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North American Spine Society Journal
Scopus
ISSN 2666-5484 · Elsevier · 546 artikel di indeks
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Artikel Jurnal
Use of a metal cutting wheel burr and osteotome as a screwdriver to remove embedded broken pedicle screws in the revision of a high-grade spondylolisthesis: a technical case report
ABSTRACT: Background: There are limited studies describing the feasible removal of broken pedicle screws. A surgical technique demonstrating the removal of broken sacral pedicle screws using commonly available instruments in a patient treated for high grade spondylolisthesis is illustrated in this…
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Artikel Jurnal
Radiation-free real-time registration update for image-guided multilevel open posterior lumbar fusion: in vivo validation
Background: Surgical navigation becomes inaccurate when spinal alignment changes, requiring repeat scan such as O-arm CT to restore accuracy, but this introduces additional radiation exposure, workflow disruption, and delay. We developed and confirmed ex vivo validation of a novel hand-held system…
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Artikel Jurnal
Radiographic changes in retroperitoneal corridor dimensions during staged positioning for prone transpsoas lateral lumbar interbody fusion
ABSTRACT: Background: Questions about the surgical corridor through the psoas muscle and the retroperitoneal space have persisted since the introduction of lateral lumbar interbody fusion (LLIF) in the lateral decubitus position. The prone transpsoas (PTP) approach maintains or restores lordosis…
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Artikel Jurnal
Lumbar discectomy patients with a criminal incarceration history are at risk of higher postoperative opioid utilization, emergency department visits, and adverse events
ABSTRACT: Background: Nearly 700,000 individuals are released from US correctional facilities annually. Those with a history of criminal incarceration (HCI) experience inferior health outcomes related to limited healthcare access, chronic disease burden, and economic marginalization. These…
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Artikel Jurnal
Multi-level posterior cervical-only fusion and instrumentation with versus without extension to C1: A short-term outcomes analysis using a large database
ABSTRACT: Background Context: Few studies have compared outcomes of posterior cervical fusions and instrumentations with versus without extension to C1. Therefore, this study evaluates such 30-day adverse events, comparing multi-level constructs extending to C1 (C1) with subaxial fusions (SF) at C2…
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Artikel Jurnal
Postoperative dexamethasone administration following posterior spinal fusion for adolescent idiopathic scoliosis: A systematic review of worldwide data
ABSTRACT: Background: Dexamethasone reduces postoperative pain and opioid consumption in various surgical populations; however, its role in adolescents undergoing posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS) remains unclear. Methods: A systematic search of PubMed, Web of…
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Artikel Jurnal
Cluster analysis identifies high-risk phenotypic groups for revision following 1–3 level lumbar fusion in a disadvantaged inner-city population
ABSTRACT: Background: The number of patients undergoing single- and multilevel lumbar fusion continues to rise. Although prior studies suggest that radiographic factors and preoperative patient-reported outcomes may predict surgical results, evidence regarding the predictive value of patient…
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Artikel Jurnal
Ex vivo mechanical evaluation of anatomically and mechanically conforming patient-specific lumbar spinal fusion cages designed by full-scale topology optimization
ABSTRACT: Background: Intervertebral disc degeneration may require spinal fusion surgery using interbody cages. Implant subsidence remains a significant complication, largely attributed to the stiffness mismatch between interbody cages and vertebral endplates. While porous cage designs aim to…
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Artikel Jurnal
A multifactorial investigation of 90-day readmission risk in thoracolumbar burst fractures: Does surgery play a role?
ABSTRACT: Background: Most spinal fractures occur in the thoracolumbar region, with controversy persisting over operative versus nonoperative treatment paradigms for neurologically intact thoracolumbar burst fractures (TLBF). This study sought to determine the readmission rate, risk factors, and…
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Artikel Jurnal
Robotic-assisted percutaneous iliac fixation: Outcomes, history, and review
ABSTRACT: Background: Long-construct fusions extending into the pelvis require durable sacropelvic fixation to withstand biomechanical forces. Traditional iliac screws provide strong fixation but are limited by wound complications, offset-connector requirements, and hardware prominence…
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Artikel Jurnal
Radiation reduction in computer-assisted spinal deformity surgery using 3D and 2D pediatric specific low-dose fluoroscopy protocols
ABSTRACT: Background: Computer-assisted navigation (CAN) facilitates accurate pedicle screw insertion in the surgical correction of adolescent idiopathic scoliosis (AIS), but exposes patients to ionizing radiation via 3D cone-beam CT and 2D fluoroscopy. The aim of this study was to evaluate…
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Artikel Jurnal
Residence in a rural setting is associated with lower five-year survival rates in patients that undergo spine surgery for breast cancer metastatic to the spine: A propensity matched analysis
ABSTRACT: Background: Social determinants of health and access to care are associated with outcomes of spine surgery. The objective of the present study was to evaluate the association of residence in rural or urban counties with one-, two-, and five-year mortality in patients undergoing spine…
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Artikel Jurnal
Biomechanical analysis of a novel, triangular spinal fixation system
ABSTRACT: Background: Pedicle screw fixation is a mainstay surgical technique for providing posterior stability to the spinal column, and consists of screws, rods and set caps. These components are prone to failure in various ways, but developing fixation systems with fewer components at risk of…
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Artikel Jurnal
Baseline characteristics, perioperative complications, and 1-year outcomes in cervical OPLL versus cervical spondylotic myelopathy: a multicenter retrospective cohort study
ABSTRACT: Background: Cervical ossification of the posterior longitudinal ligament (OPLL) is an important cause of degenerative cervical myelopathy. Unlike cervical spondylotic myelopathy (CSM), OPLL has been increasingly recognized as a distinct phenotype with potential systemic metabolic and…
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Artikel Jurnal
Endoscopic-assisted anterior transarticular screw fixation and arthrodesis for atlantoaxial instability via a retropharyngeal approach: technical note and preliminary clinical outcomes
ABSTRACT: Background: Atlantoaxial instability (AAI) is complex and challenging to manage due to the biomechanical and neurovascular significance of the craniocervical junction. Posterior fixation remains the gold standard but may be contraindicated or infeasible in select patients. Although…
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Artikel Jurnal
Acceptability of a brief behavioral pain treatment to enhance recovery after surgery
Background: Enhanced recovery after surgery (ERAS) protocols are standardized perioperative treatment guidelines designed to enhance surgery outcomes and patient experience. Behavioral interventions to support the perioperative period are notably missing from spine surgery ERAs. Methods: After a…
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Artikel Jurnal
Association of glucagon-like peptide-1 receptor agonist use with patient-reported outcomes after lumbar decompression or fusion
ABSTRACT: Background: Glucagon-like peptide-1 (GLP-1) receptor agonists are increasingly prescribed for diabetes and obesity, conditions that are common among patients undergoing lumbar surgery. Prior studies suggest comparable or improved complication rates among GLP-1 users; however, the…
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Artikel Jurnal
Defining the relationship between the hip, pelvis, and lumbar spine
Introduction: While the hip, pelvis, and lumbar spine are known to move synchronously, their exact relationship has yet to be determined. The aim of this study was to define the biomechanical relationship between the hip, pelvis, and lumbar spine. Methods: A cohort of fifty healthy subjects between…
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Artikel Jurnal
Sacroiliac joint fixation with a posterior intra-articular implant versus a posterolateral transiliac implant: A biomechanical comparison
ABSTRACT: Background: Along with the growing recognition of sacroiliac joint dysfunction as a contributor to chronic low back pain has come the increase in the utilization of sacroiliac fusion devices. Relative to the various surgical approaches for sacroiliac joint fusion, the posterior…