Spine & Peripheral Nerve

Read the latest on spine-related findings and techniques in Neurosurgery Watch.

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Two level cervical arthroplasty is as effective and safe as one level case

June 29, 2015
Spine
By: 
Yi Lu, MD PhD
Source: 
Spine

One level arthroplasty has been shown to be a safe alternative to one level anterior cervical diskectomy and fusion in selected patients with similarly excellent outcome. It has an added potential benefit of reducing the adjacent segment degeneration. Multi-level cervical...

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Surgical correction of adult spinal deformity improves back and leg pain

March 30, 2015
Spine
By: 
John S. Kuo, MD PhD
Source: 
Journal Neurosurgery Spine

Analysis of a prospectively collected, multi-center database of 421 adult spinal deformity (ASD) patients (235 surgical, 186 non-surgical patients) by the International Spine Study Group showed that surgical patients were 6.2 times more likely to experience improvement in back pain,...

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Equivalent outcomes in thoracolumbar burst fractures with or without orthosis

January 5, 2015
Spine
By: 
Farbod Asgarzadie, MD
Olaide Ajayi, MD
Source: 
Pub Med

Bailey et.al. present the results of a multi-center, randomized, non-blinded equivalence trial with the goal of eliminating the cost, patient deconditioning and complications associated with the use of TLSO brace or body casts for thoraco-lumbar burst fractures. This study was...

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4-year results of contiguous cervical arthroplasty versus anterior discectomy and fusion

November 24, 2014
Spine
By: 
H. Francis Farhadi, MD PhD
Source: 
Pub Med

Further follow-up was recently reported from a prospective multicenter randomized controlled, non-inferiority IDE trial comparing 2-level cervical total disc replacement (TDR) using the Mobi-C artificial disc versus fusion for...

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Updated Guidelines for Fusion in Managing Degenerative Lumbar Spine Disease

July 31, 2014
Spine
By: 
S. R. Manoharan, MBBS
H. Francis Farhadi, MD PhD
Source: 
Journal of Neurosurgery

Release of updated evidenced-based guidelines for the surgical care of degenerative lumbar spinal conditions by the CNS/AANS Spine Section includes relevant literature since the 2005 published guidelines, and a 5-tier level of evidence approach for the 16 subtopics was used...

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Circumferential thoracolumbar fracture stabilization is safe, with high fusion and stabilization rates

April 30, 2014
Spine
By: 
S. R. Manoharan, MBBS
H. Francis Farhadi, MD PhD
Source: 
Journal of Neurosurgery: Spine

The optimal management of thoracolumbar fractures, with respect to safety, fusion, and clinical outcomes remains uncertain and requires more comprehensive analysis of long-term outcomes. Schnake et al. report their prospective results of circumferential stabilization (posterior stabilization followed by corpectomy and...

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Seventy Percent Reduction in Transcranial Motor Evoked Potential Is Most Valid Measure of Neurological Worsening During Complex Spine Surgery

January 2, 2014
Spine
By: 
S. R. Manoharan, MBBS
H. Francis Farhadi, MD PhD
Source: 
Journal of Neurosurgery

The Japanese Society for Spine Surgery and Related Research published a prospective multicenter spinal intraoperative monitoring (IOM) study conducted across 18 institutions with 959 patients undergoing surgery for deformity correction, ossification of the posterior longitudinal ligament, or tumor resection between...

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Predictive Factors of Clinically Relevant Improvement After Anterior Cervical Decompression and Fusion: 10- to 13-Year Follow-Up

December 1, 2013
Spine
By: 
John H. Shin, MD
Source: 
Journal of Neurosurgery

Hermansen et al. report long-term results of a prospective, randomized study evaluating ACDF outcomes. Clinically relevant improvement (CRI) was defined as ≥ 30-mm improvement on a visual analog scale and ≥ 20% improvement in the neck disability index from preoperative...

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Comparison of Contiguous 2-Level Cervical Arthroplasty Versus Anterior Discectomy and Fusion

December 1, 2013
Spine
By: 
S. R. Manoharan, MBBS
H. Francis Farhadi, MD PhD
Source: 
Journal of Neurosurgery

Results were reported from a prospective multicenter randomized controlled IDE non-inferiority trial comparing 2-level cervical total disc replacement (TDR) using the Mobi-C artificial disc (LDR Medical) with fusion for symptomatic two-level radiculopathy or myeloradiculopathy. This is the first 2-level FDA-regulated...

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Adult Spinal Deformity Classification Provides Further Treatment Insight

November 1, 2013
Spine
By: 
Nathaniel P. Brooks, MD
Source: 
http://journals.lww.com/neurosurgery/Fulltext/2013/10000/The_SRS_Schwab_Adult_Sp...

Adult spinal deformity (ASD) is an extremely difficult condition to treat. Recognizing the appropriate indication and selecting the proper surgical solution is difficult because of the three dimensional nature of spine deformity. In an effort to facilitate surgical decision-making, the...

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