Published in Spine
A post hoc analysis. Advances in machine learning (ML) have led to tools offering individualized outcome predictions for adult spinal deformity (ASD). Our objective is to examine the properties of these ASD models in a cohort of adult symptomatic lumbar scoliosis (ASLS) patients. ML algorithms produce patient-specific probabilities of outcomes, inc...
Published in Spine
Cross-sectional observational study. The aim was to compare the prevalence and severity of radiographic lumbar spine degeneration between elderly Hong Kong Chinese and elderly Italian Caucasian women. Rates of symptomatic low back pain and osteoporotic vertebral fracture have been shown to be lower in Asian and Chinese populations compared with Cau...
Published in Spine
Retrospective study. To validate the age-adjusted ideal sagittal alignment in terms of proximal junctional failure (PJF) and clinical outcomes. It is reported that optimal sagittal correction with regard to the age-adjusted ideal sagittal alignment reduces the risk of PJF development. However, few studies have validated this concept. The age-consid...
Published in Spine
A retrospective cohort study with chart review. To determine if there is a difference in risk of adverse outcomes following elective posterior instrumented lumbar spinal fusions for patients aged 80 years and above compared with patients aged 50 to 79 years. Patients aged 80 years and above are undergoing elective lumbar spinal fusion surgery in in...
Published in Spine
A cross-sectional study. To quantify the severity of neurogenic intermittent claudication (NIC) for patients with lumbar spinal stenosis (LSS) based on the center of pressure trajectory. NIC is one of the typical symptoms of LSS. So far, the severity level of NIC is mainly evaluated by the subjective description of patients, which might be biased b...
Published in Spine
Retrospective cohort. The aim was to compare patient-reported outcome measures (PROMs) following anterior cervical discectomy and fusion (ACDF) when categorizing patients based on socioeconomic status. Secondarily, we sought to compare PROMs based on race. Social determinants of health are believed to affect outcomes following spine surgery, but th...
Published in Spine
Prospective cohort study. The aim was to assess the association between diffusion tensor imaging (DTI) and diffusion basis spectrum imaging (DBSI) measures and cervical spondylotic myelopathy (CSM) clinical assessments at baseline and two-year follow-up. Despite advancements in diffusion-weighted imaging, few studies have examined associations betw...
Published in Spine
Retrospective cohort. The aim was to describe the two-year outcomes for patients undergoing surgical correction of cervical deformity (CD). Adult CD has been shown to compromise health-related quality of life. While advances in spinal realignment have shown promising short-term clinical results in this parameter, the long-term outcomes of CD correc...
Published in Spine
Retrospective case series. The purpose of this study was to investigate the outcome of multilevel posterior decompression surgery for degenerative lumbar spinal stenosis compared with single-level surgery. The clinical outcomes of multilevel decompression surgery are still controversial because previous studies have not been designed to randomize o...
Published in Spine
Retrospective cohort. To determine if intraoperative on-table lumbar lordosis (LL) and segmental lordosis (SL) coincide with perioperative change in lordosis. Improvements in sagittal alignment are believed to correlate with improvements in clinical outcomes. Thus, it is important to establish whether intraoperative radiographs predict postoperativ...
