Article
Clinical Neurology
Oliver D. Mowforth, Danyal Z. Khan, Mei Yin Wong, George A. E. Pickering, Lydia Dean, Joe Magee, Laura Mullarkey, Yuri Hirayama, Martina Rihova, Max Butler, Max Stewart, Beth Goulson, Shahzaib Ahmed, Kai Fricke, Vladimir Popa-Nimigean, Zack Millar, Ashwin Venkatesh, Alice Willison, Keerthi Senthil, Olesja Hazenbiller, Ellen Sarewitz, Iwan Sadler, Toto Gronlund, Lindsay Tetreault, James S. Harrop, Bizhan Aarabi, Vafa Rahimi-Movaghar, Shekar N. Kurpad, James D. Guest, Jefferson R. Wilson, Brian K. Kwon, Michael G. Fehlings, Angus G. K. McNair, Benjamin M. Davies, Mark R. N. Kotter
Summary: The AO Spine RECODE-DCM initiative aimed to accelerate knowledge discovery and improve outcomes by developing a consensus framework through a survey involving perspectives from spinal surgeons, healthcare professionals, and individuals with degenerative cervical myelopathy (DCM). The survey engaged a diverse group of participants from 76 countries and successfully combined priority setting and minimum dataset processes for the first time.
GLOBAL SPINE JOURNAL
(2022)
Article
Medicine, General & Internal
Wenxuan Wang, Chenhui Xue, Xun Ma, Haoyu Feng, Zhuo Ma, Xiaoming Guan, Xu Chen, Xin Zhang
Summary: This study indicates that there are changes in cervical sagittal parameters in patients after surgery, but the use of C2 to 7 laminoplasty can achieve satisfactory clinical results without significantly altering the cervical sagittal parameters.
Article
Rehabilitation
Arrani Senthinathan, Shawna M. Cronin, Chester Ho, Peter W. New, Sara J. T. Guilcher, Vanessa K. Noonan, B. Catherine Craven, Sean Christie, Eugene K. Wai, Eve C. Tsai, Vidya Sreenivasan, Jefferson Wilson, Michael G. Fehlings, Blayne Welk, Susan B. Jaglal
Summary: Expert consensus was obtained on the parameters and etiologic conditions required to identify cases of non-traumatic spinal cord injury (NTSCI) in health administrative and electronic medical record (EMR) databases through the rating of clinical vignettes. The study found that cauda equina syndromes should be considered and classified as NTSCI or traumatic SCI (TSCI) based on the mechanism of injury. In addition, neurologic impairments and etiology are necessary for classifying NTSCI cases, and cases with missing information may be listed as unclassifiable depending on the research purpose.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Review
Medicine, General & Internal
Yuki Kitsuda, Takashi Wada, Shinji Tanishima, Mari Osaki, Hideki Nagashima, Hiroshi Hagino
Summary: This review summarizes the existing knowledge on the impact of sarcopenia on spinal spondylosis (SS) and highlights potential issues in the literature. While research suggests that sarcopenia may negatively affect the quality of life and postoperative outcomes in SS, there is still controversy regarding the relationship between sarcopenia and pain. The assessment of sarcopenia is identified as an important challenge, and further high-quality research is needed to clarify the relationship between SS and sarcopenia.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
Linbo Zhuang, Lisheng Wang, Dongming Xu, Zhiyong Wang, Renzheng Liang
Summary: This study found a potential association between excessive smartphone use and cervical disc degeneration, increasing the risk of cervical spondylosis among young patients suffering from chronic neck pain.
JOURNAL OF ORTHOPAEDIC SCIENCE
(2021)
Article
Veterinary Sciences
Tamara Sherif, Friederike Twele, Sebastian Meller, Alexandra Mueller-Anders, Holger A. Volk
Summary: This clinical study aimed to determine and quantify the differences in gait characteristics between dogs with spinal ataxia and healthy control dogs using a computer-and treadmill-based gait analysis system. Dogs with thoracolumbar myelopathy showed higher variability in spatio-temporal and kinetic gait parameters mainly in the pelvic and thoracic limbs, but no effect on symmetry indices. Reduced peaks of ground reaction forces could potentially be explained by reduction of muscle strength or alteration of the rhythmogenic spinal circuits.
FRONTIERS IN VETERINARY SCIENCE
(2023)
Article
Medicine, General & Internal
Alexander Echemendia del Valle, Juan Enrique Bender del Busto, Armando Sentmanat Belison, Juan Nicolas Cuenca-Zaldivar, Oliver Martinez-Pozas, Pedro Martinez-Lozano, Samuel Fernandez-Carnero, Norberto Valcarcel Izquierdo, Eleuterio A. Sanchez-Romero
Summary: Spinal cord injury is a pathological process that affects the spinal cord and can alter motor, sensory, and autonomic function. This study evaluated the effect of a gait training program on patients with spinal cord injuries and found that it produced significant improvements regardless of the level of injury, sex, or functional class.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Biotechnology & Applied Microbiology
Diana Herrera-Valenzuela, Isabel Sinovas-Alonso, Juan C. Moreno, Angel Gil-Agudo, Antonio J. del-Ama
Summary: The Gait Deviation Index (GDI) is a dimensionless measure used to evaluate overall gait pathology. It has been widely used in various conditions but has not been studied in the population with spinal cord injury (SCI). This study investigates the application of GDI in SCI and proposes a new metric, the SCI-GDI. The findings suggest that the SCI-GDI is more sensitive to larger gait impairment than the GDI and further validation is needed.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2022)
Review
Neurosciences
Luo Bin, Xiaoping Wang, Hu Jiatong, Fan Donghua, Wang Qiang, Shen Yingchao, Miao Yiming, Ma Yong
Summary: Robot-assisted gait training may be helpful in improving functional abilities and TUG (Timed Up and Go test) in patients with spinal cord injuries. However, its impact on gait distance, gait speed, leg strength, 10 MWT, and 6 MWT may be limited.
FRONTIERS IN NEUROSCIENCE
(2023)
Article
Multidisciplinary Sciences
Lelia E. B. Barden, Lorrie Gaschen, Chiara De Caro Carella Hampton, Catherine Takawira, Chin-Chi Liu, Ali Nourbakhsh, Mandi J. Lopez
Summary: Porcine models of spinal cord injury play an irreplaceable role in the development of experimental therapies. This study describes a CT-guided method for performing CT myelogram in a porcine model of SCI and establishes spinal morphometric reference values in mature Yucatan pigs.
Review
Clinical Neurology
Marc El Khoury, Oliver D. Mowforth, Anthony El Khoury, Celine Partha-Sarathi, Yuri Hirayama, Benjamin M. Davies, Mark R. Kotter
Summary: This review studied the incidence and possible causes of tremor in degenerative cervical myelopathy (DCM). The findings suggest that DCM can be associated with tremor, but further research is needed to determine its prevalence and significance in assessment and management.
BRITISH JOURNAL OF NEUROSURGERY
(2022)
Review
Clinical Neurology
N. A. Quraishi, N. Palliyil, Mohamed A. Hassanin, D. D'Aquino, A. Shetaiwi, D. Walker
Summary: Malignant spinal cord compression (MSCC) affects 3-5% of children with primary tumors and necessitates prompt treatment to prevent permanent neurological deficits. Neuroblastoma is the most common cause of MSCC in children (62.7%) followed by sarcoma (14.2%). Motor deficits are the most common presenting symptom, followed by pain. Chemotherapy is the primary treatment for neuroblastoma/lymphoma, while a multimodality approach with chemo-radiotherapy and surgery is preferred for metastatic sarcomas.
EUROPEAN SPINE JOURNAL
(2023)
Article
Chemistry, Multidisciplinary
Yoon Heo, Hyuk-Jae Choi, Seok-Jin Hwang, Jong-Won Lee, Chil-Yong Kwon, Hyeon-Seok Cho, Gyoo-Suk Kim
Summary: This study found that using a knee-actuated EGO can effectively reduce metabolic cost of transport and significantly improve gait performance in patients with incomplete paraplegia.
APPLIED SCIENCES-BASEL
(2021)
Article
Clinical Neurology
Olivia Samotus, Andrew Parrent, Mandar Jog
Summary: This study found that spinal cord stimulation (SCS) therapy can improve freezing of gait (FOG) and gait symptoms in Richardson's syndrome PSP patients, suggesting early intervention with SCS for dopaminergic-resistant gait should be considered.
JOURNAL OF NEUROLOGY
(2021)
Article
Oncology
James Thomas Patrick Decourcy Hallinan, Lei Zhu, Wenqiao Zhang, Shuliang Ge, Faimee Erwan Muhamat Nor, Han Yang Ong, Sterling Ellis Eide, Amanda J. L. Cheng, Tricia Kuah, Desmond Shi Wei Lim, Xi Zhen Low, Kuan Yuen Yeong, Mona I. AlMuhaish, Ahmed Mohamed Alsooreti, Nesaretnam Barr Kumarakulasinghe, Ee Chin Teo, Qai Ven Yap, Yiong Huak Chan, Shuxun Lin, Jiong Hao Tan, Naresh Kumar, Balamurugan A. Vellayappan, Beng Chin Ooi, Swee Tian Quek, Andrew Makmur
Summary: A deep learning algorithm for metastatic spinal cord compression on CT showed superior performance compared to the CT report issued by experienced radiologists, indicating its potential in aiding earlier diagnosis.
FRONTIERS IN ONCOLOGY
(2023)
Review
Clinical Neurology
Alexander J. Butler, Chester J. Donnally, Vadim Goz, Bryce A. Basques, Alexander R. Vaccaro, Gregory D. Schroeder
Summary: SPEH is a complication that can rapidly cause neurological injury. There is significant heterogeneity in current literature reporting SPEH. This review aims to clarify the incidence, risk factors, and management of SPEH. Literature does not support the efficacy of subfascial drains in reducing SPEH incidence and suggests that medication for thromboembolism prophylaxis may increase risk. Acute back pain and progressing lower extremity motor weakness are the most common symptoms. Magnetic resonance imaging is the main diagnostic tool, but if not available immediately, immediate exploratory surgery is justified. Treatment involves emergent hematoma evacuation. Prognosis is unclear, but a significant portion of patients may have long-lasting neurological impairments.
CLINICAL SPINE SURGERY
(2022)
Article
Clinical Neurology
Matthew W. Colman, Athan G. Zavras, Vincent P. Federico, Michael T. Nolte, Alexander J. Butler, Kern Singh, Frank M. Phillips
Summary: Total disc arthroplasty (TDA) is an effective and safe treatment for cervical degenerative disc disease. This study evaluated the long-term maintenance of segmental range of motion (ROM) at the operative cervical level across different TDA devices. The results showed that different TDA device brands have different effects on motion preservation, with M6-C and Mobi-C improving ROM while PCM and ProDisc-C leading to greater segmental stiffness.
JOURNAL OF NEUROSURGERY-SPINE
(2022)
Article
Clinical Neurology
Alexander J. Butler, Matthew W. Colman, James Lynch, Frank M. Phillips
Summary: This study investigates the use of augmented reality (AR) for percutaneous pedicle screw placement in minimally invasive spine surgery. The results show that AR technology can improve the accuracy and efficiency of screw placement and offers potential advantages in spinal surgery. Through observation of 164 cases, it is confirmed that AR is effective and safe for pedicle screw placement.
Article
Surgery
Bryce A. Basques, Gilberto Gomez, Alexander Padovano, Alexander J. Butler, Tyler M. Kreitz, L. Erik Westerlund, Gurvinder S. Deol, Frank M. Phillips
Summary: This study assessed the clinical and radiographic outcomes of using porous PEEK implants for ACDF at 3 or more levels. The results showed a high fusion rate of 97.0% and favorable clinical and radiographic outcomes with the use of porous PEEK implants.
INTERNATIONAL JOURNAL OF SPINE SURGERY
(2023)
Article
Orthopedics
Garrett R. Jackson, Olivia Opara, Trevor Tuthill, Zeeshan A. Khan, Mario Hevesi, Enzo Mameri, Harkirat Jawanda, Anjay K. Batra, Sabrina Schundler, Johnathon McCormick, Derrick M. Knapik, Nikhil Verma, Jorge Chahla
Summary: We assessed the application of suture augmentation (SA) techniques in various sports medicine procedures and found that SA improves time-zero biomechanics and shows promising short-to-mid-term clinical outcomes for repairs of the ulnar collateral ligament, thumb collateral ligament, anterior cruciate ligament, Achilles' tendon, and deltoid ligament. However, surgeons need to be cautious of potential complications, such as joint overconstraint, nerve paresthesia, and infection.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2023)
Review
Primary Health Care
Neil Mohile, Alexander S. Kuczmarski, Danny Lee, Christopher Warburton, Kyla Rakoczy, Alexander J. Butler
Summary: Spondylolysis and isthmic spondylolisthesis are common organic causes of low back pain in athletes. Comprehensive physical examination and imaging are essential for diagnosis. While conservative management is effective for most patients, some may require surgery. Early diagnosis and treatment in the short term are crucial.
JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
(2022)
Review
Clinical Neurology
Neil V. Mohile, Nathaniel W. Jenkins, Moses I. Markowitz, Danny Lee, Chester J. Donnally III
Summary: This study evaluated the quality of patient-accessible health information on lumbar disc herniation (LDH) on YouTube. The study found that videos on YouTube about LDH had low overall quality, and physicians should be aware of the quality of information available to patients.
WORLD NEUROSURGERY
(2023)
Review
Orthopedics
Garrett R. Jackson, Trevor Tuthill, Varun Gopinatth, Enzo S. Mameri, Harkirat Jawanda, Joan Sugranes, Shaan Asif, Morgan Wessels, Johnathon R. McCormick, Daniel J. Kaplan, Adam B. Yanke, Derrick M. Knapik, Nikhil N. Verma, Jorge Chahla
Summary: The purpose of this study was to review the incidence of complications following primary medial patellofemoral ligament (MPFL) reconstruction for recurrent patellar instability. The overall incidence of complications ranged from 0% to 32.3% of knees, primarily consisting of residual anterior knee pain. Failure ranged from 0% to 10.7% of knees, whereas patellar fractures were reported in 0% to 8.3% of knees.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2023)
Review
Orthopedics
Varun Gopinatth, Felipe J. Casanova, Derrick M. Knapik, Enzo S. Mameri, Garrett R. Jackson, Zeeshan A. Khan, Johnathon R. Mccormick, Adam B. Yanke, Brian J. Cole, Jorge Chahla
Summary: This article systematically reviewed the indications, techniques, and outcomes of 2-stage revision ACL reconstruction. The study found that tunnel malpositioning and widening were the most common indications for this procedure. Iliac crest autograft and allograft bone chips and dowels were commonly used for bone grafting, while hamstring autograft and BPTB autograft were commonly used for grafts during definitive reconstruction.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2023)
Article
Orthopedics
Johnathon R. R. McCormick, Elyse J. J. Berlinberg, Victoria Oladipo, Enrico M. M. Forlenza, Brian Forsythe, Tad L. L. Gerlinger
Summary: It is unclear whether corticosteroid injections (CSI) prior to unicompartmental knee arthroplasty (UKA) impact postoperative infection. This study investigated the relationship between preoperative CSI and postoperative infection. The results showed no statistical association between CSI within 3 months prior to surgery and postoperative infection. However, multiple CSI within 3 months was associated with increased odds of infection.
JOURNAL OF KNEE SURGERY
(2023)
Review
Clinical Neurology
Athan G. Zavras, Vincent P. Federico, Alexander J. Butler, Michael T. Nolte, Navya Dandu, Frank M. Phillips, Matthew W. Colman
Summary: This study aimed to compare patient-reported outcomes, success, complications, and radiographic outcomes between different cervical total disc arthroplasty (TDA) devices and anterior cervical discectomy and fusion (ACDF). The analysis of prospective randomized controlled trials showed that TDA was superior to ACDF on most evaluated outcomes. Certain prostheses, such as the M6, outperformed others across several outcomes.
GLOBAL SPINE JOURNAL
(2023)
Article
Orthopedics
Enzo S. Mameri, Benjamin Kerzner, Obianuju A. Obioha, Johnathon R. McCormick, Suhas P. Dasari, Zeeshan A. Khan, Luc M. Fortier, Garrett R. Jackson, Jorge Chahla
Summary: Osteochondral allograft transplantation is a viable option for large and multifocal defects where autologous procedures are limited. It is particularly useful in cases of failed cartilage repair with larger defects and involvement of subchondral bone. The described technique provides a preoperative workup and surgical approach for patients who have had previous osteochondral transplantation with graft failure and are not suitable for knee arthroplasty.
ARTHROSCOPY TECHNIQUES
(2023)
Article
Orthopedics
Vincent P. Federico, Johnathon R. McCormick, James W. Nie, Nabil Mehta, Matthew R. Cohn, Mariano E. Menendez, Patrick J. Denard, Xavier C. Simcock, Gregory P. Nicholson, Grant E. Garrigues
Summary: Recent literature demonstrates that outpatient surgery for shoulder and elbow procedures provides cost savings and equivalent safety. This study aims to compare the costs of shoulder and elbow surgery between Ambulatory Surgery Centers (ASCs) and Hospital Outpatient Departments (HOPDs).
JOURNAL OF SHOULDER AND ELBOW SURGERY
(2023)
Article
Orthopedics
Alexander J. Hodakowski, Johnathon R. McCormick, Dhanur Damodar, Matthew R. Cohn, Kyle D. Carey, Nikhil N. Verma, Gregory Nicholson, Grant E. Garrigues
Summary: This study examined the questions searched by rotator cuff patients and analyzed the types and quality of websites providing information. The questions were categorized using the Rothwell classification and the webpages were evaluated using the JAMA benchmark criteria. The results showed that the most common questions were related to management options, recovery timeline, and pain management. Most information was provided by medical practice, academic, and medical information websites, but the reliability varied greatly.
CLINICS IN SHOULDER AND ELBOW
(2023)
Article
Orthopedics
Johnathon R. McCormick, Matthew C. Kruchten, Nabil Mehta, Dhanur Damodar, Nolan S. Horner, Kyle D. Carey, Gregory P. Nicholson, Nikhil N. Verma, Grant E. Garrigues
Summary: This study uncovered the questions that shoulder arthroplasty patients search online and assessed the types and quality of webpages encountered. The most common questions involved postoperative activities and recovery timeline. The majority of information came from low-quality, non-peer-reviewed websites, emphasizing the need for improvement in online resources.
CLINICS IN SHOULDER AND ELBOW
(2023)