News and Research for Spine Professionals

Why Perform Spinal Injections at All? Evidence is Weak

The audience discussion included the question, "If the patient is not a surgical candidate, would you and do you send that patient for pain management?"

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.

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.

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.

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.

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.

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...

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”.

Results of a Large Single-center Retrospective Review of Cervical Disc Arthroplasty

The authors indicated this is largest non-sponsored, single-center study of cervical disc arthroplasty (CDA).

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

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

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.

Meeting Highlights from the 31st Annual Meeting of the Section on Disorders of the Spine and Peripheral Nerves—Spine Summit 2015

Six prestigious international spine societies were represented during the Spine Summit 2015 program.

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.

Minimally Invasive Posterior or Transarticular Approach to Sacroiliac Joint Fusion?

Up to 20% of low back pain can be caused by one or both sacroiliac (SI) joints. Diagnosis of the SI joint as the pain generator can be challenging and requires...

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.
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