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.
Providers who treat back pain often lack a clear understanding of the presentation, diagnostic workup and treatment options for axial spondyloarthritis.
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.
Use of electronic health records (EHRs) and computerized physician order entry (CPOE) may lead to lower physician satisfaction and higher rates of professional burnout.
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.
The introduction of minimally invasive alternatives to open SI joint fusion were met with skepticism early on; however, initial retrospective studies showed promise.
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 decompression should be considered as a treatment option for adults with traumatic spinal cord injuries, particularly in people with severe injury.
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.
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.
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.
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.
Management of spine surgery in patients with osteoporosis poses many challenges, given the additional complexity that poor-quality bone introduces to the surgical management.
A new residency pathway focused specifically on training future spine surgeons should be developed to meet the changing needs of modern spine surgery practice.
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.
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.
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.
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.
The 2015 Agency for Healthcare Research and Quality Assessment, although highly rigorous, may not be truly reflective of the entire evidence base regarding injections.
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.
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.
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.
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...
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.
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.
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.
An evaluation of differences in operative data and outcomes between patients with adolescent idiopathic scoliosis vs those with adult idiopathic scoliosis.
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.
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.
The timing of lumbar epidural steroid injection (LESI) treatment before spinal fusion surgery may be an important risk factor for postoperative infection.
Ambulatory surgery centers appear well-positioned to thrive in the continuing evolving health care industry, with industry experts forecasting strong industry growth in 2017.
The North American Spine Society released coverage policy recommendations on spinal intrathecal drug delivery systems for the treatment of nonmalignant pain and spasticity.
In a first-of-its-kind study, clinical massage therapy was shown to produce "clinically meaningful improvement" for more than half of patients studied.
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.
“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).