Adult spinal deformity (ASD) is characterized by three-dimensional abnormalities of the thoracic or thoracolumbar spine that exerts significant impacts on health-related quality life (HRQoL). With important effects sagittal plane HRQoL, there have been paradigm shifts in ASD evaluation and management. Loss lumbar lordosis recognized as a key driver followed reducing kyphosis, pelvic retroversion, knee flexion. The Scoliosis Research Society (SRS)– Schwab classification reflects spinopelvic...

Abstract Background: Lumbar decompressive surgery is a standard surgical technique for lumbar spinal stenosis. Many new techniques have been introduced, ranging from open to minimally invasive procedures. Minimally are preferred because patients experience less postoperative pain and shorter hospital stays. However, the success rate of controversial. The object this study was assess feasibility decompression using biportal technique/endoscopic compared with microscopic surgery. Methods:...

Proximal junctional problems are among the potential complications of surgery for adult spinal deformity (ASD) and associated with higher morbidity increased rates revision surgery. The diverse manifestations proximal range from kyphosis (PJK) to failure (PJF). Although there is no universally accepted definition PJK, most common a angle greater than 10° that at least preoperative measurement. PJF represents progression PJK characterized by pain, gait disturbances, neurological deficits....

The sagittal alignment of the spine changes depending on body posture and degenerative changes. This study aimed to observe in lumbar with different positions (standing, supine, various sitting postures) verify effect aging alignment.Whole-spine lateral radiographs were obtained for young volunteers (25.4 ± 2.3 years) elderly (66.7 1.7 years). Radiographs standing, (30°, 60°, 90°) respectively. We compared radiological lordotic segmental angles at ages. Upper lower lordosis defined according...

Due to recent advances in artificial intelligence (AI), language model applications can generate logical text output that is difficult distinguish from human writing. ChatGPT (OpenAI) and Bard (subsequently rebranded as "Gemini"; Google AI) were developed using distinct approaches, but little has been studied about the difference their capability abstract. The use of AI write scientific abstracts field spine surgery center much debate controversy.

In order to determine the epidemiology of adult scoliosis in elderly and analyse radiological parameters symptoms related scoliosis, we carried out a prospective cross-sectional study on 1347 volunteers. There were 615 men 732 women with mean age 73.3 years (60 94), Cobb angle 7.55 degrees (sd 5.95). our study, 478 subjects met definition (Cobb > or = 10 ) showing prevalence 35.5%. was significant difference epidemiological distribution between gender groups. The older adults showed larger...

Background: Pelvic tilt (PT) is an important sagittal parameter to be restored the normal range in corrective surgery for spinopelvic malalignment. However, value of PT varies among patients. With introduction pelvic inclination angle (PIA), which subtended by vertical axis and line connecting anterior pubic tubercle superior iliac spine, we aimed determine whether PIA could reflect symptom severity values exist. Methods: The study cohort consisted patients with malalignment (patient group)...

Objective: To evaluate the functional recovery, particularly in terms of pain relief and resuming work, patients with lumbar disc prolapse treated fenestration technique. Study Design: Prospective study. Setting: Doctors Hospital Medical Center, Lahore, Pakistan. Period: 1st April 2024 30th September 2024. Methods: A total 50 clinical signs intervertebral prolapse, unresponsive to conservative treatment, underwent discectomy. Functional outcomes were assessed using 'Back Pain Score (BPFS)...

Abstract Background Hueter-Volkmann's law regarding growth modulation suggests that increased pressure on the end plate of bone retards (Hueter) and conversely, reduced accelerates (Volkmann). Literature described same principle in Rat-tail model. Human spine its deformity i.e. scoliosis has also kind pattern during period which causes wedging disc or vertebral body. Methods This cross sectional study 150 patients adolescent idiopathic was done to evaluate body compare extent differential...

Although endoscopic procedures for lumbar disc herniation have improved greatly and offer many advantages, the indications are limited mostly to nonmigrated or low-grade migrated herniation. Endoscopic application in cases is still challenging technically demanding. The goal this study was determine feasibility of biportal discectomy removal high-grade

Abstract Surgical decompression and antibiotic therapy are the treatments of choice for patients with spinal epidural abscess (SEA). treatment included decompression, evacuation abscess, debridement. Recently, minimal invasive surgery has been introduced more widely, biportal endoscopic have shown satisfactory clinical outcomes compared traditional open surgery. The purpose this study was to evaluate efficacy SEA . From January 2016 June 2017, 13 who underwent under diagnosis were...

Abstract Although postoperative delirium is a common complication in older patients, few papers have described risk factors after of spinal surgery. The purpose this study was to analyze various perioperative for surgery patients. This performed on retrospective data collection with prospective design. We analyzed 138 patients over 65 years age who underwent Preoperative were cognitive function (Mini-Mental State Examination-Korean (MMSE-K) and the Korean version Delirium Rating...

The incidence of intraspinal abnormalities associated with congenital spinal anomalies as detected by magnetic resonance imaging (MRI) is becoming better defined. In this study, 41 nonrandomized children deformities (excluding myelomeningocele) who underwent complete MR evaluation were reviewed. Of the deformities, 37 demonstrated scoliosis, failure formation in 19, segmentation 4, and mixed defects 14. remaining four cases kyphosis. Thirteen patients spine noted to have identified MRI:...

In Brief Study Design. Prospective study. Objective. To determine the effectiveness and correction with posterior multilevel vertebral osteotomy in severe rigid curves without anterior release. Summary of Background Data. For scoliotic curve, anterior-posterior combined or column resection (PVCR) procedures are used. Anterior procedure might compromise pulmonary functions, PVCR carry risk neurologic injuries. Therefore, authors developed a new technique, which reduces both. Methods. Thirteen...

Biportal endoscopic spinal surgery has been performed for several years, and its effectiveness is well known; however, no studies on safety, specifically intracranial pressure, have conducted to date. The authors sought evaluate the effect of biportal lumbar discectomy pressure by monitoring cervical epidural (CEP) changes throughout procedure.

Genu varum in the achondroplastic patient has a complex and multifactorial aetiology. There is little mention literature of role fibular overgrowth. Using ratio to tibial length as measurement possible overgrowth, we have related it development genu varum. Full-length standing anteroposterior radiographs 53 patients with achondroplasia were analysed. 30 skeletally-immature 23 skeletally-mature patients. Regression analysis was performed order determine if there causal relationship between...

To determine the prevalence and characteristics of neuropathic pain (NP) in patients with lumbar spinal stenosis (LSS) according to subgroup analysis symptoms. We prospectively enrolled subjects LSS (n=86) who were scheduled undergo surgery. The divided into two groups a chief complaint radicular or neurogenic claudication. measured patient's score using visual analog scale (VAS), Oswestry Disability Index (ODI) Leads Assessment Neuropathic Symptoms Signs (LANSS). According LANSS value, NP...