Article
Orthopedics
Menghan Cai, Zhijun Xin, Weijun Kong, Qian Du, Wenjun Ji, Fujun Wu, Jin Li, Jialin He, Wenbo Liao
Summary: The study observed the clinical efficacy of a novel transpedicular reducer in the treatment of thoracolumbar burst fractures, showing that this method has good effectiveness in vertebral body reduction and bone grafting, and can effectively improve patients' pain and fracture healing.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Review
Clinical Neurology
Salman Sharif, Yousuf Shaikh, Onur Yaman, Mehmet Zileli
Summary: This study formulated specific guidelines for thoracolumbar fracture recommendations regarding surgical techniques and nonfusion surgery through two consensus meetings, concluding that surgical treatment may be a better option in certain situations.
Article
Medicine, General & Internal
Paul S. Page, Vikas K. Parmar, Evalina Bond, Darnell T. Josiah
Summary: This study reviewed 112 patients treated with thoracolumbar orthosis, showing that A3 and A4 fractures can be conservatively managed with low failure rates. However, at the one-year follow-up, A4 fractures result in significantly worse segmental kyphosis.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Review
Clinical Neurology
Philipp Pieroh, Ulrich J. A. Spiegl, Anna Voelker, Sven Maerdian, Nicolas H. von der Hoeh, Georg Osterhoff, Christoph-E. Heyde
Summary: This systematic review evaluated the effectiveness of spinal orthoses in the treatment of osteoporotic vertebral fractures (OVF). The results showed that studies without comparison groups reported improvements in pain, function, and quality of life. However, compared to patients not wearing an orthosis, some studies failed to find benefits, while two studies reported a significant improvement using an orthosis. Overall, there is currently no evidence of superiority for spinal orthoses in the treatment of OVF.
GLOBAL SPINE JOURNAL
(2023)
Article
Orthopedics
Samarth Mittal, Arvind Rana, Kaustubh Ahuja, Syed Ifthekar, Gagandeep Yadav, Pudipeddi Venkata Sudhakar, Shivendra K. Sinha, Santanu Kar, Bhaskar Sarkar, Pankaj Kandwal, Kamran Farooque
Summary: This study analyzed the outcomes of anterior surgery in thoracolumbar burst fractures, including functional, neurological, and radiological parameters. The results showed significant improvement in functional, neurological, and radiological outcomes after surgery.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2022)
Article
Orthopedics
Mahmud Aydin, Serkan Surucu, Sercan Capkin, Dogan Atlihan
Summary: This study compared the effectiveness of EBPT and PO-EBPT in the treatment of mallet fractures. The results showed that PO-EBPT group had better clinical outcomes and less loss of extension at the DIP joint compared to the EBPT group.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2022)
Article
Clinical Neurology
Ke-Rui Zhang, Yi Yang, Hao Liu, Li-Tai Ma
Summary: This study evaluated the effects of using navigation technique in anterior approach surgery for thoracolumbar burst fractures on vertebral body screw placement and its impact on long-term prognosis. The results showed that the use of navigation can improve the accuracy of screw placement and improve patients' prognosis.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Pascal R. Furrer, Sandro Hodel, Florian Wanivenhaus, Florian Grubhofer, Mazda Farshad
Summary: This study assessed the wearing time of hyperextension orthoses (HOs) for osteoporotic vertebral fractures (OVFs) using a hidden temperature-based sensor. The results showed poor overall compliance with wearing HOs and significant gender differences, but no association with age, body mass index, or pain level. Further research is needed to confirm the impact of wearing time on kyphotic progression and short-term clinical outcomes.
Review
Clinical Neurology
Teerachat Tanasansomboon, Thanachaporn Kittipibul, Worawat Limthongkul, Wicharn Yingsakmongkol, Vit Kotheeranurak, Weerasak Singhatanadgige
Summary: Thoracolumbar burst fractures without neurological deficit are common spinal injuries. The ideal classification and management strategies for this type of injury are controversial and currently being investigated. This article reviews the current literature to provide updated evidence on these topics. The integrity of the posterior ligamentous complex is important in treatment decision-making, and minimally invasive surgery techniques can replace open approaches. Implant removal after stabilization may provide benefits, especially in younger patients.
WORLD NEUROSURGERY
(2022)
Article
Orthopedics
Zheng Zeng, Dan Zhang, Fen-Lian Zeng, Jun Ao
Summary: This study evaluated the clinical effect of a custom-made Y-shaped fracture fragment reduction device in posterior unilateral small fenestration of the lamina. The use of the Y-shaped device significantly reduced the operation time and intraoperative bleeding compared to the traditional device group. There were no significant differences between the two groups in terms of spinal stenosis rate, Cobb angle, anterior compression ratio of injured vertebrae, or neurological recovery.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Multidisciplinary Sciences
Xiaoming Tian, Yachong Huo, Felicity Y. Han, Dalong Yang, Wenyuan Ding, Sidong Yang
Summary: Old compression vertebrae fracture or congenital kyphoscoliosis can cause severe thoracolumbar kyphotic deformity, which may result in intractable low back pain or compression of the spinal cord. Surgical treatment is usually required if conservative treatment is ineffective. We have developed a modified technique for unilateral removal of the diseased vertebra, which reduces the risks associated with osteotomy and shortens the surgery time and blood loss.
JOVE-JOURNAL OF VISUALIZED EXPERIMENTS
(2022)
Article
Medicine, General & Internal
Sonu Mehta, Baasil S. Yusuf, Daphne Chiew, Sameer Rathore, Nallamilli R. Reddy, Deepak Nair, Uday Mahajan, Thayur R. Madhusudhan, Adhiyaman Vedamurthy
Summary: There is controversy surrounding the efficacy of TLSO bracing in the non-operative management of thoracolumbar spine fractures. This study aimed to evaluate the number of braces issued, associated costs, and patient satisfaction, and to reconsider the use of TLSO. The results showed that a significant proportion of patients did not receive adequate advice, the brace interfered with daily activities, and many patients chose to remove the brace earlier than advised.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Review
Health Care Sciences & Services
Siu Kei David Mak, Dino Accoto
Summary: Osteoporotic spine fractures are common and correlated with age and incidence of osteoporosis. Treatment options include conservative measures and surgery, with conservative measures aiming for early rehabilitation to prevent complications. Spinal bracing is commonly used for symptomatic management, while newer technologies like spinal exoskeletons show potential for improving support and mobility for patients with OSF.
Article
Rheumatology
Jo Adams, Paula Barratt, Ines Rombach, Nigel Arden, Sofia Barbosa Boucas, Sarah Bradley, Michael Doherty, Susan J. Dutton, Rachael Gooberman-Hill, Kelly Hislop-Lennie, Corinne Hutt-Greenyer, Victoria Jansen, Ramon Luengo-Fernadez, Mark Williams, Krysia Dziedzic
Summary: In a study on patients with symptomatic basal thumb joint OA, it was found that adding a thumb splint to a high-quality self-management programme provided by therapists did not result in additional treatment benefits. All treatment groups showed improvement, but there was no significant difference in efficacy between the groups.
Article
Orthopedics
Hualin Li, Qi Chen, Jiasen Hu, Jiapei Yu, Jianwei Xiang, Kaiyu Li, Junjie Weng, Naifeng Tian
Summary: This study retrospectively analyzed the clinical data of 86 patients with thoracolumbar burst fracture and found an association between laminar fractures and postoperative loss of correction. Preoperative Cobb angle was also identified as a predictive factor.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Clinical Neurology
Alexander Romagna, Jefferson R. Wilson, W. Bradley Jacobs, Michael G. Johnson, Christopher S. Bailey, Sean Christie, Jerome Paquet, Andrew Nataraj, David W. Cadotte, Neil Manson, Hamilton Hall, Kenneth C. Thomas, Christoph Schwartz, Y. Raja Rampersaud, Greg McIntosh, Charles G. Fisher, Nicolas Dea
Summary: This study retrospectively analyzed prospectively collected data from the Canadian Surgical Spine Registry to examine the return to work rates after surgery for degenerative cervical myelopathy (DCM). The results showed that the majority of nonretired patients were able to return to work 12 months after surgery, and preoperative employment status and anterior surgical approach were associated with higher odds of returning to work.
GLOBAL SPINE JOURNAL
(2022)
Article
Clinical Neurology
Jose A. Canseco, Gregory D. Schroeder, Taylor M. Paziuk, Brian A. Karamian, Frank Kandziora, Emiliano N. Vialle, F. Cumhur Oner, Klaus J. Schnake, Marcel F. Dvorak, Jens R. Chapman, Lorin M. Benneker, Shanmuganathan Rajasekaran, Christopher K. Kepler, Alexander R. Vaccaro
Summary: The aim of this study was to develop an injury score for the AO Spine Subaxial Cervical Spine Injury Classification System in order to develop a surgical algorithm. By numerically grading each variable within the classification system for severity, the Subaxial Cervical AO Spine Injury Score was developed.
GLOBAL SPINE JOURNAL
(2022)
Article
Clinical Neurology
Nabeel Alnaghmoosh, Jennifer Urquhart, Ruheksh Raj, Edward Abraham, Bradley Jacobs, Philippe Phan, Michael Johnson, Jerome Paquet, Andrew Nataraj, Greg McIntosh, Charles G. Fisher, Y. Raja Rampersaud, Neil Manson, Hamilton Hall, Parham Rasoulinejad, Christopher S. Bailey
Summary: This retrospective cohort study aimed to determine how surgeon-determined and patient-rated predominant pain locations affected patient outcomes one year after posterior lumbar fusion in adult isthmic spondylolisthesis. Results show that there was no significant difference in patient-reported outcome measures (PROMs) at 1 year post-surgery between different pain location groups, suggesting that the primary pain complaint location does not impact long-term outcomes.
GLOBAL SPINE JOURNAL
(2022)
Article
Clinical Neurology
Jan Rosner, Michael Negraeff, Lise M. Belanger, Angela Tsang, Leanna Ritchie, Jean-Marc Mac-Thiong, Sean Christie, Jefferson R. Wilson, Sanjay Dhall, Raphaele Charest-Morin, John Street, Tamir Ailon, Scott Paquette, Nicolas Dea, Charles G. Fisher, Marcel F. Dvorak, Nanna B. Finnerup, Brian K. Kwon, John L. K. Kramer
Summary: There is a lack of information about neuropathic pain in the early stages of spinal cord injury. This study used the DN4 questionnaire to assess neuropathic pain in patients within the first 5 days of injury and at follow-up times up to 12 months. The results showed that both at- and below-level neuropathic pain were reported in the early stages, and late presenting neuropathic pain had different characteristics compared to hyperacute pain. These findings are important for clinical trial design and understanding the mechanisms of neuropathic pain after spinal cord injury.
Article
Clinical Neurology
Nader Fallah, Vanessa K. Noonan, Zeina Waheed, Carly S. Rivers, Tova Plashkes, Manekta Bedi, Mahyar Etminan, Nancy P. Thorogood, Tamir Ailon, Elaine Chan, Nicolas Dea, Charles Fisher, Raphaele Charest-Morin, Scott Paquette, SoEyun Park, John T. Street, Brian K. Kwon, Marcel F. Dvorak
Summary: This study developed and validated a prognostic tool called SCIRS for predicting mortality following tSCI. By using machine learning techniques on patient-level data, the study found that SCIRS outperformed the ISS in predicting in-hospital and 1-year mortality.
Article
Clinical Neurology
Kalpesh Hathi, Erin Bigney, Eden Richardson, Tolu Alugo, Dana El-Mughayyar, Amanda Vandewint, Neil Manson, Edward Abraham, Chris Small, Kenneth Thomas, Charles G. Fisher, Y. Raja Rampersaud, Hamilton Hall, Greg McIntosh, Michael G. Johnson, Christopher S. Bailey, Michael H. Weber, Jerome Paquet, Stephen Kingwell, Andrew Nataraj, Joel Finkelstein, Adrienne Kelly, Najmedden Attabib
Summary: This study compared the outcomes of minimally invasive surgery (MIS) and open surgery for lumbar spinal stenosis (LSS) in patients with diabetes. The results showed that MIS approaches were associated with less blood loss and shorter hospital stay. Additionally, patients who underwent MIS decompression with fusion had lower disability and back pain levels at 1-year post-operation compared to those who underwent open surgery. More patients in the MIS group also exceeded the minimum clinically important difference.
GLOBAL SPINE JOURNAL
(2023)
Article
Clinical Neurology
Nathan Evaniew, Andrew Bogle, Alex Soroceanu, W. Bradley Jacobs, Roger Cho, Charles G. Fisher, Y. Raja Rampersaud, Michael H. Weber, Joel A. Finkelstein, Najmedden Attabib, Adrienne Kelly, Alexandra Stratton, Christopher S. Bailey, Jerome Paquet, Michael Johnson, Neil A. Manson, Hamilton Hall, Greg McIntosh, Kenneth C. Thomas
Summary: This study evaluated the effectiveness of minimally invasive (MIS) tubular discectomy compared to conventional open surgery. The study found that both techniques had similar improvements in leg pain and disability, but MIS had reduced effectiveness in treating associated back pain. Additionally, MIS had advantages in terms of operating time, blood loss, and adverse events.
GLOBAL SPINE JOURNAL
(2023)
Article
Orthopedics
R. Andrew Glennie, Jennifer C. Urquhart, Prosper Koto, Parham Rasoulinejad, David Taylor, Keith Sequeira, Thomas Miller, Jim Watson, Richard Rosedale, Stewart Bailey, Kevin R. Gurr, Fawaz Siddiqi, Christopher S. Bailey
Summary: Early surgical treatment is cost-effective compared with nonoperative care in patients with chronic sciatica for 4 to 12 months. Patients in the surgical treatment group have higher costs but better health outcomes.
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2022)
Editorial Material
Clinical Neurology
Supriya Singh, Raphaele Charest-Morin
JOURNAL OF NEUROSURGERY-SPINE
(2022)
Article
Clinical Neurology
Nathan Evaniew, Raphaele Charest-Morin, W. Bradley Jacobs, Michael Johnson, Christopher S. Bailey, Sean Christie, Jerome Paquet, Andrew Nataraj, David W. Cadotte, Jefferson R. Wilson, Michael Craig, Mark Xu, Neil Manson, Hamilton Hall, Ken C. Thomas, Y. Raja Rampersaud, Greg McIntosh, Charles G. Fisher, Nicolas Dea
Summary: This prospective cohort study aimed to evaluate the associations between preoperative cervical sagittal alignment and health-related quality of life, function, and symptoms in patients with CSM. The study also examined whether surgery leads to changes in cervical sagittal alignment and if postoperative alignment is associated with health-related outcomes at 12 months of follow-up. The results showed that increased cSVA and T1 slope were associated with inferior health-related quality of life at presentation among CSM patients. However, no significant associations were observed between alignment parameters or change in alignment and any measures of health-related quality of life, function, or symptoms at 12 months after surgery. The study suggests that maintaining or improving cervical sagittal alignment may not have a significant impact on patient outcomes following surgical treatment for CSM.
Article
Clinical Neurology
Brian A. Karamian, Gregory D. Schroeder, Mark J. Lambrechts, Jose A. Canseco, Emiliano N. Vialle, Shanmuganathan Rajasekaran, Lorin M. Benneker, Marcel R. Dvorak, Frank Kandziora, Cumhur Oner, Klaus Schnake, Christopher K. Kepler, Alexander R. Vaccaro
Summary: This study aimed to explore the influence of geographic region on the AO Spine Sacral Classification System. The results showed that both fracture morphology and subtype classification had substantial reliability across all geographic regions.
GLOBAL SPINE JOURNAL
(2023)
Article
Clinical Neurology
Christopher S. Bailey, Andrew Glennie, Parham Rasoulinejad, Andrew Kanawati, David Taylor, Keith Sequeira, Thomas Miller, Jim Watson, Richard Rosedale, Stewart Bailey, Kevin R. Gurr, Fawaz Siddiqi, Jennifer C. Urquhart
Summary: Delayed surgery leads to inferior clinical outcomes in patients with chronic sciatica, while early surgery significantly improves leg pain, disability index, physical health component, and back pain.
GLOBAL SPINE JOURNAL
(2023)
Article
Clinical Neurology
Oliver G. S. Ayling, Tamir Ailon, Michael Craig, Nicolas Dea, Greg McIntosh, Edward Abraham, W. Bradly Jacobs, Michael G. Johnson, Jerome Paquet, Albert Yee, Hamilton Hall, Chris Bailey, Neil Manson, Y. Raja Rampersaud, Kenneth Thomas, Charles G. Fisher
Summary: This study compared the clinical outcomes of lumbar disc herniation patients who underwent surgery in a universal health care system and a multitier health system. Despite less improvement in some aspects, patients in the universal health care system reported higher rates of satisfaction after surgery.
GLOBAL SPINE JOURNAL
(2023)
Article
Clinical Neurology
S. Mohammed Karim, Charles Fisher, Andrew Glennie, Raja Rampersaud, John Street, Marcel Dvorak, Scott Paquette, Brian K. Kwon, Raphaele Charest-Morin, Tamir Ailon, Neil Manson, Edward Abraham, Ken Thomas, Jennifer Urquhart, Christopher S. Bailey
Summary: The aim of this study was to evaluate the correlation between sagittal and spinopelvic alignment and preoperative patient-reported outcomes (PROs) in degenerative lumbar spondylolisthesis (DLS) with spinal stenosis. The study found that sagittal and spinopelvic malalignment do not appear to significantly influence baseline PROs in patients with DLS.
Article
Clinical Neurology
Mark J. Lambrechts, Gregory D. Schroeder, Brian A. Karamian, Jose A. Canseco, Cumhur Oner, Emiliano Vialle, Shanmuganathan Rajasekaran, Olesja Hazenbiller, Marcel R. Dvorak, Lorin M. Benneker, Frank Kandziora, Klaus Schnake, Christopher K. Kepler, Alexander R. Vaccaro
Summary: With optimized webinar-based validation techniques, the AO Spine Subaxial Injury Classification System demonstrated significant improvements in interobserver reliability and intraobserver reproducibility in 2020 compared to 2018. Stringent fracture classification methodology is crucial for obtaining accurate classification results.
GLOBAL SPINE JOURNAL
(2022)