Abstract:
:The Spine Patient 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 a randomized and observational cohort, SPORT has provided vast data on the pathogenesis, treatment effects, clinical outcomes, cost effectiveness of both disk herniation and lumbar spinal stenosis. With regards to lumbar disk herniation, SPORT has demonstrated a sustained benefit from surgical intervention and acceptable cost-effectiveness at 2, 4, and 8 years postoperatively. Myriad subgroup analyses have subsequently been performed that have also resulted in clinically relevant findings. These analyses have assessed optimal timing for surgery, incidence and risk factors for reoperation, impact of obesity and other comorbidities, influence of epidural injections, and evaluation of socioeconomic factors. This has resulted in significant findings that may allow spine surgeons to optimize patient outcomes while managing expectations appropriately.
journal_name
Clin Spine Surgjournal_title
Clinical spine surgeryauthors
Ilyas H,Savage Jdoi
10.1097/BSD.0000000000000696subject
Has Abstractpub_date
2018-11-01 00:00:00pages
366-372issue
9eissn
2380-0186issn
2380-0194journal_volume
31pub_type
杂志文章,评审abstract:STUDY DESIGN:A retrospective case series describing teardrop fracture of the axis. OBJECT:The purpose of the study was to clarify the clinical features, the mechanism of injury, and the potential instability of extension teardrop fractures of the axis, so as to emphasize the importance of recognizing this injury as a ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e31828984f9
更新日期:2016-02-01 00:00:00
abstract:STUDY DESIGN:Retrospective cohort. OBJECTIVE:To determine whether a genetic test is associated with successful Providence bracing for adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA:Genetic factors have been defined that predict the risk of progression of AIS in a polygenic fashion. From these data,...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e3182aa4ce1
更新日期:2016-04-01 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:PURPOSE:The aim of this publication is to present a case of idiopathic spinal cord herniation (ISCH) associated with a transdural disk herniation, demonstrate an operative technique used to treat this condition and provide an updated review the literature. BACKGROUND CONTEXT:ISCH is an infrequent condition that can ca...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000896
更新日期:2020-07-01 00:00:00
abstract:STUDY DESIGN:Retrospective database review. OBJECTIVE OF THE STUDY:The objective of the study was to assess whether bone morphogenetic protein (BMP) decreases the risk of revision surgery in elderly patients treated with 3-7 level or 8 or greater level fusions. SUMMARY OF BACKGROUND DATA:Revision spine surgery in the...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000489
更新日期:2017-08-01 00:00:00
abstract:STUDY DESIGN:Intervention comparison study. OBJECTIVE:To assess postoperative cervical lordosis, clinical outcome, and progression of ossification of the posterior longitudinal ligament (OPLL) in patient of cervical spondylotic myelopathy (CSM) by the OPLL. SUMMARY OF BACKGROUND DATA:The posterior approach is usually...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000058
更新日期:2016-02-01 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::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::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:STUDY DESIGN:An observational prospective cohort study. OBJECTIVE:To investigate the influence of natural history on the recovery of patients with cervical spondylotic myelopathy (CSM) after anterior cervical decompression. SUMMARY OF BACKGROUND DATA:The natural history of CSM has not been clearly elucidated, it rema...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000873
更新日期:2019-10-01 00:00:00
abstract:STUDY DESIGN:A prospective cohort study. OBJECTIVE:The objective of this study was to establish the correlation between radiographic spinopelvic parameters with objective biomechanical measures of function in patients with adult degenerative scoliosis (ADS). SUMMARY OF BACKGROUND DATA:Gait and balance analyses can pr...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000939
更新日期:2020-02-01 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 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:This was a retrospective analysis of prospectively collected data. OBJECTIVE:To investigate the incidence of thromboembolism in patients who received tranexamic acid (TXA) after lumbar spine fusion and determine the diagnostic value of lower limb duplex sonography as a screening test. SUMMARY OF BACKGROU...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000860
更新日期:2020-03-01 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:Retrospective analysis of the National Surgical Quality Improvement Program (NSQIP), a prospectively collected multicenter surgical outcomes database. OBJECTIVE:To determine the effect of preoperative nutritional status, as measured by serum albumin concentration, on outcomes following anterior cervical d...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000181
更新日期:2016-05-01 00:00:00
abstract:STUDY DESIGN:This is a level III retrospective cohort study. OBJECTIVE:To investigate association between prophylactic tranexamic acid (TXA) administration before 1 and 2-level posterior lumbar interbody fusion operations and perioperative blood loss (including intraoperative blood loss and postoperative drain output)...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000770
更新日期:2019-08-01 00:00:00
abstract:STUDY DESIGN:A prospective study with historical controls. OBJECTIVES:To evaluate and compare the safety and effectiveness of recombinant human bone morphogenetic protein-2 (rhBMP-2) with allograft for anterior cervical discectomy and fusion (ACDF) in patients with symptomatic single-level cervical degenerative disk d...
journal_title:Clinical spine surgery
pub_type: 临床试验,杂志文章
doi:10.1097/BSD.0000000000000409
更新日期:2017-11-01 00:00:00
abstract:STUDY DESIGN:Retrospective analysis of 2 prospectively collected multicenter databases, one for cervical deformity (CD) and the other for general adult spinal deformity. OBJECTIVE:To investigate the relative quality-of-life and disability burden in patients with uncompensated cervical, thoracolumbar, or cervical and t...
journal_title:Clinical spine surgery
pub_type: 杂志文章,多中心研究
doi:10.1097/BSD.0000000000000743
更新日期:2018-12-01 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:This was a cross-sectional study. OBJECTIVE:The objective of this study is to report the impact of COVID-19 on spine surgery fellow education and readiness for practice. SUMMARY OF BACKGROUND DATA:COVID-19 has emerged as one of the most devastating global health crises of our time. To minimize transmissi...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001073
更新日期:2020-10-02 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:STUDY DESIGN:This is a retrospective comparative review. OBJECTIVE:The objective of this study was to identify the influence of body mass index (BMI) on postsurgical complications and patient reported outcomes measures (PROMs) following lumbar decompression surgery. SUMMARY OF BACKGROUND DATA:Current literature does ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001001
更新日期:2020-12-01 00:00:00
abstract:STUDY DESIGN:A prospective single-surgeon nonrandomized clinical study. OBJECTIVE:To evaluate the radiographic and clinical outcomes, by fixation type, in extreme lateral interbody fusion (XLIF) patients and provide an algorithm for determining patients suitable for stand-alone XLIF. SUMMARY OF BACKGROUND DATA:XLIF m...
journal_title:Clinical spine surgery
pub_type: 临床试验,杂志文章
doi:10.1097/BSD.0b013e3182aa4c94
更新日期:2017-03-01 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::The pressures on spine surgery to adopt value-based reimbursement models are being seen in the increased implementation of bundled payment strategies. Given that bundled payment models typically link payments to the initiation of the surgical episode in question, despite their potential cost-saving attributes, financi...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000568
更新日期:2018-07-01 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:STUDY DESIGN:Description of a navigated, single-step, minimally invasive technique for the placement of pedicle screws. OBJECTIVE:To describe a new technique for minimally invasive placement of pedicle screws in the lumbar spine using O-arm and StealthStation navigation in combination. SUMMARY OF BACKGROUND DATA:Mini...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000616
更新日期:2018-06-01 00:00:00
abstract:STUDY DESIGN:This was a prospective clinical study. OBJECTIVE:The aim of this study was to evaluate the influence of a preoperative conference on spine surgeons' decision-making in the treatment of adult spinal disorders. SUMMARY AND BACKGROUND DATA:There are several factors that spine surgeons have to consider when ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000693
更新日期:2018-11-01 00:00:00