News and Research for Spine Professionals

Few Differences in Complication Rates Found Among Various Lumbar Microdiscectomy Techniques

A meta-analysis of complication rates from lumbar open microdiscectomy, microendoscopic discectomy (MED), and percutaneous microdiscectomy show few differences between the various techniques.

Multifactorial Predictors of Work Status in Patients With Low Back Pain Identified

Simple questions that address the impact of an individual’s low back pain on home, play, and work life are critical to determining what is most important to the patient.

Riluzole May Protect Against Ischemia Reperfusion Injury During Spinal Decompression Surgery

Addition of the sodium glutamate antagonist riluzole when decompression surgery is undertaken results in better long-term improvements in forelimb function in cervical spondylotic myelopathy animal models than surgery alone.

Mobilization, Manipulation, and Clinical Massage Are Effective Treatments for Neck Pain

This study is an update on the landmark review performed in 2008 by the Bone and Joint Decade Task Force on Neck Pain and its Associated Disorders.

Clostridium difficile Infection Is Rare But Costly/Deadly Complication in Cervical Spine Surgery

The investigators used the 2002 to 2011 Nationwide Inpatient Sample (NIS) database to identify cases of C. difficile following cervical spine procedures for degenerative spine diagnoses.

Findings Point to Possible Major Therapeutic Intervention for Chronic Spinal Cord Injuries Via Stem Cell Injections

Injection of human neural stem cells distally, but not locally, to the site of chronic spinal cord injury lead to significant functional recovery in a rat model, researchers reported in the June issue of The Spine Journal.

Seven-Year cTDR Outcomes with Mobi-C® Shows Superior Efficacy to ACDF

7-year clinical results of cervical total disc replacement compared with anterior discectomy and fusion for treatment of two-level symptomatic degenerative disc disease.

Modified Frailty Index Score Helps Stratify High-Surgical Risk Patients Undergoing ALIF

High score on a modified Frailty Index was an independent predictor of any complication and pulmonary complication in patients undergoing anterior lumbar interbody fusion.

Chêneau Brace Prevents Curve Progression and Improves Sagittal Parameters in Adolescent Idiopathic Scoliosis

Long-term use of the Chêneau brace in the treatment of adolescent idiopathic scoliosis may be associated with significant improvements in kyphosis, lordosis...

ActivL Total Disc Replacement Device Found Noninferior to Conventional Devices

The activL total disc replacement device demonstrated noninferiority in overall trial success compared to conventional TDR devices in a prospective, multicenter, randomized, investigational device exemption trial.

NICE Guidance Supports Use of Minimally Invasive SI Joint Fusion for Chronic Sacroiliac Pain

The guidance is based on a review of effectiveness and safety data from clinical trials of minimally invasive SI joint fusion, and the only product used in the evaluation with an FDA clearance for SI joint fusion was iFuse.

Patient Reported Outcomes Predict Patient Satisfaction Up to 5 Years After Cervical Spine Surgery

Correlation of patient satisfaction and surgical outcomes years after anterior cervical surgery. Gregory D. Schroeder, MD remarks about key findings.

Benefits of Walking Sticks in Patients with Adult Degenerative Scoliosis

This study evaluated spatiotemporal relationships and kinematics of the lower extremities and spine during gait with walking sticks compared with a walker in 20 patients with scoliosis.

Facilitating Greater Osseointegration Properties with a Deeply Porous Titanium Scaffold on PEEK

In the search to reduce fixation-related complications and infections associated with current interbody fusion cages, investigators have pursued various methods for integrating a titanium surface onto PEEK to promote osseointegration.

Pretreatment May Unlock the Regenerative Potential of Neural Stem Cells in Chronic Spinal Cord Injury

Pretreatment with the bacterial enzyme Chondroitinase ABC (ChABC) improves the regenerative outcome of neural stem cells in the chronically injured spinal cord.

Declining Rates of High-Dose Steroid Use for Acute Spinal Cord Injury

“It is a distressing commentary on our medico-legal system that despite the majority of surgeons who prescribe steroids...

Bundled Payments in Spine Surgery: Lessons Learned

While a majority of stakeholder groups are embracing the concept of bundles, physicians are not equally sold on the idea.

Major Cost Drivers for Spine Surgery Identified

Researchers have identified the most important cost drivers in spinal surgery as well as considerable variability in both the management and costs of spinal surgery.

Surgical Approach Is a Risk Factor for Infection in Spinal Surgery

From our study, we found that the minimally invasive surgery (MIS) approach was associated with a lower ...

Naloxegol Shows Promise in Relieving Opioid-Induced Constipation

“This trial was unique in that it also identified and enrolled patients who had tried and failed other laxatives for their opioid-induced constipation prior to enrollment”.

Decompression Surgery Indirectly Improves Glycemic Control in Patients with Diabetes and Lumbar Spinal Stenosis

This is the first study to show the effects of lumbar stenosis surgery on Diabetes Mellitus.

Cervical Spondylotic Myelopathy: Pathophysiology and Biological Mechanisms

Information on the pathophysiology and biologic mechanisms of cervical spondylotic myelopathy—a common degenerative disease that results from spinal cord compression.

Medicare Payments for Spine Surgery Vary Across the Nation

This study examined the variation in episode payments from Medicare for surgery for three conditions, spinal stenosis, spondylolisthesis, and lumbar disc herniation.

Cervical Disc Replacement vs Anterior Cervical Discectomy and Fusion: Five-year Study Results Include Subsequent Spinal Surgeries

Patients with myelopathy or cervical radiculopathy may require surgical decompression that includes restoration of disc space and foraminal height.

Depression as a Predictor of Quality of Life Post Lumbar Spinal Stenosis Treatment

Nonoperative treatment included: Physical therapy and nonsteroidal anti-inflammatory drugs.

Osteoporosis and Spinal Fracture Management Tool: Own the Bone®

The American Orthopaedic Association’s Own the Bone® tool helps hospitals, medical centers, and physician practices to develop their own Fracture Liaison Service (FLS).

Current and Prospective Management of Vertebral Compression Fractures and Osseous Spinal Metastases

New and prospective treatments for vertebral compression fractures.

Defining Spondylosis Beyond Age-related Spinal Degeneration

Seeking to develop a definition of spondylolosis instead of classifying it as one of "many degenerative spine diseases".

High-Dose Tranexamic Acid Reduces Blood Loss in Extensive Spine Surgery

Discover the findings of a study conducted in China treating patients with high doses of tranexamic acid (TXA).

Three Factors May Predict Patients at Greatest Risk for Concomitant Epidural Abscesses

A single spinal epidural abscess is a serious condition that can be difficult to diagnose.

Preoperative Depression Is a Factor in Postoperative Improvement for Lumbar Spine Surgery

Findings come from a retrospective study of 919 surgical patients who were followed for at least 6 months after surgery.

Clinical Prediction Model for Surgical Outcome in Cervical Spondylotic Myelopathy Found Valid

A clinical predictive rule can help surgeons determine whether an individual patient will benefit from spine surgery to treat cervical spondylotic myelopathy (CSM).

Modic Changes Associated with Greater Risk of Poor Outcome in Lower Back Pain

Patients with lower back pain who show Type 1 Modic changes may be at increased risk of experiencing poor treatment outcomes. This finding comes from a prospective study of 141 patients with lower back pain that was conducted in Denmark.

Predictor of Return to Work after Lumbar Discectomy

The study focused on whether patients were working three months after surgery.

Epidural Steroid Injections and Osteoporotic Fracture Risk

Do epidural steroid injections (ESIs) play a role in a person’s risk of osteoporotic fractures?

Yoga Spinal Flexion Positions Can Cause Spinal Fractures in Osteoporotic Patients

Yoga is generally thought to be a “safe” exercise. However, some positions may not be advisable for people with low bone mass—either osteopenia or osteoporosis.

7 Year Outcome Comparing Cervical Disc Arthroplasty vs ACDF

This was a prospective study with 20 investigational sites comparing 265 historically-controlled ACDF patients in a prior cervical investigational device exemption study.

Spinal Metastasis Surgery and Stereotactic Radiosurgery: Wound Healing and Complications

Stereotactic radiosurgery (SRS) for postoperative spinal tumor control was the focus of Dr. Yanamadala’s study.

Traditional Open versus Mini-open Transpedicular Corpectomy in Thoracic Spinal Metastases

The outcomes of interest were operative time, estimated blood loss, complications, neurological status and long-term revision reoperation rates.

Syndromes Mimic Nerve Entrapment of Peripheral Neuropathy

The challenge posed by differential diagnosis of peripheral neuropathy was the topic of a presentation given by Holly S. Gilmer, MD at the American Association of Neurological Surgeons 83rd Annual Scientific Meeting in Washington, DC.

Fibromyalgia Treated with Occipital Nerve Stimulation

The diagnosis, pathophysiology, and treatment of fibromyalgia were topics addressed at a Meeting of the American Association of Neurological Surgeons in Washington, DC.

Neuromodulation Holds Promise for Treatment of Non-Neurological and Neurological Conditions

The history of neuromodulation and outlook for the future were topics addressed.

Spinal Cord Stimulation for Chronic Pain: What Conditions and Which Patients?

Spinal cord stimulation is an ideal tool for the right patient, with proper patient selection being key to successful implementation.

Spinal Cord Stimulation Devices Can Pose Safety Concerns for Spine Surgery

Implantation of a spinal cord stimulation changes aspects of a patient’s structural anatomy that may pose challenges during spine surgery.

Simple Tests for Lumbar Spondylolisthesis and Instability Show Efficacy

Despite the frequent occurrence of sponylolisthesis and lumbar instability in the United States, few physical examination findings have shown accuracy in detecting this condition.

Oral Steroids Provide Little Pain Relief Over Placebo in Acute Radiculopathy Due to Disc Herniation

“Each patient with acute radiculopathy (sciatica) will need to weigh the benefits and risks of taking a short course of oral steroids with their physician,”.

Nerve Root Involvement and Symptoms May Predict Treatment Success With McKenzie Method in Chronic Low Back Pain

The prospective cohort study involved 350 patients (age 18-60 years) with low back pain for more than 6 months who presented with centralization or peripheralization.

Sex Life Question on Oswestry Disability Index is Accurately Answered by Most Patients with Chronic Low Back Pain

Anecdotal evidence suggests that the sex life-related question of the Oswestry Disability Index (ODI-8) may need to be altered because it is either inaccurately answered or limits patient participation in the survey.

Age, Procedure Type, and Magnitude of Systemic Disease Predict Length of Stay Following Open Lumbar Spine Surgery

Older age and widespread systemic disease were the only preoperative factors predictive of longer hospital stays following an elective open posterior lumbar spine surgery in a multivariate analysis reported in the June 1 issue of The Spine Journal.

12 Sessions of Spinal Manipulation May Be Optimal for Chronic Low Back Pain

The study was designed to determine the optimal number of spinal manipulation sessions needed to give the most efficient care with the best outcomes.
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