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Lordosis Distribution Index in Short-Segment Lumbar Spine Fusion – Can Ideal Lordosis Reduce Revision Surgery and Iatrogenic Deformity?

Bari TJ, Heegaard M, Bech-Azeddine R, Dahl B, Gehrchen M

Objective: The demand for spinal fusion is increasing, with concurrent reports of iatrogenic adult spinal deformity (flatback deformity) possibly due to inappropriate lordosis distribution. This distribution is assessed using the...
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Is Older Age a Contraindication for Single-Level Transforaminal Lumbar Interbody Fusion?

Patel JY, Kundnani VG, Chawada B

Study Design Retrospective cohort. Purpose This study’s primary objective was to compare the clinico-radiological outcomes and incidence of perioperative complications of transforaminal lumbar interbody fusion (TLIF) at lower lumbar levels for elderly and...
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Factors Predicting the Clinical Outcome After Trans-sacral Epiduroscopic Laser Decompression for Lumbar Disc Herniation

Yoo BR, Son S, Lee SG, Kim WK, Jung JM

Objective: Previous literatures have demonstrated widely variable clinical results after transsacral epiduroscopic laser decompression (SELD) and the factors predicting outcomes are not yet established. Therefore, we analyzed the clinical outcome...
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Influence of Frailty on Life Expectancy in Octogenarians After Lumbar Spine Surgery

Jang HJ, Chin DK, Park JY, Kuh SU, Kim KS, Cho YE, Kim KH

Objective: Many studies have reported positive surgical outcomes and decreased mortality after spine surgery in the elderly population, including patients between 85 and 90 years of age. Here, in addition...
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Therapeutic Effect of Mirogabalin on Peripheral Neuropathic Pain due to Lumbar Spine Disease

Kim K, Isu T, Kokubo R, Iwamoto N, Morimoto D, Kawauchi M, Morita A

Study Design Retrospective study. Purpose This study aims to evaluate the effectiveness of mirogabalin in treatment of peripheral neuropathic pain due to lumbar spine disease. Overview of Literature Mirogabalin is a novel selective ligand for...
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Influence of Epidural Ropivacaine with or without Dexmedetomidine on Postoperative Analgesia and Patient Satisfaction after Thoraco-Lumbar Spine Instrumentation: A Randomized, Comparative, and Double-Blind Study

Qureshi F, Meena SC, Kumar V, Jain K, Chauhan R, Luthra A

Study Design This was a prospective, randomized, and double-blind study. Purpose Thoraco-lumbar spine surgery is associated with severe postoperative pain and can cause chronic pain. We aimed to compare the impact of epidural...
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Determinants of Postoperative Spinal Height Change among Adult Spinal Deformity Patients with Long Construct Circumferential Fusion

Rentenberger C, Okano I, Salzmann SN, Shirahata T, Reisener MJ, Shue J, Sama AA, Cammisa FP, Girardi FP, Hughes AP

Study Design Retrospective clinical study. Purpose To describe postoperative height changes and identify the predictive factors of spinal height (SH) changes among patients with adult spinal deformity (ASD) who underwent circumferential lumbar fusion...
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Sagittal Radiographic Parameters of the Spine in Three Physiological Postures Characterized Using a Slot Scanner and Their Potential Implications on Spinal Weight-Bearing Properties

Hey HWD, Ng NLW, Loh KYS, Tan YH, Tan KA, Moorthy V, Lau ETC, Liu G, Wong HK

Study Design: Prospective radiographic comparative study. Purpose: To compare and understand the load-bearing properties of each functional spinal unit (FSU) using three commonly assumed, physiological, spinal postures, namely, the flexed (slump...
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Regional Anesthesia for Lumbar Spine Surgery: Can It Be a Standard in the Future?

Lee JK, Park JH, Hyun SJ, Hodel D, Hausmann ON

This paper is an overview of various features of regional anesthesia (RA) and aims to introduce spine surgeons unfamiliar with RA. RA is commonly used for procedures that involve the...
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Demographic Predictors of Treatment and Complications for Spinal Disorders: Part 2, Lumbar Spine Trauma

Jammal OA, Gendreau J, Alvandi B, Patel NA, Brown NJ, Shahrestani S, Lien BV, Delavar A, Tran K, Sahyouni R, Diaz-Aguilar LD, Gilbert K, Pham MH

Objective: To study the impact of demographic factors on management of traumatic injury to the lumbar spine and postoperative complication rates. Methods: Data was obtained from the National Inpatient Sample (NIS)...
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Incidence and Epidemiology of Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations

Zileli M, Sharif S, Fornari M

This review aims to search the epidemiology and incidence rates of thoracolumbar spine fractures. A systematic review of the literature of the last 10 years gave 586 results with “incidence,”...
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Classification and Radiological Diagnosis of Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations

Bajamal AH, Permana KR, Faris M, Zileli M, Peev NA

The aim of this review to determine recommendations for classification and radiological diagnosis of thoracolumbar spine fractures. Recommendation was made through a literature review of the last 10 years. The...
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Deep Learning Algorithm for Simultaneous Noise Reduction and Edge Sharpening in Low-Dose CT Images: A Pilot Study Using Lumbar Spine CT

Yeoh H, Hong SH, Ahn C, Choi JY, Chae HD, Yoo HJ, Kim JH

Objective: The purpose of this study was to assess whether a deep learning (DL) algorithm could enable simultaneous noise reduction and edge sharpening in low-dose lumbar spine CT. Materials and Methods:...
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Is It Appropriate to Insert Pedicle Screws at an Infected Vertebral Body in the Treatment of Lumbar Pyogenic Spondylodiscitis?

Na HY, Jung YH, Lee JY, Kim HD

Purpose: In the surgical treatment of pyogenic lumbar spondylodiscitis, screw insertion at the affected vertebra has been avoided because of biofilm formation, and the risk of infection recurrence. The authors...
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L1 Slope as an Indicator of Thoracolumbar Sagittal Balance in Osteoporotic Vertebral Fractures

Lee SM, Park JH, Chang YJ, Shim SW, Baek SN, Choi YS

Objectives: To evaluate the association between L1 slope and thoracolumbar spinal parameters of sagittal balance in cases of osteoporotic vertebral fracture. Summary of Literature Review: Recently, interest has emerged in the...
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A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery

Wu PH, Kim HS, Jang IT

In the first phase of development of lumbar endoscopic spine surgery, the focus was on removal of soft disc material through the working corridor of Kambin’s triangle using transforaminal endoscopic...
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Lumbar Juxtafacet Cyst Treated with Direct Needle Aspiration Under the Guidance of Image Intensifier

Hong SH, Suh SP, Hwang SH, Kim YS

A lumbar juxtafacet cyst is a rare disease that causes low back pain, radiculopathy and neurological claudication by compressing the nerve roots. A 34-year-old male complained of severe low back...
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Considerations for Fluoroscopic Guided Intervention in Lumbar Spine

Kim DH, Song KS

Spinal block procedures are useful methods that reduce the need for surgical treatment. In addition to their therapeutic aspects of pain relief, in many patients, they are also used for...
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Incidence and Management Trends of Osteoporotic Vertebral Compression Fractures in South Korea: A Nationwide Population-Based Study

Choi SH, Kim DY, Koo JW, Lee SG, Jeong SY, Kang CN

Study Design: A nationwide population-based study. Purpose: Osteoporotic vertebral compression fracture (OVCF) is a major public health issue. This study examined the incidence and management trends of OVCF in South Korea....
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Changes in Thoracic Kyphosis and Thoracolumbar Kyphosis in Asymptomatic Korean Male Subjects Aged >50 Years: Do They Progress Above T5, T10, T12, or L2?

Park JH, Kim YB, Hyun SJ, Kang KB, Park PS

Study Design: Retrospective analysis of prospectively collected data. Purpose: To evaluate the natural progression of segmental kyphosis in thoracic and thoracolumbar spine with advancing age. Overview of Literature: To our knowledge, the...
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