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Weekly News, Analysis, and Commentary

Spine Features & News

Adult Spinal Deformity Guidelines; Study: Knee Stability Tied to Medial Line; Deformity Surgery Costs Much Higher in U.S.

Source: Wikimedia Commons and University of Utah Hospital - Radiology Department

Researchers drive standardization of the evaluation and treatment of adult spinal deformity (ASD). Belgian researchers have found that the level of the medial joint line is the key prerequisite for normal joint stability. Japan “beats” U.S. when it comes to the expense of adult spinal deformity surgery.

21,000-Patient Mental Health Study; Predicting Knee Pain by Weight Lost; Long-Term Hip Arthroscopy Follow Up Study

Source: Pixabay

New study finds possible association between mental health disorders and complications in patients with thoracolumbar, cervical spinal pathologies. Research from NYU Langone Health indicates that youth and amount of weight loss can predict pain reduction in knee OA. And younger female patients without labral repairs are more likely to require revision arthroscopy.

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Processed Foods Bad for the Bones; Traditional Back Pain Red Flags Not Predictive; Mom’s Low Vitamin D = Kyphosis Risk in Offspring

Source: Wikimedia commons and lukeb20161933

Study says overdosing on food with Advanced Glycation End Products (AGEs) negatively impacts bone quality. Traditional ‘red flags’ not so predictive of serious pathology as previously thought, says work from HSS and Emory. And low vitamin D in mothers could mean elevated kyphosis risk for offspring.

Pediatric Osteoporosis Linked to Anti-Inflammatory Meds?; Tool Identifies Risk for Dislocations After THA; Do Higher Volume Hospitals=Better Value in Hip, Knee Revision?

Left: Young mice, before puberty (2 weeks old), have many nestin-positive (green) mesenchymal stem cells (MSCs) in the primary spongiosa to maintain or build bone mass during bone elongation initiated by the growth plate above. Right: Mice treated with the glucocorticoid prednisolone are missing that population of cells, contributing to the development of osteoporosis. The nuclei of cells are shown in blue. / Courtesy of Mei Wan, Ph.D.

Long-term glucocorticoid therapy dangerous for adolescent bone health. Which THA patients may be at higher risk for an implant dislocation? Researchers at NYU Langone Health have some thoughts. And Rush researchers find that low volume hospitals had a higher mean hospital-specific charges for hip, knee revision.

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Geriatric High-Energy Traumas Doubled in 10 Years?!; Is Arthroscopic Partial Meniscectomy Useless?; Surface Topography Helps With Body Image in AIS

Source: Pexels

Multicenter work finds an alarming rise in older folks experiencing high-energy trauma. Hopkins researchers find little/no use for arthroscopic partial meniscectomy. And we now have evidence of how surgery for adolescent idiopathic scoliosis affects body shape and body image.

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Posterior or Anterior for Scoliosis? Surprising New Answer; How Does RA Affect Sagittal Alignment?; Study: First Systematic Review of Anterior vs. Posterior in THA

Source: Wikimedia Commons and Weiss HR, Goodall D - Weiss HR, Goodall D. Scoliosis. 2008 Aug 5

Use anterior/posterior approach with a Lenke 5C curve? Its’ complicated, says a new study. Japanese researchers examine the role of steroid intake and other things that influence saggital balance in RA patients. THA patients treated with the anterior approach had less pain, lower narcotic usage, and better hip function than those undergoing the posterior approach.

Ketamine Reduces Morphine Consumption!; Does Resident Involvement Impact Surgery?; Good News for Scoliosis Patients

Photo creation by RRY Publications, LLC ©

Study finds ketamine can reduce need for morphine. Resident involvement in posterior cervical fusion can work—if properly managed. And new research indicates that only a small percentage of surgically treated patients had a parent or child with surgically treated scoliosis.

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