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The Latest Trends in Spine Surgery
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The Latest Trends in Spine Surgery

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

Deadline for manuscript submissions: closed (31 May 2024) | Viewed by 3405

Special Issue Editors

Prof. Dr. Michael Akbar

E-Mail Website
Guest Editor
MEOCLINIC, Friedrichstraße 71, 10117 Berlin, Germany
Interests: adolescent idiopathic scoliosis; scoliosis; kyphotic deformities; spine deformity; sagittal profile; spinal navigation; degenerative spine; spinal fracture; stereoradiography; cervical spine; aging spine; spondylodiscitis; spinal tumor
Special Issues, Collections and Topics in MDPI journals
Prof. Dr. Yu-Mi Ryang

E-Mail Website
Guest Editor
Department of Neurosurgery & Center for Spine Therapy, Helios Klinikum Berlin Buch, 13125 Berlin, Germany
Interests: spinal navigation; robot-assisted spine surgery; spinal implant development; aging spine; augmented reality; spinal tumors (primary & metastatic); osteoporotic fractures; spondylodiscitis; novel techniques
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

In the past decade, great advances have been made in spine surgery, and innovations and techniques in this field have continued to develop and grow over the last decade rapidly; the future is bright. However, the modern goals of the future of spine surgery are to maximize the patient function and expedite a return to an improved quality of life. How will technologies shape spinal surgery during the next decade? This Special Issue aims to give its readers an overview of recent advances and continued challenges in spine surgery. We sincerely invite all spine surgeons and scholars in related fields worldwide to contribute to this Special Issue; original articles or review papers are encouraged.

Prof. Dr. Michael Akbar
Prof. Dr. Yu-Mi Ryang
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

  • scoliosis
  • spondylodiscitis
  • aging spine
  • spinal tumor surgery
  • robotics surgery
  • endoscopic surgery
  • minimally invasive surgery
  • emerging technologies
  • spinal imaging
  • augmented reality

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Related Special Issue

Published Papers (1 paper)

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Research

12 pages, 1522 KiB  
Article
Anterior Access to the Cervicothoracic Junction via Partial Sternotomy: A Clinical Series Reporting on Technical Feasibility, Postoperative Morbidity, and Early Surgical Outcome
by Mohammed Issa, Jan-Oliver Neumann, Sameer Al-Maisary, Gerhard Dyckhoff, Moritz Kronlage, Karl L. Kiening, Basem Ishak, Andreas W. Unterberg and Moritz Scherer
J. Clin. Med. 2023, 12(12), 4107; https://doi.org/10.3390/jcm12124107 - 17 Jun 2023
Cited by 1 | Viewed by 2826
Abstract
Surgical access to the cervicothoracic junction (CTJ) is challenging. The aim of this study was to assess technical feasibility, early morbidity, and outcome in patients undergoing anterior access to the CTJ via partial sternotomy. Consecutive cases with CTJ pathology treated via anterior access [...] Read more.
Surgical access to the cervicothoracic junction (CTJ) is challenging. The aim of this study was to assess technical feasibility, early morbidity, and outcome in patients undergoing anterior access to the CTJ via partial sternotomy. Consecutive cases with CTJ pathology treated via anterior access and partial sternotomy at a single academic center from 2017 to 2022 were retrospectively reviewed. Clinical data, perioperative imaging, and outcome were assessed with regards to the aims of the study. A total of eight cases were analyzed: four (50%) bone metastases, one (12.5%) traumatic instable fracture (B3-AO-Fracture), one (12.5%) thoracic disc herniation with spinal cord compression, and two (25%) infectious pathologic fractures from tuberculosis and spondylodiscitis. The median age was 49.9 years (range: 22–74 y), with a 75% male preponderance. The median Spinal Instability Neoplastic Score (SINS) was 14.5 (IQR: 5; range: 9–16), indicating a high degree of instability in treated cases. Four cases (50%) underwent additional posterior instrumentation. All surgical procedures were performed uneventfully, with no intraoperative complications. The median length of hospital stay was 11.5 days (IQR: 9; range: 6–20), including a median of 1 day in an intensive care unit (ICU). Two cases developed postoperative dysphagia related to stretching and temporary dysfunction of the recurrent laryngeal nerve. Both cases completely recovered at 3 months follow-up. No in-hospital mortality was observed. The radiological outcome was unremarkable in all cases, with no case of implant failure. One case died due to the underlying disease during follow-up. The median follow-up was 2.6 months (IQR: 23.8; range: 1–45.7 months). Our series indicates that the anterior approach to the cervicothoracic junction and upper thoracic spine via partial sternotomy can be considered an effective option for treatment of anterior spinal pathologies, exhibiting a reasonable safety profile. Careful case selection is essential to adequately balance clinical benefits and surgical invasiveness for these procedures. Full article
(This article belongs to the Special Issue The Latest Trends in Spine Surgery)
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