Spineopedia Reviewed Contemporary Studies

Assessing the utility of a clinical prediction score regarding 30-day morbidity and mortality following metastatic spinal surgery: the New England Spinal Metastasis Score (NESMS).

Patients with spinal metastasis are associated with many medical comorbidities.  While surgical management for spine metastasis can improve quality of life, and improve function, The potential for complication, and worsening outcomes must be considered. This paper reviewed patient data from participating centers from 2007 to 2013 And assessed the 30 day mortality and morbidity for […]

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Negative effects of smoking, workers’ compensation, and litigation on pain/disability scores for spine patients.

This study is a retrospective review of two institutions that collected patient information from 2000 to 2008.  13,704 consecutive patients  with spinal disorder complaints answered questions regarding smoking status,  ODI, VAS and litigation or workers compensation status. No other information was collected.  There is no followup to these patients.   The overall demographic data breaks […]

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Five-year Reoperation Rates and Causes for Reoperations Following Lumbar Microendoscopic Discectomy and Decompression.

This is a retrospective review on 441 consecutive patients who underwent micro endoscopic lumbar discectomy or decompression from a single surgeon.  At 5 years,  there was  a 89% followup rate. The reoperation rate was 12.4%. 7% of the had additional surgery secondary to recurrent herniations. A .76% had additional surgery secondary to epidural hematoma. Almost […]

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Healthy lifestyle behavior and risk of long duration troublesome neck pain or low back pain among men and women: results from the Stockholm Public Health Cohort.

This Karolinska Institute of Stockholm study  utilized the Stockholm Public Health Cohort.  The Stockholm County Council established public health surveys of the Swedish population and has participants filled in baseline questions that addressed various aspects of health,  lifestyle and social outcomes. The authors used data sets from respondents from 2006, between the ages of 18 […]

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Cell Therapy for Treatment of Intervertebral Disc Degeneration: A Systematic Review.

Cell therapy treatments for disc degeneration remains a very exciting area of research.  Currently, there are multiple clinics offering forms of these treatments for patients with lower back pain. The science data supporting the use of these techniques remains limited. The Author’s of this paper reviewed Pubmed/MEDLINE data through October 31, 2018, as well as […]

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In Degenerative Spondylolisthesis, Unilateral Laminotomy for Bilateral Decompression Leads to Less Reoperations at 5 Years When Compared to Posterior Decompression With Instrumented Fusion

Patients diagnosed with  degenerative spondylolisthesis patients (DS) and symptomatic lumbar spinal stenosis (LSS) have had standard surgical recommendations of fusion in combination with decompression since the 1990’s.   Since the early 1990’s, surgical techniques have become less invasive.  What traditionally required wide pedicle to pedicle wide laminectomies with partial facetectomies for central stenosis can now be […]

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Aging of the Cervical Spine in Healthy Volunteers A 10-Year Longitudinal Magnetic Resonance Imaging Study

Prospective longitudinal study.  Mean follow-up.  It is 11.7 + .8 years 223 subjects  of original 497 asymtomatic volunteers from asymptomatic volunteers from 1993 to 1996 returned for a repeat MRI more than 10 years after the original MRI.    44.9% Mean age at the time of initial imaging was 39.0 ± 15 years.  At the time […]

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Microsurgical Treatment of Lumbar Disc Herniation: A Report of 158 Patients with a Mean Followup of More Than 32 Years.

This is a retrospective review of reported outcomes of 158 patients,  with a minimum of 25 years followup after microsurgical discectomy of a lumbar herniated disc. The Authors conclude that microsurgical discectomy surgery is an effective technique with high patient satisfaction. This is an important retrospective long term view on microdiscectomy, and certainly is consistent […]

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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 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 solely on the effects related to cervical disc surgery. There are several potential risks that […]

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