Showing papers in "The Spine Journal in 2020"

TL;DR: Despite the study design limitation of relatively short duration of follow-up, this trial suggests that biportal endoscopic decompressive laminectomy is an alternative to and offers similar clinical outcomes as microscopic open surgery in patients with symptomatic lumbar spinal stenosis.

TL;DR: The evidence-based clinical guideline has been created using techniques of evidence- based medicine and best available evidence to aid practitioners in the diagnosis and treatment of adult patients with nonspecific low back pain.

TL;DR: Holographic navigation by use of a head-mounted device achieves an accuracy comparable to the gold standard of high-end pose-tracking systems, and could result in a new way of surgical navigation with minimal infrastructural requirements but now have to be confirmed in clinical studies.

TL;DR: This is the first study to correlate the novel VBQ score obtained from MRIs with DEXA T-score and find this score to be a significant predictor of healthy versus osteopenic/osteoporotic bone with an accuracy of 81%.

TL;DR: Spine Explorer is an efficient, accurate, and reliable tool to acquire comprehensive quantitative measurements for lumbar vertebra and disc, and Implication of such deep learning based program can facilitate clinical studies of theLumbar spine.

TL;DR: The small variability of contribution patterns are observed, suggesting distinct adaptation of the structures to one another, the biomechanical characteristics of one structure have to be put in context of the whole spinal segment.

TL;DR: The clinician decision aid developed in this study may be helpful to preoperatively risk-stratify opioid-naïve patients undergoing lumbar spine surgery and demonstrates moderate discriminative capacity for identifying those at greatest risk of prolonged prescription opioid use.

TL;DR: Results indicate that a 30% reduction (baseline to 12 months after surgery) in disability and pain is a valid method for determining clinically relevant improvement in a broad spine surgery population.

TL;DR: No clinically relevant differences were found between the use of an unsupervised MLA with complete admission neurological information compared to the previously validated standards; however, the AUROC showed inaccurate prognostic performance when there was an imbalance towards a greater amount of false negatives.

TL;DR: Considering the costs and benefits of 3DP along with the varying risks associated with different spine procedures, 3DP technology is likely most valuable for complex or atypical spine disorder cases.

TL;DR: Pending external validation, the NLP algorithm developed in this study may be used by entities including national spine registries or hospital quality and safety departments to automate tracking of incidental durotomies.

TL;DR: The results from this study showed that S2AI screws with a lower profile have made a significant impact in reducing complications associated with conventional iliac screws.

TL;DR: It was showed that persistent, severe LBP and disability is common in a secondary care population with L BP and is associated with a variety of psychological risk factors, in particular catastrophization and depression, highlighting the importance of considering these factors in the design and evaluation of outcomes studies for low back pain.

TL;DR: It is demonstrated the novel, MRI-derived VBQ score is both an independent predictor of fragility fracture in at-risk patients and a superior predictor of fracture risk than DXA-measured BMD.

TL;DR: Minimally invasive screw placement using augmented reality surgical navigation was demonstrated to be feasible and as accurate as fluoroscopy and may foster the reduction of intraoperative x-ray exposure to spinal surgeons.

TL;DR: The GAPB system, which includes BMI and BMD, showed improved predictability for predicting mechanical complications compared to the GAP score, and surgeons should keep in mind the importance of bone quality and BMI as well as proportional alignment.

TL;DR: Despite the postoperative period being key in SSI prophylaxis, the literature is sparse and without consensus on optimum postoperative care for SSI prevention in spine surgery.

TL;DR: This study validates the New England Spinal Metastasis Score (NESMS) and demonstrates its utility in prognosticating survival for patients with spinal metastatic disease, irrespective of selected treatment strategy.

TL;DR: The prevalence of AIS was found to be 2.3% in Turkey, considerably higher than the values in previous regional studies conducted in Turkey; however, it was close to generally accepted averages in the literature.

TL;DR: The SORG algorithms for survival in spinal metastatic disease generalized well to a contemporary cohort of consecutively treated patients from an external institutional and further validation in international cohorts and large, prospective multi-institutional trials is required.

TL;DR: Endplate defects are common findings on lumbar MRIs in adults and may be an independent risk factor for back pain, and specific types of endplate defects were associated with back pain history.

TL;DR: Patients with preoperative diagnoses of depression or anxiety have a greater likelihood of adverse outcomes, increased opioid consumption, and increased cumulative health care payments after ACDF compared with patients without depression and anxiety.

TL;DR: Temporal validation of the algorithm developed in this study demonstrates a proof-of-concept application of NLP for automated reporting of adverse events after spine surgery and has the potential to dramatically improve and automatize quality and safety reporting.

TL;DR: The fusion rate of porous titanium compared to PEEK with autograft at 12 months was similar, although porous titanium resulted in faster consolidation, and one level anterior cervical fusion can be successfully achieved without additional plating.

TL;DR: The volume and utilization of lumbar fusions have increased since 2012, while lumbars discectomy and microdiscectome volume and usage have fallen and trends in Medicare payments have risen at a disproportionate rate.

TL;DR: A Naïve Bayes machine learning model was shown to have good to excellent reliability and responsiveness for cost, LOS, and discharge disposition, and an individualized risk-based model is warranted for patients with higher rates of comorbidities.

TL;DR: Multilevel OLIF with PCO using a stiff rod can be an effective alternative to PSO for patients with severe sagittal imbalance and resulted in similar levels of sagittal balance and lordosis correction as obtained by PSO.

TL;DR: While previous studies have established the biomechanical efficacy of MPP on cadaveric models, further high-quality studies are required to evaluate the long-term consequences of these procedures on patient-reported outcomes, postoperative complications, and associated inpatient/outpatient costs.

TL;DR: This is the first large-scale study to note that lumbar HIZs, and specific patterns therein, are potentially clinically-relevant imaging biomarkers that are independently and significantly associated with prolonged/severe LBP and sciatica.

TL;DR: TLIF appears to have a protective effect, reducing rates of early screw loosening by approximately 60% versus PLF, however, this effect appears independent of actual overall radiographic fusion rates which may be approximately 20% lower with TLIF at 12 months.