Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

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Articles

Changes in the Adjacent Segment 10 Years After Anterior Lumbar Interbody Fusion for Low-Grade Isthmic Spondylolisthesis

Kyung-Chul Choi MD, PhD, Jin-Sung Kim MD, PhD, Hyeong-Ki Shim MD, Yong Ahn MD, PhD, Sang-Ho Lee MD, PhD

Adjacent segment degeneration is a long-term complication of arthrodesis. However, the incidence of adjacent segment degeneration varies widely depending on the patient’s age and underlying disease and the fusion techniques and diagnostic methods used.

Minimally Invasive Transforaminal Lumbar Interbody Fusion for Spondylolisthesis and Degenerative Spondylosis: 5-year Results

Yung Park MD, Joong Won Ha MD, Yun Tae Lee MD, Na Young Sung MS

Multiple studies have reported favorable short-term results after treatment of spondylolisthesis and other degenerative lumbar diseases with minimally invasive transforaminal lumbar interbody fusion. However, to our knowledge, results at a minimum of 5 years have not been reported.

Does Minimally Invasive Surgery Have a Lower Risk of Surgical Site Infections Compared With Open Spinal Surgery?

Wen Wei Gerard Ee MBBS, Wen Liang Joel Lau, William Yeo (Manips), Yap Bing BSc, MSc, PhD, MBBS, M Med (Surg), FRCS (Edin & Glasg), FAMS, Wai Mun Yue MBBS, FRCS (Edin), FAMS (Orth Surg)

Surgical site infection (SSI) ranges from 1.9% to 5.5% in most large series. Minimally invasive surgery (MIS) has been postulated to reduce SSI rates.

Civilian Gunshot Injuries of the Spinal Cord: A Systematic Review of the Current Literature

Gursukhman S. Sidhu MBBS, Arvindera Ghag MD, Vanessa Prokuski BA, Alexander R. Vaccaro PhD, Kristen E. Radcliff MD

The principles that guide management of spinal cord injury (SCI) derive from injury resulting from blunt trauma, not gunshot wounds. Civilian gunshot-induced spinal cord injury (CGSWSCI) is a common, potentially serious cause of neurological deficit; there is disagreement about whether the same approaches used for SCI caused by blunt-force trauma should apply to gunshot-induced SCI.

Surgical Technique: Hemilaminectomy and Unilateral Lateral Mass Fixation for Cervical Ossification of the Posterior Longitudinal Ligament

Kun Liu MD, Jiangang Shi MD, Lianshun Jia MD, Wen Yuan MD

Surgical approaches for cervical ossification of the posterior longitudinal ligament (OPLL) include anterior, posterior, or combined decompression with or without fusion. The goal of surgery is to decompress the spinal cord while maintaining the stability and sagittal alignment of the cervical spine. C5 palsy has been reported as a postoperative complication of cervical laminectomy or laminoplasty characterized as motor weakness of the muscles supplied with C5 nerve roots. Several studies have shown this phenomenon was partially attributable to posterior shift of spinal cord.

Neck Pain in a 27-year-old Man

Addisu Mesfin MD, Jacob M. Buchowski MD, MS, Mitra Mehrad MD, Jianwen Xu MD, PhD

Is Cervical Disc Arthroplasty Superior to Fusion for Treatment of Symptomatic Cervical Disc Disease? A Meta-Analysis

Si Yin MD, Xiao Yu MD, Shuangli Zhou MD, Zhanhai Yin PhD, Yusheng Qiu PhD

As the current standard treatment for symptomatic cervical disc disease, anterior cervical decompression and fusion may result in progressive degeneration or disease of the adjacent segments. Cervical disc arthroplasty was theoretically designed to be an ideal substitute for fusion by preserving motion at the operative level and delaying adjacent level degeneration. However, it remains unclear whether arthroplasty achieves that aim.

Case Report: Curetting Osteoid Osteoma of the Spine Using Combined Video-assisted Thoracoscopic Surgery and Navigation

Wuilker Knoner Campos MD, Alessandro Gasbarrini MD, Stefano Boriani MD

A spinal osteoid osteoma is a rare benign tumor. The usual treatment involves complete curettage including the nidus. In the thoracic spine, conventional open surgical treatment usually carries relatively high surgical risks because of the close anatomic relationship to the spinal cord, nerve roots, and thoracic vessels, and pulmonary complications and postoperative pain.

Is Surgery for Spine Metastasis Reasonable in Patients Older Than 60 Years?

Tangzhao Liang MD, PhD, Yong Wan MD, PhD, Xuenong Zou MD, PhD, Xinsheng Peng MD, PhD, Shaoyu Liu MD

Spinal metastases are common in patients older than 60 years with cancer. Because of the uncertainty of survival and the high incidence of fatal complications, however, chemotherapy and radiotherapy generally have been considered preferable and surgery a treatment of last resort for these patients. Further, the selection criteria indicating surgery and reliable prognostic factors for survival remain controversial.

Obesity Negatively Affects Spinal Surgery in Idiopathic Scoliosis

Christina K. Hardesty MD, Connie Poe-Kochert RN, CNP, Jochen P. Son-Hing MD, FRCSC, George H. Thompson MD

Are obese patients with idiopathic scoliosis undergoing spinal surgery at higher risk for perioperative complications? This is not clearly understood. One previous study showed a greater preoperative thoracic kyphosis but no increase in perioperative complications.