Pub Date : 2017-05-01DOI: 10.1097/01.CSS.0000516127.25832.59
P. Chang, Jau-Ching Wu, Benjamin C. Mayo, D. Massel, Michael Y. Wang
Lippincott Continuing Medical Education Institute is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute 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, 2018. LEARNING OBJECTIVES: After participating in this CME activity, the spine surgeon should be better able to: 1. Delineate the occurrence of heterotopic ossification (HO) and assess its severity after cervical disc arthroplasty. 2. Discuss and understand the clinical implications of HO. 3. Identify the risk factors for HO and manage the ways to avoid such complications after cervical disc arthroplasty.
利平科特继续医学教育学院是由继续医学教育认证委员会认可的，为医生提供继续医学教育。利平科特继续医学教育研究所指定这种持久材料的最高1.5 AMA PRA 1类信用。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。本次活动截止至2018年4月30日。学习目标:参加本CME活动后，脊柱外科医生应能更好地:1。描述颈椎间盘置换术后异位骨化(HO)的发生并评估其严重程度。2. 讨论和理解HO的临床意义。3.探讨颈椎间盘置换术后发生HO的危险因素及避免此类并发症的方法。
{"title":"Heterotopic Ossification in Cervical Disc Arthroplasty","authors":"P. Chang, Jau-Ching Wu, Benjamin C. Mayo, D. Massel, Michael Y. Wang","doi":"10.1097/01.CSS.0000516127.25832.59","DOIUrl":"https://doi.org/10.1097/01.CSS.0000516127.25832.59","url":null,"abstract":"Lippincott Continuing Medical Education Institute is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute 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, 2018. LEARNING OBJECTIVES: After participating in this CME activity, the spine surgeon should be better able to: 1. Delineate the occurrence of heterotopic ossification (HO) and assess its severity after cervical disc arthroplasty. 2. Discuss and understand the clinical implications of HO. 3. Identify the risk factors for HO and manage the ways to avoid such complications after cervical disc arthroplasty.","PeriodicalId":209002,"journal":{"name":"Contemporary Spine Surgery","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126561807","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 : 2017-04-01DOI: 10.1097/01.CSS.0000515083.33062.B7
Jonathan J Rasouli, B. Skovrlj, S. Qureshi
Lippincott Continuing Medical Education Institute is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute designates this enduring material for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should only claim 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 March 31, 2018. LEARNING OBJECTIVES: After participating in this CME activity, the spine surgeon should be better able to: 1. Identify the primary indications for minimally invasive versus open surgery for degenerative spine disease. 2. Recognize differences in clinical outcomes in patients who undergo minimally invasive versus open spine surgery. 3. Identify the average cost reduction for minimally invasive approaches such as tubular microdiscectomy, transforaminal lumbar interbody fusion, and minimally invasive adult spine deformity correction.
利平科特继续医学教育学院是由继续医学教育认证委员会认可的，为医生提供继续医学教育。利平科特继续医学教育研究所指定这种持久材料的最高1.5 AMA PRA 1类信用。医生只应要求与他们参与活动的程度相称的荣誉。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。本次活动截止至2018年3月31日。学习目标:参加本CME活动后，脊柱外科医生应能更好地:1。确定微创手术与开放手术治疗退行性脊柱疾病的主要适应症。2. 认识微创与开放式脊柱手术患者临床结果的差异。3.确定微创入路的平均成本降低，如管状显微椎间盘切除术、经椎间孔腰椎椎体间融合术和微创成人脊柱畸形矫正术。
{"title":"Value Analysis in Minimally Invasive Spine Surgery","authors":"Jonathan J Rasouli, B. Skovrlj, S. Qureshi","doi":"10.1097/01.CSS.0000515083.33062.B7","DOIUrl":"https://doi.org/10.1097/01.CSS.0000515083.33062.B7","url":null,"abstract":"Lippincott Continuing Medical Education Institute is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute designates this enduring material for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should only claim 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 March 31, 2018. LEARNING OBJECTIVES: After participating in this CME activity, the spine surgeon should be better able to: 1. Identify the primary indications for minimally invasive versus open surgery for degenerative spine disease. 2. Recognize differences in clinical outcomes in patients who undergo minimally invasive versus open spine surgery. 3. Identify the average cost reduction for minimally invasive approaches such as tubular microdiscectomy, transforaminal lumbar interbody fusion, and minimally invasive adult spine deformity correction.","PeriodicalId":209002,"journal":{"name":"Contemporary Spine Surgery","volume":"162 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114550054","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 : 2017-03-01DOI: 10.1097/01.CSS.0000513154.57780.3B
Ralph W. Cook, D. Massel, Benjamin C. Mayo, W. Hsu
{"title":"Management of Sports-Related Lumbar Disc Herniation","authors":"Ralph W. Cook, D. Massel, Benjamin C. Mayo, W. Hsu","doi":"10.1097/01.CSS.0000513154.57780.3B","DOIUrl":"https://doi.org/10.1097/01.CSS.0000513154.57780.3B","url":null,"abstract":"","PeriodicalId":209002,"journal":{"name":"Contemporary Spine Surgery","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117120972","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 : 2016-12-01DOI: 10.1097/01.CSS.0000508637.09447.d4
V. Puvanesarajah, Benjamin C. Mayo, D. Massel, H. Hassanzadeh
{"title":"Surgical Management of High-Grade Spondylolisthesis","authors":"V. Puvanesarajah, Benjamin C. Mayo, D. Massel, H. Hassanzadeh","doi":"10.1097/01.CSS.0000508637.09447.d4","DOIUrl":"https://doi.org/10.1097/01.CSS.0000508637.09447.d4","url":null,"abstract":"","PeriodicalId":209002,"journal":{"name":"Contemporary Spine Surgery","volume":"os-48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127786810","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 : 2016-11-01DOI: 10.1097/01.CSS.0000504611.56487.40
Aditya Mazmudar, Shobhit V. Minhas, Benjamin C. Mayo, D. Massel, Alpesh A. Patel
{"title":"Outcomes and Safety of Outpatient Spinal Surgery in Adult Patients Older Than 65","authors":"Aditya Mazmudar, Shobhit V. Minhas, Benjamin C. Mayo, D. Massel, Alpesh A. Patel","doi":"10.1097/01.CSS.0000504611.56487.40","DOIUrl":"https://doi.org/10.1097/01.CSS.0000504611.56487.40","url":null,"abstract":"","PeriodicalId":209002,"journal":{"name":"Contemporary Spine Surgery","volume":"156 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122947174","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 : 2016-10-01DOI: 10.1097/01.CSS.0000499725.56931.10
A. Samuel, Nidharshan S. Anandasivam, Pablo J. Diaz-Collado, A. Lukasiewicz, M. Webb, J. Grauer
PATHOPHYSIOLOGY The mechanism of injury for ATCCS has been described as cervical hyperextension in the setting of cervical spinal stenosis (Figure 1).3 In older patients, who are most commonly affected, this is due to a spondylotic spinal canal with stenosis caused by a hypertrophied or buckled ligamentum flavum.2,4 Indeed patients with ATCCS have been shown to have a canal diameter (Figure 2) more than 14 mm narrower than in control patients.4 Compression of the cord in the stenotic canal results in damage to the deep regions of the lateral white matter tract, specifically the lateral corticospinal tracts, often because of cord edema secondary to local inflammation.4 The preferential loss of upper extremity motor function has been explained by various theories, including somatotopic organization of the corticospinal tracts, with more centrally located upper extremity fibers, and, more recently, an overall A cute traumatic central cord syndrome (ATCCS) is the most common form of incomplete cervical spinal cord injury (SCI), accounting for 70% of incomplete cervical spinal cord injuries and occurring in approximately 11,000 patients annually.1 ATCCS is distinguished from other spinal cord pathologies as the deficit is primarily related to the central regions of the cord and classically affects upper extremities more than lower extremities.
{"title":"Management of Acute Traumatic Central Cord Syndrome","authors":"A. Samuel, Nidharshan S. Anandasivam, Pablo J. Diaz-Collado, A. Lukasiewicz, M. Webb, J. Grauer","doi":"10.1097/01.CSS.0000499725.56931.10","DOIUrl":"https://doi.org/10.1097/01.CSS.0000499725.56931.10","url":null,"abstract":"PATHOPHYSIOLOGY The mechanism of injury for ATCCS has been described as cervical hyperextension in the setting of cervical spinal stenosis (Figure 1).3 In older patients, who are most commonly affected, this is due to a spondylotic spinal canal with stenosis caused by a hypertrophied or buckled ligamentum flavum.2,4 Indeed patients with ATCCS have been shown to have a canal diameter (Figure 2) more than 14 mm narrower than in control patients.4 Compression of the cord in the stenotic canal results in damage to the deep regions of the lateral white matter tract, specifically the lateral corticospinal tracts, often because of cord edema secondary to local inflammation.4 The preferential loss of upper extremity motor function has been explained by various theories, including somatotopic organization of the corticospinal tracts, with more centrally located upper extremity fibers, and, more recently, an overall A cute traumatic central cord syndrome (ATCCS) is the most common form of incomplete cervical spinal cord injury (SCI), accounting for 70% of incomplete cervical spinal cord injuries and occurring in approximately 11,000 patients annually.1 ATCCS is distinguished from other spinal cord pathologies as the deficit is primarily related to the central regions of the cord and classically affects upper extremities more than lower extremities.","PeriodicalId":209002,"journal":{"name":"Contemporary Spine Surgery","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116057753","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 : 2016-09-01DOI: 10.1097/01.CSS.0000492411.33941.65
Alex Doermann, D. Massel, Benjamin C. Mayo, Douglas P. Kiester, N. Bhatia, Yu-po Lee
{"title":"ICD-10 and Its Relevance to Spine Surgeons","authors":"Alex Doermann, D. Massel, Benjamin C. Mayo, Douglas P. Kiester, N. Bhatia, Yu-po Lee","doi":"10.1097/01.CSS.0000492411.33941.65","DOIUrl":"https://doi.org/10.1097/01.CSS.0000492411.33941.65","url":null,"abstract":"","PeriodicalId":209002,"journal":{"name":"Contemporary Spine Surgery","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114884818","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 : 2016-08-01DOI: 10.1097/01.CSS.0000489919.86936.57
D. Massel, V. Puvanesarajah, Benjamin C. Mayo, H. Hassanzadeh, S. Presciutti, F. Phillips
available in the literature, it is estimated that 1.6 of every 100,000 individuals are surgically treated for this condition.4 This statistic suggests that the number of individuals who experience CSM is much higher. Preferred initial treatment for CSM includes nonoperative modalities such as physical therapy; anti-inflammatory medications; and in some cases, a cervical collar. However, refractory cases may require surgical intervention. Current literature has demonstrated surgical decompression of the cervical spine to improve functional outcomes in patients with CSM.5,6 Decompression can be achieved via an anterior or a posterior approach; each method of decompression has its own advantages and disadvantages. To our knowledge, there are no published randomized controlled clinical studies that compare the two approaches directly, which prevents clear conclusions from being drawn. Therefore, this review aims to summarize the current literature regarding anterior and posterior approaches for the treatment of CSM, with specific emphasis on comparing treatment safety and efficacy.
{"title":"Surgical Decision Making in Cervical Spondylotic Myelopathy: Comparison of Anterior and Posterior Approach","authors":"D. Massel, V. Puvanesarajah, Benjamin C. Mayo, H. Hassanzadeh, S. Presciutti, F. Phillips","doi":"10.1097/01.CSS.0000489919.86936.57","DOIUrl":"https://doi.org/10.1097/01.CSS.0000489919.86936.57","url":null,"abstract":"available in the literature, it is estimated that 1.6 of every 100,000 individuals are surgically treated for this condition.4 This statistic suggests that the number of individuals who experience CSM is much higher. Preferred initial treatment for CSM includes nonoperative modalities such as physical therapy; anti-inflammatory medications; and in some cases, a cervical collar. However, refractory cases may require surgical intervention. Current literature has demonstrated surgical decompression of the cervical spine to improve functional outcomes in patients with CSM.5,6 Decompression can be achieved via an anterior or a posterior approach; each method of decompression has its own advantages and disadvantages. To our knowledge, there are no published randomized controlled clinical studies that compare the two approaches directly, which prevents clear conclusions from being drawn. Therefore, this review aims to summarize the current literature regarding anterior and posterior approaches for the treatment of CSM, with specific emphasis on comparing treatment safety and efficacy.","PeriodicalId":209002,"journal":{"name":"Contemporary Spine Surgery","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126133968","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 : 2016-07-01DOI: 10.1097/01.CSS.0000484802.68945.B2
Gregory D. Schroeder, Matthew M. Astolfi, D. Hollern, A. Vaccaro
{"title":"Understanding the Business Challenges for a Spine Practice in the Changing Health Care Environment","authors":"Gregory D. Schroeder, Matthew M. Astolfi, D. Hollern, A. Vaccaro","doi":"10.1097/01.CSS.0000484802.68945.B2","DOIUrl":"https://doi.org/10.1097/01.CSS.0000484802.68945.B2","url":null,"abstract":"","PeriodicalId":209002,"journal":{"name":"Contemporary Spine Surgery","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131692695","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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