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Clinical Advances in Orthopaedic Treatment of Lumbar and Spine Diseases
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Clinical Advances in Orthopaedic Treatment of Lumbar and Spine Diseases

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 14 October 2024 | Viewed by 1490

Special Issue Editors

Dr. Micheal Raad

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Guest Editor
Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA
Interests: spine surgery; lumbar fusion; knee surgery; spine research; hip arthroplasty
Dr. Nissim Ohana

E-Mail Website
Guest Editor
Orthopedic Department, Meir Medical Center, Kfar Saba, Affiliated to Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv 4428164, Israel
Interests: spine surgery; orthopedic surgery; lumbar spine surgery; spine diseases; osteoporotic fractures

Special Issue Information

Dear Colleagues,

The field of orthopaedic surgery is constantly evolving, driven by advancements in medical technology, surgical techniques, and our understanding of diseases and conditions affecting the lumbar spine. Lumbar spine surgery plays a pivotal role in addressing a wide range of conditions, including degenerative disc disease, spinal stenosis, herniated discs, trauma, neoplastic spine diseases and spinal deformities.

As we strive for improved patient outcomes and enhanced quality of life, it is essential to embrace and disseminate the latest clinical advances in this field.

This special issue of our journal focuses on the clinical advances in orthopaedic treatment of lumbar and spine diseases. We invite researchers, clinicians, and experts in the field to contribute their valuable insights, innovative research, and novel treatment approaches. By sharing your knowledge and experiences, we can collectively push the boundaries of our understanding and improve the standard of care for patients with lumbar spine conditions.

The topics of interest for this special issue include, but are not limited to:

  1. Minimally invasive surgical techniques for lumbar spine disorders
  2. Navigation-assisted and robotic-assisted spine surgery
  3. Biologics and regenerative therapies in the treatment of lumbar spine diseases
  4. Advances in spinal fusion techniques and implants
  5. Patient-specific approaches in the management of spinal deformities
  6. Rehabilitation and postoperative care in lumbar spine surgery
  7. Outcomes research and quality improvement initiatives in spine surgery
  8. Neurosurgical perspectives on lumbar spine surgery

We encourage authors to submit original research articles, review articles that contribute to the body of knowledge in this field. Our aim is to foster collaboration, exchange ideas, and promote the adoption of evidence-based practices in the management of lumbar and spine diseases.

Together, let us propel the field of orthopaedic surgery forward, improving patient outcomes, enhancing quality of life, and shaping the future of lumbar spine surgery. We look forward to receiving your valuable contributions.

Dr. Micheal Raad
Dr. Nissim Ohana
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • lumbar spine surgery
  • spine surgery
  • robotic-assisted spine surgery
  • spinal fusion
  • minimally invasive surgical
  • spinal deformities

Published Papers (2 papers)

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Research

12 pages, 3851 KiB  
Article
Efficacy and Complication Rates of Percutaneous Vertebroplasty and Kyphoplasty in the Treatment of Vertebral Compression Fractures: A Retrospective Analysis of 280 Patients
by Jan Cerny, Jan Soukup, Kadzhik Petrosian, Lucie Loukotova and Tomas Novotny
J. Clin. Med. 2024, 13(5), 1495; https://doi.org/10.3390/jcm13051495 - 5 Mar 2024
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Abstract
Background: Percutaneous vertebroplasty (PVP) and kyphoplasty (PKP) are established methods in the treatment of vertebral compression fractures (VCFs). In our manuscript, the target was to evaluate the efficacy of PVPs/PKPs and to determine the implications of potential periprocedural complications. Methods: 280 [...] Read more.
Background: Percutaneous vertebroplasty (PVP) and kyphoplasty (PKP) are established methods in the treatment of vertebral compression fractures (VCFs). In our manuscript, the target was to evaluate the efficacy of PVPs/PKPs and to determine the implications of potential periprocedural complications. Methods: 280 patients, specifically 194 women (69.3%) and 86 men (30.7%), were enrolled. We used the AO spine fractures classification and the Yeom classification to determine the subtype of cement leakage. Only single-level VCFs of the thoracic or lumbar spine were included. Visual analogue scale (VAS) was assessed preoperatively and regularly after the surgery. Vertebral compression ratio (VBCR) was used to determine postoperative vertebral body collapse. Results: We recorded 54 cases (19.3%) of cement leakage. There was a significant decrease in mean VAS scores (6.82–0.76 in PVPs, 7.15–0.81 in PKPs). The decrease in VBCR was greater in the VP group (4.39%; 84.21–79.82) compared to the KP group (1.95%; 74.36–72.41). Conclusions: No significant difference in the risk of cement leakage when comparing KPs and VPs was found. VPs and KPs provide rapid and significant pain relief in patients with VCFs. Clinically relevant complications of VPs and KPs are rare. Kyphoplasties prevent further vertebral body collapse more effectively compared to vertebroplasties. Full article
(This article belongs to the Special Issue Clinical Advances in Orthopaedic Treatment of Lumbar and Spine Diseases)
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11 pages, 723 KiB  
Article
Inadequate Annotation and Its Impact on Pelvic Tilt Measurement in Clinical Practice
by Yuan Chai, Vincent Maes, A. Mounir Boudali, Brooke Rackel and William L. Walter
J. Clin. Med. 2024, 13(5), 1394; https://doi.org/10.3390/jcm13051394 - 28 Feb 2024
Viewed by 515
Abstract
Background: Accurate pre-surgical templating of the pelvic tilt (PT) angle is essential for hip and spine surgeries, yet the reliability of PT annotations is often compromised by human error, inherent subjectivity, and variations in radiographic quality. This study aims to identify challenges leading [...] Read more.
Background: Accurate pre-surgical templating of the pelvic tilt (PT) angle is essential for hip and spine surgeries, yet the reliability of PT annotations is often compromised by human error, inherent subjectivity, and variations in radiographic quality. This study aims to identify challenges leading to inadequate annotations at a landmark dimension and evaluating their impact on PT. Methods: We retrospectively collected 115 consecutive sagittal radiographs for the measurement of PT based on two definitions: the anterior pelvic plane and a line connecting the femoral head’s centre to the sacral plate’s midpoint. Five annotators engaged in the measurement, followed by a secondary review to assess the adequacy of the annotations across all the annotators. Results: The outcomes indicated that over 60% images had at least one landmark considered inadequate by the majority of the reviewers, with poor image quality, outliers, and unrecognized anomalies being the primary causes. Such inadequacies led to discrepancies in the PT measurements, ranging from −2° to 2°. Conclusion: This study highlights that landmarks annotated from clear anatomical references were more reliable than those estimated. It also underscores the prevalence of suboptimal annotations in PT measurements, which extends beyond the scope of traditional statistical analysis and could result in significant deviations in individual cases, potentially impacting clinical outcomes. Full article
(This article belongs to the Special Issue Clinical Advances in Orthopaedic Treatment of Lumbar and Spine Diseases)
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