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Category: General Spine

Interspinous process devices(IPD) alone versus decompression surgery for lumbar spinal stenosis(LSS): A systematic review and meta-analysis of randomized controlled trials.

This study was funded by the National Natural Science Foundation of China and represents a systematic review of the literature and meta-analysis  of interspinous process devices (IPD) alone versus decompression for lumbar spinal stenosis.  The author’s database search found 866 potential articles.  IPD devices included X-stop, Coflex, DIAM, Wallis, and Asperious.  Studies were included if they […]

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The influence of obesity on the outcome of treatment of lumbar disc herniation: analysis of the Spine Patient Outcomes Research Trial (SPORT).

This publication by Rihn et al represents a retrospective analysis of data collected from the Spine Patient Outcomes Research Trial (SPORT).   As has been previously published describing the SPORT trial, participants were either randomized or placed in an observational cohort. This data presented was taken from the as-treated analysis and therefore the randomization effect was […]

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The Effects of Smoking and Smoking Cessation on Spine Surgery: A Systematic Review of the Literature.

This systematic review by Jackson and Devine provides us with a current review of the literature in regards to the effects of smoking and smoking cessation on spine surgery.  While this review covers spine surgery in general, our reviewed focused soley on the effects related to cervical disc surgery. There are several potential risks that […]

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The Norwegian Cervical Arthroplasty Trial (NORCAT): 2-year clinical outcome after single-level cervical arthroplasty versus fusion-a prospective, single-blinded, randomized, controlled multicenter study.

This investigation by Sundseth et al presents a prospective randomized study comparing cervical anterior discectomy and fusion (using interbody cage) versus cervical disc arthroplasty in a Norwegian population. Outcomes were determined at 2 years, which is a relatively short time period. Outcome measures included the Neck Disability Index (NDI), SF36, and EuroQol-5D-3L. Overall, this multicenter […]

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The Neck Disability Index: a study of reliability and validity.

The Neck Disability Index (NDI) was developed by Vernon and Mior in the late 1980’s and published in 1991. It remains the most widely used outcome instrument for the assessment of patients with neck related disorders. The NDI was developed to provide an objective measure to assess activities of daily living (ADL) in patients with […]

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What level of pain are patients happy to live with after surgery for lumbar degenerative disorders?

This study by Fekete et al, which has been approved for publication in The Spine Journal, provided an alternative approach to evaluating clinical outcomes in patients with degenerative lumbar disorders. The study population was derived from a spine surgery outcomes database and EUROSPINE Spine Tango Registry. Over 6900 patients in the database met the inclusion […]

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Surgery for lumbar spinal stenosis. Attempted meta-analysis of the literature.

This paper published by Turner et al in 1992 represented an attempted meta-analysis  of the literature covering a 24 year period (1996-1990).  Based on the methods described by the authors, 74 studies met the inclusion criteria. One of the major issues in trying to include or exclude studies was a lack of a standardized outcome […]

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Iliac crest bone graft harvest donor site morbidity. A statistical evaluation.

This paper published in 1995 is a case series of 261 patients that have had either posterior or anterior iliac crest harvesting for spinal fusion. With current utilization of bone graft substitutes including  bone marrow aspiration and BMP,    many of the more recently trained spine surgeons may not have had the experience of dealing with complications and […]

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