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
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
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
‘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
In postmenopausal women with osteoporosis, 12 months treatment with romosozumab was associated with rapid and large reductions in their risk of a vertebral fracture compared to placebo, research shows.
Source: Science Daily
Researchers retrospectively reviewed 13 patients who underwent implantation of 47 laser catheters with image guidance based on intraoperative MRI during spinal laser interstitial thermotherapy. Investigators measured discrepancy in millimeters between trajectories of the predicted placement to the actual placement to assess the accuracy of the image guidance. The median changes in thickness of the epidural tumor and change in the epidural spinal cord classification were also assessed.
Source: Healio
According to a presentation from the American Association of Neurological Surgeons Annual Scientific Meeting, optical topographic imaging is an efficient, novel technique that allows for initial and repeat registration of the cervical spine and had accuracy similar to other spinal neuronavigation systems.
Source: Healio
Seniors can benefit from herniated disc surgery, according to the results of a study conducted by Mattis A. Madsbu, a medical student at the Norwegian University of Science and Technology (NTNU) and colleagues at the Department of Neurosurgery at St. Olavs Hospital in Trondheim, Norway. Madsbu’s supervisor was NTNU consultant neurosurgeon Sasha Gulati.
Source: Medical Xpress
Inherent lordosis of the cage, an expandable nature, anterior position of the cage and compression of pedicle screws impacted the postoperative sagittal balance of patients who underwent transforaminal lumbar interbody fusion, according to a presenter at the American Association of Neurological Surgeons Annual Scientific Meeting.
Source: Healio
A world-first study has shown that specific physical activity benefits the discs in our spines and may help to prevent and manage spinal pain.
Source: Medical Xpress
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