EUROPEAN SPINE JOURNAL

Efficacy of subcutaneous perispinal infiltration of triamcinolone in patients with symptomatic cervical osteoarthritis
Cañas CA, Lopez-Garcia S, Pérez-Uribe V, Bolaños JD, Hurtado-Bermúdez LJ and Bonilla-Abadía F
To assess the efficacy and safety of subcutaneous perispinal infiltration of low dose of triamcinolone and lidocaine indicated for pain control in patients with cervical osteoarthritis (COA).
Letter to the editor concerning "A new hernia blocking system to prevent recurrent lumbar disc herniation: surgical technique, intraoperative findings and six-months post-operative outcomes" by O. Godino et al., (Eur Spine J [2024]: doi.org/10.1007/s00586-024-08595-x)
Luo X, Zhang R, Wang Z and Wang Y
The use of cervical interfacet devices and related clinical outcomes
Hisey MS, Courtois EC and Ohnmeiss DD
The purpose of this study was to investigate the outcomes of minimally invasive PCF using an interfacet joint fusion cage.
Successful extracorporeal membrane oxygenation for heart failure after adolescent idiopathic scoliosis surgery
Wu PJ, Chiang WP, Fu CW and Chang TK
Spine surgery, particularly deformity correction, is associated with a high risk of peri-operative or post-operative complications, and these complications can lead to catastrophic consequences. This case report will present the etiology and treatment process of the peri-operative cardiac arrest during scoliosis correction surgery.
C2 anatomical pedicle screw for C2 fixation under the concept of atlantoaxial joint distraction and fusion with intra-articular cages: technical note
Du YQ, Qi MY, Wang JL, Zhang C, Liu PH, Zhang BY, Guan J, Jian FZ, Duan WR and Chen Z
To describe a novel alternative technique for C2 fixation under the concept of atlantoaxial joint distraction and fusion with intra-articular Cages, and to report its preliminary clinical outcomes.
Artificial intelligence for segmentation and classification in lumbar spinal stenosis: an overview of current methods
Verheijen EJA, Kapogiannis T, Munteh D, Chabros J, Staring M, Smith TR and Vleggeert-Lankamp CLA
Lumbar spinal stenosis (LSS) is a frequently occurring condition defined by narrowing of the spinal or nerve root canal due to degenerative changes. Physicians use MRI scans to determine the severity of stenosis, occasionally complementing it with X-ray or CT scans during the diagnostic work-up. However, manual grading of stenosis is time-consuming and induces inter-reader variability as a standardized grading system is lacking. Machine Learning (ML) has the potential to aid physicians in this process by automating segmentation and classification of LSS. However, it is unclear what models currently exist to perform these tasks.
Effect and safety of percutaneous endoscopic interlaminar discectomy for L5-S1 disc herniation: direct inferior endplate approach versus indirect approach
Li Z, Liu B and Su L
To explore the efficacy and safety of the direct inferior endplate approach in percutaneous endoscopic interlaminar discectomy (PEID) for the treatment of L5-S1 disc herniation.
Correlation analysis of global sagittal alignment of the spine in cases of low-grade degenerative lumbar spondylolisthesis
Khasawneh R, Almahasneh F, Abu-El-Rub E, Alzoubi A and Mustafa A
Disruptions in global sagittal spinal alignment can lead to changes in global sagittal spinal alignment, often manifesting as sagittal malalignment, where the trunk shifts forward. We proposed that these alignment changes are linked to degenerative lumbar spondylolisthesis (DS). The objective was to assess global spinal alignment in low-grade DS using sagittal vertical axis (SVA) classification.
Announcements
Age-threshold for increased risk of developing back disorders: prospective cohort with 74 000 individuals from the UK Biobank
López-Bueno R, Andersen LL, Núñez-Cortés R, López-Bueno L, Suso-Martí L, Villafañe JH, Salazar-Méndez J and Calatayud J
To investigate the prospective associations between age and the risk of low back disorders (LBD), dorsal disorders (DD), and cervical disorders (CD), and to identify a potential age-threshold for increased risk of back disorders.
Correction: Deep learning model for automated detection of fresh and old vertebral fractures on thoracolumbar CT
Chen J, Liu S, Li Y, Zhang Z, Liao N, Shi H, Hu W, Lin Y, Chen Y, Gao B, Huang D, Liang A and Gao W
Answer to the Letter to the Editor of X. Luo, et al. concerning "A new hernia blocking system to prevent recurrent lumbar disc herniation: surgical technique, intraoperative findings and six-months post-operative outcomes" by O. Godino et al. (Eur Spine J [2024]: doi.org/10.1007/s00586-024- 08595-x)
Godino O
Sacrum1-pubic angle: a novel and alternative morphologic radiological parameter for assessing spinopelvic sagittal alignment in human adults
Zu F, Qi H, Wang C, Zhao Z, Wang Z, Wang C, Chen W, Hou Z, Xue R and Zhang D
Spinopelvic sagittal balance ensures efficient posture and minimizes energy expenditure by aligning the spine, pelvis, and lower extremities. Deviations can cause clinical issues like back pain and functional limitations. Key radiographic parameters, including pelvic tilt (PT), pelvic incidence (PI), sacral slope (SS), and lumbar lordosis (LL), are essential for evaluating spinal pathologies and planning surgeries. Accurate PI measurement is challenging in certain conditions, necessitating alternative parameters. This study aimed to introduce a new, easily measurable parameter and examine its reliability and correlation with established sagittal parameters.
Magnetic resonance imaging evaluation of cervical paraspinal muscles in dropped head syndrome
Toriumi K, Miyamoto H, Ikeda T and Goto K
The pathomechanism of dropped head syndrome (DHS) is unclear. In this study, we aimed to examine the features of the paraspinal cervical muscles in patients with DHS by analyzing the volume of these muscles using magnetic resonance imaging (MRI).
Sleep characteristics and intervertebral disc degeneration risk: an observational and Mendelian randomization study
Zhang S, Liang Z, Zhong Y, Luo Q, Wang D, Xia B, Wang X, Kang Y, Zhou Z, Sheng P, Yuan J, Zhang Z and Wei F
Sleep disorders are considered a risk factor for aging and skeletal degeneration, but their impact on intervertebral disc degeneration (IDD) remains unclear. The aim of this study was to assess associations between sleep characteristics and IDD, and to identify potential causal relationships.
Scan/rescan reliability of magnetic resonance imaging (MRI)
Barim MS, Capanoglu MF, Sesek RF, Gallagher S, Schall MC, Beyers RJ and Davis GA
Magnetic resonance imaging (MRI) is increasingly used to estimate the geometric dimensions of lower lumbar vertebrae. While MRI-based measurements have demonstrated good reliability with interclass correlation coefficients (ICCs) of 0.80 or higher, many evaluations focus solely on the comparison of identical MRI images. This approach primarily reflects analyst dexterity and does not assess the reliability of the entire process, including imaging and image selection.
Response to functional restoration in non-specific chronic low back pain with Modic type 1 changes
Jacob L, Clouzeau A, Ostertag A, Petrover D, Vergnol JF, Morchoisne O, Pavan L, Landais M, Davergne T, Latourte A, Richette P and Beaudreuil J
Little information exists on the potential differential response to functional restoration between non-specific chronic low back pain (NSCLBP) individuals with and those without Modic type 1 changes. Therefore, this case-control study investigated the response profile of NSCLBP patients with and without Modic type 1 changes undergoing functional restoration.
Presentation and surgical management approaches of giant presacral and sacral schwannomas: a case report and systematic review and meta-analysis
Sarhan K, Serag I, Sabry A, Elghareeb H and Shahein M
Giant sacral and presacral schwannomas are very rare conditions and their prevalence is estimated to account for only 0.3 to 3.3% of overall schwannomas. Current published literature about these tumors is limited to case reports and small case series. In this paper we systematically reviewed and analyzed the available literature on giant sacral schwannomas focusing on identifying the presenting symptoms, Klimo type, surgical approach, recurrence rate and postoperative complications.
Proximal junctional disease 5 years after surgery for L4 degenerative spondylolisthesis: comparing PLIF versus minimally invasive decompression
Tsujino M, Matsumura A, Ohyama S, Kato M, Namikawa T, Hori Y, Kawamura M and Nakamura H
This study aimed to compare the incidence of radiological adjacent segment disease (R-ASD) at L3/4 between patients with L4/5 degenerative spondylolisthesis (DS) who underwent L4/5 posterior lumbar interbody fusion (PLIF) and those who underwent microscopic bilateral decompression via a unilateral approach (MBDU) at L4/5. Our ultimate goal was to distinguish the course of natural lumbar degeneration from fusion-related degeneration while eliminating L4/5 decompression as a confounder.
S8 Navigation system combined with an ultrasonic osteotome for three-dimensional real-time dynamic visualization decompression to reduce postoperative neurological deterioration in thoracic ossification of the ligamentum flavum
Li S, Du J, Wang X, Huang Y, Huang Y, Chang Z, Yan L, Zhang X, Shi Z, Zhao Z, Gao L, Zhao S and He B
Posterior laminectomy is a standard treatment for thoracic ossification of the ligamentum flavum (TOLF), but it often leads to neurological deterioration during surgery. This study aimed to reduce iatrogenic neurological deterioration by using an S8 navigation system combined with an ultrasonic osteotome for three-dimensional real-time dynamic visualization decompression.
Utility of minimally invasive percutaneous arthrodesis of the sacroiliac joint for the treatment of low back pain: systematic review of the literature
Acevedo-Gonzalez JC and Lacouture-Silgado I
The surprising increase observed in recent years in the use of minimally invasive sacroiliac joint arthrodesis techniques as a treatment for low back pain justifies an objective review of this results.