Showing papers in "The International Journal of Spine Surgery in 2017"

TL;DR: This study provides a long-term assessment of TDR versus anterior discectomy and fusion for the treatment of one- and two-level disc disease and shows significant improvement from baseline NDI scores, VAS neck and arm pain scores, and SF-12 MCS/PCS scores.

TL;DR: It has been clearly demonstrated from both a biochemical and clinical perspective that smoking increases the rate of perioperative complications for patients undergoing spinal fusion surgery, particularly pseudoarthosis.

TL;DR: For 1-2 level ACDF, perioperative complications, including durotomy, paraplegia, hematoma, and acute posthemorrhagic anemia were more commonly reported following inpatient ACDF.

TL;DR: SIJ fixation with screws had a much higher revision rate compared to SIJ fusion with triangular titanium implants designed for bone adherence, and the likelihood of surgical revision after these procedures was higher.

TL;DR: A retrospective study of 66 consecutive patients who underwent lateral interbody fusion using lordotic cages as part of CMIS correction of scoliosis from June 2012 to January 2016 shows that an average delta change of 8.03° can be achieved with 12° cages and this when done at each subsequent level results in a progressive harmonious creation of lordosis.

TL;DR: The findings support those cohort studies that found an association between diabetes and worst post-operative outcomes following surgical treatment of CSM and lend support to the importance of monitoring preoperative serum glucose levels, as prevention of peri-operative hyperglycemia has been linked to improved postoperative outcomes in spine, joint and colon surgery.

TL;DR: Results demonstrate that additive manufacturing allows for controlled trabecular-like surfaces that promote earlier cell proliferation and trends toward higher calcium production than TPS coating and present as an attractive alternative to TPS-coating for orthopedic spinal implants.

TL;DR: Results suggest 3D-printed, fenestrated triangular titanium implants with porous surfaces and bioactive agents, such as nanocrystalline hydroxyapatite (HA) or autograft, may further optimize bony fixation and subsequent biomechanical stability in SI joint pain patients.

TL;DR: The in vitro study suggests that vancomycin has toxic effects on hMSCs, a cell population particularly important for bone formation, and surgeons electing to use topical vancomYcin in spine surgery should restrict their use to the doses currently reported in the available published studies unless specific reasons exist otherwise.

TL;DR: Tranexamic acid significantly reduced the percentage of total blood volume lost versus no tranexamic Acid in AIS patients who underwent PSF using a standardized blood loss measure.

TL;DR: While there was no difference in perioperative complications between the two groups, the small sample size of the readmission cohort prevented this analysis from having sufficient power.

TL;DR: Surgical correction of spinal alignment improved spine function and efficiency and changes in gait abnormality parameters observed imply that the patient used less energy to ambulate after surgery than before surgery.

TL;DR: Steroids may reduce dysphagia after anterior cervical spinal procedures in the early post-operative period without increasing complications, and may be especially beneficial in patients undergoing multilevel procedures.

TL;DR: The larger footprint of the fully deployed TLIF cage combined with preservation of the anterior soft-tissue tension band may provide a better biomechanical fusion environment by combining the advantages of the traditional anterior lumbar interbody fusion and TLIF approaches.

TL;DR: Multilevel ACDF significantly increases and maintains both segmental and global cervical lordosis up to 6 months after surgery and is correlated with increasing positive sagittal vertical axis.

TL;DR: Support is provided that the addition of a PTC coating to a zero-profile PEEK lumbar interbody spacer facilitates rapid and stable fixation at the bone-implant interface and is associated with significantly improved pain outcomes, low implant subsidence and a high definitive rate of arthrodesis.

TL;DR: In patients with CSM that had a posterior surgical approach, LF is associated with a larger interval regression in disc-osteophyte complex size compared to laminoplasty, likely related to the loss of motion of the cervical spine after surgery as governed by Wolff's law and the Heuter-Volkmann’s principle.

TL;DR: Material density had the best correlation with mechanical strength and shear strength was the lowest at the anterior region and highest at the lateral region for both endplate and cancellous bone.

TL;DR: The top 100 cited articles in the topic of cervical spine surgery were published from 1952-2011 and provided insight to the history and development in cervical spine Surgery and many of which have shaped the way the authors practice today.

TL;DR: Patients demonstrating symptomatic pseudoarthrosis after SIJ fixation surgery can be successfully revised with decortication, grafting and fixation with threaded implants utilizing MI surgical techniques.

TL;DR: The novel computer based algorithm was an efficient and reliable method to assess scoliotic curvature in the coronal plane with the possibility of expediting clinic visits, ensuring reliability of calculation and decreasing patient exposure to radiation.

TL;DR: Because the spine contour is discernible even in low quality images where vertebral endplates may be obscured or poorly contrasted from surrounding tissue, the approach offers improved reliability, applicability across imaging modalities, and the possibility of a reduced radiation dose.

TL;DR: Inter-observer reliability of assessing stenosis on MRIs increases with surgeon experience, and surgeon experience was found to be a strong predictor of inter-ob server reliability.

TL;DR: Transforaminal percutaneous endoscopic discectomy for LDH does not present major differences in the improvement of quality of life regarding gender and with regard to the physical functioning, it appears to be a significant difference that is counterpoised over time.

TL;DR: The data of this study identified a trend towards better radiological outcomes for fracture reduction and maintenance of the correction in the 2/2 fixations, however these results are not statistically significant.

TL;DR: In the two years prior to ACDF, healthcare resource utilization is extremely high given that these patients ultimately undergo surgical intervention, opportunities to reduce charges of conservative care exist.

TL;DR: T1-2 level thoracic disc herniation can accompany with cervical region problems and some syndromes can mimic Th1 radiculopathy symptoms.

TL;DR: The modifications that were performed on the open door laminoplasty technique have made it into a simpler, more efficacious and safer procedure, without lessening its essential objectives.

TL;DR: This study elucidated screw-loosening mechanisms in integrated fixation cages under simulated physiological loading and observed spatial differences in fixation was observed for IFC screws across the vertebra where medial screws loosened at a greater frequency compared to lateral screws post-fatigue.

TL;DR: No regional clusterization was identified as for practical principles in the perioperative management of lumbar disc herniation and neither was case-volume a significative variable.