Global Spine Journal




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سفارش

Steps Explained: The Review Process of Global Spine Journal

Karsten Wiechert, MD, Jens R. Chapman, MD, Jeffrey C. Wang, MD

doi : 10.1177/21925682211029651

Volume: 11 issue: 7, page(s): 1017-1018

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Incidence of Proximal Junctional Kyphosis With Pedicle Screws at Upper Instrumented Vertebrae in Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis

Yoji Ogura, MD, Steven D. Glassman, MD, Daniel Sucato, MD, M. Timothy Hresko, MD, Leah Y. Carreon, MD, MSc

doi : 10.1177/2192568220935107

Volume: 11 issue: 7, page(s): 1019-1024

Posterior spinal fusion (PSF) using all-pedicle screw constructs has become the standard procedure in the treatment of adolescent idiopathic scoliosis (AIS). However, there have been several reports that all-pedicle screw constructs or the use of pedicle screws at the upper instrumented vertebrae (UIV) increases the incidence of proximal junctional kyphosis (PJK). We aimed to evaluate the impact of instrumentation type on the incidence of PJK following PSF for AIS.

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Early Failures After Lumbar Discectomy Surgery: An Analysis of 62?690 Patients

Andre M. Samuel, MD, Kyle Morse, MD, Francis Lovecchio, MD, Noor Maza, BS, Avani S. Vaishnav, MBBS, Yoshihiro Katsuura, MD, Sravisht Iyer, MD, Steven J. McAnany, MD, Todd J. Albert, MD, Catherine Himo Gang, MPH, Sheeraz A. Qureshi, MD, MBA

doi : 10.1177/2192568220935404

Volume: 11 issue: 7, page(s): 1025-1031

To determine the rate of early failures (readmission or reoperation for new or recurrent pain/neurological symptoms) within 30 days after lumbar discectomy and identify associated risk factors.

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Long-Term Residual-Mobility and Adjacent Segment Disease After Total Lumbar Disc Replacement

Joep Kitzen, MD, Timon F. G. Vercoulen, MD, Martijn G. M. Schotanus, PhD, Sander M. J. van Kuijk, PhD, Nanne P. Kort, MD, PhD, Lodewijk W. van Rhijn, MD, PhD, Paul C. P. H. Willems, MD, PhD

doi : 10.1177/2192568220935813

Volume: 11 issue: 7, page(s): 1032-1039

Total disc replacement (TDR) has been introduced in order to preserve segmental motion and thus reduce adjacent segment disease (ASD) as seen after spinal fusion. However, it is uncertain whether these presumed beneficial effects remain. The aim of this study was to evaluate the long-term incidence of ASD and residual-mobility in relation to clinical outcome.

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Infection Recurrence in Instrumented Spinal Fusion in Children

Carlos A. Moyano, MD, Carlos A. Tello, MD, PhD, Lucas Piantoni, MD, Ida A. Francheri Wilson, MD, Eduardo Galaretto, MD, Rodrigo G. Remondino, MD, Ernesto Bersusky, MD, Mariano A. Noël, MD

doi : 10.1177/2192568220935818

Volume: 11 issue: 7, page(s): 1040-1045

Surgical site infection (SSI) is one of the main complications of instrumented spinal fusion. The aim of our study was to evaluate infection recurrence (same bacteria) or reinfection (different bacteria) in posterior spinal fusion in children.

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Partial Intraoperative Global Alignment and Proportion Scores Do Not Reliably Predict Postoperative Mechanical Failure in Adult Spinal Deformity Surgery

Alex S. Ha, MD, Daniel Y. Hong, MD, Josephine R. Coury, MD, Meghan Cerpa, MPH, Griffin Baum, MD, MSc, Zeeshan Sardar, MD, MSc, Lawrence G. Lenke, MD

doi : 10.1177/2192568220935438

Volume: 11 issue: 7, page(s): 1046-1053

The Global Alignment and Proportion (GAP) score allows sagittal plane analysis for deformity patients and may be predictive of mechanical complications. This study aims to assess the effectiveness of predicting mechanical failure based on partial intraoperative GAP (iGAP) scores.

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An Assessment of Nonoperative Management Strategies in a Herniated Lumbar Disc Population: Successes Versus Failures

Daniel T. Lilly, MD, Mark A. Davison, MD, Cody M. Eldridge, BS, Ravinderjit Singh, BS, Eric Y. Montgomery, BS, Carlos Bagley, MD, MBA, Owoicho Adogwa, MD, MPH

doi : 10.1177/2192568220936217

Volume: 11 issue: 7, page(s): 1054-1063

To compare the utilization of conservative treatments in patients with lumbar intervertebral disc herniations who were successfully managed nonoperatively versus patients who failed conservative therapies and elected to undergo surgery (microdiscectomy).

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Update on the Biomechanics of the Craniocervical Junction, Part II: Alar Ligament

Basem Ishak, MD, Alexander von Glinski, MD, PhD, Graham Dupont, BS, Stefan Lachkar, BS, Emre Yilmaz, MD, Joe Iwanaga, PhD, Andreas Unterberg, MD, PhD, Rod Oskouian, MD, R. Shane Tubbs, PhD, Jens R. Chapman, MD

doi : 10.1177/2192568220941452

Volume: 11 issue: 7, page(s): 1064-1069

The strength of the alar ligament has been described inconsistently, possibly because of the nonphysiological biomechanical testing models, and the inability to test the ligament with both attachments simultaneously. The purpose of this biomechanical model was to reevaluate the alar ligament’s tensile strength with both bony attachments, while also keeping the transverse ligament intact, all in a more physiological biomechanical model that mimics the mechanism of traumatic injury closely.

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Pattern of Drug Resistance in Primary Spinal Tuberculosis: A Single-Center Study From India

Sunil Bhosale, MS (Ortho), Akil Prabhakar, MS (Ortho), Sudhir Srivastava, MS (Ortho), Aditya Raj, MS (Ortho), Shaligram Purohit, MS (Ortho), Nandan Marathe, MS (Ortho)

doi : 10.1177/2192568220941445

Volume: 11 issue: 7, page(s): 1070-1075

Spinal tuberculosis accounts for about 50% of cases among extra pulmonary osteoarticular tuberculosis. Resistance to drugs in spinal tuberculosis patients is on a rise and there is inadequate literature concentrating on the precise pattern of resistance in Indian subcontinent which harbors 24% of global prevalence. The aim was to study the pattern of drug resistance in spinal tuberculosis among first- and second-line drugs. Drug resistance is common in spinal tuberculosis and we intended to find the prevalence of various drug resistance patterns.

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Implant Distribution Versus Implant Density in Lenke Type 1 Adolescent Idiopathic Scoliosis: Does the Position of the Screw Matter?

Brian L. Dial, MD, Valentine R. Esposito, MD, Anthony A. Catanzano, MD, Robert D. Fitch, MD, Robert K. Lark, MD

doi : 10.1177/2192568220941456

Volume: 11 issue: 7, page(s): 1076-1082

Previous studies have demonstrated that increased implant density (ID) results in improved coronal deformity correction. However, low-density constructs with strategically placed fixation points may achieve similar coronal correction. The purpose of this study was to identify key zones along the spinal fusion where high ID statistically correlated to improved coronal deformity correction. Our hypothesis was that high ID within the periapical zone would not be associated with increased percent Cobb correction.

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Age Is Just a Number: Patient Age Does Not Affect Outcome Following Surgery for Osteoporotic Vertebral Compression Fractures

Anmol Gupta, MD, MBA, Thomas Cha, MD, MBA, Joseph Schwab, MD, Harold Fogel, MD, Daniel Tobert, MD, Sheeraz Qureshi, MD, MBA, Andrew Hecht, MD, Christopher M. Bono, MD, Stuart Hershman, MD

doi : 10.1177/2192568220941451

Volume: 11 issue: 7, page(s): 1083-1088

Multiple studies have shown that osteoporotic patients are at an increased risk for medical and surgical complications, making optimal management of these patients challenging. The purpose of this study was to determine the relationship between patient age and the likelihood of surgical complications, mortality, and 30-day readmission rates following surgery for osteoporotic vertebral compression fractures (OVCFs).

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Lag-Screw Osteosynthesis in Thoracolumbar Pincer Fractures

Marc Auerswald, MD, Philipp Messer-Hannemann, Dr.-Ing., Kay Sellenschloh, Dipl Ing, Jan Wahlefeld, MD, Klaus Püschel, MD, Sven Hirschfeld Araujo, MD, Michael M. Morlock, Prof. Dr. habil. (PhD), Arndt P. Schulz, MD, Gerd Huber, Dr.-Ing.

doi : 10.1177/2192568220941443

Volume: 11 issue: 7, page(s): 1089-1098

This study evaluates the biomechanical properties of lag-screws used in vertebral pincer fractures at the thoracolumbar junction.

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Seated Lateral X-ray Is a Better Stress Radiograph of the Lumbar Spine Compared to Standing Flexion

J. Alex Sielatycki, MD, Tyler Metcalf, BS, Marissa Koscielski, MS, Clinton J. Devin, MD, Scott Hodges, DO

doi : 10.1177/2192568220939527

Volume: 11 issue: 7, page(s): 1099-1103

To compare changes in lumbar lordosis in standing flexion versus seated lateral radiographs.

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Is Endoscopic Discectomy the Next Gold Standard in the Management of Lumbar Disc Disease? Systematic Review and Superiority Analysis

Sathish Muthu, MS(Ortho), Eswar Ramakrishnan, MBBS, Girinivasan Chellamuthu, MS(Ortho)

doi : 10.1177/2192568220948814

Volume: 11 issue: 7, page(s): 1104-1120

We performed this meta-analysis to evaluate whether endoscopic discectomy (ED) shows superiority compared with the current gold standard of microdiscectomy (MD) in management of lumbar disc disease.

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Comparison of the Safety of Outpatient Cervical Disc Replacement With Inpatient Cervical Disc Replacement: A Systematic Review and Meta-Analysis

Xiaofei Wang, MD, Yang Meng, MD, Hao Liu, MD, PhD, Ying Hong, MD, Beiyu Wang, MD, Chen Ding, MD, Yi Yang, MD

doi : 10.1177/2192568220959265

Volume: 11 issue: 7, page(s): 1121-1133

Outpatient cervical disc replacement (CDR) has been performed with an increasing trend in recent years. However, the safety profile surrounding outpatient CDR remains insufficient. The present study systematically reviewed the current studies about outpatient CDR and performed a meta-analysis to evaluate the current evidence on the safety of outpatient CDR as a comparison with the inpatient CDR.

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Does Spondylolisthesis Affect Severity and Outcome of Degenerative Cervical Myelopathy? A Systematic Review and Meta-analysis

Renato Gondar, MD, Aria Nouri, MD, MSC, Gianpaolo Jannelli, MD, Karl Schaller, MD, Enrico Tessitore, MD

doi : 10.1177/2192568220960452

Volume: 11 issue: 7, page(s): 1134-1141

Degenerative cervical myelopathy (DCM) with spondylolisthesis remains not well defined, poorly studied, and underreported and plays a minor role in the therapeutic decision-making. Spondylolisthesis, however, is not uncommon and may result in dynamic injury to the spinal cord. We aim to describe the impact of spondylolisthesis in DCM severity and postoperative outcomes.

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Physical Examination of the Spine Using Telemedicine: A Systematic Review

Joshua Piche, MD, Bilal B. Butt, MD, Arya Ahmady, MD, Rakesh Patel, MD, Ilyas Aleem, MD, MS

doi : 10.1177/2192568220960423

Volume: 11 issue: 7, page(s): 1142-1147

To systematically review (1) the reliability of the physical examination of the spine using telehealth as it pertains to spinal pathology and (2) patient satisfaction with the virtual spine physical examination.

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Venous Thromboembolism Prophylaxis in Elective Spine Surgery

Samantha Solaru, BS, Ram K. Alluri, MD, Jeffrey C. Wang, MD, Raymond J. Hah, MD

doi : 10.1177/2192568220962439

Volume: 11 issue: 7, page(s): 1148-1155

Venothromboembolic (VTE) complications, composed of deep vein thrombosis and pulmonary embolism are commonly observed in the perioperative setting. There are approximately 500?000 postoperative VTE cases annually in the United States and orthopedic procedures contribute significantly to this incidence. Data on the use of VTE prophylaxis in elective spinal surgery is sparse. This review aims to provide an updated consensus within the literature defining the risk factors, diagnosis, and the safety profile of routine use of pharmacological prophylaxis for VTE in elective spine surgery patients.

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Risks, Rates and Odds: What’s the Difference and Why Does It Matter?

Joseph R. Dettori, PhD, Daniel C. Norvell, PhD, Jens R. Chapman, MD

doi : 10.1177/21925682211029640

Volume: 11 issue: 7, page(s): 1156-1158

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