Journal of spine最新文献

{"title":"Adjustable Lordotic Expandable Spacers: How Do They Compare to Traditional Static Spacers in Lateral Lumbar Interbody Fusion?","authors":"Y. Li, R. Frisch, Zhenggu Huang, James E. Towner, Y. Li, Amber Edsall, C. Ledonio","doi":"10.37421/JSP.2020.9.459","DOIUrl":"https://doi.org/10.37421/JSP.2020.9.459","url":null,"abstract":"Introduction: Expandable interbody spacers with adjustable lordosis were designed to expand in situ and avoid complications such as endplate damage, excessive trialing and forceful impaction associated with static spacers. This study compares the clinical and radiographic two-year outcomes between patients treated with static or expandable interbody spacers with adjustable lordosis for Minimally Invasive Lateral Lumbar Interbody Fusion (MIS LLIF). Methods: This is a retrospective, multi-site, multi-surgeon, Institutional Review Board-exempt chart review of patients who underwent MIS LLIF using either a static (27 patients) or expandable spacer with adjustable lordosis (66 patients). Radiographs, complications and patient-reported outcomes were collected and compared from preoperative up to 24-month postoperative follow-up. Results: Mean improvement of Visual Analogue Scale back pain at 6, 12 and 24 months, as well as Oswestry Disability Index scores at 3, 6, 12, and 24 months, were significantly higher in the expandable group compared to the static group. The mean improvement of ODI scores from preoperative to 3, 6, 12, and 24 months was significantly greater in the expandable group by 55.6%, 75.6%, 77.4%, and 108.9% and by 48.2%, 34.6%, and 71.5% at 6, 12, and 24 months postoperatively for VAS pain scores, compared to the static group and (p<0.05) Disc height mean improvement from preoperative to 24 months was more significant in the static group compared to the expandable group. Implant subsidence was significantly greater in the static group (18.5%, 5/27 patients) compared to the expandable group (0/66 patients) (all p<0.05). Conclusion: This study showed significant positive clinical and radiographic outcomes for patients who underwent MIS LLIF using static or expandable interbody spacers with adjustable lordosis. Both static and expandable groups demonstrated long-term maintenance of significant radiographic improvements, with minimal complications reported and sustained significant clinical improvements at 24-month follow-up. There was a 0% subsidence rate in the expandable group, compared to an 18.5% subsidence rate in the static group. The use of expandable spacers with adjustable lordosis was safe and effective for the studied patient population.","PeriodicalId":89593,"journal":{"name":"Journal of spine","volume":"9 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70062036","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":"Assessment of Functional Outcome and Complications in the Surgical Decompression of Lumbar Spinal Stenosis: A Systematic Review","authors":"Vamsi Reddy, Luca H Debs, S. Macomson","doi":"10.37421/JSP.2020.9.462","DOIUrl":"https://doi.org/10.37421/JSP.2020.9.462","url":null,"abstract":"Background: Surgical intervention may become necessary for chronic pain secondary to Lumbar Spinal Stenosis (LSS). It can be effectively achieved by using Conventional Decompression Surgery (CDS) or Minimally Invasive Spine Surgery (MISS). This study aimed to compare the functional outcome and complications associated with these two techniques. Methods: Online database sources (PMC and Cochrane Library) were utilized to identify 1,050 publications, which were narrowed down to 18 studies included in this systematic review. The mean postoperative improvement in Oswestry Disability Index (ODI) and Visual Analog Scale/ Numeric Pain Rating Scale (VAS/NPRS) scores was statistically evaluated by using SPSS-23 and compared for the two techniques through independent t-test. A p-value <0.05 was considered significant. Results: A total of 1,724 patients [CDS=705; MISS=1019] were included in the study. MISS cases had a significantly greater mean ODI preoperatively and the mean ODI improvement was significantly better in this cohort. The patients undergoing MISS also had a significant decline in the VAS/NPRS scores for Low Back Pain (LBP) and Leg Pain (LP). A significantly higher rate of operative complications and reoperation were seen in CDS patients. Conclusion: In cases of LSS, this review suggests that MISS carries a lower risk of complications and appears to yield better functional outcomes when compared to CDS.","PeriodicalId":89593,"journal":{"name":"Journal of spine","volume":"9 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70062082","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":"Safety and Efficacy of Spinecall Spinal Fixation System for Adolescent Idiopathic Scoliosis","authors":"M. Goethel, P. Fonseca, Felipe Augusto Rozales Lopes, Ricardo André Acácio dos Santos, Rodrigo Fetter Lauffer, Carlos Henrique Maçaneiro, Roberto Garcia Gonçalves, Victor de Oliveira Matos, C. Chaves, Saulo Terror Giesbrecht, J. Vilas-Boas","doi":"10.37421/JSP.2020.9.446","DOIUrl":"https://doi.org/10.37421/JSP.2020.9.446","url":null,"abstract":"Study design: Retrospective case series including patient outcome assessment. Objective: To study the safety and the efficacy of the Spine call spinal fixation system in comparison with similar series. Background: The purpose was to determine the safety and the efficacy of a system which has been widely used in Brazil for over 15 years. Methods: A total of 76 consecutive patients were treated by posterior instrumentation and arthrodesis from 2011 through 2017. Safety was evaluated by complications, reoperation type and occurrence. Efficacy was studied by the incidence of deformity corrections. Results: There were no deaths, spinal cord or nerve root problems, or acute posterior wound infections. Proven pseudo-arthrosis occurred in one patient (1.3%) and in two cases was necessary debridement to remove infected tissue (2.6%). The implant-related reoperation rate was 1.3%, where an increased curvature was observed. The break of one screw (0.07% per screw) was reported, which did not lead to the need for reoperation. The largest Cobb angle averaged 57° pre-operative and 20.7° at latest follow-up, which means a 63.3% correction (p<0.001). Conclusions: Spinecall spinal fixation system seems to be at least as safe and effective as other instrumentations as used for the surgical treatment of adolescent idiopathic scoliosis.","PeriodicalId":89593,"journal":{"name":"Journal of spine","volume":"9 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70062477","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":"A Short Note on Spinal Arthritis","authors":"S. Mon","doi":"10.37421/2165-7939.2020.9.452","DOIUrl":"https://doi.org/10.37421/2165-7939.2020.9.452","url":null,"abstract":"","PeriodicalId":89593,"journal":{"name":"Journal of spine","volume":"9 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70050317","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":"Editorial on Laminectomy","authors":"S. Mon","doi":"10.37421/2165-7939.2020.9.451","DOIUrl":"https://doi.org/10.37421/2165-7939.2020.9.451","url":null,"abstract":"Laminectomy is a surgical operation method to cure spine cord and relieve pain in nerves. It creates a space by removing lamina that is present on the back part of the vertebrate that covers spine. It removes the bone spurs or segments that put pressure pain on nerves. It is also known as decompression surgery, laminectomy surgery enlarges your spinal canal to relieve pressure on the spinal cord or nerves.","PeriodicalId":89593,"journal":{"name":"Journal of spine","volume":"9 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70050263","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":"Editor Note on Spine Research","authors":"Kasim Ratna","doi":"10.37421/2165-7939.2020.9.453","DOIUrl":"https://doi.org/10.37421/2165-7939.2020.9.453","url":null,"abstract":"Spine is the one that helps in maintaining the posture of the body, provide support and protect our spinal cord from any injuries. It allows you to move and bend. Strength of the muscles and bones, ligaments and flexibility of the tendons, sensitive nerves will help in maintaining the healthy spine. It keeps us straight and connects the different parts of our skeleton to each other. Length of a person will depend on their height. Adult human being spine is S-shaped and its curve will help in maintaining balance and to allow motion throughout the spinal column.","PeriodicalId":89593,"journal":{"name":"Journal of spine","volume":"9 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70050326","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":"Vertebral Tumors – Diagnostic andTreatment Protocols","authors":"S. Ganapathy","doi":"10.37421/JSP.2020.9.444","DOIUrl":"https://doi.org/10.37421/JSP.2020.9.444","url":null,"abstract":"Vertebral bony tumors are notorious for their ability to mimic each other. With ever changing treatment protocols and newer adjuvant therapies introduced at regular intervals of time, we considered a small but concise update on management of these entities with our own diagnostic algorhythm, along with brief details on management, and a quick access table for radiological diagnosis. We hope that this effort, prepared with an extensive literature review supplemented with images and tables will assist in updating spine surgeons of all hues and thus assist in treating their patients.","PeriodicalId":89593,"journal":{"name":"Journal of spine","volume":"29 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70061950","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":"Editorial Note on Spine Disorders","authors":"S. Mon","doi":"10.37421/JSP.2020.9.454","DOIUrl":"https://doi.org/10.37421/JSP.2020.9.454","url":null,"abstract":"Spine or backbone is made of small bones called vertebrae which is stacked with discs one on the top of another. These vertebras protects our spinal cord and allow us to stand, move and bend. There are number of issues related with spine and damage the vertebrae are infections, injuries, tumors and some changes related to age like spinal stenosis and herniated disks. Another problem is related to the structure of the spine; usually spine will be having S shaped curvature in some cases or damages the curvature of the spine changes. There are three main types of spine curvature disorders i.e., lordosis is also called as swayback in this case the spine of the person will have spine significantly inward at the lower back. Secondly kyphosis, in this case upper back will be abnormally rounded","PeriodicalId":89593,"journal":{"name":"Journal of spine","volume":"9 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70062489","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":"Recent Trends and its Effect in Incomplete Spinal Cord Injury Loco-Motor Rehabilitation andndash; A Review","authors":"Niharika Aswal, Sanghamitra Jena","doi":"10.37421/2165-7939.2020.9.461","DOIUrl":"https://doi.org/10.37421/2165-7939.2020.9.461","url":null,"abstract":"Objective: The purpose of this study is to find out the current trends and its effects in locomotor rehabilitation of individuals with incomplete spinal cord. Methods: Articles were searched through PubMed and Google scholar (year 2016-2020) written in English literature was performed regarding recent advances in the rehabilitation technologies of incomplete SCI patients. Results: Results of this research were according to the based on the clinical findings: Exoskeleton-assisted Gait Training (EGT), Virtual Reality (VR), Robot-Assisted Locomotor Training (RALT), Home based Virtual Reality, Dynamic weight shifting into treadmill, are currently being used. Conclusion: As per the study, there has been advancement in rehabilitation technologies and a significant improvement was noticed in incomplete spinal cord injury patients. More clinical trials and further study is needed for better improvement.","PeriodicalId":89593,"journal":{"name":"Journal of spine","volume":"9 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70050425","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":"Turning a Challenge into an Advantage: A Technical Report on Kyphoplasty for Multiple Myeloma","authors":"N. Silver, Y. Barzilay","doi":"10.37421/2165-7939.2020.9.449","DOIUrl":"https://doi.org/10.37421/2165-7939.2020.9.449","url":null,"abstract":"Kyphoplasty, a procedure first described in 2001 for the treatment of osteoporotic Vertebral Compression Fractures (VCFs) has since been used successfully for pathological vertebral compression fractures, including those caused by multiple myeloma. Whilst the evidence base for kyphoplasty remains incomplete, there is a general consensus that it is safe and significantly reduces pain in up to 84% of patients in whom nonsurgical management has failed.","PeriodicalId":89593,"journal":{"name":"Journal of spine","volume":"9 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70050192","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}