Development and Validation of a Radiomics-Based Model for Predicting Osteoporosis in Patients with Lumbar Compression Fractures
Osteoporosis, a metabolic bone disorder, markedly elevates fracture risks, with vertebral compression fractures being predominant. Antiosteoporotic treatments for patients with osteoporotic vertebral compression fractures (OVCF) lessen both the occurrence of subsequent fractures and associated pain. Thus, diagnosing osteoporosis in OVCF patients is vital. (Source: The Spine Journal)
Source: The Spine Journal - April 26, 2024 Category: Orthopaedics Authors: Sunqi Nian, Yayu Zhao, Chengjin Li, Kang Zhu, Na Li, Weichao Li, Jiayu Chen Tags: Clinical Study Source Type: research
Cutibacterium Acnes in Spine Surgery: Pathophysiology, Diagnosis, and Treatment
Cutibacterium acnes (C. acnes) previously named Propionibacterium acnes (P. acnes) has been increasingly recognized by spine surgeons as a cause of indolent post-surgical spinal infection. Patients infected with C acnes may present with pseudarthrosis or nonspecific back pain. Currently, microbiological tissue cultures remain the gold standard in diagnosing C. acnes infection. Ongoing research into using genetic sequencing as a diagnostic method shows promising results and may be another future way of diagnosis. (Source: The Spine Journal)
Source: The Spine Journal - April 26, 2024 Category: Orthopaedics Authors: Makeen Baroudi, Mohammad Daher, Russell D Parks, Jerzy George Gregoryczyk, Mariah Balmaceno-Criss, Christopher L McDonald, Bassel G Diebo, Alan H Daniels Source Type: research
The application value and improved warning criterion of D-wave monitoring in intramedullary spinal cord tumor surgery
The primary treatment method for intramedullary spinal cord tumor (IMSCT) is surgical resection, but this procedure carries a significant risk of neurological damage. Intraoperative neurophysiological monitoring (IONM) has become a necessary adjunctive tool for IMSCT resection. (Source: The Spine Journal)
Source: The Spine Journal - April 26, 2024 Category: Orthopaedics Authors: Ke Li, Xiaorong Tao, Jiajia Liu, Jun Yang, Jiawei Shi, Xiao Wu, Wenqing Jia, Xing Fan, Hui Qiao Tags: Clinical Study Source Type: research
Letter to the editor regarding “MRI-based endplate bone quality score independently predicts cage subsidence following transforaminal lumbar interbody fusion” by Chen et al.
We read with great interest the article by Chen et al [1] that used the MRI-based Endplate Bone Quality (EBQ) score as an independent predictor of cage subsidence in patients after transforaminal lumbar interbody fusion (TLIF) surgery. This retrospective study was conducted on 280 adult patients who underwent single-segment TLIF for degenerative lumbar spine disease and aimed to investigate the predictive value of MRI-based EBQ scores for cage subsidence. The study found that cage subsidence, observed in 42 patients, was associated with visibly reduced bone density as measured by quantitative computed tomography, and the m...
Source: The Spine Journal - April 25, 2024 Category: Orthopaedics Authors: Hidetaka Mochizuki, Masatsugu Tsukamoto, Tadatsugu Morimoto, Hirohito Hirata, Tomohito Yoshihara, Masaaki Mawatari Tags: Letters to the Editor Source Type: research
“May the odds be ever in your favor”: modulating risk and surgical selection in the treatment of spinal epidural abscess
In the dystopian series The Hunger Games, the phrase “May the odds be ever in your favor” appears quite frequently as a catch phrase, well wish or quotidian blessing depending on which character is speaking. In healthcare today, and especially in surgery, we are always trying to ensure that odds are always in favor of a positive outcome at the ins titutional level, the provider level and most importantly—the patient level. That is really what risk modeling in surgical decision-making boils down to; ensuring the odds of the best result possible are maximized while those of an adverse event are minimized. (Source: The Spine Journal)
Source: The Spine Journal - April 25, 2024 Category: Orthopaedics Authors: Andrew J. Schoenfeld Tags: Commentary Source Type: research
Response to letter to the editor regarding, “MRI-based endplate Bone Quality score independently predicts cage subsidence following transforaminal lumbar interbody fusion”
We would like to express our gratitude to Mochizuki et al. [1] for their critical review and valuable comments on our study entitled, “MRI-based Endplate Bone Quality score independently predicts cage subsidence following transforaminal lumbar interbody fusion.” Concern was raised regarding variables that can be potential confounding factors for cage subsidence, such as details of the surgical techniques, cage surface coating (eg, titanium-coated), cage shape (eg, boomerang versus bullet), cage's position, and the use of antiosteoporosis drugs (eg, bisphosphonate and teriparatide). (Source: The Spine Journal)
Source: The Spine Journal - April 25, 2024 Category: Orthopaedics Authors: Youwei Ai, Qian Chen, Ce Zhu, Limin Liu Tags: Letters to the Editor Source Type: research
Letter to the editor regarding “Associations between paraspinal muscle characteristics and spinal curvature in conservatively treated adolescent idiopathic scoliosis: a systematic review” by Chan et al.
We read with high interest the study by Chan and colleagues about the muscle characteristics in scoliosis and their relationships with the curve features. The authors conducted a systematic review and found that the paraspinal muscles on the concavity presented different important alterations [1]. The results of this work are very important, especially for supporting the studies about rehabilitation in scoliosis. The application of quantitative measures, like the ones mentioned in the review, deserves a lot of attention because they allow precise calculations able to sustain valid reasonings. (Source: The Spine Journal)
Source: The Spine Journal - April 25, 2024 Category: Orthopaedics Authors: Daniele Coraci, Maria Chiara Maccarone, Giorgio Simioni, Lisa Ragazzo, Stefano Masiero Tags: Letters to the Editor Source Type: research
Letter to the editor regarding “Electrophysiological evaluation in scoliosis. What a multiperspective literature analysis displays” by Coraci et al.
We read an interesting sectorial literature analysis conducted by Coraci et al [1] to summarize the characteristics of outcome measures reported in peer-reviewed articles related to rehabilitation and AIS over the last decade. Out of 127 relevant papers identified from PubMed, the most frequently used outcome measure was Cobb angles from radiographs. Other commonly assessed outcomes included health-related quality of life, surface volume, respiration, muscular function, and electrophysiological assessments. (Source: The Spine Journal)
Source: The Spine Journal - April 25, 2024 Category: Orthopaedics Authors: Winnie WY Chan, Eric C. Parent, Arnold YL Wong Tags: Letters to the Editor Source Type: research
Letter to the editor regarding “Does the interfacing angle between pedicle screws and support rods affect clinical outcomes after posterior thoracolumbar fusion? A retrospective clinical study” by Noriega et al.
We read with great interest the article by Noriega et al. [1] investigating one of the causes of revision surgery. Revision surgeries or repetitious revisions are one of the biggest nightmares of spine surgeons and we must do our best to avoid revisions. The authors defined pedicle screw/rod interfacing angle mismatch as any deviation from 90 ˚ formed by the axes between the rod and the pedicle screw head. Mismatch found to be associated with a higher risk of revision surgery by causing increased mechanical stress on the construct. (Source: The Spine Journal)
Source: The Spine Journal - April 25, 2024 Category: Orthopaedics Authors: U ğur Yüzügüldü, Ömer Erşen Tags: Letters to the Editor Source Type: research
Reply to letter to the Editor regarding “Does the interfacing angle between pedicle screws and support rods affect clinical outcomes after posterior thoracolumbar fusion? A retrospective clinical study”
We thank the authors of the Letter to the Editor, Y üzügüldü and Erşen, regarding our article “Does the interfacing angle between pedicle screws and support rods affect clinical outcomes after posterior thoracolumbar fusion? A retrospective clinical study” for their detailed considerations and interested questions on this topic. Putting our study results in context with further recent research findings on the relationship between the risk of revision surgery and instrumentation is a valuable point that we were happy to pursue. (Source: The Spine Journal)
Source: The Spine Journal - April 25, 2024 Category: Orthopaedics Authors: David C. Noriega Tags: Letters to the Editor Source Type: research
Editorial Board
(Source: The Spine Journal)
Source: The Spine Journal - April 25, 2024 Category: Orthopaedics Source Type: research
Table of Contents
(Source: The Spine Journal)
Source: The Spine Journal - April 25, 2024 Category: Orthopaedics Source Type: research
Meetings Calendar
(Source: The Spine Journal)
Source: The Spine Journal - April 25, 2024 Category: Orthopaedics Source Type: research
Risk Factors of Revision Operation and Early Revision for Adjacent Segment Degeneration After Lumbar Fusion Surgery: A Case-Control Study
Adjacent segment degeneration (ASD) following lumbar fusion operation is common and can occur at varying timepoints after index surgery. An early revision operation for ASD, however, signifies a short symptom-free period and might increase the risk of successive surgeries. (Source: The Spine Journal)
Source: The Spine Journal - April 23, 2024 Category: Orthopaedics Authors: Sehan Park, Chang Ju Hwang, Dong-Ho Lee, Nam Yeop Kim, Hyun Wook Nam, Hyun Wook Kang, Choon Sung Lee, Cha Hyeong Ok, Jae Hwan Cho Tags: Clinical Study Source Type: research
Assessing the Variation and Drivers of Cost in 1-Level Lumbar Fusion: A Time-Driven Activity-Based Costing Analysis
As value-based health care arrangements gain traction in spine care, understanding the true cost of care becomes critical. Historically, inaccurate cost proxies have been used, including negotiated reimbursement rates or list prices. However, time-driven activity-based costing (TDABC) allows for a more accurate cost assessment, including a better understanding of the primary drivers of cost in 1-level lumbar fusion. (Source: The Spine Journal)
Source: The Spine Journal - April 23, 2024 Category: Orthopaedics Authors: David N. Bernstein, Bradley T. Hammoor, Chierika Ukogu Clements, Daniel G. Tobert, Thomas D. Cha, Jessica P. Aidlen, Stuart H. Hershman, Christopher M. Bono, Harold A. Fogel Tags: Clinical Study Source Type: research
