News and Research for Spine Professionals

Lumbar Herniated Discs: Diagnostic and Treatment Decision-Making

Richard Deyo, MD and Sohail Mirza, MD discuss the current research on lumbar herniated discs, including diagnostic pearls along with the most efficacious treatment options and guidelines.

Axial Spondyloarthritis: Are We Missing the Diagnosis?

Providers who treat back pain often lack a clear understanding of the presentation, diagnostic workup and treatment options for axial spondyloarthritis.

Novel Scoring System Predicts Complications Post Spinal Fusion

A novel simple-to-use scoring system that can postoperatively predict which patients are at a higher risk for major complications from spinal fusion was published in The Spine Journal.

Physician Burnout and Professional Dissatisfaction Linked to Electronic Health Records and Computerized Physician Order Entry

Use of electronic health records (EHRs) and computerized physician order entry (CPOE) may lead to lower physician satisfaction and higher rates of professional burnout.

Opioid Prescribing: The Hospitalist Perspective, A Qualitative Analysis

A study published recently in the Journal of Hospital Medicine reveals some surprising factors that influence hospitalists' attitudes toward opioid prescribing during hospitalization and at discharge.

Guidance on Medications for Fracture Healing Released by Expert Panel

The International Osteoporosis Foundation reviewed existing literature and voted on appropriateness of care for fracture healing.

iFuse Titanium Implant System Shows Efficacy and Safety in 2-Year Study

The introduction of minimally invasive alternatives to open SI joint fusion were met with skepticism early on; however, initial retrospective studies showed promise.

Is Vertebral Augmentation Beneficial for Compression Fractures in the Elderly?

Findings suggest that vertebral augmentation is efficacious for the treatment of compression fractures in elderly patients with osteoporosis, James S. Harrop, MD, told attendees at Spine Summit 2016.

Early Surgical Decompression Improves Outcomes From Spinal Cord Injuries

Early decompression should be considered as a treatment option for adults with traumatic spinal cord injuries, particularly in people with severe injury.

Mesenchymal Stem Cell Allograft and ACDF Study Outcomes

Patients who received mesenchymal stem cell allografts during anterior cervical discectomy and fusion had lower fusion rates compared with a matched cohort of patients who received standard allografts.

Coflex Device Shows ‘Similar or Superior’ Efficacy to Fusion When Used With Decompression in 5-Year Study of Lumbar Spinal Stenosis

Decompression plus interlaminar stabilization with coflex® (Paradigm Spine, LLC) produced similar outcomes to decompression plus fusion with pedicle screws in the treatment of lumbar spinal stenosis.

Recombinant Bone Morphogenetic Protein Linked to Reduce Risk of Reoperation Following Spine Fusion for Adult Scoliosis

It is incumbent upon surgeons and researchers to provide clinical data for use of BMP in fusion surgery not only from large administrative databases, but also from single center studies.

Acupuncture for Pediatric Back Pain

Study results show acupuncture could be a viable nonpharmacological option to improve back pain in pediatric patients.

Diabetes and Chronic Kidney Disease Linked to Suboptimal Quality of Life Benefit After Lumbar Decompression

Patients with diabetes and chronic kidney disease do not experience expected improvements in quality of life following lumbar decompression in the treatment of lumbar degenerative disease.

Challenges of Spine Surgery in Patients With Osteoporosis

Management of spine surgery in patients with osteoporosis poses many challenges, given the additional complexity that poor-quality bone introduces to the surgical management.

Meeting Highlights from the 31st Annual Meeting of the Section on Disorders of the Spine and Peripheral Nerves—Spine Summit 2015

Six prestigious international spine societies were represented during the Spine Summit 2015 program.

mobi-c, disc, replacement, TDR, anterior discectomy and fusion, ACDF, total

Although several TDR devices are on the market, few have been clinically evaluated for 2-level use.

Perspective on Training Future Spine Surgeons

A new residency pathway focused specifically on training future spine surgeons should be developed to meet the changing needs of modern spine surgery practice.

Robotic Guidance System for Cervical and Thoracolumbar Spinal Surgery

Study focused on predictive accuracy of surgical planning using a robotic guidance system in the placement of pedicle screws in cervical spine or thoracolumbar spine surgery.

Combined Robotic Navigation System for Screw Placement Shows Efficacy in Spinal Surgery

Malpositioning of screws in posterior lumbar spinal fusion can lead to neurologic and visceral injury, as well as biomechanical compromise. ISASS19 presentation reviews the efficacy of a novel robotic navigation system in a retrospective case series.

6 Spine Technology Highlights

During NASS 2017, SpineUniverse met with many industry leaders and randomly chose 6 to highlight in this snapshot.

Surgery for Lumbar Degenerative Disc Disease Increased by 2.4-fold in the Last Decade

Surgical treatment of lumbar/ lumbosacral degenerative disc disease increased by 2.4-fold between 2000 and 2009, according to data from a nationwide, population-based cohort published in the The Spine Journal.

What Is the Rate of Lumbar Fusion Following Single-Level Discectomy?

The analysis was based on data from more than 13,500 patients who underwent discectomy between January 2007 and September 2014.

Romosozumab Reduces Risk for New Vertebral Fractures in Postmenopausal Women with Osteoporosis

Results of the FRAME study involved 7,180 postmenopausal women with osteoporosis who were randomized to a monthly subcutaneous injection with either 210-mg romosozumab or placebo for 12 months.

Do Spinal Injections in the Treatment of Degenerative Disc Disease offer Value?

The 2015 Agency for Healthcare Research and Quality Assessment, although highly rigorous, may not be truly reflective of the entire evidence base regarding injections.

Adding Lateral Interbody Fusion to Open Surgery Improves Outcomes in Adult Spinal Deformity

Surgical correction of mild-to-moderate spinal deformity and sagittal imbalance is complex and often plagued by relatively high complication rates.

Transsacral Fixation Is Linked to High Fusion Rate and Improved Quality of Life in Adult Scoliosis

Use of minimally invasive transsacral fixation resulted in fusion in nearly 90% of adults with scoliosis as well as improved health-related quality of life and a relatively low complication rate.

Higher Than Expected Rate of Reoperation Found Following Final Fusion in Early-Onset Scoliosis

Twenty percent of children with early-onset scoliosis who underwent growing-rod surgery required reoperation following final fusion. The higher than expected rate of reoperation has important implications for patient counseling.

Elderly Women Report Worse Outcomes than Men Following Lumbar Discectomy, but Similar Satisfaction Rate

A review of the Swedish registry for spine surgery that looked at gender differences in over 1,000 elderly patients (age >65 years) who had a lumbar discectomy.

Minimally Invasive Posterior or Transarticular Approach to Sacroiliac Joint Fusion?

Up to 20% of low back pain can be caused by one or both sacroiliac (SI) joints. Diagnosis of the SI joint as the pain generator can be challenging and requires...

Intracept Intraosseous Nerve Ablation System Reduces Pain and Disability in Chronic Axial Low Back Pain

Ablation of the intraosseous basivertebral nerve (BNV) is a recent FDA-approved treatment for axial chronic low back pain that does not respond to conservative care.

Addition of a Plasma-Sprayed Titanium Coated PEEK Interbody Implant to Anterior Lumbar Interbody Fusion Shows High Success Rate

The study involved 44 patients (48% male, mean age, 53 years) who received a PTC PEEK implant during single or multi-level anterior lumbar interbody fusion procedure.

Improving Human Resources and Productivity in Orthopaedic and Spine Practices

How spine practices can plan for the everyday stress of caring for patients while at the same time improving productivity and profitability.

Yoga May Improve Functioning in Patients With Chronic Nonspecific Low Back Pain

Yoga may improve back-related function in patients with chronic nonspecific low back pain, according to a review of 12 randomized controlled studies.

Marked Variability in Diagnostic Interpretation of Lumbar Spine MRI Found

Magnetic resonance imaging (MRI) of a single patient’s lumbar spine at 10 different MRI centers showed marked variability in reported interpretive findings and a high prevalence of interpretive errors.

Surgery for Adult Spinal Deformity Improves Gait Patterns, but Limitations Remain

Surgical correction of adult spinal deformity was linked to improvements in gait patterns, but patients still show...

Adolescent Idiopathic Scoliosis Study, Skeletal Maturity and Surgical Considerations

An evaluation of differences in operative data and outcomes between patients with adolescent idiopathic scoliosis vs those with adult idiopathic scoliosis.

Adolescent Idiopathic Scoliosis, Skeletal Maturity, Surgery—Study Statistical Analysis

The statistical analysis related to Surgery for Adolescent Idiopathic Scoliosis Patients After Skeletal Maturity: Now or Later? presented during the annual meeting of the American Association of Orthopaedic Surgeons is featured.

Adolescent Idiopathic Scoliosis, Skeletal Maturity, Surgery—Discussion, Conclusion

Surgical correction of the skeletally mature adolescent often evokes fear among family members to the possibility of complications.

Arthritis, Painkillers and Heart Health

Ten-year trial with osteoarthritis and rheumatoid arthritis patients had surprising findings about celecoxib, naproxen and ibuprofen.

Can Opioids Still Be Prescribed Effectively and Safely in the Era of Federal Scrutiny?

A summary of "Opioid Use in an Era of Federal Scrutiny," presented by Carl W. Stopper, APN-C, during Spine Summit 2017.

Research Shows BMP Use in Pediatric Fusion Does Not Improve Revision Rates

First study to provide 10-year utilization and outcome data for rhBMP use in pediatric patients who underwent spinal arthrodesis. Jeffrey Wang, MD provides insightful commentary.

Epidural Steroid Injection Before Spine Surgery Linked to Postoperative Infection

The timing of lumbar epidural steroid injection (LESI) treatment before spinal fusion surgery may be an important risk factor for postoperative infection.

Trends in Surgical Procedures Performed in Ambulatory Surgery Centers

Ambulatory surgery centers appear well-positioned to thrive in the continuing evolving health care industry, with industry experts forecasting strong industry growth in 2017.

NASS Releases Coverage Policy Recommendations on Intrathecal Drug Delivery Systems

The North American Spine Society released coverage policy recommendations on spinal intrathecal drug delivery systems for the treatment of nonmalignant pain and spasticity.

Clinical Massage Therapy “Real-World” Study Outcomes

In a first-of-its-kind study, clinical massage therapy was shown to produce "clinically meaningful improvement" for more than half of patients studied.

Music Therapy Decreases Pain After Spine Surgery

Music therapy, when combined with standard medical care, lowered pain perception in patients recovering from spinal fusion.

Spine Biomechanics Laboratory Quantitates Functional Outcomes After Spine Surgery

The Spinal Biomechanics Laboratory is the first spine-related human movement biomechanics lab to be incorporated within a private practice spine center in the United States.

Navigating Health Insurance Coverage for Minimally Invasive SI Joint Surgery

Patients who underwent minimally invasive SI joint fusion with the iFuse Implant™ were 11 times less likely to be opioid users at their last visit.

Spine Surgery “Hype”? Robotics, Biologics, Navigation, Lasers

“Don’t Believe the Hype” was one of the popular symposiums held during the 17th Annual Meeting of the International Society for the Advancement of Spine Surgery (ISASS).
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