News and Research for Spine Professionals

How Can We Fix the US Health Care Problem?

Lali Sekhon, MD, delineates the scope of the health care problem, identifies key players, tactics used to inflate health care costs, and potential solutions.

Preventing Glucocorticoid-Induced Vertebral Fractures

Case study reviews the mechanisms behind glucocorticoid-induced vertebral fractures as well as current recommendations for prevention and treatment.

Adolescent Idiopathic Scoliosis Bracing Failure Risk Factors

Study data on adolescent idiopathic scoliosis risk factors for brace treatment failure and curve progression can assist in patient counseling and treatment decision-making.

Modified SHILLA Technique for Scoliosis Remodulates the Apex Vertebra

Study findings of a modified SHILLA procedure to treat scoliosis demonstrated that active remodulation of the apex vertebra may reduce potential for loss of correction over time.

Scoliosis Specific Exercise and Adolescent Idiopathic Scoliosis

In adolescents with idiopathic scoliosis, the goal of scoliosis specific exercise (SSE) treatment is prevention or reduction of curve progression, respiratory dysfunction, spinal pain, and improved appearance through postural correction.

Spine Fellowships Should Include Boot Camps and Simulations in Training

Surgical specialty training boot camps were identified as one of the best strategies to maximize opportunities in spine surgery fellowships.

Minimally Invasive Decompression Lowers Reoperation Rates

The study questions one of the long-held beliefs of many spine surgeons: When patients need surgery for lumbar spinal stenosis and spondylolisthesis, they will benefit most of a decompression and fusion procedure.

6 Spine Societies Highlighted during Spine Summit 2015: AOSpine, ACSR, CSRS, ISASS, SRS, SMISS

Prestigious leaders in the spine field summarized the history of the six international spine societies represented at One Spine, One World.

Risks Associated with Opioids after Spine Surgery

David W. Polly, Jr., MD presented Opioid-related Adverse Events with Lumbar Spine Surgery: Is the Risk Real? during the 31st Annual Meeting of the Section on Disorders of the Spine and Peripheral Nerves—Spine Summit 2015.

Bracing Plus Exercise to Promote Bone Mineral Growth Is Key to Managing Scoliosis in Adolescents

While brace treatment has been shown to slow down curve progression in adolescents with idiopathic scoliosis, physical activity—particularly in the form of weight-bearing activities—should also be prescribed to prevent bone mineral loss and promote bone mineral gain.

Race Impacts Severity of Adolescent Idiopathic Scoliosis and Likelihood of Surgery

"Hopefully, the findings of this study and other related investigations will lead to a better understanding among healthcare providers, in this case, scoliosis specialists".

MRI Equipment, Protocols, and Radiologists’ Expertise May Create Variability in Imaging Quality

An examination of the variability in quality of magnetic resonance imaging (MRIs) in the diagnosis of spine disorders.

Two-fold Increased Risk for Unsatisfactory Spine Surgery Outcome Found in Workers’ Compensation Patients

Patients with workers’ compensation have a 2-fold increased risk of an unsatisfactory outcome compared to patients without workers’ compensation after spine surgery.

Few Differences in Complication Rates Found Among Various Lumbar Microdiscectomy Techniques

A meta-analysis of complication rates from lumbar open microdiscectomy, microendoscopic discectomy (MED), and percutaneous microdiscectomy show few differences between the various techniques.

Multifactorial Predictors of Work Status in Patients With Low Back Pain Identified

Simple questions that address the impact of an individual’s low back pain on home, play, and work life are critical to determining what is most important to the patient.

Riluzole May Protect Against Ischemia Reperfusion Injury During Spinal Decompression Surgery

Addition of the sodium glutamate antagonist riluzole when decompression surgery is undertaken results in better long-term improvements in forelimb function in cervical spondylotic myelopathy animal models than surgery alone.

Mobilization, Manipulation, and Clinical Massage Are Effective Treatments for Neck Pain

This study is an update on the landmark review performed in 2008 by the Bone and Joint Decade Task Force on Neck Pain and its Associated Disorders.

Clostridium difficile Infection Is Rare But Costly/Deadly Complication in Cervical Spine Surgery

The investigators used the 2002 to 2011 Nationwide Inpatient Sample (NIS) database to identify cases of C. difficile following cervical spine procedures for degenerative spine diagnoses.

Findings Point to Possible Major Therapeutic Intervention for Chronic Spinal Cord Injuries Via Stem Cell Injections

Injection of human neural stem cells distally, but not locally, to the site of chronic spinal cord injury lead to significant functional recovery in a rat model, researchers reported in the June issue of The Spine Journal.

Seven-Year cTDR Outcomes with Mobi-C® Shows Superior Efficacy to ACDF

7-year clinical results of cervical total disc replacement compared with anterior discectomy and fusion for treatment of two-level symptomatic degenerative disc disease.

Modified Frailty Index Score Helps Stratify High-Surgical Risk Patients Undergoing ALIF

High score on a modified Frailty Index was an independent predictor of any complication and pulmonary complication in patients undergoing anterior lumbar interbody fusion.

Chêneau Brace Prevents Curve Progression and Improves Sagittal Parameters in Adolescent Idiopathic Scoliosis

Long-term use of the Chêneau brace in the treatment of adolescent idiopathic scoliosis may be associated with significant improvements in kyphosis, lordosis...

ActivL Total Disc Replacement Device Found Noninferior to Conventional Devices

The activL total disc replacement device demonstrated noninferiority in overall trial success compared to conventional TDR devices in a prospective, multicenter, randomized, investigational device exemption trial.

NICE Guidance Supports Use of Minimally Invasive SI Joint Fusion for Chronic Sacroiliac Pain

The guidance is based on a review of effectiveness and safety data from clinical trials of minimally invasive SI joint fusion, and the only product used in the evaluation with an FDA clearance for SI joint fusion was iFuse.

Patient Reported Outcomes Predict Patient Satisfaction Up to 5 Years After Cervical Spine Surgery

Correlation of patient satisfaction and surgical outcomes years after anterior cervical surgery. Gregory D. Schroeder, MD remarks about key findings.

Benefits of Walking Sticks in Patients with Adult Degenerative Scoliosis

This study evaluated spatiotemporal relationships and kinematics of the lower extremities and spine during gait with walking sticks compared with a walker in 20 patients with scoliosis.

Facilitating Greater Osseointegration Properties with a Deeply Porous Titanium Scaffold on PEEK

In the search to reduce fixation-related complications and infections associated with current interbody fusion cages, investigators have pursued various methods for integrating a titanium surface onto PEEK to promote osseointegration.

Pretreatment May Unlock the Regenerative Potential of Neural Stem Cells in Chronic Spinal Cord Injury

Pretreatment with the bacterial enzyme Chondroitinase ABC (ChABC) improves the regenerative outcome of neural stem cells in the chronically injured spinal cord.

Declining Rates of High-Dose Steroid Use for Acute Spinal Cord Injury

“It is a distressing commentary on our medico-legal system that despite the majority of surgeons who prescribe steroids...

Bundled Payments in Spine Surgery: Lessons Learned

While a majority of stakeholder groups are embracing the concept of bundles, physicians are not equally sold on the idea.

Major Cost Drivers for Spine Surgery Identified

Researchers have identified the most important cost drivers in spinal surgery as well as considerable variability in both the management and costs of spinal surgery.

Surgical Approach Is a Risk Factor for Infection in Spinal Surgery

From our study, we found that the minimally invasive surgery (MIS) approach was associated with a lower ...

Naloxegol Shows Promise in Relieving Opioid-Induced Constipation

“This trial was unique in that it also identified and enrolled patients who had tried and failed other laxatives for their opioid-induced constipation prior to enrollment”.

Decompression Surgery Indirectly Improves Glycemic Control in Patients with Diabetes and Lumbar Spinal Stenosis

This is the first study to show the effects of lumbar stenosis surgery on Diabetes Mellitus.

Cervical Spondylotic Myelopathy: Pathophysiology and Biological Mechanisms

Information on the pathophysiology and biologic mechanisms of cervical spondylotic myelopathy—a common degenerative disease that results from spinal cord compression.

Medicare Payments for Spine Surgery Vary Across the Nation

This study examined the variation in episode payments from Medicare for surgery for three conditions, spinal stenosis, spondylolisthesis, and lumbar disc herniation.

Cervical Disc Replacement vs Anterior Cervical Discectomy and Fusion: Five-year Study Results Include Subsequent Spinal Surgeries

Patients with myelopathy or cervical radiculopathy may require surgical decompression that includes restoration of disc space and foraminal height.

Depression as a Predictor of Quality of Life Post Lumbar Spinal Stenosis Treatment

Nonoperative treatment included: Physical therapy and nonsteroidal anti-inflammatory drugs.

Osteoporosis and Spinal Fracture Management Tool: Own the Bone®

The American Orthopaedic Association’s Own the Bone® tool helps hospitals, medical centers, and physician practices to develop their own Fracture Liaison Service (FLS).

Current and Prospective Management of Vertebral Compression Fractures and Osseous Spinal Metastases

New and prospective treatments for vertebral compression fractures.

Defining Spondylosis Beyond Age-related Spinal Degeneration

Seeking to develop a definition of spondylolosis instead of classifying it as one of "many degenerative spine diseases".

High-Dose Tranexamic Acid Reduces Blood Loss in Extensive Spine Surgery

Discover the findings of a study conducted in China treating patients with high doses of tranexamic acid (TXA).

Three Factors May Predict Patients at Greatest Risk for Concomitant Epidural Abscesses

A single spinal epidural abscess is a serious condition that can be difficult to diagnose.

Preoperative Depression Is a Factor in Postoperative Improvement for Lumbar Spine Surgery

Findings come from a retrospective study of 919 surgical patients who were followed for at least 6 months after surgery.

Clinical Prediction Model for Surgical Outcome in Cervical Spondylotic Myelopathy Found Valid

A clinical predictive rule can help surgeons determine whether an individual patient will benefit from spine surgery to treat cervical spondylotic myelopathy (CSM).

Modic Changes Associated with Greater Risk of Poor Outcome in Lower Back Pain

Patients with lower back pain who show Type 1 Modic changes may be at increased risk of experiencing poor treatment outcomes. This finding comes from a prospective study of 141 patients with lower back pain that was conducted in Denmark.

Predictor of Return to Work after Lumbar Discectomy

The study focused on whether patients were working three months after surgery.

Epidural Steroid Injections and Osteoporotic Fracture Risk

Do epidural steroid injections (ESIs) play a role in a person’s risk of osteoporotic fractures?

Yoga Spinal Flexion Positions Can Cause Spinal Fractures in Osteoporotic Patients

Yoga is generally thought to be a “safe” exercise. However, some positions may not be advisable for people with low bone mass—either osteopenia or osteoporosis.

7 Year Outcome Comparing Cervical Disc Arthroplasty vs ACDF

This was a prospective study with 20 investigational sites comparing 265 historically-controlled ACDF patients in a prior cervical investigational device exemption study.
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