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No significant change seen in obesity status after TLIF despite clinical improvements

Although investigators found improvements for function and pain, they discovered no significant change in weight after obese patients underwent transforaminal lumbar interbody fusion.

Source: Healio

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Depression linked with worse subjective outcomes after epidural steroid injection for spinal pathology

Investigators found that after lumbar epidural steroid injection for degenerative spine disease, patients with depression had worse absolute scores for patient-reported outcomes and higher disability compared with patients who were not depressed.

Source: Healio

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Preoperative diagnosis predictive of patient satisfaction after lumbar spine surgery

Researchers identified patients who underwent lumbar spine surgery and were enrolled in the Quality Outcomes Database. Patients completed the Oswestry Disability Index (ODI) and Numeric Rating Scale (NRS) for back pain and leg pain preoperatively and at 1 year after surgery. Investigators grouped patients according to their diagnosis and response to a question regarding satisfaction.

Source: Healio

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Model developed to predict development of complications in adult spinal deformity surgery

Researchers performed a retrospective analysis of information in an adult spinal deformity (ASD) database and identified 557 patients. Of these patients, 148 were categorized as having at least one major intraoperative or perioperative complication and 409 patients had no complications. Investigators developed decision trees with five different bootstrapped models and calculated overall accuracy, area under the receiver operating characteristic curve and importance of predictors.

Source: Healio

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Aging spine poses challenges for acetabular cup positioning

Coordinated movements of the spine in conjunction with the pelvis and hip, known as the hip-spine connection, may adversely affect or limit both areas of the body, particularly when pain is present. Surgeons may be able to identify the cause of pain in the hip or spine that is vague or does not follow a typical pattern by reviewing a patient’s history or through a physical examination. However, it may be more difficult for surgeons to make an accurate diagnosis when more than one problem contributes to pain symptoms.

Source: Healio

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Low-dose CT of the whole spine found more sensitive than conventional radiographs in monitoring AS

In patients with ankylosing spondylitis, low-dose CT of the whole spine delivered greater sensitivity than imaging with conventional radiographs, according to a study presented at the EULAR Annual Congress.

Source: Healio

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In patients with concurrent hip and spine pathology, does it matter which condition is corrected first?

With combined hip and spine disease, there is no standard answer for what is the preferred first operation. The surgeon must determine which disease is more painful and/or disabling. Total hip arthroplasty can be performed first without increased risk of dislocation after spine fusion.

Source: Healio

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Study explores spinal column shortening for tethered cord syndrome in pediatric patients

Researchers retrospectively reviewed seven children and young adults who underwent spinal column shortening for either primary or secondary tethered cord syndrome. Average follow-up was 31 months. Preoperatively and at 2 weeks, 3 months and 6 months postoperatively, and every year thereafter, investigators assessed gait, bowel and bladder function. They also assessed patient-reported outcomes with the Scoliosis Research Society Outcomes Questionnaire (SRS-22) and Oswestry Disability Index (ODI). A fusion assessment was performed 12 months postoperatively based on CT findings.

Source: Healio

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Low-dose CT of the whole spine found more sensitive than conventional radiographs in monitoring AS

In patients with ankylosing spondylitis, low-dose CT of the whole spine delivered greater sensitivity than imaging with conventional radiographs, according to a study presented at the EULAR Annual Congress.

Source: Healio

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Loss of estrogen a risk factor for disc degeneration and lower back pain

‘Oh, my aching back!’ It’s not an uncommon complaint heard from both men and women as they age and experience lumbar disc degeneration. Now a new study suggests that menopause is associated with severity of disc degeneration in the lumbar spine.

Source: Science Daily

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  • American Academy of Orthopaedic Surgeons
  • North American Spine Society
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  • Minnesota Valley Surgery Center
  • St. Francis Regional Medical Center
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