News and Research for Spine Professionals

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.

Spinal Metastasis Surgery and Stereotactic Radiosurgery: Wound Healing and Complications

Stereotactic radiosurgery (SRS) for postoperative spinal tumor control was the focus of Dr. Yanamadala’s study.

Traditional Open versus Mini-open Transpedicular Corpectomy in Thoracic Spinal Metastases

The outcomes of interest were operative time, estimated blood loss, complications, neurological status and long-term revision reoperation rates.

Syndromes Mimic Nerve Entrapment of Peripheral Neuropathy

The challenge posed by differential diagnosis of peripheral neuropathy was the topic of a presentation given by Holly S. Gilmer, MD at the American Association of Neurological Surgeons 83rd Annual Scientific Meeting in Washington, DC.

Fibromyalgia Treated with Occipital Nerve Stimulation

The diagnosis, pathophysiology, and treatment of fibromyalgia were topics addressed at a Meeting of the American Association of Neurological Surgeons in Washington, DC.

Neuromodulation Holds Promise for Treatment of Non-Neurological and Neurological Conditions

The history of neuromodulation and outlook for the future were topics addressed.

Spinal Cord Stimulation for Chronic Pain: What Conditions and Which Patients?

Spinal cord stimulation is an ideal tool for the right patient, with proper patient selection being key to successful implementation.

Spinal Cord Stimulation Devices Can Pose Safety Concerns for Spine Surgery

Implantation of a spinal cord stimulation changes aspects of a patient’s structural anatomy that may pose challenges during spine surgery.

Simple Tests for Lumbar Spondylolisthesis and Instability Show Efficacy

Despite the frequent occurrence of sponylolisthesis and lumbar instability in the United States, few physical examination findings have shown accuracy in detecting this condition.

Oral Steroids Provide Little Pain Relief Over Placebo in Acute Radiculopathy Due to Disc Herniation

“Each patient with acute radiculopathy (sciatica) will need to weigh the benefits and risks of taking a short course of oral steroids with their physician,”.

Nerve Root Involvement and Symptoms May Predict Treatment Success With McKenzie Method in Chronic Low Back Pain

The prospective cohort study involved 350 patients (age 18-60 years) with low back pain for more than 6 months who presented with centralization or peripheralization.

Sex Life Question on Oswestry Disability Index is Accurately Answered by Most Patients with Chronic Low Back Pain

Anecdotal evidence suggests that the sex life-related question of the Oswestry Disability Index (ODI-8) may need to be altered because it is either inaccurately answered or limits patient participation in the survey.

Age, Procedure Type, and Magnitude of Systemic Disease Predict Length of Stay Following Open Lumbar Spine Surgery

Older age and widespread systemic disease were the only preoperative factors predictive of longer hospital stays following an elective open posterior lumbar spine surgery in a multivariate analysis reported in the June 1 issue of The Spine Journal.

12 Sessions of Spinal Manipulation May Be Optimal for Chronic Low Back Pain

The study was designed to determine the optimal number of spinal manipulation sessions needed to give the most efficient care with the best outcomes.

Antibiotic Use in Childhood Linked to Increased Risk of Juvenile Idiopathic Arthritis

Antibiotics have a long and growing list of potential downsides, both short-term side effects and long-term risks. These risks need to be weighed against the potential benefits.

Patient-Related Factors Predict Satisfaction With Spine Surgery

Patient satisfaction with elective spine surgery for degenerative diseases is influenced by whether they achieve ...

Triclosan-Coated Sutures May Reduce the Risk of Surgical Site Infection After Spinal Surgery

Use of triclosan-coated sutures instead of non-coated sutures was associated with a significantly lower incidence of surgical site infections in patients undergoing spinal surgery.

Researchers Define Sets of Patient Experiences for Low Back Pain

Researchers have found that patients with low back pain typically follow distinct sets of patient experience.

Nonidiopathic Scoliosis Surgical Wound Closure Technique Findings

Wound infections following posterior spinal fusion in the treatment of nonidiopathic scoliosis are linked to high morbidity and costs. New findings suggest that use of a plastic multilayered closure technique can lower the infection rate.

Pseudoathrosis Rates after ACDF Studied in Comprehensive Literature Review

The largest and most comprehensive literature review and meta-analysis of pseudoarthrosis rates after anterior cervical discectomy and fusion (ACDF) underscored significant variation in the definition of pseudoarthrosis.

First Case of Spontaneous Spinal Cord Herniation Resolution Reported

The first case of spontaneous resolution of spinal cord herniation was reported in the September issue of the Journal of Neurosurgery. Resolution occurred during an approximately 1-year period.

Two-level Corpectomy and Three-level Discectomy Show Similar Outcomes for Cervical Spondylotic Myelopathy

Dr. Mummaneni and colleagues studied all patients who underwent 2-level anterior cervical corpectomy and fusion or 3-level anterior cervical discectomy and fusion in the treatment of cervical spondylotic myelopathy between 2006 and 2012.

Robotic-Assisted Surgery for Spinal Tumors Shows Low Complication Rate

No perioperative or postoperative complications were found among 9 consecutive patients who underwent robotic-assisted surgery for treatment of metastatic and primary spine tumors, according to study in the International Journal of Spine Surgery.

Global Recruitment Trends for Advanced Practice Providers in Spine Care

Nicola Hawkinson, DNP, RNFA, RN talked with SpineUniverse about trends in health care employment affecting spine practices today.

Are Creating Job Descriptions Worth the Time and Effort?

A well-written job description serves a multitude of purposes and the better it’s written, the more useful it can be to define the roles of employees in your practice.

Diabetes May Diminish QOL Improvement Following Lumbar Decompression

Diabetes was an independent predictor of diminished improvement in quality of life (QOL) after lumbar decompression surgery in a recent retrospective review.

Managing Spine Patients With Diabetes: A Patient-Centric Approach

Carrie Diulus, MD discussed the unique challenges that diabetes poses for spine providers, including challenges with differential diagnosis, as well as medical, operative, and perioperative management.

Recommendations for Avoiding Position-Related Complications During Lumbar Surgery

New findings from a systematic review and meta-analysis suggest ways to avoid potentially severe complications associated with intraoperative positioning.
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