News and Research for Spine Professionals

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.

Effective Value-Based Initiatives for Complex Spine Surgery

Dr. Rajiv Sethi’s research lead to development of a spine safety improvement model that includes key factors needed at the individual, team, and organizational level to guide quality and safety improvement initiatives.

Epidural Anesthesia via Catheter in Spine Surgery Effectively Reduces Postoperative Pain

The patient is comfortable and the injection allows for routine neurologic examinations. Many physicians are adopting this new technique.

Lumbar Spine Surgery Outcomes: Physiotherapy, Patient Mood and Behavior

Prolonged pain after surgery has been shown to be influenced by these factors: Patient selection, type of surgery performed, and whether or not there's a postoperative rehabilitation plan. Mood and patient behavior play a significant role in outcomes too.

Implications of the Aging Population on Spine Surgery

With the global population undergoing an upward shift in its age structure, clinicians are required to manage a growing number of spinal disorders specific to the elderly.

Men With Osteoporosis Are At Increased Risk for Erectile Dysfunction

Men with osteoporosis should be evaluated for erectile dysfunction (ED), and men with ED should be screened for low bone mass density (osteoporosis), according to findings from a large nationwide study from Taiwan.

Research Uncovers Mechanism of the BMP-2 Related Complications and Previously Unknown Source of Pluripotent Stem Cells

This study investigated how to make spine surgeries involving use of BMP-2 safer, so that potential nerve-related complications of BMP-2 can be avoided.

AST-OPC1 Stem Cell Therapy May Offer New Hope for Spinal Cord Injury

Progress report: Rush University Medical Center are part of a multicenter phase 1/2a trial investigating the use of oligodendrocyte progenitor cells AST-OPCI for treatment of subacute cervical SCI.

Factors May Predict Disc Degeneration Following Spinal Fusion for Adolescent Idiopathic Scoliosis

Lumbar disc degeneration following spinal fusion in the treatment of adolescent idiopathic scoliosis tends to occur in patients with greater L4 tilt angle and fewer mobile segments in the lower spine, according to a retrospective study.

North American Spine Society 34th Annual Meeting Highlights

SpineUniverse coverage of the 34th Annual Meeting of the North American Spine Society held at McCormick Place in Chicago during September 2019.

The Role of Spine Surgeons in Reducing Opioid Overdoses

The landscape of the opioid crisis has changed, and as the number of opioid-related overdose deaths continue to rise, spine surgeons play a key role in helping reduce these rates.

4 Spine Technology Highlights from NASS 2019

SpineUniverse technology highlights from NASS 2019 focus on 4 innovative spine companies improving patient care through advanced diagnostic and treatment solutions.

The Role of Neuromodulation in Complex Pain Conditions

Important studies on neuromodulation used in patients with chronic pain, including spine conditions, if SCS has an impact on the opioid crisis, and why more spine surgeons should consider SCS as part of treatment pathways.

Carving Out Time to Prevent Physician Burnout: Q&A with Todd Albert, MD

The physician / spine surgeon burnout prevention presentation during NASS 2019 led to interesting audience questions answered by Todd Albert, MD.

Preventing Spine Surgeon Burnout and Suicide

Spine surgeon Todd Albert, MD, focused on physician burnout, increased risk for suicide and emphasized the need to destigmatize burnout to allow more physicians to talk about the issue and seek help.

Exercise as a Vital Sign in Spine Care

Implications of physical inactivity on outcomes of spinal surgery and the need for a paradigm change to promote exercise earlier in life as preventative medicine.

Can Standard Work Reduce Complications in Adult Spinal Deformity Surgery?

Standardizing the surgical treatment of adult spinal deformity includes using a patient optimization protocol, which is supported by good evidence.

Optimizing Preemptive and Perioperative Analgesia in Spine Surgery to Reduce Postoperative Opioid Use

Strategies for optimizing preemptive and perioperative pain management with the goal of reducing the risk for long-term opioid use after spine surgery.

When Do Complications Occur After Adult Spinal Deformity Surgery?

Current evidence regarding risk factors for complications of adult spinal deformity surgery and how these complications have changed over time.

Distraction Is a Leading Cause of Cell Phone-Related Head and Neck Injuries

The first study to investigate the role of cell phones and cell phone-related distractions in injuries to the head and neck, according to the researchers.

Navigated Spinal Instrumentation Utilizing a “Hybrid” Technique to Compensate for Intraoperative Anatomic Changes: A Retrospective Review of a New Technique

Retrospective research finds a hybrid O-arm, C-arm, O-arm technique is an effective, radiation-sparing method for surgeons to compensate for certain intraoperative anatomic changes that are routinely encountered during minimally invasive, image-guided spinal surgery.

Patients Markedly Underestimate Radiation Exposure From Spinal Imaging

The radiation dose of computed tomography (CT) scans, and more than three-fourths of magnetic resonance imaging (MRI) was substantially underestimated by patients.

Single-Level Instrumented Lumbar Interbody Fusion: The Impact of ASCs on Evidence-Based Medicine

Evidence-based medicine is the emerging trend in health care reform focused on making health care safer, less complicated, and more cost-effective.

Which Osteoporosis Medications Help Prevent Fractures in the Spine and Hip?

Researchers examined the efficacy of powerful antiresorptive agents that are currently available to help prevent fractures.
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