scispace - formally typeset
Search or ask a question

Showing papers in "The Spine Journal in 2015"


Journal ArticleDOI
TL;DR: During the last decade, surgical treatment for lumbar DDD has increased 2.4-fold in the United States, and although all fusion procedures significantly increased, TDR did not increase.

235 citations


Journal ArticleDOI
TL;DR: Tranexamic acid reduces surgical bleeding and transfusion requirements in patients undergoing spine surgery and does not appear to be associated with an increased incidence of pulmonary embolism, DVT, or MI.

195 citations


Journal ArticleDOI
TL;DR: Although cause and effect cannot be determined from this cross-sectional study, longitudinal data will help to determine whether disabling low back pain and structural abnormalities of the spine are a cause or result of fat replacement of paraspinal muscles.

177 citations


Journal ArticleDOI
TL;DR: T1 slope was a key factor determining cervical spine sagittal balance and both spinopelvic balance and TI alignment have a significant influence on cervical spine Sagittal balance via T1 slope, but TIA had a stronger effect than TK.

169 citations


Journal ArticleDOI
TL;DR: Using this new software tool, a simple method for full spine analysis can be performed quickly, accurately, and reliably, setting the stage for proper preoperative planning.

155 citations


Journal ArticleDOI
TL;DR: The Fragility Index is a novel metric to inform about the robustness of statistically significant results from RCTs of spine surgery interventions and indicates that the statistical significance of a result hinges on only a few events, and a large Fragility index increases one's confidence in the observed treatment effects.

152 citations


Journal ArticleDOI
TL;DR: Findings from this review suggest that genetics and early environment are possible mechanisms underlying the relationship between obesity and LBP; however, a direct causal link between these conditions appears to be weak.

152 citations


Journal ArticleDOI
TL;DR: There are large differences in the United States for surgical treatment methods for lumbar spine pathology, likely multifactorial, with both patient and surgeon traits playing a role.

142 citations


Journal ArticleDOI
TL;DR: Patients who are older and have widespread systemic disease tend to stay in the hospital longer after surgery, and no single comorbidity was predictive of longer hospital stays.

142 citations


Journal ArticleDOI
TL;DR: Based on the limited literature and evidence currently available, there appears to be a protective effect of intrasite vancomycin powder on the incidence of SSI, without evidence of side effects.

137 citations


Journal ArticleDOI
TL;DR: Direct bone to implant bonding can be achieved on PEEK in spite of its hydrophobic nature using a plasma-sprayed titanium coating and the titanium coating dramatically improved the shear strength at the bone-implant interface at 4 weeks and continued to improve with time compared with PEEK.

Journal ArticleDOI
TL;DR: Minimal evidence for better clinical and radiographic outcome is found for PEEK cages compared with bone grafts in the cervical spine and Publication of lumbar interbody fusion studies needs to be promoted.

Journal ArticleDOI
TL;DR: This investigation sets the framework for surgeons to understand the impact of surgical techniques on the rate of pseudoarthrosis and represents a comprehensive estimation of the actual incidence of Pseudoarthrosis across a heterogeneous group of surgeons, patients, and ACDF techniques.

Journal ArticleDOI
TL;DR: The findings support the effectiveness of nonopioid medication, epidural injections, and disc surgery and suggest that spinal manipulation, acupuncture, and experimental treatments, such as anti-inflammatory biological agents, may be considered.

Journal ArticleDOI
TL;DR: Polymethylmethacrylate and various calcium ceramics appear promising for the augmentation of pedicle screw fixation biomechanically in both osteoporosis and revision spine surgery models.

Journal ArticleDOI
TL;DR: To treat discogenic LBP, it is important to prevent sensitization of sensory nerve fibers innervating the IVD, to suppress pathogenic increases of cytokines, and to decrease disc hypermobility.

Journal ArticleDOI
TL;DR: To identify LBP trajectories using LBP intensity and frequency measured once a week over 1 year and compare the results obtained using different analytical approaches, a prospective observational cohort study is conducted.

Journal ArticleDOI
TL;DR: According to the clinical outcome, CS provided similar improvements in pain amelioration and functional status compared to PS, with no significant differences, and CS resulted in significantly less surgical morbidity, including shorter incision length, quicker operative time, and less blood loss, compared toPS.

Journal ArticleDOI
TL;DR: The shape or number of interbody implants does not appear to impact the segmental stability when bilateral pedicle screws are used, and increased posterior instrumentation stresses were observed in all loading modes with unilateral pedicle screw/rod fixation, which may theoretically accelerate implant loosening or increase the risk of construct failure.

Journal ArticleDOI
TL;DR: The longitudinal reoperation rate after surgery for DS was determined and the independent risk factors for revision surgery for SSD and for ASD as the two distinct reasons for the reoperation were assessed to guide spine surgeons in their preoperative planning and in the surgical management.

Journal ArticleDOI
TL;DR: Percutaneous cement-augmented percutaneous posterolateral spinal fixation is a safe and effective option for palliation of appropriately selected mechanically unstable VCF that extends into pedicle and/or joint.

Journal ArticleDOI
TL;DR: The wiring technique and interlaminar clamps technique have fallen out of favor because of the development of newer and superior fixation techniques, whereas screw-rod systems have become the most popular fixation techniques.


Journal ArticleDOI
TL;DR: This study demonstrates the importance of including factors related to the overall health of a patient, in addition to parameters surrounding their cancer diagnosis, to better prognosticate survival.

Journal ArticleDOI
TL;DR: Anterior lumbar interbody fusion results in significant indirect foraminal decompression based on the new P-P technique, and Posterior DH is a significant factor in the restoration of the FH.

Journal ArticleDOI
TL;DR: Evaluating ISI and occupying ratio on preoperative MRI is important for selecting the appropriate surgical approach and for predicting clinical outcome after surgery for cervical compressive myelopathy due to OPLL in patients with an occupying ratio ≥60% or with presence of ISI on MRI.

Journal ArticleDOI
TL;DR: Spinal cord injury with a neurologic deficit could be found in every 13th patient with polytrauma patients and Complications such as multiorgan failure or sepsis and extended hospital length of stay are more frequent in SCI.

Journal ArticleDOI
TL;DR: There is compelling evidence that improved risk stratification, detection, and prevention will reduce SSI, and novel methods of perioperative infection prophylaxis such as local antibiotic administration appear to be modestly effective.

Journal ArticleDOI
TL;DR: Irigation endoscopic decompressive laminotomy allows the surgeon to safely perform effective central and foraminal decompression resulting in satisfactory midterm clinical results.

Journal ArticleDOI
TL;DR: This large-scale MRI study is the first to definitely note that MC were size- and type-dependently significantly associated with disc pathology and endplate abnormalities and may have clinical utility.