Pub Date : 2024-04-01DOI: 10.1097/01.css.0001009828.37677.64
Micheal Raad, A. Satin, Peter B. Derman
Bone mineral density (BMD) is generally defined as the concentration or density of bone minerals in bone tissue. It is an indicator of bone quality and is used in the diagnosis of osteopenia or osteoporosis. Poor bone quality has been demonstrated to be associated with significantly higher risk of fragility fractures including those of the hip, distal radius, and spine. It is important for spinal surgeons to understand the implications of BMD on outcomes after spinal surgery, learn the various methods to evaluate it, and be aware of treatment options in the perioperative period.
{"title":"Bone Quality in Spinal Surgery: Evaluation, Implications, and Treatments","authors":"Micheal Raad, A. Satin, Peter B. Derman","doi":"10.1097/01.css.0001009828.37677.64","DOIUrl":"https://doi.org/10.1097/01.css.0001009828.37677.64","url":null,"abstract":"\u0000 Bone mineral density (BMD) is generally defined as the concentration or density of bone minerals in bone tissue. It is an indicator of bone quality and is used in the diagnosis of osteopenia or osteoporosis. Poor bone quality has been demonstrated to be associated with significantly higher risk of fragility fractures including those of the hip, distal radius, and spine. It is important for spinal surgeons to understand the implications of BMD on outcomes after spinal surgery, learn the various methods to evaluate it, and be aware of treatment options in the perioperative period.","PeriodicalId":209002,"journal":{"name":"Contemporary Spine Surgery","volume":"85 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140355640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1097/01.CSS.0001005712.39682.db
Yu-Po Lee, Jason Liang
Abstract Kyphosis of the cervical spine can have many causes. The most common causes include degeneration of the cervical spine, infection, trauma, inflammatory diseases, tumors, and iatrogenic causes. Cervical kyphosis can be associated with myelopathy and radiculopathy, so it is important to look for signs and symptoms of spinal cord and nerve root compression as well. As the kyphosis worsens, patients can experience problems with horizontal gaze, swallowing, and even breathing. The first line of treatment for cervical kyphosis is rest and lifestyle modifications. Cervical kyphosis can cause muscular strain best treated with rest and avoidance of re-injuring the muscles and tendons. Nonsurgical treatments for cervical kyphosis also includes physical therapy and pain management procedures, and is attempted if there are no findings of sensory loss, motor weakness, bowel or bladder dysfunction, or spinal cord impingement signs. Many factors play a role in the decision-making process for surgical intervention, which include level of pain, degree of physical impairment, and the amount of cervical kyphosis present. The optimal surgical approach is not always clear but can include an anterior, posterior, or combined anterior and posterior approach.
{"title":"Cervical Kyphosis","authors":"Yu-Po Lee, Jason Liang","doi":"10.1097/01.CSS.0001005712.39682.db","DOIUrl":"https://doi.org/10.1097/01.CSS.0001005712.39682.db","url":null,"abstract":"Abstract Kyphosis of the cervical spine can have many causes. The most common causes include degeneration of the cervical spine, infection, trauma, inflammatory diseases, tumors, and iatrogenic causes. Cervical kyphosis can be associated with myelopathy and radiculopathy, so it is important to look for signs and symptoms of spinal cord and nerve root compression as well. As the kyphosis worsens, patients can experience problems with horizontal gaze, swallowing, and even breathing. The first line of treatment for cervical kyphosis is rest and lifestyle modifications. Cervical kyphosis can cause muscular strain best treated with rest and avoidance of re-injuring the muscles and tendons. Nonsurgical treatments for cervical kyphosis also includes physical therapy and pain management procedures, and is attempted if there are no findings of sensory loss, motor weakness, bowel or bladder dysfunction, or spinal cord impingement signs. Many factors play a role in the decision-making process for surgical intervention, which include level of pain, degree of physical impairment, and the amount of cervical kyphosis present. The optimal surgical approach is not always clear but can include an anterior, posterior, or combined anterior and posterior approach.","PeriodicalId":209002,"journal":{"name":"Contemporary Spine Surgery","volume":"26 20","pages":"1 - 5"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139685127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.1097/01.css.0000998084.89677.96
Vincent P. Federico, Samy Gabriel, Andrea M. Roca, Fatima N. Anwar, Luis Salazar, Rajko S. Vucicevic, Arash Sayari
Abstract As spine surgeons continue to strive for high-quality patient care in an ever-changing health care environment, their individual health can often be put on the back burner. Under the stress of caring for and operating on the spine patient, surgeons must juggle additional hardships in the form of occupational exposures such as intraoperative radiation, degenerative conditions secondary to ergonomics and the inherent physical tax of spine surgery, and an increasing incidence of mental health disorders. In this review, we discuss the current body of literature as it relates to physical, mental, and occupational tolls placed on surgeons.
{"title":"Spine Surgeon Health and Well-being","authors":"Vincent P. Federico, Samy Gabriel, Andrea M. Roca, Fatima N. Anwar, Luis Salazar, Rajko S. Vucicevic, Arash Sayari","doi":"10.1097/01.css.0000998084.89677.96","DOIUrl":"https://doi.org/10.1097/01.css.0000998084.89677.96","url":null,"abstract":"Abstract As spine surgeons continue to strive for high-quality patient care in an ever-changing health care environment, their individual health can often be put on the back burner. Under the stress of caring for and operating on the spine patient, surgeons must juggle additional hardships in the form of occupational exposures such as intraoperative radiation, degenerative conditions secondary to ergonomics and the inherent physical tax of spine surgery, and an increasing incidence of mental health disorders. In this review, we discuss the current body of literature as it relates to physical, mental, and occupational tolls placed on surgeons.","PeriodicalId":209002,"journal":{"name":"Contemporary Spine Surgery","volume":"13 2","pages":"1 - 4"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139127899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-01DOI: 10.1097/01.CSS.0000946544.24038.21
Fatima N. Anwar, James W. Nie, Timothy J. Hartman, Keith R. MacGregor, Omolabake O. Oyetao, Eileen Zheng, Arash J. Sayari, Kern Singh
Learning Objectives: After participating in this activity, the spine surgeon should be better able to: 1. Identify the presentation and diagnosis of sacroiliac joint dysfunction. 2. Describe the operative and nonoperative treatment modalities for patients with sacroiliac joint dysfunction.
{"title":"Presentation, Diagnosis, and Treatment of Sacroiliac Joint Dysfunction","authors":"Fatima N. Anwar, James W. Nie, Timothy J. Hartman, Keith R. MacGregor, Omolabake O. Oyetao, Eileen Zheng, Arash J. Sayari, Kern Singh","doi":"10.1097/01.CSS.0000946544.24038.21","DOIUrl":"https://doi.org/10.1097/01.CSS.0000946544.24038.21","url":null,"abstract":"Learning Objectives: After participating in this activity, the spine surgeon should be better able to: 1. Identify the presentation and diagnosis of sacroiliac joint dysfunction. 2. Describe the operative and nonoperative treatment modalities for patients with sacroiliac joint dysfunction.","PeriodicalId":209002,"journal":{"name":"Contemporary Spine Surgery","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128148737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1097/01.CSS.0000943088.06393.ea
Jeremy C. Heard, Yunsoo Lee, Perry Goodman, S. Franco, A. Vaccaro
After participating in
在参加
{"title":"The Impact of Marijuana Use in Patients Undergoing Spine Surgery","authors":"Jeremy C. Heard, Yunsoo Lee, Perry Goodman, S. Franco, A. Vaccaro","doi":"10.1097/01.CSS.0000943088.06393.ea","DOIUrl":"https://doi.org/10.1097/01.CSS.0000943088.06393.ea","url":null,"abstract":"After participating in","PeriodicalId":209002,"journal":{"name":"Contemporary Spine Surgery","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115849249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1097/01.CSS.0000936888.00795.2d
T. Issa, Yunsoo Lee, Anushka Ghosh, E. Rowe, A. Vaccaro
LEARNING OBJECTIVES: After participating in this CME activity, the spine surgeon should be better able to:
学习目标:参加本持续CME活动后，脊柱外科医生应该能够更好地:
{"title":"The Role of Immersive Virtual Reality on the Patient Experience and Future Applications in Spinal Care","authors":"T. Issa, Yunsoo Lee, Anushka Ghosh, E. Rowe, A. Vaccaro","doi":"10.1097/01.CSS.0000936888.00795.2d","DOIUrl":"https://doi.org/10.1097/01.CSS.0000936888.00795.2d","url":null,"abstract":"LEARNING OBJECTIVES: After participating in this CME activity, the spine surgeon should be better able to:","PeriodicalId":209002,"journal":{"name":"Contemporary Spine Surgery","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114650736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1097/01.css.0000931340.07954.11
Khoa S. Tran, Erin Kim, Philip Seger, R. Ngo, Arun P. Kanhere, A. Vaccaro
Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation assessment survey on the enclosed form, answering at least 70% of the quiz questions correctly. This activity expires on April 30, 2025. LEARNING OBJECTIVES: After participating in this CME activity, the spine surgeon should be better able to: 1. Explain the disparities in gender and racial representation in orthopedic surgery. 2. Assess various diversity outreach programs to ameliorate the representation disparities. 3. Describe the impact of COVID-19 on orthopedic surgery minority representation.
Lippincott继续医学教育研究所，Inc.是由继续医学教育认证委员会认证的，为医生提供继续医学教育。Lippincott继续医学教育研究所(Lippincott Continuing Medical Education Institute, Inc.)将这种持久材料指定为最高1.5 AMA PRA第1类信用标准。医生只应主张与其参与活动的程度相称的功劳。要获得CME学分，您必须阅读CME文章并完成随附表格上的测验和评估评估调查，正确回答至少70%的测验问题。此活动将于2025年4月30日截止。学习目标:参加本CME活动后，脊柱外科医生应能更好地:1。解释骨科手术中性别和种族代表的差异。2. 评估各种多样性外展计划，以改善代表性差异。3.描述COVID-19对骨科少数族裔代表性的影响。
{"title":"Diversity and Outreach Support in Orthopedic Surgery","authors":"Khoa S. Tran, Erin Kim, Philip Seger, R. Ngo, Arun P. Kanhere, A. Vaccaro","doi":"10.1097/01.css.0000931340.07954.11","DOIUrl":"https://doi.org/10.1097/01.css.0000931340.07954.11","url":null,"abstract":"Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation assessment survey on the enclosed form, answering at least 70% of the quiz questions correctly. This activity expires on April 30, 2025. LEARNING OBJECTIVES: After participating in this CME activity, the spine surgeon should be better able to: 1. Explain the disparities in gender and racial representation in orthopedic surgery. 2. Assess various diversity outreach programs to ameliorate the representation disparities. 3. Describe the impact of COVID-19 on orthopedic surgery minority representation.","PeriodicalId":209002,"journal":{"name":"Contemporary Spine Surgery","volume":"224 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121863900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-01DOI: 10.1097/01.CSS.0000920308.03363.31
A. Alvarado, J. O’toole
Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation assessment survey on the enclosed form, answering at least 70% of the quiz questions correctly. This activity expires on February 28, 2025. LEARNING OBJECTIVES: After participating in this CME activity, the spine surgeon should be better able to: 1. Identify the indications for lumbar disc arthroplasty. 2. Describe the general technique for performing lumbar disc arthroplasty. 3. Assess potential postoperative early and long-term complications after lumbar disc arthroplasty.
Lippincott继续医学教育研究所，Inc.是由继续医学教育认证委员会认证的，为医生提供继续医学教育。Lippincott继续医学教育研究所(Lippincott Continuing Medical Education Institute, Inc.)将这种持久材料指定为最高1.5 AMA PRA第1类信用标准。医生只应主张与其参与活动的程度相称的功劳。要获得CME学分，您必须阅读CME文章并完成随附表格上的测验和评估评估调查，正确回答至少70%的测验问题。此活动将于2025年2月28日到期。学习目标:参加本CME活动后，脊柱外科医生应能更好地:1。确定腰椎间盘置换术的适应症。2. 描述进行腰椎间盘置换术的一般技术。3.评估腰椎间盘置换术后潜在的早期和长期并发症。
{"title":"Lumbar Disc Arthroplasty: Where Are We Now?","authors":"A. Alvarado, J. O’toole","doi":"10.1097/01.CSS.0000920308.03363.31","DOIUrl":"https://doi.org/10.1097/01.CSS.0000920308.03363.31","url":null,"abstract":"Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation assessment survey on the enclosed form, answering at least 70% of the quiz questions correctly. This activity expires on February 28, 2025. LEARNING OBJECTIVES: After participating in this CME activity, the spine surgeon should be better able to: 1. Identify the indications for lumbar disc arthroplasty. 2. Describe the general technique for performing lumbar disc arthroplasty. 3. Assess potential postoperative early and long-term complications after lumbar disc arthroplasty.","PeriodicalId":209002,"journal":{"name":"Contemporary Spine Surgery","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127978529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-01DOI: 10.1097/01.css.0000912680.27605.9a
Maddison McClellan, Amanda Tedesco, Yu-po Lee, N. Bhatia
Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation assessment survey on the enclosed form, answering at least 70% of the quiz questions correctly. This activity expires on January 31, 2025. LEARNING OBJECTIVES: After participating in this continuing professional development activity, the spine surgeon should be better able to: 1. Describe the causes of cervical spine degeneration. 2. Explain evaluation of patients with cervical spondylotic myelopathy. 3. Discuss treatment options for patients with cervical spondylotic myelopathy and risks and benefits of the procedures.
Lippincott继续医学教育研究所，Inc.是由继续医学教育认证委员会认证的，为医生提供继续医学教育。Lippincott继续医学教育研究所(Lippincott Continuing Medical Education Institute, Inc.)将这种持久材料指定为最高1.5 AMA PRA第1类信用标准。医生只应主张与其参与活动的程度相称的功劳。要获得CME学分，您必须阅读CME文章并完成随附表格上的测验和评估评估调查，正确回答至少70%的测验问题。此活动将于2025年1月31日到期。学习目标:在参加了这个持续的专业发展活动后，脊柱外科医生应该能够更好地:描述颈椎退变的原因。2. 解释脊髓型颈椎病患者的评估。3.讨论脊髓型颈椎病患者的治疗方案以及手术的风险和益处。
{"title":"Cervical Spondylotic Myelopathy","authors":"Maddison McClellan, Amanda Tedesco, Yu-po Lee, N. Bhatia","doi":"10.1097/01.css.0000912680.27605.9a","DOIUrl":"https://doi.org/10.1097/01.css.0000912680.27605.9a","url":null,"abstract":"Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation assessment survey on the enclosed form, answering at least 70% of the quiz questions correctly. This activity expires on January 31, 2025. LEARNING OBJECTIVES: After participating in this continuing professional development activity, the spine surgeon should be better able to: 1. Describe the causes of cervical spine degeneration. 2. Explain evaluation of patients with cervical spondylotic myelopathy. 3. Discuss treatment options for patients with cervical spondylotic myelopathy and risks and benefits of the procedures.","PeriodicalId":209002,"journal":{"name":"Contemporary Spine Surgery","volume":"28 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126823161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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