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 […]
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 […]
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 […]
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 […]
Magnetic Resonance Imaging Predictors Of Surgical Outcome In Patients with Intervertebral Disc Herniation
Data from the Spine Outcomes Research Trial (SPORT) was used to form a retrospective cohort analysis regarding the treatment effects of nonsurgical and surgical patients with lumbar herniated discs. Baseline comparisons of patients who had complete and incomplete MRI studies were reviewed and there was no difference between the populations. Statistical analysis was based on […]
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 […]
Minimum 25-year outcome and functional assessment of lumbar discectomy.
This paper is a retrospective review on 348 consecutive patients who had lumbar discectomy surgery between 1973 and 1979 by the orthopedic department of Federico II Hospital in Naples, Italy. Seven different surgeons participated in the surgical treatments. Two Hundred One (201) patients agreed to participate in follow-up, either by mail or by an in […]
The prediction of curve progression in untreated idiopathic scoliosis during growth.
The natural history of adolescent idiopathic scoliosis is still not entirely understood despite decades of research. This study by Lonstein and Carlson is truly one of the classic papers published on the subject of idiopathic scoliosis, looking at the prognostic factors related to curve progression. The study population was drawn from a database of juvenile and adolescent […]