Spine
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Retrospective study of a consecutive series of patients with thoracolumbar hyperextension injuries (TLHIs) complicated by diffuse idiopathic skeletal hyperostosis (DISH) presenting to a single institution during a 9-year period. ⋯ To our knowledge, this is the largest series of TLHIs in DISH-altered spines in literature. The study helps to understand controversial findings in literature about morphological properties of TLHIs in DISH-affected spines. Surgeons should be aware of preexisting alterations in traumatized spines and the impact on therapeutic decisions. Because of the "aging population" and implications of metabolic diseases on an "aging spine," the incidence of TLHIs in DISH will probably rise.
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Multicenter Study Comparative Study
Comparative study of 2 surgical procedures for osteoporotic delayed vertebral collapse: anterior and posterior combined surgery versus posterior spinal fusion with vertebroplasty.
Retrospective comparative study. ⋯ AP surgery provides stable spinal fixation and reduces implant failure particularly at the thoracolumbar junction because of load bearing of anterior spinal elements. Surgery-related complications in AP surgery were as few in number as with the VP group, and AP surgery is useful for osteoporotic delayed vertebral fracture.
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Cross-cultural adaptation and psychometric testing. ⋯ The NDI-PT demonstrated excellent reliability and good construct validity and it may be useful for assessing functional status of Portuguese-speaking patients with CNP.
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A cross-sectional study to develop a cultural adaptation of the Marathi-neck disability index (NDI) and to investigate its validity and reliability. ⋯ The results suggest that the Marathi version of the NDI that is validated in this study is an easy to comprehend, reliable, and valid instrument for the measurement for the limitation of activities of daily living and pain caused by neck disorders in the Marathi-speaking population.
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Retrospective case series. ⋯ PET/CT was effective in diagnosing SSI and identifying infection sites despite the presence of spinal instruments. Although further studies with a larger number of patients are required, PET/CT presents a good candidate for detecting early-phase SSI after instrumented spinal surgery.