10 New Studies Impacting Spine Surgery

Spine

Here are 10 new studies in spine surgery.

1. Study Examines Risk Factors in Complications for Scoliosis Treatment.
Researchers studied data from 140 patients recorded in the multicenter Growing Spine Study Group database to compare treatment for early-onset scoliosis. Fifty-eight percent of the patients had at least one complication, and 27 percent of patients with single-rod implants had unplanned procedures because of implant complications.

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2. Study: Surgical Treatment May Be Better for Obese Patients With Spinal Conditions.
Researchers compared patients with a BMI of more than 30 and BMI less than 30. Degenerative spondylolisthesis patients who were obese had a higher postoperative infection rate and twice the reoperation rate than non-obese patients.

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3. Recognize Risk Factors for Successful Kyphoplasty.
The recognition of risk factors for patients with kyphoplasty — such as the cement viscosity, injected cement volume, vertebral body wall incompetence and history of pulmonary disease — can decrease the risk of complications for the patients

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4. Growing Rods for Childhood Scoliosis Likely to Cause Autofusion.
While the use of growing rods has produced efficacy in the control of deformity within the growing spine, the surgery also has high rates of unintended autofusion, which can lead to a difficult and moderate correction.

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5. Using BBP During Spinal Fusion Could Increase BMP to the Surgical Site. Researchers studied the binding of BBP with four growth factors from the transforming growth factor –beta family using surface Plasmon resonance and found that BBP bound all four growth factors with an intermediate affinity.

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6. One-Level Anterior Cervical Discectomy a Safe Outpatient Procedure. Researchers collected data on 645 consecutive patients undergoing anterior discectomy and fusion for either stenosis or herniated nucleus pulposus involving one level. The data was reviewed for complications that occurred within 48 hours of surgery.

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7. Surgery an Effective Treatment for Clavicle Injuries in NFL Players. Researchers examined NFL players who sustained a middle-third clavicle fracture with varying treatment options. Of the players who were treated surgically, 50 percent were treated successfully without sequela and healed at an average of 8.8 weeks.

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8. Genetics May Be a Predictor of Spinal Surgery Outcomes.
Researchers examined 69 patients undergoing treatment for lumbar degenerative disc disease. They extracted DNA from the patients' blood sample and performed an analysis of the GCH1.

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9. Study Finds Intraoperative 3D Scans Reliable, Helpful.
Researchers examined the positions of 84 trocars in 42 fractured vertebrae between T11 and L5, which were measured by intraoperative 3D imaging before injecting cement. The intraoperative evaluation of the 3D scans showed 78 correct needle positions, two trocars in an acceptable lateral malposition and four medial malpositions that required revision.

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10. In-Hospital Death Most Likely for Revision Spine Surgery patients. A study published in The Spine Journal found that patients undergoing a revision for posterior spinal fusion are more likely to incur an in-hospital death than patients undergoing primary posterior spinal fusion.

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