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Surgical decompression timing for patients with foot drop from lumbar degenerative diseases: a meta-analysis
Sang-Youn Song, Dae Cheol Nam, Dong-Kyu Moon, Dong-Yeong Lee, Eun-Chang Lee & Dong-Hee Kim
doi : 10.1007/s00586-021-07045-2
Volume 31, issue 3, March 2022
To compare the outcomes of early (within 1Â month after foot drop) decompression versus late (1Â month or more after foot drop) decompression in order to determine the optimal surgical intervention timing for lumbar degenerative diseases.
Simultaneous decompression of all stenotic regions versus decompression of only the most symptomatic region in patients with tandem spinal stenosis: a systematic review and meta-analysis
Samarth Mittal, Kaustubh Ahuja, P. V. Sudhakar, Syed Ifthekar, Gagandeep Yadav, Bhaskar Sarkar & Pankaj Kandwal
doi : 10.1007/s00586-021-07078-7
European Spine Journal volume 31, pages 561–574 (2022)
Selection of anatomic region of spine for decompression in patients with symptomatic tandem spinal stenosis (TSS) remains a challenge due to the confusing clinical presentation as well as uncertain evidence. A systematic review and meta-analysis of observational studies were conducted to compare the outcomes between simultaneous decompression of all stenotic regions (cervical and lumbar, Group 1) and decompression of only the most symptomatic stenotic region (cervical/lumbar, Group 2) in patients with TSS.
Dural tear repair surgery comparative analysis: a stitch in time saves nine
Charles Taylor, Amad Khan, Emad Shenouda, Nicholas Brooke & Ali Nader-Sepahi
doi : 10.1007/s00586-021-07081-y
European Spine Journal volume 31, pages 575–595 (2022)
A dural tear is a common iatrogenic complication of spinal surgery associated with a several post-operative adverse events. Despite their common occurrence, guidelines on how best to repair the defect remain unclear. This study uses five post-operative outcomes to the compare repair methods used to treat 106 dural tears to determine which method is clinically favourable.
Distance to first symptoms measured by the 6-min walking test differentiates between treatment success and failure in patients with degenerative lumbar disorders
Anna M. Zeitlberger, Marketa Sosnova, Michal Ziga, Oliver P. Gautschi, Luca Regli, Oliver Bozinov, Astrid Weyerbrock, Martin N. Stienen & Nicolai Mald
doi : 10.1007/s00586-021-07103-9
European Spine Journal volume 31, pages 596–603 (2022)
The smartphone-based 6-min walking test (6WT) is an established digital outcome measure in patients undergoing surgery for degenerative lumbar disorders (DLD). In addition to the 6WTs primary outcome measure, the 6-min walking distance (6WD), the patient’s distance to first symptoms (DTFS) and time to first symptoms (TTFS) can be recorded. This is the first study to analyse the psychometric properties of the DTFS and TTFS.
Overweight and smoking promote recurrent lumbar disk herniation after discectomy
Alessandro Siccoli, Victor E. Staartjes, Anita M. Klukowska, J. Paul Muizelaar & Marc L. Schr?der
doi : 10.1007/s00586-022-07116-y
European Spine Journal volume 31, pages 604–613 (2022)
Recurrent lumbar disk herniation (rLDH) following lumbar microdiscectomy is common. While several risk factors for primary LDH have been described, risk factors for rLDH have only sparsely been investigated. We evaluate the effect of Body mass index (BMI) and smoking on the incidence and timing of rLDH.
Closed-suction drainage in thoracolumbar spinal surgery–clinical routine without evidence? a systematic review
Klaus John Schnake, Matthias Pumberger, Denis Rappert, Achim G?tz, Oleksandr Zolotoverkh, Rita Waligora, Max Joseph Scheyerer & Spine Section of the G
doi : 10.1007/s00586-021-07079-6
European Spine Journal volume 31, pages 614–622 (2022)
The considered benefit of surgical drain use after spinal surgery is to prevent local accumulation of a haematoma by decompressing the closed space in the approach of the surgical site. In this context, the aim of the present systematic review was to prove the benefit of the routine use of closed-suction drains.
Prognostic factors for outcome following lumbar spine fusion surgery: a systematic review and narrative synthesis
Retze J. Achttien, Andrew Powell, Konstantinos Zoulas, J. Bart Staal & Alison Rushton
doi : 10.1007/s00586-021-07018-5
European Spine Journal volume 31, pages 623–668 (2022)
The objective of this study was to identify and evaluate the value of prognostic factors related to disability, pain and quality of life (QoL) for adult patients undergoing lumbar spine fusion surgery (LSFS).
Identifying risks factors in thoracolumbar anterior fusion surgery through predictive analytics in a nationally representative inpatient sample
Shane Shahrestani, Alexander M. Ballatori, Xiao T. Chen, Andy Ton, Zorica Buser & Jeffrey C. Wang
doi : 10.1007/s00586-021-06857-6
European Spine Journal volume 31, pages 669–677 (2022)
Anterior thoracolumbar (TL) surgical approaches provide more direct trajectories compared to posterior approaches. Proper patient selection is key in identifying populations that may benefit from anterior TL fusion. Here, we utilize predictive analytics to identify risk factors in anterior TL fusion in patients with trauma and deformity.
An anatomical study of the origins courses and distributions of the transverse branches of lumbar arteries at the L1–L4 levels
Runxun Ma, Zhiyang Zheng, Xinying Zhou, Weijia Zhu, Junjie Chen, Rusen Zhang, Zexian Liu, Yejie Xu, Maoqing Fu, Zezheng Liu, Qinghao Zhao & Qingchu Li
doi : 10.1007/s00586-022-07124-y
European Spine Journal volume 31, pages 678–684 (2022)
Pseudoaneurysms of the lumbar arteries following transforaminal lumbar interbody fusion (TLIF) are rare postoperative complications that usually occur around the transverse process. However, there are few detailed descriptions of the transverse branch and other branches of the dorsal branches at the L1–L4 disks.
Comparison of radiation exposure and surgery time between an intraoperative CT with automatic surface registration and a preoperative CT with manual surface registration in navigated spinal surgeries
Martin Mohammed Marzouk, Yama Afghanyar, Mark Mahmoud Marzouk, Sarah Halima Boussouf, Philipp Hartung & Marcus Richter
doi : 10.1007/s00586-021-07082-x
European Spine Journal volume 31, pages 685–692 (2022)
This retrospective matched case–control study was conducted to compare two CT based surgery techniques for navigated screw placement in spinal surgery, whether a reduction of radiation exposure and surgery time could be achieved.
Robotic-guided placement of cervical pedicle screws: feasibility and accuracy
Stanley Kisinde, Xiaobang Hu, Shea Hesselbacher, Alexander M. Satin & Isador H. Lieberman
doi : 10.1007/s00586-022-07110-4
European Spine Journal volume 31, pages 693–701 (2022)
It has been shown that pedicle screw instrumentation in the cervical spine has superior biomechanical pullout strength and stability. However, due to the complex and variable anatomy of the cervical pedicles and the risk of catastrophic complications, cervical pedicle screw placement is not widely utilized.
Variations in LOS and its main determinants overtime at an academic spinal care center from 2006–2019
Dandurand Charlotte, N. Hindi Mathew, Ailon Tamir, Boyd Michael, Charest-Morin Raphaële, Dea Nicolas, Dvorak Marcel, Fisher Charles, K. Kwon Brian, Pa
doi : 10.1007/s00586-021-07086-7
European Spine Journal volume 31, pages 702–709 (2022)
Efforts to safely reduce hospital LOS while maintaining quality outcomes and patient satisfaction are paramount. The primary goal of this study was to assess trends in LOS at a high-volume quaternary care spine center. Secondary goals were to assess trends in factors most associated with prolonged LOS.
Impact of diagnosis and type of sacroiliac joint fusion on postoperative complications
Alexander M. Ballatori, Shane Shahrestani, Xiao T. Chen, Andy Ton, Jeffrey C. Wang & Zorica Buser
doi : 10.1007/s00586-021-07031-8
European Spine Journal volume 31, pages 710–717 (2022)
Two main surgical approaches are available for fusing the sacroiliac joint (SIJ): an open or minimally invasive (MIS) approach. The purpose of this study was to analyze the associated total hospital charges and postoperative complications of the MIS and open approach.
A national analysis on complications and readmissions for adult cerebral palsy patients undergoing primary spinal fusion surgery
Michael Fields, Nathan J. Lee, Kyle McCormick, Paul J. Park, Venkat Boddapati, Meghan Cerpa, Jun S. Kim, Zeeshan M. Sardar & Lawrence G. Lenke
doi : 10.1007/s00586-021-07089-4
European Spine Journal volume 31, pages 718–725 (2022)
Surgical intervention with spinal fusion is often indicated in cerebral palsy (CP) patients with progressive scoliosis. The purpose of this study was to utilize the National Readmission Database to determine the national estimates of complication rates, 90-day readmission rates, and costs associated with spinal fusion in adult patients with CP.
Validity and interobserver agreement of a new radiographic grading system for intervertebral disc degeneration: Part III. Thoracic spine
Christian Liebsch, Youping Tao, Annette Kienle & Hans-Joachim Wilke
doi : 10.1007/s00586-021-06970-6
European Spine Journal volume 31, pages 726–734 (2022)
The aim of this study was to assess the validity and objectivity of a new quantitative radiographic grading system for thoracic intervertebral disc degeneration.
Integrative analysis of metabolomic, genomic, and imaging-based phenotypes identify very-low-density lipoprotein as a potential risk factor for lumbar Modic changes
Yiming Li, Jaro Karppinen, Kathryn S. E. Cheah, Danny Chan, Pak C. Sham & Dino Samartzis
doi : 10.1007/s00586-021-06995-x
European Spine Journal volume 31, pages 735–745 (2022)
Modic changes (MC) on magnetic resonance imaging (MRI) have been associated with the development and severity of low back pain (LBP). The etiology of MC remains elusive, but it has been suggested that altered metabolism may be a risk factor. As such, this study aimed to identify metabolomic biomarkers for MC phenotypes of the lumbar spine via a combined metabolomic-genomic approach.
Lumbar intervertebral disc diurnal deformations and T2 and T1rho relaxation times vary by spinal level and disc region
John T. Martin, Alexander B. Oldweiler, Andrzej S. Kosinski, Charles E. Spritzer, Brian J. Soher, Melissa M. Erickson, Adam P. Goode & Louis E. DeFrat
doi : 10.1007/s00586-021-07097-4
European Spine Journal volume 31, pages 746–754 (2022)
Magnetic resonance imaging (MRI) is routinely used to evaluate spine pathology; however, standard imaging findings weakly correlate to low back pain. Abnormal disc mechanical function is implicated as a cause of back pain but is not assessed using standard clinical MRI. Our objective was to utilize our established MRI protocol for measuring disc function to quantify disc mechanical function in a healthy cohort.
Advanced disc degeneration, bi-planar instability and pathways of peri-discal gas suffusion contribute to pathogenesis of intradiscal vacuum phenomenon
Rishi M. Kanna, Swapnil Hajare, Pushpa Bhari Thippeswamy, Ajoy Prasad Shetty & S. Rajasekaran
doi : 10.1007/s00586-022-07122-0
European Spine Journal volume 31, pages 755–763 (2022)
Intradiscal vacuum phenomenon (IDVP), despite being ubiquitous, is poorly understood. The dynamic passage of peri-discal gases into the degenerated disc is a commonly accepted theory. But the reasons behind its selective appearance in some discs are unevaluated.
Different degeneration patterns of paraspinal muscles in degenerative lumbar diseases: a MRI analysis of 154 patients
Jun-zhe Ding, Chao Kong, Xiang-yu Li, Xiang-yao Sun, Shi-bao Lu & Guo-gunag Zhao
doi : 10.1007/s00586-021-07053-2
European Spine Journal volume 31, pages 764–773 (2022)
To evaluate the different degeneration patterns of paraspinal muscles in degenerative lumbar diseases and their correlation with lumbar spine degeneration severity.
Analysis of the paraspinal muscle morphology of the lumbar spine using a convolutional neural network (CNN)
David Baur, Richard Bieck, Johann Berger, Juliane Neumann, Jeanette Henkelmann, Thomas Neumuth, Christoph-E. Heyde & Anna Voelker
doi : 10.1007/s00586-021-07073-y
European Spine Journal volume 31, pages 774–782 (2022)
This single-center study aimed to develop a convolutional neural network to segment multiple consecutive axial magnetic resonance imaging (MRI) slices of the lumbar spinal muscles of patients with lower back pain and automatically classify fatty muscle degeneration.
Investigating the active contractile function of the rat paraspinal muscles reveals unique cross-bridge kinetics in the multifidus
Alex M. Noonan, Thomas R. Oxland & Stephen H. M. Brown
doi : 10.1007/s00586-022-07120-2
European Spine Journal volume 31, pages 783–791 (2022)
Various aspects of paraspinal muscle anatomy, biology, and histology have been studied; however, information on paraspinal muscle contractile function is almost nonexistent, thus hindering functional interpretation of these muscles in healthy individuals and those with low back disorders. The aim of this study was to measure and compare the contractile function and force-sarcomere length properties of muscle fibers from the multifidus (MULT) and erector spinae (ES) as well as a commonly studied lower limb muscle (Extensor digitorum longus (EDL)) in the rat.
Evaluation of the degenerative lumbar osseous morphology using zero echo time magnetic resonance imaging (ZTE-MRI)
Bowen Hou, Chanyuan Liu, Yitong Li, Yan Xiong, Jingyi Wang, Peisen Zhang, Jianyi Liu, Weiyin Vivian Liu & Xiaoming Li
doi : 10.1007/s00586-021-07099-2
European Spine Journal volume 31, pages 792–800 (2022)
To determine and compare the performance of zero echo imaging (ZTE) with conventional MRI sequences on lumbar osseous morphology in patients suspected with lumbar degeneration with multi-slice computed tomography (MSCT) as standard reference.
Accuracy and agreement of national spine register data for 474 patients compared to corresponding electronic patient records
Ole Kristian Alhaug, Simran Kaur, Filip Dolatowski, Milada Cvancarova Sm?stuen, Tore K. Solberg & Greger L?nne
doi : 10.1007/s00586-021-07093-8
European Spine Journal volume 31, pages 801–811 (2022)
Data quality is essential for all types of research, including health registers. However, data quality is rarely reported. We aimed to assess the accuracy of data in a national spine register (NORspine) and its agreement with corresponding data in electronic patient records (EPR).
Correction to: Identification of potentially painful disc fissures in magnetic resonance images using machine‑learning modelling
Lagerstrand Kerstin, Hebelka Hanna & Brisby Helena
doi : 10.1007/s00586-021-07105-7
European Spine Journal volume 31, page 812 (2022)
