and neck, and stabilization exercises for neck and scapular muscles. The taping group received additional posture correction taping. Pain intensity and neck ROM were assessed at baseline and 48 hours after the first treatment session. Electromyogram (EMG) activity of the scapulothoracic muscles was recorded before and immediately after taping.</p><p><strong>Results: </strong>Both groups reported reduced pain intensity after 48 hours of intervention, with significantly lower pain intensity in the taping group. The taping group also demonstrated significant improvement in extension ROM compared with the baseline. There was no significant change in other neck ROM and no between-group difference in ROM 48 hours after intervention. EMG activity revealed reduced upper trapezius activity and increased middle trapezius and serratus anterior activity immediately after taping.</p><p><strong>Conclusions: </strong>Posture correction taping may help reduce pain intensity, improve ROM, and alter scapulothoracic muscle activity in individuals with MNP and FHP. These results may be of interest for the development of posture correction interventions for this population.</p>","PeriodicalId":8555,"journal":{"name":"Asian Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144706107","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":"Effectiveness of various anterior noncontiguous cervical spine surgeries for treatment of noncontiguous cervical degenerative disk disease: a network meta-analysis.","authors":"Anthony N Baumann, Robert J Trager, Omkar Anaspure, Shiv Patel, Nikhil Sai, Mathias A Uhler, Keegan T Conry, Gordon Preston, Jacob C Hoffmann","doi":"10.31616/asj.2024.0527","DOIUrl":"https://doi.org/10.31616/asj.2024.0527","url":null,"abstract":"<p><p>We conducted a systematic review and network meta-analysis (NMA) to compare the effectiveness of noncontiguous anterior cervical surgical techniques for noncontiguous cervical degenerative disk disease (CDDD) in terms of clinical outcomes. There is a lack of consensus regarding optimal surgical management of noncontiguous CDDD. This NMA compared the clinical effectiveness of various anterior cervical surgical techniques to guide decision-making and improve patient outcomes. PubMed, CINAHL, Scopus, and Web of Science were searched through October 10, 2024, for studies comparing noncontiguous anterior surgeries for noncontiguous CDDD. Mean differences (MD) and relative risks (RR) with corresponding 95% confidence intervals (CI) were calculated using random-effects NMA models. Of the 504 articles retrieved, five cohort studies and one randomized trial were included. Patients (n=312; mean age, 51.8 years) underwent anterior cervical discectomy and fusion (ACDF) with plate fixation (n=76), ACDF with zero-profile spacer (n=95), cervical disk arthroplasty (CDA; n=45), fusion-mobility hybrid cervical surgery (HCS; n=64), or fusion-fusion HCS (n=32). No significant differences or clear ranking superiority were observed for Japanese Orthopedic Association or Neck Disability Index scores. Compared to noncontiguous ACDF with plate fixation, noncontiguous ACDF with spacer and noncontiguous CDA had a significantly lower risk of postoperative complications. Additionally, noncontiguous ACDF with spacer had a significantly lower risk of dysphagia, and all other comparisons had a lower risk of intermediate adjacent segment disease (ASD). There were no cases of pseudoarthrosis, and one case of reoperation. Certainty of evidence was \"very low.\" This NMA provides very low certainty evidence of similar functional outcomes across surgical techniques for noncontiguous CDDD, but the risk of complications, intermediate segment ASD, and dysphagia may vary depending on technique. These findings highlight the need for higher-quality research to guide the selection of surgical technique for noncontiguous CDDD.</p>","PeriodicalId":8555,"journal":{"name":"Asian Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144706095","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}