Abstract:
STUDY DESIGN:This was a meta-analysis study. OBJECTIVE:To compare different posterior spine fixation methods for burst fracture fixation. SUMMARY OF BACKGROUND DATA:This study was performed to elucidate if the current body of literature supports one posterior spinal fusion fixation method for burst fracture to minimize the rate of implant failure and progression of posttraumatic kyphosis. MATERIALS AND METHODS:An extensive electronic search was conducted using PubMed for pertinent articles. The articles were examined against the inclusion and exclusion criteria. Data pertaining to kyphosis angle, Frankel score, vertebral level, blood loss, operation time, hospital stay, postoperative bracing, instrument failure, complications, and follow-up were collected. A random effects model was chosen due to variation among the individual studies' patient populations and surgical methods. RESULTS:A total of 23 publications were eventually deemed eligible according to the criteria and included into this study. The group with 2 levels above and 1 below with intermediate screws had the greatest maintenance of spine kyphosis and lowest implant failure at final follow-up (P<0.001). There was no difference between the periods of hospital stay (P=0.788) and blood loss (P=0.154) among different tiers. CONCLUSIONS:A fixation method consisting of 2 levels above and 1 below with intermediate screws for the thoracolumbar burst fractures showed the highest correction of kyphosis angle both at immediate and final follow-up and also the lowest implant failure at final follow-up.
journal_name
Clin Spine Surgjournal_title
Clinical spine surgeryauthors
Ituarte F,Wiegers NW,Ruppar T,Goldstein C,Nourbakhsh Adoi
10.1097/BSD.0000000000000763subject
Has Abstractpub_date
2019-03-01 00:00:00pages
57-63issue
2eissn
2380-0186issn
2380-0194journal_volume
32pub_type
杂志文章,meta分析abstract:STUDY DESIGN:This was a retrospective case control study. OBJECTIVE:The objective was to determine the impact of single-level interbody fusion at L4/5 with or without concomitant decompression on various spinopelvic parameters and health-related quality-of-life (HRQOL) outcomes. SUMMARY OF BACKGROUND DATA:Recently, f...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001013
更新日期:2020-12-01 00:00:00
abstract:STUDY DESIGN:Retrospective case-control study. OBJECTIVE:To compare the incidence, management, and outcome of incidental durotomy in revision microdiscectomy with open and minimal-access surgery. SUMMARY OF BACKGROUND DATA:Incidental durotomy occurs with a variable incidence of 3%-27% in spine surgery. The highest ra...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000279
更新日期:2017-12-01 00:00:00
abstract:STUDY DESIGN:This study was an ambispective long-term cost-utility analysis with retrospective chart review and included the prospective completion of health questionnaires by patients. OBJECTIVE:This was a cost-utility analysis, comparing conservative treatment, discectomy, and discectomy with spinal fusion for patie...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000797
更新日期:2019-06-01 00:00:00
abstract::Central cord syndrome (CCS) represents a clinical phenomenon characterized by disproportionately greater motor impairment of the upper than of the lower extremities, bladder dysfunction. CSS is the most common form of incomplete traumatic spinal cord injury. The initial description of CSS was reported in 1887 secondar...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000731
更新日期:2018-12-01 00:00:00
abstract:STUDY DESIGN:A retrospective 1-year cost-utility analysis. OBJECTIVE:To determine the cost-effectiveness of using recombinant human bone morphogenic protein (rhBMP-2) in addition to autograft for 1- and 2-level lumbar fusions. SUMMARY OF BACKGROUND DATA:rhBMP-2 has been studied extensively to identify its benefits, r...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000079
更新日期:2016-02-01 00:00:00
abstract:STUDY DESIGN:This was a national database study. OBJECTIVE:The objective of this study was to assess the impact of prior bariatric surgery (BS) on altering 90-day postoperative outcomes following elective anterior cervical discectomy and fusions (ACDFs). SUMMARY OF BACKGROUND DATA:Though obesity has previously been s...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001120
更新日期:2020-12-07 00:00:00
abstract:STUDY DESIGN:This was a prospective study. OBJECTIVE:To determine patient awareness of surgeon-industry relationships, how these relationships affect patient perceptions of surgeons, and which relationships cause the greatest concern to patients. SUMMARY OF BACKGROUND DATA:The prevalence of orthopedic surgeon-industr...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000915
更新日期:2020-04-01 00:00:00
abstract:STUDY DESIGN:A single-center case-referent study. OBJECTIVE:To assess whether the "pedicle screw (PS) fluid sign" on magnetic resonance imaging (MRI) can be used to diagnose deep surgical site infection (SSI) after posterior spinal instrumentation (PSI). SUMMARY OF BACKGROUND DATA:MRI is a useful tool for the early d...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000040
更新日期:2017-05-01 00:00:00
abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:To examine the relationship between preoperative Modic change (MC) and postoperative clinical assessment scores for patients receiving lumbar discectomy or transforaminal lumbar interbody fusion for lumbar disk herniation. SUMMARY OF BACKGROUND DATA:Lumbar disk herni...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001076
更新日期:2020-09-25 00:00:00
abstract:STUDY DESIGN:This is a retrospective single-center and single-surgeon study. OBJECTIVE:We investigated the correlation between lower instrumented vertebra (LIV) and spinal mobility 2 years after posterior spinal fusion with pedicle screws for adolescent idiopathic scoliosis (AIS) for optimal LIV selection. SUMMARY OF...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000794
更新日期:2019-08-01 00:00:00
abstract:STUDY DESIGN:A retrospective cohort of prospective data. OBJECTIVE:Determine the frequency of various symptoms in a surgical cohort of cervical myelopathy (CM). SUMMARY OF BACKGROUND DATA:CM can be difficult to diagnose as there is no sine qua non "myelopathic symptom." Despite extensive literature, the likelihood or...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000968
更新日期:2020-12-01 00:00:00
abstract:STUDY DESIGN:Expansive pedicle screws (EPS) and polymethylmethacrylate-augmented pedicle screws (PMMA-PS) were inserted into osteoporotic synthetic bones, which were then tested by radiographic and biomechanical examinations. OBJECTIVE:To compare the stability of EPS and PMMA-PS with that of a conventional pedicle scr...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e31828bfc85
更新日期:2016-08-01 00:00:00
abstract::Because of the rising health care costs in the United States, there has been a focus on value-based care and improving the cost-effectiveness of surgical procedures. Patient-reported outcome measures (PROMs) can not only give physicians and health care providers immediate feedback on the well-being of the patients but...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000982
更新日期:2020-05-01 00:00:00
abstract:STUDY DESIGN:A retrospective study. SUMMARY OF BACKGROUND DATA:Percutaneous vertebroplasty (PV) changes mechanical stress of vertebral column and can cause recurrent pain at the treated level. However, there were a few reports on the therapeutic effects of the repeat PV for patients with recurrent pain at the treated ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e318288a900
更新日期:2016-11-01 00:00:00
abstract::Randomized clinical trials often represent the highest level of clinical evidence available to evaluate the efficacy of an intervention in clinical medicine. Although the process of randomization serves to maximize internal validity, the external validity, or generalizability, of such studies depends on several factor...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000588
更新日期:2017-11-01 00:00:00
abstract::As the cost of health care continues to rise, government and commercial payors are implementing strategies as a means of reducing the overall expenditure of health care dollars. The largest savings will be not just in more cost-effective treatments but in strategies that can avoid the need for treatments in the first ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000541
更新日期:2018-10-01 00:00:00
abstract:STUDY DESIGN:Retrospective data analysis. OBJECTIVE:The aim of this study was to analyze correlations between spinopelvic configuration and fracture pattern or location in traumatic vertebral fractures. SUMMARY OF BACKGROUND DATA:The spinopelvic configuration represented by the pelvic incidence (PI) angle showed to h...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000035
更新日期:2017-04-01 00:00:00
abstract:STUDY DESIGN:This is a retrospective study. OBJECTIVE:The objective of this study was to investigate the surgical outcomes of postural instability and its predictors in patients with cervical myelopathy (CM). SUMMARY OF BACKGROUND DATA:Although several studies have shown impaired postural stability in CM patients, th...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000972
更新日期:2020-12-01 00:00:00
abstract:STUDY DESIGN:This is a cross-sectional study. OBJECTIVE:To investigate spine surgeons' attitudes regarding preoperative anxiety measurement, management, and responsibility. SUMMARY OF BACKGROUND DATA:The vast majority of patients scheduled for spine surgery experience preoperative anxiety. However, there are currentl...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000705
更新日期:2019-02-01 00:00:00
abstract:STUDY DESIGN:This is a retrospective study. OBJECTIVES:(1) To analyze the incidence of second surgery after initial laminoplasty for ossification of the posterior longitudinal ligament (OPLL) due to disease progression, (2) to examine factors associated with poor surgical outcome. SUMMARY OF BACKGROUND DATA:Neurologi...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000747
更新日期:2019-04-01 00:00:00
abstract:STUDY DESIGN:Propensity score matched retrospective study using a nationwide longitudinal database. OBJECTIVE:To quantify the longitudinal economic impact of venous thromboembolism (VTE) complications in spinal fusion patients. SUMMARY OF BACKGROUND DATA:VTE is a rare and serious complication that may occur after spi...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000450
更新日期:2017-12-01 00:00:00
abstract:STUDY DESIGN:Retrospective cohort. OBJECTIVE:The objective of this study was to determine patients' perception of iliac crest bone graft (ICBG) harvesting and donor site pain following minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). SUMMARY OF BACKGROUND DATA:The incidence of donor site pain has...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000781
更新日期:2019-12-01 00:00:00
abstract:STUDY DESIGN:Retrospective review of prospectively collected data OBJECTIVE:: To assess the association between preoperative and postoperative mental health status with postoperative satisfaction in lumbar degenerative surgery patients. SUMMARY OF BACKGROUND DATA:Poor preoperative mental health has been shown to negat...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001106
更新日期:2020-12-08 00:00:00
abstract:INTRODUCTION:Hidden zone foraminal herniations are among the more rare forms of herniations. As exploration is difficult, and there is a close relationship between the nerve root and pedicle, many surgical approaches have been proposed. The aim of this study was to describe downward laminotomy as a new approach to thes...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000562
更新日期:2018-05-01 00:00:00
abstract::The Spine Patient-Reported Outcomes Related Trial (SPORT) is arguably one of the most impactful and insightful studies conducted in spine surgery. Designed as a prospective, multicenter study with randomized and observational cohorts, SPORT has provided vast data on the pathogenesis, treatment effects, clinical outcom...
journal_title:Clinical spine surgery
pub_type: 杂志文章,评审
doi:10.1097/BSD.0000000000000841
更新日期:2019-08-01 00:00:00
abstract:STUDY DESIGN:Biomechanical ex vivo study. OBJECTIVE:To determine if topping off instrumentation can reduce the hypermobility in the adjacent segments when compared with the classic rigid spinal instrumentation. SUMMARY OF THE BACKGROUND DATA:Long rigid instrumentation might increase the mechanical load in the adjacen...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000244
更新日期:2017-05-01 00:00:00
abstract:STUDY DESIGN:Prospective cohort study. OBJECTIVE:To determine whether comorbidities and demographics, identified preoperatively, can impact patient outcomes and satisfaction after lumbar spine surgery. SUMMARY OF BACKGROUND DATA:The surgical treatment of lower back pain does not always eliminate a patient's pain and ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000331
更新日期:2017-07-01 00:00:00
abstract:STUDY DESIGN:A retrospective cohort study. OBJECTIVE:To examine the association between the American Society of Anesthesiologists (ASA) score and patient-reported outcomes (PROs) after minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). SUMMARY OF BACKGROUND DATA:Few studies have investigated the co...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000930
更新日期:2020-02-01 00:00:00
abstract::Adjacent segment disease (ASD) is disappointing long-term outcome for both the patient and clinician. In contrast to adjacent segment degeneration, which is a common radiographic finding, ASD is less common. The incidence of ASD in both the cervical and lumbar spine is between 2% and 4% per year, and ASD is a signific...
journal_title:Clinical spine surgery
pub_type: 杂志文章,评审
doi:10.1097/BSD.0000000000000442
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVE:To provide reasoning and steps for the placement of sacral alar-iliac (S2AI) screws for pelvic arthrodesis to aid osseous lumbosacral fusion. SUMMARY OF BACKGROUND DATA:Studies support lower rates of screw breakage and need for revision surgery or hardware removal for S2AI screws compared with traditional il...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000574
更新日期:2018-11-01 00:00:00