Journal of Spine

ISSN: 2165-7939

Open Access

Current Issue

Volume 9, Issue 4 (2020)

    Research Pages: 1 - 4

    Hanging Radiograph in Idiopathic Scoliosis Patients: Significance as a Preoperative Stress X-Ray

    Hiroshi Kuroki*, Takuya Nagai , Etsuo Chosa and Naoya Tajima

    DOI: 10.37421/jsp.2020.9.447

    Introduction: Before corrective surgery for idiopathic scoliosis, the stress x-rays are indispensable to collect information regarding the reducibility of deformity, deciding fusion levels, and categorizing curve types and so on. The hanging radiograph has not been conducted preoperatively so far as known. The objective of this study was to investigate retrospectively the significance of the hanging radiograph for prediction of the curve correction with surgical procedure by comparing with the side-bending and the traction radiographs.

    Methods: The subjects enrolled in current study were 22 cases of idiopathic scoliosis who performed posterior instrumentation and fusion by ISOLA method between 2008 and 2014. They included 2 males and 20 females, with a mean age of 16 years and 8 months. The type of curves by Lenke classification were type 1 in 20 cases, type 2 in 1 case, and type 3 in 1 case. We investigated the correction rates of main thoracic curves in side-bending, traction, and hanging positions and compared them with that after surgery. In addition, correction indices were also calculated and compared among these stress x-rays.

    Results: The correction rate after surgery was 65.9% that was statistically higher than those in side-bending (44.2%), traction (46.6%), and hanging (22.1%) positions. There were statistical correlations between the correction rates after surgery and in side-bending position (R=0.73) and those after surgery and in traction position (R=0.57). However, there was no statistical correlation between the correction rates after surgery and in hanging position (R=-0.01). With regard to the correction indices, that in hanging position (3.67) was statistically higher than those in side-bending (1.51) and traction (1.45) positions.

    Conclusion: The correction rates in side-bending and traction positions seem to be useful to estimate the amount of curve correction before surgery whereas, that in hanging position did not have any significance as preoperative evaluation.

    Research Pages: 1 - 8

    Risk Factors for Atherothrombotic Disease and Lumbar Spinal Stenosis: Results from the PREFACE Study

    Emilia Ruggiero1, Simona Costanzo1, Augusto Di Castelnuovo2, Mariarosaria Persichillo1, Simona Esposito1, Sara Magnacca2, Ettore Carpineta3, Chiara Cerletti1, Marialaura Bonaccio1, Maria Benedetta Donati1, Sergio Paolini3,4, Vincenzo Esposito3,4, Giovanni de Gaetano1, Gualtiero Innocenzi3 and Licia Lacoviello1,5*, on behalf of the PREFACE Investigator

    DOI: 10.37421/jsp.2020.9.448

    Background and aim:  Atherothrombotic disease of feeding arteries of lumbar spine could be an underlying mechanism for Lumbar Spinal Stenosis (LSS). We aimed at evaluating the association of a large panel of risk factors for atherothrombotic disease, alone or in combination, with LSS in multivariable models. Methods:  Case-control study:  213 consecutive patients with LSS, eligible for surgery at the Neurosurgery Department of IRCCS Neuromed, were enrolled in the PREFACE study; 426 controls, matched 1: 2 for sex, age (± 6 months) and physical activity, without a history or clinical evidence of LSS were selected from the general population. Odds Ratios (ORs) and their 95% Confidence Intervals (CIs) were calculated using conditional-tomatch (for age and sex) logistic regression. Results:  Manual occupation, current smoking, high waist-to-hip ratio, history of hypertension, diabetes and dyslipidemia were independently associated with higher odds of developing LSS in multivariable analysis (p<0.001). Only 1.5% of patients with LSS showed absence of risk factors, in comparison with 6.7% in controls (p<0.001). The risk of LSS linearly increased with the increased presence of risk factors. The presence of 3 or more risk factors compared with none was associated with 13 times higher risk of LSS (OR:  13.04; 95% CI:  2.87-59.27) Conclusion:  Risk factors for cardiovascular disease and in particular metabolic risk factors are associated with increased risk of LSS. Management of LSS should take into consideration the control of modifiable atherothrombotic risk factors. 

    Case Report Pages: 1 - 2

    Turning a Challenge into an Advantage: A Technical Report on Kyphoplasty for Multiple Myeloma

    Natan Silver and Yair Barzilay

    DOI: 10.37421/jsp.2020.9.449

    Kyphoplasty, a procedure first described in 2001 for the treatment of osteoporotic Vertebral Compression Fractures (VCFs) has since been used successfully for pathological vertebral compression fractures, including those caused by multiple myeloma. Whilst the evidence base for kyphoplasty remains incomplete, there is a general consensus that it is safe and significantly reduces pain in up to 84% of patients in whom nonsurgical management has failed. 

    Editorial Pages: 1 - 1

    Editorial on Laminectomy

    Sarita Mon*

    DOI: 10.37421/jsp.2020.9.451

    Laminectomy is a surgical operation method to cure spine cord and relieve pain in nerves. It creates a space by removing lamina that is present on the back part of the vertebrate that covers spine. It removes the bone spurs or segments that put pressure pain on nerves. It is also known as decompression surgery, laminectomy surgery enlarges your spinal canal to relieve pressure on the spinal cord or nerves.

    Editorial Comment Pages: 1 - 1

    A Short Note on Spinal Arthritis

    Sarita Mon*

    DOI: 10.37421/jsp.2020.9.452

    Spinal arthritis leads to inflammation of the facet joints in the spine or sacroiliac joints between the spine and pelvis. It causes stiffness and low back pain upon waking up in the morning. Fluid built up in the joint due to inactivity overnight causes more swelling. Pain is mostly > 80% - in the back, runs into the buttocks, and often really feels like it’s in the hip. As it gets even worse people will feel burning on the outer aspect of the thigh, and sometimes pain down the leg and nerve root pain some times.

    Editorial Note Pages: 1 - 1

    Editor Note on Spine Research

    Kasim Ratna*

    DOI: 10.37421/jsp.2020.9.453

    Spine is the one that helps in maintaining the posture of the body, provide support and protect our spinal cord from any injuries. It allows you to move and bend. Strength of the muscles and bones, ligaments and flexibility of the tendons, sensitive nerves will help in maintaining the healthy spine. It keeps us straight and connects the different parts of our skeleton to each other. Length of a person will depend on their height. Adult human being spine is S-shaped and its curve will help in maintaining balance and to allow motion throughout the spinal column.

    Editor Note Pages: 1 - 1

    Editorial Note on Spine Disorders

    Sarita Mon*

    DOI: 10.37421/jsp.2020.9.454

    Spine or backbone is made of small bones called vertebrae which is stacked with discs one on the top of another. These vertebras protects our spinal cord and allow us to stand, move and bend. There are number of issues related with spine and damage the vertebrae are infections, injuries, tumors and some changes related to age like spinal stenosis and herniated disks. Another problem is related to the structure of the spine; usually spine will be having S shaped curvature in some cases or damages the curvature of the spine changes. There are three main types of spine curvature disorders i.e., lordosis is also called as swayback in this case the spine of the person will have spine significantly inward at the lower back. Secondly kyphosis, in this case upper back will be abnormally rounded

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