Patient-Oriented Aesthetic Outcome After Lumbar Spine Surgery: A 1-Year Follow-Up Prospective Observational Study Comparing Minimally Invasive and Standard Open Procedures

Ricciardi, Luca; Sturiale, Carmelo Lucio; Pucci, Resi; Reale, G; Stifano, Vito; Izzo, Alessandro; Perna, Andrea; Proietti, Luca; Forcato, Stefano; Perla, Krissia M. Rivera; Boustany, Stefano El; Olivi, Alessandro; Polli, Filippo Maria

doi:10.1016/j.wneu.2018.10.208

Cited by 19 publications

(14 citation statements)

References 41 publications

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“…On the other hand, at the latest follow-up, the change in the NDI score was strongly correlated with the change in the SF36-PCS (r=-0.55), but the change in the SF36-MCS score correlated well with the change in the JOA score (r=0.88). Ricciardi et al [33], who used esthetic satisfaction as the primary outcome measure to evaluate lumbar spine surgery, have suggested that a functional outcome evaluation, if considered parallel to an esthetic evaluation, can be more useful for the assessment of any possible bias in outcome assessment.…”

Section: Discussionmentioning

confidence: 99%

SF36 Is a Reliable Patient-Oriented Outcome Evaluation Tool in Surgically Treated Degenerative Cervical Myelopathy Cases: A Systematic Review and Meta-Analysis

Wang¹,

Dong

2019

Med Sci Monit

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BackgroundDegenerative spinal disorders have adverse impacts on patients’ quality of life. Because the main objectives of any surgical intervention are to improve health-related quality of life and to reduce disability, instruments capable of measuring patient-oriented outcomes are now increasingly used. The aim of this study was to evaluate the use of the Short Form 36 Health Survey Questionnaire (SF36) for assessing patient-oriented outcomes of degenerative cervical myelopathy surgery.Material/MethodsA literature search was conducted in electronic databases (Google Scholar, Ovid SP, PubMed, Science Direct, and Springer). Studies were included if they reported SF36 scores by following patients for at least 12 months. Random effects meta-analyses were performed to estimate changes in SF36 physical/mental component summary (SF36-PCS/MCS), SF36 dimensional, Japanese Orthopedics Association (JOA)/modified JOA (mJOA), and Neck Disability Index (NDI) scores by latest follow-up.ResultsFourteen studies (1966 patients; age 58.2 years [95% confidence interval (CI), 56.6 to 59.9]; 60% males [95% CI, 55 to 64]; follow-up 24.8 months [95% CI, 20.9 to 28.7]) were included in meta-analysis. SF36-PCS (6.60 [95% CI, 4.91 to 8.28]; p<0.00001), SF36-MCS (6.33 [95% CI, 4.31 to 8.35]; p<0.00001) and SF36 dimensional (p<0.05) scores improved significantly at latest follow-up. Surgery significantly improved JOA/mJOA (3.43 [95% CI, 2.80 to 4.06]; p<0.00001) and NDI (−13.70 [95% CI, −17.35 to −10.06]; p<0.00001) scores also. Change in SF36-PCS score were correlated (r=−0.554) with change in NDI score, whereas change in SF36-MCS score was correlated with change in JOA score (r=0.550).ConclusionsSurgery for degenerative cervical myelopathy is associated with significantly improved SF36-measured patient-oriented outcomes.

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Section: Discussionmentioning

confidence: 99%

SF36 Is a Reliable Patient-Oriented Outcome Evaluation Tool in Surgically Treated Degenerative Cervical Myelopathy Cases: A Systematic Review and Meta-Analysis

Wang¹,

Dong

2019

Med Sci Monit

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“…All patients in this series received one-stage posterior instrumented correction surgery instead of an extra anterior procedure. This uniform posterior approach avoided the comorbidities of the anterior procedure, and the creation of a single skin scar can help produce to a greater aesthetic outcome [31]. From our previous study, we observed that patients who underwent correction surgery obtained good sitting balance and tolerance [6].…”

Section: Discussionmentioning

confidence: 91%

Hybrid versus total sublaminar wires in patients with spinal muscular atrophy undergoing scoliosis surgery

Chou

et al. 2021

BMC Musculoskelet Disord

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Background Early versions of spinal muscular atrophy (SMA) scoliosis correction surgery often involved sublaminar devices. Recently, the utilization of pedicle screws has gained much popularity. Pedicle screws are generally believed to provide additional deformity correction, but pedicle size and rotational deformity limit their application in the thoracic spine, resulting in a hybrid construct involving pedicle screws and sublaminar wire. Studies of the efficacy of hybrid instrumentation in SMA scoliosis are often limited by the scarcity of the disease itself. In this study, we aimed to compare the surgical outcomes between hybrid constructs involving pedicle screws and sublaminar wire and sublaminar wire alone in patients with SMA scoliosis. Methods We retrospectively reviewed the clinical records and radiographic assessments of patients with SMA scoliosis who underwent corrective surgery between 1993 and 2017. The radiographic assessments included deformity correction and progressive changes in the major curve angle, pelvic tilt (PT) and coronal balance (CB). The correction of deformities was observed postoperatively and at the patient’s 2-year follow-up to test the efficacy of each type of construct. Results Thirty-three patients were included in this study. There were 14 and 19 patients in the wiring and hybrid construct groups, respectively. The hybrid construct group demonstrated a higher major curve angle correction (50.5° ± 11.2° vs. 36.4° ± 8.4°, p < 0.001), a higher apical vertebral rotation correction (10.6° ± 3.9° vs. 4.8° ± 2.6°, p < 0.001), and a reduced progression of the major curve angle at the 2-year follow-up (5.1° ± 2.9° vs. 8.7° ± 4.8°, p < 0.001). A moderate correlation was observed between the magnitude of correction of the apical vertebral rotation angle and the major curve (r = 0.528, p = 0.002). Conclusion This study demonstrated that hybrid instrumentation can provide a greater magnitude of correction in major curve and apical rotation as well as less major curve progression than sublaminar wire instrumentation alone in patients with SMA scoliosis. Level of evidence III

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“…42,43 On one hand, the presence of aggressive hemangioma with onset of symptoms in the postpartum period is poorly described in the literature and reported only in some sporadic cases, 43 on the other hand, usually, during pregnancy and post partum period, acute and sub-acute low back pain with the related symptoms are very common. [44][45][46] When vertebral hemangioma becomes symptomatic prompt decompression and stabilization are necessary with a histological identification of the lesion. The rapid progression of the symptoms could have been associated with a recurrence of the lesion.…”

Section: Discussion Backgroundmentioning

confidence: 99%

Symptomatic vertebral hemangioma during pregnancy period: A case series and systematic literature review

Santagada¹,

Perna²,

Meluzio³

et al. 2020

Orthop Rev (Pavia)

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Vertebral Hemangioma (VH) is a benign tumor usually symptomless and discovered incidentally. Pregnancy, because of several hormonal and physiologic changes, is a recognized risk factor coinciding with the development of a rapid onset of neurological symptoms in patients affected by VH. In the Literature, sporadic cases of neurological symptoms have been described, which occurred during pregnancy, but only rarely the onset of symptoms was reported after pregnancy and childbirth. Usually surgical treatment is reserved for severe cases with rapid onset of neurological symptoms. However, the use of conservative treatments is still a topic of debate In the present study, we report a series of patients affected by VH become symptomatic during or after pregnancy along with a systematic review of the Literature.

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Patient-Oriented Aesthetic Outcome After Lumbar Spine Surgery: A 1-Year Follow-Up Prospective Observational Study Comparing Minimally Invasive and Standard Open Procedures

Cited by 19 publications

References 41 publications

SF36 Is a Reliable Patient-Oriented Outcome Evaluation Tool in Surgically Treated Degenerative Cervical Myelopathy Cases: A Systematic Review and Meta-Analysis

SF36 Is a Reliable Patient-Oriented Outcome Evaluation Tool in Surgically Treated Degenerative Cervical Myelopathy Cases: A Systematic Review and Meta-Analysis

Hybrid versus total sublaminar wires in patients with spinal muscular atrophy undergoing scoliosis surgery

Symptomatic vertebral hemangioma during pregnancy period: A case series and systematic literature review

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