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Detection of Critical Spinal Epidural Lesions on CT Using Machine Learning.
Harris, Robert J. PhD; Baginski, Scott G. MD; Bronstein, Yulia MD; Schultze, Dietrich MD; Segel, Kenneth MD; Kim, Shwan MD; Lohr, Jerry BS; Towey, Steve MS; Shahi, Nishit BS; Driscoll, Ian BA; Baker, Brian BS
doi : 10.1097/BRS.0000000000004438
Critical spinal epidural pathologies can cause paralysis or death if untreated. Although magnetic resonance imaging is the preferred modality for visualizing these pathologies, computed tomography (CT) occurs far more commonly than magnetic resonance imaging in the clinical setting.
Early Adherence to Prescribed Brace Wear for Adolescent Idiopathic Scoliosis Is Associated With Future Brace Wear.
Linden, Gabriel S. BA a; Emans, John B. MD a,b; Karlin, Lawrence I. MD a,b; O'Neill, Nora P. BA a,c; Williams, Kathryn A. MS a; Hresko, Michael T. MD a,b
doi : 10.1097/BRS.0000000000004446
Retrospective cohort study. Objective. To assess if initial adherence to prescribed brace wear for adolescent idiopathic scoliosis (AIS) predicts future adherence and curve improvement.
Effectiveness of Lumbosacral Orthosis After Discectomy for Lumbar Disk Herniation: A Prospective Comparative Study.
Sakaki, Kyohei MD, PhD a; Yoshii, Toshitaka MD, PhD b; Arai, Yoshiyasu MD, PhD a; Torigoe, Ichiro MD, PhD a; Tomori, Masaki MD, PhD a; Onuma, Hiroaki MD, PhD a; Ogawa, Takahisa MD, MPH b; Hirakawa, Akihiro PhD c; Sakai, Kenichiro MD, PhD a; Okawa, Atsushi MD, PhD b
doi : 10.1097/BRS.0000000000004475
A prospective comparative study. Objective. To investigate the benefits of postoperative application of lumbosacral orthosis after single-level discectomy for lumbar disk herniation (LDH). Summary of Background Data.
Validation of Adult Spinal Deformity Surgical Outcome Prediction Tools in Adult Symptomatic Lumbar Scoliosis.
Wondra, James P. II BS a; Kelly, Michael P. MD b; Greenberg, Jacob MD c; Yanik, Elizabeth L. PhD a; Ames, Christopher P. MD d; Pellise, Ferran MD e; Vila-Casademunt, Alba MSc e; Smith, Justin S. MD, PhD f; Bess, Shay MD g; Shaffrey, Christopher I. MD h; Lenke, Lawrence G. MD i; Serra-Burriel, Miquel PhD j; Bridwell, Keith H. MD a
doi : 10.1097/BRS.0000000000004416
A post hoc analysis. Objective. Advances in machine learning (ML) have led to tools offering individualized outcome predictions for adult spinal deformity (ASD). Our objective is to examine the properties of these ASD models in a cohort of adult symptomatic lumbar scoliosis (ASLS) patients. Summary of Background Data.
Opioid and Sedative NarxCare Scores Greater Than 300 Are Associated With Adverse Outcomes After Nonemergent Spine Surgery.
Emara, Ahmed K. MD; Sultan, Assem MD; Grits, Daniel BS; Savage, Jason MD; Piuzzi, Nicolas S. MD; Pelle, Dominic W. MD
doi : 10.1097/BRS.0000000000004459
This was a prospectively captured cohort study. Objective. To explore associations between the preoperative opioid-specific NarxCare Scores (NCS) (NCS-opioids) as well as sedative-specific NCS (NCS-sedatives) as measures of patients' prescription drug use and (1) 90-day postoperative readmission; (2) ED visits; (3) reoperation; (4) prolonged (>2 d) hospital length of stay (LOS); and (5) nonhome discharge.
Operative Versus Nonoperative Management of Unstable Spine Fractures in the Elderly: Outcomes and Mortality.
Malacon, Karen BA a; Rangwalla, Taiyeb BS b; Wadhwa, Harsh BS a; Zygourakis, Corinna MD c
doi : 10.1097/BRS.0000000000004466
Retrospective cohort study. Objective. To assess outcomes and mortality in elderly patients following unstable spine fractures depending on treatment modality. Summary of Background Data.
Establishment of an Individualized Distal Junctional Kyphosis Risk Index following the Surgical Treatment of Adult Cervical Deformities.
Passias, Peter G. MD a; Naessig, Sara BS a; Sagoo, Navraj BS b; Passfall, Lara BS a; Ahmad, Waleed MS a; Lafage, Renaud MS c; Lafage, Virginie PhD c; Vira, Shaleen MD b; Schoenfeld, Andrew J. MD d; Oh, Cheongeun PhD e; Protopsaltis, Themistocles MD e; Kim, Han Jo MD c; Daniels, Alan MD f; Hart, Robert MD g; Burton, Douglas MD h; Klineberg, Eric O. MD i; Bess, Shay MD j; Schwab, Frank MD c; Shaffrey, Christopher MD k; Ames, Christopher P. MD l; Smith, Justin S. MD, PhD m; On Behalf of the International Spine Study Group
doi : 10.1097/BRS.0000000000004372
A retrospective review of a multicenter comprehensive cervical deformity (CD) database. Objective. To develop a novel risk index specific to each patient to aid in patient counseling and surgical planning to minimize postop distal junctional kyphosis (DJK) occurrence.
Comparing Clinical and Radiographic Outcomes Between the Self-locking Stand-alone Cage and Conventional Cage-plate Construct: A Five-year Retrospective Cohort Study.
Li, Pan PhD a,b; Lei, Runbo MSc b; Gan, Lu MD b; Shangguan, Lei MD b; Liang, Zhuowen MD b; Chang, Le MD b; Cao, Xiongfei MSc b; Ye, Zhengxu MD b; Li, Mo PhD, MD b; Luo, Zhuojing PhD, MD a,b
doi : 10.1097/BRS.0000000000004465
A retrospective cohort study. Objective. To evaluate the clinical efficacy of the self-locking stand-alone (SA) cage and conventional cage-plate construct (CPC) in treating degenerative cervical spondylosis with a five-year follow-up.
Predictive Models for Length of Stay and Discharge Disposition in Elective Spine Surgery: Development, Validation, and Comparison to the ACS NSQIP Risk Calculator.
Arora, Ayush BSE a; Lituiev, Dmytro PhD b; Jain, Deeptee MD c; Hadley, Dexter MD, PhD d; Butte, Atul J. MD, PhD b,e,f; Berven, Sigurd MD a; Peterson, Thomas A. PhD a,b
doi : 10.1097/BRS.0000000000004490
A retrospective study at a single academic institution. Objective. The purpose of this study is to utilize machine learning to predict hospital length of stay (LOS) and discharge disposition following adult elective spine surgery, and to compare performance metrics of machine learning models to the American College of Surgeon's National Surgical Quality Improvement Program's (ACS NSQIP) prediction calculator.
Deriving a Novel Score for the Stratification of Risk Progression in Early-onset Scoliosis: A Multicenter Initiative.
AlNouri, Mason MD a; Wada, Kanichiro MD a; Kumagai, Gentaro MD, PhD a; Asari, Toru MD, PhD a; Nitobe, Yohshiro MD, PhD a; Morishima, Toshibumi MD, PhD b; Uesato, Ryoko MD, PhD c; Aoki, Megumi MD b; Ishibashi, Yasuyuki MD, PhD a
doi : 10.1097/BRS.0000000000004462
This was a retrospective multicenter study. Objective. To develop a novel progression risk stratification scoring system for early-onset scoliosis. Summary of Background Data.
Measurement Properties of the Simplified Chinese Version of the Lumbar Spine Instability Questionnaire for Patients With Low Back Pain in Mainland China.
Chen, Shao-Feng MD; Zhou, Xiao-Yi MD; Cheng, Ya-Jun MD; Yang, Hao-Yan MD; Li, Man-Ping MD; Zhai, Xiao MD; Li, Ming MD; Bai, Yu-Shu MD; Wei, Xian-Zhao MD
doi : 10.1097/BRS.0000000000004463
A prospective study. Objective. To develop a simplified Chinese version of Lumbar Spine Instability Questionnaire (SC-LSIQ) and test its measurement properties.
The Future of Spine Care Innovation-Software not Hardware: How the Digital Transformation Will Change Spine Care Delivery.
Simpson, Andrew K. MD, MBA, MHS a; Crawford, Alexander M. MD b; Striano, Brendan M. MD b; Kang, James D. MD a; Schoenfeld, Andrew J. MD, MSc a
doi : 10.1097/BRS.0000000000004487
Narrative review. Objective. The aim was to utilize the lessons from the digital transformation of industries beyond healthcare, weigh the changing forces within the healthcare ecosystem, and provide a framework for the likely state of spine care delivery in the future.
