News and Research for Spine Professionals

Synthetic Ceramic Bone Graft Substitutes

Brian Kwon, MD discussed what makes a synthetic bone graft substitute ideal during the North American Spine Foundation's biologics in spine care course.

Researchers Develop Thoracolumbar AOSpine Injury Score

Researchers have developed a data-driven, easy to use Thoracolumbar AOSpine Injury Score that will be used to develop a surgical algorithm to accompany the AOSpine Thoracolumbar Injury Classification System.

Preoperative MRSA Screening May Reduce Surgical Site Infections

Preoperative nasal swab MRSA screening may be helpful in reducing surgical site infections when used within a multimodal approach. This is according to a recent study published in Spine Deformity.

Findings Support Safety of Outpatient Anterior Cervical Discectomy and Fusion

Anterior cervical discectomy and fusion (ACDF) can safely be performed in the outpatient setting.

Great Job Candidate? Don't Be Too Quick to Extend the Offer

Using a multi-step approach to hiring will create a more organized and productive search.

Investigational Non-Opioid Analgesic NeuroRelease May Provide 2 Weeks of Postsurgical Pain Relief

A novel 14-day, non-opioid, postsurgical pain treatment known as NeuroRelease is being developed by PixarBio Corporation and is expected to be FDA approved in 2018, according to the company.

Ghost Attendance: How to Handle a Candidate who Lied about Their Education

A common practice for most candidates applying for jobs is to make their resumes more robust possibly by embellishing. What if the candidate never graduated or even attended a school they said they did? How to avoid difficult situations.

3D Printing With Synthetic Scaffolds

Researchers in China have used the concept of 3D printing for biomedical purposes, specifically fabrication of an artificial vertebral body.

SpineUniverse Spine Surgeon Survey Results

In an effort to better understand challenges spine surgeons face, SpineUniverse developed several viewpoint questions.

Surgeon Surveys Provide Framework for Enhancing Perioperative Spine Care

Recent efforts have centered on perioperative interventions outside the operating room that might foster better outcomes more cost-effectively.

Spinal Cord Stimulation’s Place in the Pain Treatment Continuum and Advancements in Technology

Teatment paradigm for chronic pain is shifting, and spine surgeons should consider treatment with spinal cord stimulation earlier in the chronic pain treatment continuum.

Two-level Cervical Total Disc Replacement with Mobi-C® Shows Superior Efficacy to ACDF at 7 Years

Total disc replacement with the Mobi-C Cervical Disc demonstrated superior overall success compared to anterior cervical discectomy and fusion through 7 years in a prospective randomized study.

What Causes Osteoporosis in Greek Men?

Researchers aimed to determine the factors that are directly associated with bone mineral density, including BMD of the spine and hip, in Greek men.

Criteria for Fusion After Spinal Cord Tumor Surgery Described in Review Article

A recent literature review identified seven criteria for instrumented fusion after spinal cord tumor resection in adults. Overall, 8% of adults with spinal cord tumor surgery required fusion.

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).

Infliximab Plus Naproxen Attains 70% Partial Remission in AS

Patients with Ankylosing Spondylitis (AS) who were given infliximab and naproxen achieved a 70.5% partial remission rate in a post hoc analysis of the Infliximab as First Line Therapy in Patients with Early Active Axial Spondyloarthritis Trial.

FDA's Prescription Acetaminophen Recommendation

Limiting the amount of acetaminophen per dosage unit will reduce the risk of...

Is Osteoporosis of the Spine Common in Patients with COPD?

Researchers examined the progression of osteoporosis in patients who have chronic obstructive pulmonary disease (COPD).

Low-Dose Diclofenac Approved for Management of Osteoarthritis Pain

Low-dose submicron diclofenac (Zorvolex) was approved by the U.S. Food and Drug Administration for the management of osteoarthritis pain.

Satisfaction With Pain After Spine Surgery: What Residual Pain Level Do Spine Surgery Patients Find Acceptable?

“Studies in days gone by used pain scales only, but for various reasons over the years a more complex assessment of health-related quality of life has become popular”.

Early Physical Therapy for Low Back Pain Shows Modest Benefits

Low back pain is common among many Americans, and even as health care spending increases, so does the prevalence of poor outcomes associated with it.

Metastatic Epidural Spinal Cord Compression and Decompression Surgery Multicenter Study Results

Symptomatic metastatic epidural spinal cord compression (MESCC) is among the most debilitating complications of metastatic spine cancer.

Many Patients Lack Understanding of Spine Surgery Reimbursement

Patients who undergo spine surgery often overestimate the amount of reimbursement their surgeons receive for the procedures, according to a recent study in the The Spine Journal.

Polypharmacy Increased in Adults NHANES Survey Reports

Notably, several of the top 10 most commonly used drugs in 2011-2012 were medications used to treat factors associated with the cardiometabolic syndrome—including hypertension, diabetes, and dyslipidemia—or obesity.

Elderly Show Marked Increase in Rate of Surgery for Multilevel Spinal Curvature

Rates of surgery to correct multilevel spinal curvature in adults ages 60 and older increased by 108% between 2004 and 2011, exceeding the expected growth given the aging population.

Osteoporosis Risk in Long-term Osteosarcoma Survivors

A study examined the prevalence of osteoporosis in long-term osteosarcoma survivors and the factors that raise patients’ risk of developing osteoporosis.

FDA Issues New Warning for Reclast (Zoledronic Acid)

The FDA released a new warning label for the osteoporosis medication Reclast. This article reviews what practitioners should do before prescribing Reclast to osteoporosis patients.

Advice to Stay Active Markedly Increases Activity Level in Patients with Acute Severe Low Back Pain

All patients underwent extensive physical examination, X-ray, and magnetic resonance imaging to rule out disc herniation or spinal stenosis requiring surgery.

Nonopioid Medications and Acute Low Back Pain

During NASS 2017, Jerome Schofferman, MD, presented alternatives to opioids, which have shown little evidence for efficacy in acute low back pain or pose a high risk for adverse events.

Factors Affecting Medicare Diagnosis Related Group (DRG) Reimbursement for Minimally Invasive Deformity Spine Surgery

The study investigates the effect of Medicare DRG on reimbursement based on length of stay and medical comorbidity in MIS deformity surgery.

Adolescent Idiopathic Scoliosis: Are There Advantages of Surgical Correction During Adolescence?

Isador Lieberman, MD presented results of a retrospective study comparing the surgical outcome of idiopathic scoliosis patients who underwent corrective surgery as young adults with those who had surgery during adolescence.

Predictive Models in Risk Stratification Approach to Spinal Surgical Management

This article is a continuation of "Risk Stratification Approach to Spinal Surgical Management" presented by Sigurd H. Berven, MD.

Adjacent Level Disease: Can Cervical Arthroplasty Decrease the Risk?

At 7 years, patients treated with a single-level anterior cervical discectomy and fusion have three times the risk of needing surgery for adjacent segment disease compared to patients treated with total disc replacement.

Transpoas Approach to Lumbar Corpectomy Shows High Rate of Patient Satisfaction and Functional Outcomes

Patients with unstable burst fractures treated with anterior lumbar corpectomy and cage placement using a transpsoas approach and short-segment posterior instrumentation showed high rates of satisfaction with outcomes.

Laminectomy Plus Fusion and Laminoplasty Show Equivalent Efficacy in the Treatment of Degenerative Cervical Myelopathy

When deciding between laminectomy and fusion versus laminoplasty for an individual case, certain patient factors should be considered.

Do Multilevel Posterior Cervical Fusions Extended to T1 Reduce Revision Surgery Risk?

While extending cervical fusions into the thoracic spine is common practice, it remains a topic of ongoing debate.

Rates of Surgery for Spinal Deformity Increased Among Older Adults

The investigators used 2004-2011 data from the NIS to identify adults who underwent spinal fusion of 8 or more levels.

Is Surgery for Degenerative Cervical Myelopathy Cost Effective?

Data gathered may help guide clinical decision making and policy decisions regarding healthcare resource allocations used for treatment of degenerative cervical myelopathy.

Checklist Aims to Improve Flow, Reduce Risks During Minimally Invasive Lateral Interbody Fusion (MIS-LIF)

Researchers from the University of South Florida have developed a systematic approach to preoperative assessment and surgical technique.

Vertebroplasty Reduces Acute Pain Following Osteoporotic Vertebral Fractures in VAPOUR Study

The VAPOUR study included 120 patients with one or two osteoporotic vertebral fractures of less than 6 weeks’ duration and back pain of ≥7 out of 10 on the Numeric Rating Scale.

Changes in the Care of Head and Neck Injuries in Helmeted Student Athletes

The care of helmeted student athletes following a concussion and possible spine injury has changed over the past decade with new research and revised protocols included in this evolution.

Comorbidity Burden Associated With Poor Outcomes in Atlantoaxial Fusion

Age and comorbidity burden are associated with higher rates of postsurgical mortality and longer lengths of in-hospital stay after atlantoaxial fusion, according to findings from a large retrospective study.

Greater BMI Linked to Risk for Revision Procedures Following Lumbar Discectomy

Surgeons should consider a patient’s bone mass index (BMI) when evaluating them for lumbar surgery, due to the fact that "increased BMI is associated with increased risk of revision surgery, especially in the morbidly obese.

Cervical Total Disc Replacement With Mobi-C Is a Safe and Effective Alternative to Cervical Fusion, Long-Term Study Shows

“It is important for surgeons, non-surgeons, and patients to know that there is an alternative to cervical fusion with results that are at least as good and with lower rates of degeneration...

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.

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.

At What Surgical Cost Does Transforaminal Lumbar Interbody Fusion Become Less Cost-Effective Than Posterolateral Fusion for Spondylolisthesis?

Study outcomes in JNS Spine suggest the cost of TLIF per QALYs vs PSF in the treatment of spondylolisthesis depends on factors, including the accuracy of cost assumptions.

Adult Native Vertebral Osteomyelitis Clinical Guideline

A summary of the Infectious Diseases Society of America’s (IDSA) recently published clinical practice guideline for treating native vertebral osteomyelitis, with commentary by Jeffrey Gudin, MD.

MRI Findings Not Helpful in Determining Herniated Disc-Related Sciatica Treatment

New research finds that MRI has no value in the decision making between early surgery and prolonged conservative care.
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