Want to learn more about endoscopic spine surgery? Check out the newest special edition of the Spine Journal on Endoscopic Spine Surgery: thespinejournalonline.com/is…
Covering topics such as learning curve, history and future of endoscopic spine surgery.
MIS in cervical spine. Xu et al., compare outcomes after posterior reduction and temporary fixation (PRTF) technique using both the typical midline muscle stripping approach to the muscle-sparing intermuscular approach.
Link to article: thespinejournalonline.com/ar…
Cognitive Status Effects Spine Outcomes. In this meta-analysis, Ahmed et al. show that patients with cognitive impairment (CI) have significantly higher odds of developing UTI, delirium,
DVT, pneumonia, wound dehiscence, and sepsis.
thespinejournalonline.com/ac…
Important topic!
Vertebroplasty for osteoporotic burst fractures? The worry is cement leakage into the canal. However, Lin et al found it safe and effective if neuro intact. thespinejournalonline.com/ar…
GLP-1s are becoming more and more popular—and we’re seeing many more studies on the effects on spine patients. Seddio et al used PearlDiver found that patients w/ type 2 DM not using insulin had sig lower odds of 90d adverse events (but not serious ones), ED visit. 1/2
Similar for those taking insulin (maybe better). Oh, oh, oh Ozempic! @YaleMedicine 2/2 thespinejournalonline.com/ar…
Breast reduction can help back pain—that’s the take home message of a narrative review I wrote with colleagues at Cal Univ of Science. I know it’s not the typical TSJ article but it’s a common question in clinic—and one we spine surgeons tend to overlook. thespinejournalonline.com/ar…
We’ll never stop discussing adjacent segment degeneration (ASD). Park et al followed 86 of their patients for a long time. They found early revision for ASD (w/in 5 years) associated with sagittal parameters, among other factors. 1/2
This group was also older and more levels fused than the late revision group. 2/2
thespinejournalonline.com/ar…
Another trauma update, this one from our friends at Shock Trauma in Baltimore. Chiu et al did an analysis of 26 years of spine trauma demographics. What’s changed? Patients are getting older, the # of women is higher, falls are more common, and subluxations more frequent. 1/2
What’s trending down? MVAs, GSWs, sports/recreation injuries, and SCI’s. @UMmedschool
2/2 thespinejournalonline.com/ar…
Okay, so I said it was rare to see articles on GSWs to the spine a while back. Well, here’s another one. Santangelo et al did a demographical update (which has not been done in a long time). Unfortunately, young black males are still the most affected. @URNeurosurgery 1/2
Other data are reaffirming what we already knew—there was no incidence of delayed spinal instability. 2/2 thespinejournalonline.com/ar…
“Isn’t that cuti!” Not really, if we’re talking about Cutibacterium acnes. It might also be called, “The bacteria formerly known as P. acnes” (sorry Prince). Baroudi et al gave us a very thorough overview of C. acnes and its potential involvement ... 1/2 @BrownMedicine
... in indolent conditions like pseudos and axial back pain. Read it and learn. 2/2 thespinejournalonline.com/ar…
“How many cases do your fellows do?” It’s one of the first questions candidates ask about a program. Is there a magic number? Silvestre et al assessed the number and kinds of cases done by spine fellows in the US. @MUSC_COM
Sure, variability is expected, but 30% of fellows did fewer than 250 cases. Is it enough? If more is better, then there’s work to be done. 2/2
thespinejournalonline.com/ar…
Cartagena-Reyes et al found no increase in women’s representation at 3 major meetings over 15 years. This is discussed in great detail, both about women and URIMs. In short, we need to be intentional and think outside our usual circles. @HopkinsMedicine thespinejournalonline.com/ar…
In world where inequities and health care disparities have infiltrated all corners of our world, it’s interesting to find outpatient spine surgery may be less disparate, per this paper by Amen et al. @HSpecialSurgery 1/2
While blacks had higher chance of adverse events, reop, and non-home discharge after inpatient surgery, this was not the case with outpatient surgery compared to Whites. However, readmissions were still higher. 2/2 thespinejournalonline.com/ar…