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Table of Contents
doi : 10.1016/S1529-9430(22)00811-7
Volume 22, Issue 10, October 2022, Pages A3-A6
Patient safety indicators from a spine surgery perspective: the importance of a specialty specific clinician working with the documentation team and the impact to your hospital
John A. Buza, MD, MS a , Leah Y. Carreon, MD, MSc a, *, Portia A. Steele, APRNa , Ryan G. Nazar, MD, CIME, EMHA, CSSGB b , Steven D. Glassman, MDa , Jeffrey L. Gum, MD
doi : 10.1016/j.spinee.2022.05.014
Volume 22, Issue 10, October 2022, Pages 1595-1600
The Hospital Acquired Conditions (HAC) Reduction Program supports the Centers for Medicare and Medicaid Services (CMS) effort to prevent harm to patients by providing a financial incentive to reduce HACs.
Adoption of awake spine surgery – trends from a national registry over 14 years
Tej D. Azad, MD, MS a,# , Safwan Alomari, MDa,# , Jawad M. Khalifeh, MD a , A. Karim Ahmed, MDa , Farah N. Musharbash, MDb , Kevin Mo, MHA b , Daniel Lubelski, MD a , Timothy F. Witham, MD a , Ali Bydon, MD a , Nicholas Theodore, MD, MS
doi : 10.1016/j.spinee.2022.04.012
Volume 22, Issue 10, October 2022, Pages 1601-1609
Awake spine surgery is growing in popularity, and may facilitate earlier postoperative recovery, reduced cost, and fewer complications than spine surgery conducted under general anesthesia (GA). However, trends in the adoption of awake (ie, non-GA) spine surgery have not been previously studied.
What is the role of dynamic cervical spine radiographs in predicting pseudarthrosis revision following anterior cervical discectomy and fusion?
Mark J. Lambrechts, MD*, Nicholas D. D’Antonio, BS, Brian A. Karamian, MD, Gregory R. Toci, BS, Matthew Sherman, BS, Jose A. Canseco, MD, PhD, Christopher K. Kepler, MD, MBA, Alexander R. Vaccaro, MD, MBA, PhD, Alan S. Hilibrand, MD, Gregory D. Schroeder, MD
doi : 10.1016/j.spinee.2022.04.020
Volume 22, Issue 10, October 2022, Pages 1610-1621
Postoperative dynamic radiographs are used to assess fusion status after anterior cervical discectomy and fusion (ACDF) with comparable accuracy to computed tomography (CT) scans.
The positive prediction of single photon emission computed tomography/ computed tomography (SPECT/CT) in the outcome of intervention for cervical facet pain
John E. Nolan III, MDa,b , Alec D. Sundet, MDa,b , Benjamin D. Kagan, BSa,b , Tiffini J. Lake, MDa,c , Martin H. Krag, MDa,b , David J. Lunardini, MD
doi : 10.1016/j.spinee.2022.04.021
Volume 22, Issue 10, October 2022, Pages 1622-1627
Previous studies have reported that magnetic resonance imaging (MRI) and computed tomography (CT) do not predict response to facet blocks. However, single photon emission computed tomography (SPECT) uptake within facet joints has been shown to correlate with pain relief after intervention in the lumbar spine.
Management of lumbar spondylolysis in the adolescent athlete: a review of over 200 cases
Jeffrey H. Choi, MD a, *, Jonathan K. Ochoa, MD a , Ariadna Lubinus b , Stephen Timon, MD b , Yu-po Lee, MDa , Nitin N. Bhatia, MD
doi : 10.1016/j.spinee.2022.04.011
Volume 22, Issue 10, October 2022, Pages 1628-1633
Spondylolysis is a defect of the pars interarticularis of vertebrae, most commonly seen at L5 and L4. The etiology of spondylolysis and isthmic spondylolisthesis is generally considered to be a result of repetitive mechanical stress to the weak portion of the vertebrae.
Clinical risk factor status in patients with vertebral fracture but normal bone mineral density
Aamir Kadri, MDa , Neil Binkley, MDb , Scott D. Daffner, MD c , Paul A. Anderson, MD
doi : 10.1016/j.spinee.2022.05.019
Volume 22, Issue 10, October 2022, Pages 1634-1641
Normal bone mineral density (BMD) as measured by dual-energy x-ray absorptiometry (DXA) is present in approximately 10% of older adults with fracture. BMD alone does not evaluate bone quality or clinical risk factors, and therefore, may not adequately capture a patient's fracture risk.
Bone quality in patients with osteoporosis undergoing lumbar fusion surgery: analysis of the MRI-based vertebral bone quality score and the bone microstructure derived from microcomputed tomography
Henryk Haffer, MD a,b , Maximilian Muellner, MD a,b , Erika Chiapparelli, MD a , Manuel Moser, MDa,c , Yusuke Dodo, MD a , Jiaqi Zhu, MSc d , Jennifer Shue, MSc a , Andrew A. Sama, MDa , Frank P. Cammisa, MD a , Federico P. Girardi, MDa , Alexander P. Hughes, MD
doi : 10.1016/j.spinee.2022.05.008
Volume 22, Issue 10, October 2022, Pages 1642-1650
Osteoporosis is a risk factor for instrumentation failure in spine surgery. Bone strength is commonly assessed by bone mineral density (BMD) as a surrogate marker.
Characteristics and outcomes of patients undergoing lumbar spine surgery for axial back pain in the Michigan Spine Surgery Improvement Collaborative
Mohamed Macki, MD, MPH a,1 , Travis Hamilton, MD a,1 , Lara Massie, MDa , Michael Bazydlo, MS b , Lonni Schultz, PhD b , Donald Seyfried, MD a , Paul Park, MDc , Ilyas Aleem, MD d , Muwaffak Abdulhak, MDa , Victor W. Chang, MDa , Jason M. Schwalb, MD
doi : 10.1016/j.spinee.2022.06.013
Volume 22, Issue 10, October 2022, Pages 1651-1659
The indications for surgical intervention of axial back pain without leg pain for degenerative lumbar disorders have been limited in the literature, as most study designs allow some degree of leg symptoms in the inclusion criteria.
Utility of the transversus abdominis plane and rectus sheath blocks in patients undergoing anterior lumbar interbody fusions
Sean M. Esmende, MD a, *, Matthew J. Solomito, PhD b , Jesse Eisler, MD c , Kevin J. Finkel, MDd , Pranjali P. Kainkaryam, MD d , Carla L. Maffeo-Mitchell, MD
doi : 10.1016/j.spinee.2022.04.019
Volume 22, Issue 10, October 2022, Pages 1660-1665
Anterior lumbar interbody fusion (ALIF) is a well-established technique to address numerous pathological conditions of the spine and to restore sagittal spine balance. Improving patient comfort and reducing opioid consumption following lumbar fusions is a significant goal for spine surgeons.
Development and validation of an automated planning tool for navigated lumbosacral pedicle screws using a convolutional neural network
Moritz Scherer, MD, PhD a,1, *, Lisa Kausch, MSc b,1 , Basem Ishak, MD, PhDa , Tobias Norajitra, MSc, PhD b , Philipp Vollmuth, MD, PhD c , Karl Kiening, MD, PhD a , Andreas Unterberg, MD, PhD a , Klaus Maier-Hein, MSc, PhDb,d,2 , Jan-Oliver Neumann, MD, PhD a
doi : 10.1016/j.spinee.2022.05.002
Volume 22, Issue 10, October 2022, Pages 1666-1676
Navigation and robotic systems have been increasingly applied to spinal instrumentation but dedicated screw planning is a time-consuming prerequisite to tap the full potential of these techniques.
Association between muscle health and patient-reported outcomes after lumbar microdiscectomy: early results
Junho Song, BSa , Kasra Araghi, BSa , Marcel M. Dupont, BA a , Pratyush Shahi, MBBS a , Patawut Bovonratwet, MD a , Daniel Shinn, BSa , Sidhant S. Dalal, BSa , Dimitra Melissaridou, MD a , Sohrab S. Virk, MD, MBA b , Sravisht Iyer, MD a , James E. Dowdell, MD a , Evan D. Sheha, MDa , Sheeraz A. Qureshi, MD, MBA
doi : 10.1016/j.spinee.2022.05.013
Volume 22, Issue 10, October 2022, Pages 1677-1686
Poor muscle health has been implicated as a source of back pain among patients with lumbar spine pathology. Recently, a novel magnetic resonance imaging (MRI)-based lumbar muscle health grade was shown to correlate with health-related quality of life scores.
Unilateral versus bilateral pedicle screw fixation with transforaminal lumbar interbody fusion for treatment of lumbar foraminal stenosis
Xiaofei Cheng, MD 1 , Kai Zhang, MD1 , Xiaojiang Sun, MD, Haijun Tian, MD, Changqing Zhao, MD2 , Jie Zhao, MD*
doi : 10.1016/j.spinee.2022.05.011
Volume 22, Issue 10, October 2022, Pages 1687-1693
Transforaminal lumbar interbody fusion (TLIF) with bilateral pedicle screw fixation (BPSF) is an effective treatment for lumbar foraminal stenosis (LFS). However, the effects of TLIF with unilateral pedicle screw fixation (UPSF) on LFS treatment have not been clearly elucidated.
Effects of general anesthesia with and without thoracic epidural block on length of stay after open spine surgery: a single-blinded randomized controlled trial
Marvin Thepsoparn, MD a, *, Porranee Punyawattanakit, MDa , Nara Jaruwangsanti, MD b , Weerasak Singhatanadgige, MDb,c , Pornpan Chalermkitpanit, MD
doi : 10.1016/j.spinee.2022.05.015
Volume 22, Issue 10, October 2022, Pages 1694-1699
Length of hospital stay (LOS) is an important concern in all types of surgery, and the enhanced recovery after surgery (ERAS) protocol has been developed to improve perioperative management and outcomes, which require multidisciplinary management.
Outcome of spine surgery in patients with depressed mental states: a Canadian spine outcome research network study
Duncan Cushnie, MD MSc FRCSC a, *, Alex Soroceanu, MD, CM, MPH, FRCSC b , Alexandra Stratton, MD, FRCSC c , Nicolas Dea, MD, MSc, FRCSC d , Joel Finkelstein, MD, FRCSC e , Christopher S. Bailey, MD, MSc, FRCSC f , Michael H. Weber, MD, FRCSC g , Jerome Paquet, MD, FRCSC h , Andrew Glennie, MD, FRCSC i , Hamilton Hall, MD, FRCSC e , Raja Rampersaud, MD, FRCSC e , Henry Ahn, MD, FRCSC e , Adrienne Kelly, MD, FRCSC j , Sean Christie, MD, FRCSC i , Andrew Nataraj, MD, FRCSC k , Michael Johnson, BSc(Med), MD, FRCSC l , Ed Abraham, MD, FRCSC i , Najmedden Attabib, MD, FRCSC i , Charles Fisher, MD, MHSc, FRCSC d , Neil Manson, MD, FRCSC i , Kenneth Thomas, MD, FRCSC
doi : 10.1016/j.spinee.2022.05.012
Volume 22, Issue 10, October 2022, Pages 1700-1707
Depression is higher among spine patients than among the general population. Some small studies, but not others, have suggested that depression may be a predictor of worse outcome after surgery.
Determination of a neurologic safe zone for bicortical S1 pedicle screw placement
Ergin Coskun, MD, Ian J. Wellington, MD*, Nicholas Bellas, MD, Hardeep Singh, MD, Scott S. Mallozzi, MD, Mark P. Cote, DPT, MSCTR, Isaac L. Moss, MD, CM, MASc
doi : 10.1016/j.spinee.2022.04.016
Volume 22, Issue 10, October 2022, Pages 1708-1715
Lumbosacral fixation is commonly used for the management of lumbosacral instability. As the sacrum mainly consists of cancellous bone, bicortical fixation, in which the pedicle screw penetrates the anterior sacral cortex, can help increase the strength of fixation. However, this method carries a risk to the L5 nerves which lie anterior to the sacrum at this level.
Cervical fracture patterns associated with blunt cerebrovascular injures when utilizing computed tomographic angiography: a systematic review and meta-analysis
Peter Z. Du, MDa, *, Dane Barton, MD a , Nathaniel Bridge, BSb , Venkat Ganapathy, MD, FRCSC, FAAOS
doi : 10.1016/j.spinee.2022.05.009
Volume 22, Issue 10, October 2022, Pages 1716-1725
Prior studies have demonstrated an association between cervical spine fractures and blunt cerebrovascular injuries (BCVI) due to the intimate anatomic relationship between the cervical spine and the vertebral arteries.
Neuropathology of distinct diaphragm areas following mid-cervical spinal cord contusion in the rat
Kun-Ze Lee, PhD
doi : 10.1016/j.spinee.2022.05.016
Volume 22, Issue 10, October 2022, Pages 1726-1741
The diaphragm is innervated by phrenic motoneurons distributed from the third to fifth cervical spinal cord. The rostral to caudal phrenic motoneuron pool segmentally innervates the ventral, medial, and dorsal diaphragm.
Outstanding in vivo mechanical integrity of additively manufactured spinal cages with a novel “honeycomb tree structure” design via guiding bone matrix orientation
Takuya Ishimoto, PhD a,b , Yoshiya Kobayashi, MEng a , Masahiko Takahata, MD, PhD c , Manabu Ito, MD, PhD d , Aira Matsugaki, PhD a,b , Hiroyuki Takahashi, PhDa,e , Ryota Watanabe, MEng a,e , Takayuki Inoue, PhD e , Tadaaki Matsuzaka, MEng a , Ryosuke Ozasa, PhDa,b , Takao Hanawa, PhD a,f , Katsuhiko Yokota, BA e , Yoshio Nakashima, MEng e , Takayoshi Nakano, PhD
doi : 10.1016/j.spinee.2022.05.006
Volume 22, Issue 10, October 2022, Pages 1742-1757
Therapeutic devices for spinal disorders, such as spinal fusion cages, must be able to facilitate the maintenance and rapid recovery of spinal function. Therefore, it would be advantageous that future spinal fusion cages facilitate rapid recovery of spinal function without secondary surgery to harvest autologous bone.
