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Lumbar Spine Surgery: Clinical Updates and Perspective
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Lumbar Spine Surgery: Clinical Updates and Perspective

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

Deadline for manuscript submissions: 31 July 2024 | Viewed by 1340

Special Issue Editor

Dr. Vincent Challier

E-Mail Website
Guest Editor
Hôpital Privé du Dos Francheville, 24000 Périgueux, France
Interests: spine surgery; spondylolisthesis; kyphosis; lumbar spine; low back pain; spine research

Special Issue Information

Dear Colleagues,

This Special Issue of the Journal of Clinical Medicine aims to provide a comprehensive overview of the latest developments in lumbar spine surgery, including both surgical techniques and emerging technologies, with a focus on improving patient outcomes and advancing our understanding of spinal disease. In addition to covering topics such as spinal alignment in degenerative lumbar spine, minimally invasive surgery, spinal fusion, and the use of new technologies like robotics and navigation systems, this Special Issue will explore patient expectations for performance and outcomes in lumbar spine surgery. The growing trend of lumbar endoscopy as a minimally invasive surgical technique will also be highlighted, with a focus on its benefits and limitations compared to traditional open surgery. The use of big data analytics, AI, and machine learning techniques are also discussed as emerging tools to improve outcomes in lumbar spine surgery. Overall, this Special Issue aims to provide insights into the latest advances in the field, emphasizing core problems to be solved and mobilizing efforts towards improving diagnosis, treatment, and prognosis in the setting of lumbar surgical care.

Dr. Vincent Challier
Guest Editor

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
  • clinical updates
  • surgical techniques
  • minimally invasive surgery
  • spinal fusion
  • prone lateral fusion
  • sagittal alignment
  • lumbar endoscopy
  • uniportal endoscopy
  • bipolar unilateral endoscopy
  • long-term outcomes

Published Papers (2 papers)

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Research

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14 pages, 7512 KiB  
Article
Novel Screw Placement Method for Extremely Small Lumbar Pedicles in Scoliosis
by Chang-Ju Hwang, Joo-Young Lee, Dong-Ho Lee, Jae-Hwan Cho, Choon-Sung Lee, Mi-Young Lee and So-Jung Yoon
J. Clin. Med. 2024, 13(4), 1115; https://doi.org/10.3390/jcm13041115 - 16 Feb 2024
Viewed by 500
Abstract
Study Design: Consecutive case series. Objective: To propose a screw placement method in patients with extremely small lumbar pedicles (ESLPs) (<2 mm) to maintain screw density and correction power, without relying on the O-arm navigation system. Summary of Background Data: In scoliosis surgery, [...] Read more.
Study Design: Consecutive case series. Objective: To propose a screw placement method in patients with extremely small lumbar pedicles (ESLPs) (<2 mm) to maintain screw density and correction power, without relying on the O-arm navigation system. Summary of Background Data: In scoliosis surgery, ESLPs can hinder probe passage, resulting in exclusion or substitution of the pedicle screws with a hook. Screw density affects correction power, making it necessary to maximize the number of screw placements, especially in the lumbar curve. Limited studies provide technical guidelines for screw placement in patients with ESLPs, independent of the O-arm navigation system. Methods: We enrolled 19 patients who underwent scoliosis correction surgery using our novel screw placement method for ESLPs. Clinical, radiological, and surgical parameters were assessed. After posterior exposure of the spine, the C-arm fluoroscope was rotated to obtain a true posterior–anterior view and both pedicles were symmetrically visualized. An imaginary pedicle outline was presumed based on the elliptical or linear shadow from the pedicle. The screw entry point was established at a 2 (or 10) o’clock position in the presumed pedicle outline. After adjusting the gear-shift convergence, both cortices of the transverse process were penetrated and the tip was advanced towards the lateral vertebral body wall, where an extrapedicular screw was placed with tricortical fixation. Results: Out of 90 lumbar screws in 19 patients, 33 screws were inserted using our novel method, without correction loss or complications during an average follow-up period of 28.44 months, except radiological loosening of one screw. Conclusions: Our new extrapedicular screw placement method into the vertebral body provides an easy, accurate, and safe alternative for scoliosis patients with ESLPs without relying on the O-arm navigation system. Surgeons must consider utilizing this method to enhance correction power in scoliosis surgery, regardless of the small size of the lumbar pedicle. Full article
(This article belongs to the Special Issue Lumbar Spine Surgery: Clinical Updates and Perspective)
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14 pages, 3514 KiB  
Systematic Review
Efficacy and Safety of the Extreme Lateral Interbody Fusion (XLIF) Technique in Spine Surgery: Meta-Analysis of 1409 Patients
by Pablo Palacios, Isabel Palacios, Ana Palacios, Juan Carlos Gutiérrez, Gonzalo Mariscal and Alejandro Lorente
J. Clin. Med. 2024, 13(4), 960; https://doi.org/10.3390/jcm13040960 - 07 Feb 2024
Viewed by 592
Abstract
(1) Objectives: The objective of this study was to quantify the exact clinical-radiological efficacy and safety of the extreme lateral interbody fusion (XLIF) technique in spinal surgery; (2) Methods: A meta-analysis was performed using PubMed, Embase, Scopus, and Cochrane Collaboration Library. Studies focusing [...] Read more.
(1) Objectives: The objective of this study was to quantify the exact clinical-radiological efficacy and safety of the extreme lateral interbody fusion (XLIF) technique in spinal surgery; (2) Methods: A meta-analysis was performed using PubMed, Embase, Scopus, and Cochrane Collaboration Library. Studies focusing on patients surgically treated with XLIF were included. The outcomes were as follows: visual analog scale (VAS) and Oswestry disability index (ODI), radiological outcomes, and adverse events. Cohort studies and case series were also included. Clinical outcomes were assessed at 12 months of age. Data were combined using Review Manager 5.4 and WebPlotDigitizer 13.1.4; (3) Results: Nineteen studies with a pool of 1409 patients were included in this meta-analysis. Leg pain VAS and back pain VAS significantly improved at 12 months (SMD 2.75, 95% CI 0.59–4.90; SMD 4.54, 95% CI 1.39–7.69). ODI showed significant improvement (MD 32.51, 95% CI 24.01–41.00) at 12 months. Disc height increased significantly (SMD −2.73, 95% CI −3.58 to −1.88). Lumbar lordosis and segmental lordosis were significantly corrected postoperatively (MD −2.44, 95% CI −3.45 to −1.43; MD −2.55, 95% CI −3.61 to −1.48). The fusion rates at 12 months ranged from 85.0% to 93.3%. The most frequent complications were transient neurological conditions (2.2%), hardware failure (1.9%), and transient pain (1.8%). The most frequent serious complications were nerve root injury (1.0%), gastrointestinal impairment (0.7%), and vertebral fractures (0.6%); (4) Conclusions: This is the first meta-analysis of the specific use of XLIF in spinal surgery. This study demonstrates that the XLIF technique in spine surgery is associated with good clinical and radiological results and a low complication rate. Full article
(This article belongs to the Special Issue Lumbar Spine Surgery: Clinical Updates and Perspective)
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