Epidural angioleiomyoma: an extraordinary cause of compressive myelopathy —MRI findings with histopathological correlation
ConclusionThis report serves to raise awareness among clinicians and radiologists about including angioleiomyoma in differential diagnoses for spinal epidural lesions with indicative MRI features. The favorable outcome after surgical intervention underscores the necessity of swift and accurate diagnosis followed by appropriate treatment for such uncommon spinal tumors. (Source: European Spine Journal)
Source: European Spine Journal - April 22, 2024 Category: Orthopaedics Source Type: research
Barbed versus conventional suture in elective posterior spine surgery
ConclusionsIn elective posterior spinal procedures, the use of barbed sutures significantly reduced the duration of wound closure. The wound healing process was not hindered and the added cost related to the suture material was small. (Source: European Spine Journal)
Source: European Spine Journal - April 22, 2024 Category: Orthopaedics Source Type: research
Analysis of the efficacy of separation surgery for severe neurological compression in multiple myeloma: a retrospective analysis of 35 cases
ConclusionsSeparation surgery effectively alleviates pain, improves neurological function, and enhances the quality of life in patients with ESCC graded ≥ 2 due to MM. (Source: European Spine Journal)
Source: European Spine Journal - April 22, 2024 Category: Orthopaedics Source Type: research
Development and validation of a nomogram to predict the risk of residual low back pain after tubular microdiskectomy of lumbar disk herniation
ConclusionThis nomogram including preoperative LBP VAS score, FO, FJD and MFA can serve a promising prediction model, which will provide a reference for clinicians to predict the rLBP after tMD. (Source: European Spine Journal)
Source: European Spine Journal - April 22, 2024 Category: Orthopaedics Source Type: research
A novel MRI-based Cervical-Endplate Bone Quality score independently predicts cage subsidence after Anterior Cervical Discectomy and Fusion
ConclusionsHigher C-EBQ scores were significantly associated with postoperative cage subsidence after ACDF. There was a significant negative correlation between C-EBQ and endplate HU values. The C-EBQ score may be a promising tool for assessing preoperative bone quality and postoperative cage subsidence and is superior to the C-VBQ. (Source: European Spine Journal)
Source: European Spine Journal - April 21, 2024 Category: Orthopaedics Source Type: research
New evidence on the controversy over the correlation between vertebral osteoporosis and intervertebral disc degeneration: a systematic review of relevant animal studies
ConclusionOur study shows that vertebral osteoporosis may exacerbate disc degeneration. Abnormal bone remodeling caused by vertebral osteoporosis disrupts the structural integrity of the endplate, leading to impaired nutrient supply to the disc, increased expression of catabolic factors, and decreased levels of type II collagen and aggrecan may be one of the potential mechanisms. (Source: European Spine Journal)
Source: European Spine Journal - April 20, 2024 Category: Orthopaedics Source Type: research
The use of the Core Yellow Flags Index for the assessment of psychosocial distress in patients undergoing surgery of the cervical spine
ConclusionThe CYFI had a low to moderate but significant and independent association with cervical spine surgery outcomes. Implementing the CYFI in the preoperative workup of these patients could help refine outcome predictions and better manage patient expectations. (Source: European Spine Journal)
Source: European Spine Journal - April 20, 2024 Category: Orthopaedics Source Type: research
Letter to the Editor concerning “The role of environmental and seasonal factors in spine deep surgical site infection: the air pollution, a factor that may be underestimated” by M. Chehrassan et al. (Eur Spine J [2024]: doi:10.1007/s00586-024-08183-z)
(Source: European Spine Journal)
Source: European Spine Journal - April 19, 2024 Category: Orthopaedics Source Type: research
Radiographic and surgery-related predictive factors for increased segmental lumbar lordosis following lumbar fusion surgery in patients with degenerative lumbar spondylolisthesis
ConclusionsPre-op SLL, cage position, and spondylolisthesis reduction rate were identified as significant predictors of SLL restoration after LFS for DLS. Surgeons are advised to meticulously select patients based on pre-op SLL and strive to position the cage more anteriorly while minimizing spondylolisthesis to maximize SLL restoration. (Source: European Spine Journal)
Source: European Spine Journal - April 18, 2024 Category: Orthopaedics Source Type: research
Comparison of iCT-based navigation and fluoroscopic-guidance for atlantoaxial screw placement in 78 patients with traumatic cervical spine injuries
ConclusionsThis study contributes to the available data showing that navigated atlantoaxial screw placement proves to be feasible as well as highly accurate compared to the fluoroscopic-guidance technique without prolonging the time needed for surgery. When comparing these data with other studies, the application of different classification systems for assessment of screw accuracy should be considered. (Source: European Spine Journal)
Source: European Spine Journal - April 18, 2024 Category: Orthopaedics Source Type: research
Surgical treatment of Roussouly type 1 with realigning Roussouly spinal shape and improving SRS-Schwab modifier: effect on minimal clinically important difference
ConclusionFor ASD patients classified as Roussouly type 1, postoperative improvement in SRS-Schwab grades reflected superior patient-reported outcomes while type 1 and type 2 did not differ in clinical outcomes at 2Y. However, development of type 3a should be avoided at the risk of poor functional outcomes. Utilizing both classification systems in surgical decision-making can optimize postoperative outcomes. (Source: European Spine Journal)
Source: European Spine Journal - April 17, 2024 Category: Orthopaedics Source Type: research
Scoliosis and rare diseases: our experience with the Prader –Willi syndrome
Discussion and conclusionsSpine surgery represents a convincing option in patients affected by PWS, but the risks of complications are high. Correct patient selection must be the main objective, and multilevel pedicle screw fixation should be the procedure of choice. Traditional growing rod should be prudently evaluated in every single case. (Source: European Spine Journal)
Source: European Spine Journal - April 17, 2024 Category: Orthopaedics Source Type: research
Relating preoperative MCS-12 to microdiscectomy outcomes
ConclusionWhile worse preoperative mental health was associated with lower baseline and postoperative PROMs, patients in both groups experienced similar improvements in PROMs. Rates of surgical readmissions and reoperations were similar among patients with varying preoperative mental health status. (Source: European Spine Journal)
Source: European Spine Journal - April 17, 2024 Category: Orthopaedics Source Type: research
Timing of decompression in central cord syndrome: a systematic review and meta-analysis
ConclusionsEarly surgical decompression for CCS can improve motor function and reduce the incidence of complications without affecting the mortality rate in patients. Future research should focus on investigating and analyzing the optimal window period for early CCS surgery. Additionally, the timing of surgery should be determined based on the patient's condition and available medical resources. (Source: European Spine Journal)
Source: European Spine Journal - April 16, 2024 Category: Orthopaedics Source Type: research
Correction: Characteristics and evaluation of C1 posterior arch variation for transpedicular screw placement between patients with and without basilar invagination
(Source: European Spine Journal)
Source: European Spine Journal - April 16, 2024 Category: Orthopaedics Source Type: research
