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News and Research for Spine Professionals

Pseudarthrosis Found in Half of Patients With PEEK Implants for Anterior Cervical Discectomy and Fusion

Use of PEEK cages for ACDF was linked to a 5-fold increased incidence of pseudarthrosis compared with use of allograft materials, and a nearly 2-fold increase in the rate of subsequent revision surgery for pseudarthrosis, according to findings from a retrospective study presented at the 2018 AANS/CNS Joint Section on Disorders of the Spine and Peripheral Nerves Annual Meeting.

Porous PEEK May Have Better Impact Durability Over Titanium-Coated Device

Simulated cervical impaction testing showed fundamental differences in the response of porous versus titanium-coated PEEK devices, according to a recent study. Peer commentary by Khoi Than, MD.

What Are the “Critical Elements” of Spine Surgeries?

Results of a consensus survey of spine surgeons “may be hard to digest,” stated lead author, Joseph Laratta, MD. Radiographic localization, decompression, instrumentation, and fusion were defined as critical elements for common spine procedures evaluated in a consensus survey of spine surgeons. Peer commentary by Lali Sekhon, MD.

New Guidelines and App for Antiplatelet and Anticoagulant Therapy During Interventional Spine and Pain Procedures

Guidelines and app to clinical decision-making on when to stop antiplatelet and anticoagulant therapies in patients undergoing interventional spine and pain procedures to avoid serious bleeding, and when to restart the agents after the procedures.

Porous PEEK Fusion Device Shows High Strength and Facilitates Bone Ingrowth

J. Kenneth Burkus, MD noted that a complication of standard PEEK-based implants relates to poor integration with the surrounding bone, producing a “PEEK-halo” effect.

Quantitative MRI Shows High Sensitivity in Detecting Progression in Degenerative Cervical Myelopathy

Study compares methods to monitor for myelopathic progression in cases of degenerative cervical myelopathy, and provides a decision-making algorithm.

Overcoming Barriers to Non-surgical Treatment for Lumbar Spinal Stenosis

Many patients with lumbar spinal stenosis are willing to comply with non-surgical treatment recommendations, including exercise, but face various barriers to treatment compliance, according to a qualitative study.

Ossification Shape May Predict Outcomes of Laminoplasty in the Treatment of Cervical Myelopathy

Read on to learn about an important predictor of poor surgical outcomes following laminoplasty.

QOL Improvements of Scoliosis Surgery in Children With Cerebral Palsy Outweigh Risks

The benefit of scoliosis surgery to halt curve progression in children with cerebral palsy (CP) is a topic of ongoing debate. Study provides evidence that surgery for scoliosis in patients with CP provides a positive impact on QOL.

Prevention and Management of Spine Injuries in Athletes

Safety of athletes who play contact sports requires an emergency action plan and emphasis on education about preventing and managing spinal cord injuries.

Managing Neurological Complications in Pediatric Spinal Deformity Surgery

Improving neurological outcomes in spinal deformity surgery include risk severity stratification, experience, intraoperative monitoring, and uniform response to neuromonitoring alerts.

Cervical Disc Arthroplasty Found More Cost-Effective Than Anterior Cervical Discectomy for Disc Herniation

CDR appears to be more cost-effective than ACDF, according to findings presented at the AAOS 2018 Annual Meeting.

High Fat, High Sugar Diet Linked to Increased Fracture Risk

Vertebral fracture risk increased by chronic consumption of diet high in advanced glycation end-products (AGEs).

Radiation-Free Surface Topography Is Highly Correlated With X-Ray Outcomes and Self-Image in Adolescent Idiopathic Scoliosis

Study explores scoliotic body shape distortions that are not depicted by x-rays routinely used to assess spinal curvature and improvements with corrective surgery.

Can a Diet High in Processed Fat and Sugar Cause Disc Degeneration?

The role of advanced glycation endproducts (AGEs) and type 2 diabetes in the development of degenerative disc disease is the topic of this study.

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