Preoperative low Hounsfield units in the lumbar spine are associated with postoperative mechanical complications in adult spinal deformity
ConclusionPatients who experienced MCs following surgery for ASD had lower HUs than those who did not. HUs may therefore be more useful than BMD for predicting MCs following surgery for ASD. (Source: European Spine Journal)
Source: European Spine Journal - May 2, 2024 Category: Orthopaedics Source Type: research

Letter to the Editor concerning “ChatGPT versus NASS clinical guidelines for degenerative spondylolisthesis: a comparative analysis” by Ahmed W, et al. (Eur Spine J [2024]: doi:10.1007/s00586-024-08198-6)
(Source: European Spine Journal)
Source: European Spine Journal - May 2, 2024 Category: Orthopaedics Source Type: research

Answer to the Letter to the Editor of G. Shen, et al. concerning “ChatGPT versus NASS clinical guidelines for degenerative spondylolisthesis: a comparative analysis” by Ahmed W, et al. (Eur Spine J [2024]: doi:10.1007/s00586-024-08198-6)
(Source: European Spine Journal)
Source: European Spine Journal - May 2, 2024 Category: Orthopaedics Source Type: research

Trends in infectious spondylitis from 2000 to 2020
ConclusionRecently, infections caused by indigenous bacteria in the oral cavity and intestines have increased more than those caused by resistant bacteria over the past two decade. (Source: European Spine Journal)
Source: European Spine Journal - May 1, 2024 Category: Orthopaedics Source Type: research

Enhanced technique of dural closure using autologous fat graft and Gelfoam for effective management of dural tear following interlaminar endoscopic lumbar spine surgery
ConclusionThis study demonstrates that using fat graft and Gelfoam for dural closure is a simple, reliable, and safe technique, particularly effective for challenging-to-repair areas in interlaminar endoscopic lumbar spine surgery. (Source: European Spine Journal)
Source: European Spine Journal - April 30, 2024 Category: Orthopaedics Source Type: research

Baastrup ’s disease prevalence across various age groups and its association with degenerative changes: insights from STIR sequence in MRI
ConclusionBaastrup ’s disease is more commonly observed than being considered rare, displaying an incremental occurrence with increasing age in symptomatic individuals notably discernible on the STIR sequence. Using the STIR sequence seems to promote a consensus among radiologists, irrespective of their experience l evels. (Source: European Spine Journal)
Source: European Spine Journal - April 30, 2024 Category: Orthopaedics Source Type: research

Imaging anatomy study related to unilateral biportal endoscopic lumbar spine surgery
ConclusionReferring to the drill diameter during surgery can mark the extent of laminotomy. The characteristics of vertebral plate angles at different lumbar levels can provide references for preoperative incision design. (Source: European Spine Journal)
Source: European Spine Journal - April 29, 2024 Category: Orthopaedics Source Type: research

Construct validation of the Japanese Core Outcome Measures Index and the impact of diseases on patient-reported outcome measures in preoperative patients with lumbar spinal stenosis and disk herniation: a single-center observational study
ConclusionsThis study highlights the distinct impact of LSS and LDH on preoperative QOL in older patients undergoing lumbar spinal surgery. Tailored interventions are essential to address the specific challenges posed by these conditions and improve patient-centered outcomes and postoperative recovery. (Source: European Spine Journal)
Source: European Spine Journal - April 28, 2024 Category: Orthopaedics Source Type: research

Systematic evaluation of vertebral bone quality score as an opportunistic screening method for BMD in spine surgery patients
ConclusionVBQ is better at detecting low BMD than identifying osteoporosis. The ability of VBQ to predict osteoporosis is limited, and a similar diagnostic efficacy can be achieved with age. Incorporating VBQ alongside demographic data enhances the efficiency of BMD assessment. With the development of artificial intelligence in medicine, this simple method is promising. (Source: European Spine Journal)
Source: European Spine Journal - April 27, 2024 Category: Orthopaedics Source Type: research

Klippel –Feil syndrome: Should additional examination be conducted?
ConclusionKlippel –Feil prevalence is 0.309%, it is frequently observed in women, and at C2–C3 level. Additional anomalies are especially associated with ‘contiguous fused segments’ and ‘upper level’ types. Klippel–Feil with scoliosis is an indicator of increased risk for associated anomalies, and exami nation of the whole spine is recommended. (Source: European Spine Journal)
Source: European Spine Journal - April 27, 2024 Category: Orthopaedics Source Type: research

Unilateral high-riding vertebral artery is associated with asymmetric morphological changes of the atlantoaxial joint: a novel risk factor for atlantoaxial osteoarthritis
ConclusionUnilateral HRVA was associated with asymmetric morphological changes of nonuniform settlement of C2 lateral mass, lateral slip of atlas, and atlantoaxial rotation displacement. Besides age  ≥ 60 years and females, unilateral HRVA is an independent risk factor for AAOA. (Source: European Spine Journal)
Source: European Spine Journal - April 27, 2024 Category: Orthopaedics Source Type: research

Answer to the letter to the editor of A. Kleebayoon, et al. concerning “ChatGPT versus NASS clinical guidelines for degenerative spondylolisthesis: a comparative analysis” by Ahmed W, et al. (Eur Spine J [2024]: doi: 10.1007/s00586-024-08198-6)
(Source: European Spine Journal)
Source: European Spine Journal - April 27, 2024 Category: Orthopaedics Source Type: research

Minimally invasive surgery versus standard posterior approach in the treatment of adolescent idiopathic scoliosis: a 2-year follow-up retrospective study
ConclusionsMISS is a safe and capable alternative to PSF for AIS patients with curves  <  70°, with analogue capacity of scoliosis correction and same operative time and with advantages in blood loss, length of stay and postoperative pain. (Source: European Spine Journal)
Source: European Spine Journal - April 26, 2024 Category: Orthopaedics Source Type: research

Predictors of failure after primary anterior cervical discectomy and fusion for subaxial traumatic spine injuries
ConclusionsACDF is safe and effective for the treatment of subaxial cervical spine fractures. High age, bilateral facet joint dislocation and traumatic PLL disruption are independent predictors of failure. We suggest increased vigilance regarding these cases. (Source: European Spine Journal)
Source: European Spine Journal - April 25, 2024 Category: Orthopaedics Source Type: research

ISSLS prize in clinical/bioengineering science 2024: How standing and supine positions influence nutrient transport in human lumbar discs? —A serial post-contrast MRI study evaluating interplay between convection and diffusion
ConclusionsFor the first time, present study documented acute effects of physiological loading and unloading on nutrition of human discs in vivo. While during rest, solutes diffused gradually into disc, the diurnal short loading and unloading redistribute small solutes by convection. Standing caused rapid solute depletion but promptly regained by assuming resting supine position. (Source: European Spine Journal)
Source: European Spine Journal - April 25, 2024 Category: Orthopaedics Source Type: research