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Patient-reported functional outcomes vary considerably after lumbar spinal fusion surgery

NASS publishes evidence-based guideline for diagnosis and treatment of low back pain

The North American Spine Society (NASS) has released a guidance document, Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care: Diagnosis and treatment of low back...
Patient-reported functional outcomes vary considerably after lumbar spinal fusion surgery

No clinical benefit in antibiotic use to treat low back pain

Three months of treatment with amoxicillin did not provide a clinically important benefit in patients with chronic low back pain and Modic changes, a...
Patient-reported functional outcomes vary considerably after lumbar spinal fusion surgery

Sleep disorders predict increased healthcare visits and costs for low back pain

The presence of a sleep disorder has a "significant and unique effect" on back pain-related healthcare use—beyond the impact of pain intensity, disability, and...

Low back pain is significantly improved in the majority of patients immediately after surgery...

A recent study found that low back pain is significantly improved in 74% of patients immediately after surgery for lumbar spinal stenosis and that...

Non-specific low back pain: Returning to the Dark Ages

While non-specific low back pain (NSLBP) is a common diagnosis, Tim Germon (Derriford Hospital, Plymouth, UK) argues that most low back pain is in...

Digital healthcare partnership aims to reduce low back pain

Swedish digital healthcare provider, Min Doktor, and Kaia Health, a digital therapeutics company, have partnered to offer back pain treatment through a mobile application....

Image-guided pulsed radiofrequency provides relief from low back pain

The majority of patients studied were pain free after receiving a new image-guided pulsed radiofrequency treatment for low back pain and sciatica, according to...
An astronaut outside the International Space Station

Study of astronauts reveals new clues for low back pain mechanisms

Winner of the 2017 Outstanding Paper Award for Medical/Interventional Science at the 2017 North American Spine Society (NASS) annual meeting (25–28 October, Orlando, USA),...
Patient-reported functional outcomes vary considerably after lumbar spinal fusion surgery

Radiofrequency denervation fails to provide clinically important chronic low back pain improvement

In three randomised trials, treatment of chronic low back pain (CLBP) with radiofrequency denervation resulted in either no improvement or no clinically important improvement...
Patient-reported functional outcomes vary considerably after lumbar spinal fusion surgery

Patents filed for use of immune cell-stimulated angiogenesis as low back pain treatment

Creative Medical Technology has announced the filing of intellectual property covering data supporting the use of immune system cells for stimulation of perispinal angiogenesis...

Yoga as effective as physical therapy for chronic low back pain

Chronic low back pain affects approximately 10% of US adults and has a greater impact on racial or ethnic minorities and in people of...

Fukushima researchers find significant association between disaster-related stress and low back pain

Little scientific research has studied the causal effect of psychosocial factors on low back pain, largely because of the inability of scientists to control...

New data released for Intralink-Spine’s Réjuve treatment for low back pain

Additional findings at the six-month juncture from Intralink-Spine’s early safety and feasibility study of the Réjuve system have indicated that the device can effectively...

Placebo and diazepam equally effective for acute low back pain in emergency patients

Emergency patients treated with naproxen and placebo had outcomes as good as or better than patients treated with naproxen and diazepam for acute lower...

American College of Physicians recommends complementary medicine over drug therapy for nonradicular low back...

An evidence-based clinical practice guideline from the American College of Physicians published in Annals of Internal Medicine has recommended that physicians and patients should...

No relation found between weather and low back pain

New research from The George Institute for Global Health (Sydney, Australia) has revealed that the weather plays no part in the symptoms associated with...

Cochrane Review finds some potential for yoga as treatment for low back pain treatment

The Cochrane Library has released a new review to the Cochrane Database of Systematic Reviews (CDSR) showing that yoga may lead to a small...

Exercise first port of call for low back pain and sciatica, new NICE guidelines...

The UK's National Institute for Health and Care Excellence (NICE) has updated its advice on the treatment of low back pain in those over...

F-MARC data “strongly depict” increased prevalence of low back pain in retired footballers

This year’s Spineweek meeting (Singapore; 16–20 May) featured a number of presentations from F-MARC, the Fédération Internationale de Football Association (FIFA) Medical Assessment and...

Intralink-Spine report positive early patient feedback regarding Réjuve low back pain treatment

Intralink-Spine, is pleased to announce that early clinical study data has been obtained regarding the use of its Réjuve system for the treatment of...

Low back pain’s “subtle threat” to developing countries’ healthcare systems is growing

Rates of low back pain in the developing world have surpassed those of the developed world, with its prevalence growing in urban populations. A...

Low back pain injuries enhanced by psychological and social stress

Underlining injuries associated with low back pain are often enhanced by psychological and social stressors, write the authors of a perspective published online by...

Modic changes associated with low back pain in large population-based study

One of the largest studies ever performed addressing subchondral bone marrow lesions, or “Modic changes” of the spine visible on magnetic resonance imaging (MRI),...

Osteopathic manipulative treatment improves low back pain

Two studies have found that osteopathic manipulative treatment reduced pain and improved function in patients suffering from chronic, nonspecific low back pain.

Updated clinical practice guidance issued on chiropractic care for low back pain

The update, which revised and combined three previous guidelines, suggests that doctors of chiropractic are well-suited to diagnose, treat, co-manage and manage the treatment of patients with low-back disorders.

Exercise associated with prevention of low back pain

Exercise "alone or in combination with exercise "may reduce the risk of low back pain, suggests a review article published by JAMA Internal Medicine.

Study reveals new approach to low back pain diagnosis

A team from the Feinstein Institute for Medical Research, Manhasset, USA, have discovered a new, personalised approach to diagnosing low back pain. Their research has been published in Arthritis Research and Therapy.

Swedish group report substantial long-term pain following lumbar fusion for chronic low back pain

The report indicates that although lumbar fusion can still be considered a valid treatment option for chronic low back pain, substantial postoperative pain and disability should be expected.

Muscle relaxant or opioid combined with naproxen does not improve low back pain, says...

According to a study in the Journal of the American Medicine Association (JAMA), patients with acute low back pain (LBP) achieved no greater pain relief of improvement in functional outcomes when treated with naproxen combined either a muscle relaxant or opioid, than with naproxen combined with a placebo.

Spinal manipulation for acute and sub-acute low back pain

According to Michael Schneider, the majority of patients with an acute episode of low back pain will not have any serious spinal abnormality or disease as the cause of their symptoms. Of these patients who seek treatment, most will be told they have non-specific mechanical back pain.

Potential risk factors for recurrence of low back pain identified

A new study has examined risk factors for recurring low back pain, identifying disc degeneration, the presence of high intensity zone and the number of previous episodes as potentially important risk factors.

New report suggests solutions to the financial burden of employee low back pain

The report looks at the effects of back pain in the workplace, as well as some of the proactive steps employers can take to reduce low back pain, including the implementation of gamification treatment to employee wellness programmes.

Top 100 papers in lumbar spine surgery reflect trends in low back pain treatment

Samuel K Cho and colleagues of Icahn School of Medicine at Mount Sinai, New York City, USA, performed a literature review to analyse and quantify the most important research papers on lumbar spine surgery.

Paracetamol is ineffective in the treatment of low back pain

Researchers reviewed the results of 13 randomised trials comparing the efficacy and safety of paracetamol with placebo for spinal pain (neck or low back pain).

Spinal surgery diminishes low back pain and improves sexual function

Research presented at the 2015 Annual Meeting of the American Academy of Orthopaedic Surgeons found that 70% of chronic low back pain patients consider sexual activity relevant to their life quality.

Manual-thrust manipulation offers best improvements for acute and subacute low back pain

Though manual-thrust manipulation provided greater short-term reductions in disability and pain scores compared with mechanical-assisted manipulation and usual medical care, any significant differences were short-term and lasted no longer than three months.

Data demonstrate long-term, low back pain relief with Boston Scientific Precision Spectra system

New retrospective data evaluating the Precision Spectra spinal cord stimulator system demonstrate sustained and significant relief of low back pain 12 months after implantation.

Vertebral bone marrow oedema is associated with low back pain in older patients with...

Kiyotaka Yamada reported that bone marrow oedema adjacent to the vertebral endplate is correlated with low back pain in elderly patients with degenerative lumbar scoliosis.

New data demonstrate sustained low back pain relief with Precision Spectra spinal cord stimulator

New retrospective data highlighting the Boston Scientific Precision Spectra spinal cord stimulator system demonstrate the device provided sustained and highly significant relief of low-back pain six months after implantation. Results were presented at the World Institute of Pain (WIP) 7th World Congress in Maastricht, The Netherlands May 7-10, 2014.

Hybrid SPECT/CT imaging could improve management of low back pain

According to a study presented at BritSpine (2-4 April, Warwick, UK) and published as an abstract in the European Spine Journal, there would be more than 50% missed or wrong targets if the treatment of facet joints was determined on computed tomography (CT) alone.

Analgesics do not improve function in patients with low back pain

A new study shows that analgesics for the treatment of chronic low back pain are not associated with significant improvements in function compared with placebo. However, it also indicated that there may be a subgroup of patients with chronic low back pain who do have a functional improvement with analgesics

More work is needed to identify anxiety in chronic low back pain patients

The Hospital Anxiety and Depression Scale only has 58% sensitivity for anxiety among patients with chronic low back pain and a single-item question only has 68% sensitivity for the condition, indicating that additional work is needed to identify more sensitive instruments to screen for anxiety in this group of patients.

Spinal cord stimulation for low back pain

James North, a pain specialist with the Carolinas Pain Institute and assistant professor at Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina, USA, presented interim data from the MAP study at the annual meeting of the International Spine Intervention Society (ISIS; 16-20 July, New York, USA). He spoke to Spinal News International about the use of spinal cord stimulation to manage low back pain.

New study to evaluate if combination of peripheral nerve field stimulation and spinal cord...

St Jude Medical has commenced a trial that is evaluating the combination of peripheral nerve field stimulation with spinal cord stimulation vs. spinal cord stimulation alone for the management of low back pain and leg pain.

Working together to address disc degeneration and low back pain

Dino Samartzis and Jaro Karppinen established the International Spine and Pain Consortium (ISPC) to bring together a multidisciplinary team of experts to address spine degeneration and pain. In this commentary, they discuss the current problems surrounding the management of disc degeneration and explain why a collaborative approach is needed if these problems are to be resolved

Disc degeneration in asymptomatic patients increases risk of low back pain

The largest, prospective study to ever assess MRI baseline risk factors for the development of low back pain has found an association between increasing disc degeneration score and increased risk of low back pain.

Occupational drivers have a significant risk of low back pain

According to a new study in The Spine Journal, occupational drivers have a small but significantly increased risk of low back pain compared with people from different occupations.

Still unclear what causes of high prevalence of low back pain among adolescents and...

Teija Lund (ORTON Orthopaedic Hospital, Helsinki, Finland) told delegates attending the annual meeting of the European Federation of National Associations of Orthopaedics and Traumatology (EFORT; 5-6 June, Istanbul, Turkey) that it is still unknown why the incidence of low back among adolescents and children has increased.

Lumbar fusion is not necessarily the best option in chronic low back pain patients

According to an 11-year follow-up study of patients with chronic low back pain, lumbar fusion surgery is not associated with significantly better outcomes than non-operative management.

Cumulative low back load is a significant risk factor for low back pain

Cumulative low back load is more a significant risk factor for low back pain than the number of lifts in a working day or time spent in a flexed position.

Cooled radiofrequency therapy for low back pain shows positive outcomes

At the three-month follow-up, patients treated with the Sinergy cooled radiofrequency system (Kimberly-Clark Health Care) showed significant improvements in pain, disability and quality of life outcomes.

A novel magnetic resonance imaging technique may provide objective tests to evaluate chronic low...

Researchers at Harvard Medical School used arterial spin labeling (ASL), a novel functional magnetic resonance imaging (fMRI) technique, to show for the first time that brain connectivity in patients with discogenic chronic low back pain changes in proportion to the severity of their pain.

A different approach to lumbar epidural steroid injections improves the quality of life and...

Results from a study showed that patients receiving interlaminar lumbar epidural steroid injections (LESI), by either the midline approach or the parasagittal approach had significant improvement in pain relief, quality of life and everyday functionality.

What evidence do we need to develop clinical guidelines for spinal fusion in patients...

Paul Willems, Maastricht University Medical Center, The Netherlands, reviews the evidence for tests that predict outcome following spinal fusion surgery in patients with chronic low back pain, and outlines the evidence that is required to develop clinical guidelines in this clinical setting.

Spinal surgeons do not agree about which tests to use to predict success of...

Lead researcher Paul Willems, The Netherlands, and his colleagues state that this lack of consensus is due to a lack of evidence in this area.

Relievant MedSystems begins SMART trial for the alleviation of chronic low back pain

Two hundred patients will be treated with Relievant's Intracept basivertebral nerve ablation procedure which may be a viable treatment alternative for patients who suffer from chronic low back pain but no longer respond to conservative therapies.

Long-term spinal manipulation therapy is beneficial in patients with non-specific chronic low back pain

According to a study published in Spine, spinal manipulation therapy in patients with non-specific chronic low-back pain should be maintained to ensure long-term benefit.

FDA approves IDE study to evaluate the Intracept system for treatment of low back...

The Intracept minimally invasive system (Relievant Medsystems) uses radiofrequency ablation and may be an alternative for patients suffering from axial low back pain who no longer respond to conservative therapies.

Novel spinal neuromodulation device relieves pain in low back pain patients

After six months of using the Nevro system device in 30 patients, the average back and leg pain visual analog scores fell to 1.6 from eight and six (out of ten) respectively, according to researchers from the Guy's & St Thomas' Hospital, London, UK.

The proper diagnosis of “discogenic” low back pain can be elusive

Quick 3 with Jeffrey A Goldstein

Surgeons and family physicians not up-to-date with low back pain guidelines

Both orthopaedic surgeons' and family physicians' knowledge of treating low back pain (LBP) is deficient, said researchers who performed a comparative knowledge survey which was published in the July issue of Spine.

FDA clears SpinalCyte IND application for universal donor cell therapy to treat lower back...

The FDA has cleared SpinalCyte’s Investigational New Drug (IND) protocol for CybroCell. This is considered to be the first IND approval for a fibroblast...

Muslim prayer habits can reduce lower back pain

Five times a day, roughly 1.6 billion Muslims worldwide, bow and kneel in the direction of the holy city of Mecca, Saudi Arabia, as...

Back pain almost halved at 12 months following Zyga’s SImmetry sacroiliac joint fusion

Twelve-month clinical and radiographic data evaluating long-term fusion and pain reduction in patients receiving Zyga SImmetry sacroiliac joint fusion have shown average back pain...

Back pain may raise risk of mental health problems in low- and middle-income countries

The latest and largest study to investigate the connections between back pain and psychological illness in low- and middle-income countries was published this week...

No increase in pregnancy-related back pain, complication or sexual dysfunction following scoliosis surgery in...

Surgery for female adolescent idiopathic scoliosis patients appears to have no impact on complication rates for future pregnancy, according to data presented at the...

9th Interdisciplinary World Congress on Low Back and Pelvic Girdle Pain

W: www.worldcongresslbp.com

Small Inspired Spine study shows significant reduction in back pain following MIS-DTIF

A small study from Inspired Spine has found a significant reduction in back pain following minimally invasive direct thoracic interbody fusion (MIS-DTIF). The study included...

Frontier Biotech patch demonstrates significant pain relief for low back in phase 2 trial

Conducted at nine clinical centres in the United States, the trial enrolled 146 patients with chronic low back pain. AB001 also achieved statistically significant...

Intradiscal biacuplasty sustains long-term superiority over conservative treatment for discogenic low-back pain

A new study has found that patients treated with intradiscal biacuplasty for discogenic back pain maintained benefits a year later, as did those who transferred to IDB treatment mid-study.

Motor control exercise may help lower back pain

Motor control exercise (MCE) has been developed with the aim of restoring the coordination, control and capacity of the trunk muscles that support the spine.

Electrical stimulation therapy could relieve lower back pain in older adults

A study from the University of Florida has shown that higher dosage is required to achieve relief in older patients.

Patients prefer relief from lower back pain over improved mobility

A new study published in Neurology has found that when asked to choose between treatments that reduced pain or those that would help them stand or walk, lumbar spinal stenosis patients overwhelmingly chose pain relief.

Commonly prescribed painkiller may not be effective in controlling lower back pain

A study published in the journal Neurology shows that pregabalin is not effective in controlling the pain associated with lumbar spinal stenosis.

Chronic low-back pain research standards announced by NIH task force

The National Health Institute (NIH) Task Force on Research Standards for Chronic Low-Back Pain has published new back-pain research standards.

New research estimates nearly half a billion dollars in annual savings for Medicare by...

Research from DJO Global has suggested that Medicare could save an estimated US$417 million if patients with chronic low back pain are treated with a transcutaneous electrical nerve stimulation system (TENS).

Study shows long-lasting improvements for discogenic low-back pain treated with minimally invasive intradiscal biacuplasty

Patients who benefited from intradiscal biacuplasty to treat discogenic low-back pain maintained initial gains in pain relief and physical function when rechecked at one year, a new study showed.

Transforaminal vs. interlaminar epidural steroid injections: both offered similar pain relief, function for radiating...

Results presented at the 30th Annual Meeting of the American Academy of Pain Medicine indicate both injection types were effective for treating unilateral lumbosacral radicular pain.

Studies demonstrate effectiveness of minimally-invasive cooled radiofrequency treatment for low-back pain

The studies evaluated Kimberly-Clark's TransDiscal cooled radiofrequency system and SInergy cooled radiofrequency system and they demonstrated that both treatment options provided patients with pain relief and improved quality of life benefits.

Strong evidence that routine imaging for low- back pain is not beneficial to patients

Researchers recommend that physicians should refrain from routine, immediate imaging, unless they observe features of a serious underlying condition.

Significant improvement in the rates of bone fusion following a course of electrical stimulation

Researchers from The Johns Hopkins University School of Medicine (Baltimore, USA) performed a systematic review and meta-analysis of published data on the effect of...
kaia

First medically approved back pain app in EU and UK aims to end back...

Bad posture among UK office employees is a nationwide epidemic. Sitting at desks all day, slouching over computers and a general sedentary lifestyle has...
football

Low rate of serious upper-spine injuries in NCAA football players

Collegiate football players have low rates of serious or disabling injuries of the cervical spine, concludes an analysis of a National Collegiate Athletic Association...

App-based back pain treatment outperforms standard physiotherapy in clinical trial

Kaia Health has announced results from the first randomised controlled trial of its app-based therapy program for patients with non-specific low back pain. Detailed...
cone of economy

Advanced method of quantifying the cone of economy may allow practitioners to determine appropriate...

A new method to quantify the boundaries of Dubousset’s cone of economy, the centre of mass displacements, and the amount of sway within the...
pulsed radiofrequency

Pulsed radiofrequency relieves acute back pain and sciatica

CT-guided pulsed radiofrequency is safe and effective in people with acute lower back pain that have not responded to conservative treatment, according to a...
e-book cover

Back Pain Centers of America launches free e-book for patients considering back surgery

Back Pain Centers of America, a call centre which connects people searching for solutions to their neck and back pain with spine specialists, have...

Low complication rate in percutaneous endoscopic lumbar discectomy via an interlaminar approach

Percutaneous endoscopic lumbar discectomy via an interlaminar approach is effective for lumbar disc herniation, with few complications, reported Jiancheng Zeng (West China Hospital, Sichuan...

Spinal surgery cannot reverse the back pain tsunami

Martin Underwood (Warwick Medical School, University of Warwick, Coventry, UK) has worked as a general practioner in Lusaka, Manchester, London and Coventry, UK. He has a...

SpinalCyte announces MRI evidence of disc regeneration following phase 1/phase 2 clinical trial of...

MRI analysis of patients who received intradiscal injections of human dermal fibroblasts shows significant improvement in disc height after six months, the latest evidence...

JAMA study on radiofrequency denervation for back pain dubbed “scientific fake news”

Varun Rimmalapudi and Jeff Buchalter (both Gulf Coast Pain Institute, Pensacola, USA) respond to an article printed in the October issue of Spinal News International:...
Patient-reported functional outcomes vary considerably after lumbar spinal fusion surgery

Mount Sinai Researchers Discover Possible Link between Diet and Back Injuries

Mount Sinai researchers have found a possible link between a poor diet and back injuries, especially in women. The study suggests that following a...

Precipitating events associated with successful radiofrequency ablation of lumbar facet joint pain

New research has identified that inciting events may be associated with a positive outcome for patients diagnosed with lumbar facet joint pain. Charles Odonkor...
Anthony T Yeung immediately post surgery

The role of endoscopic surgery in the treatment of painful conditions of an ageing...

The major gap between fusion-oriented spinal surgeons and pain management physicians is bridged by endoscopic spinal surgeons. Current surgical philosophy by traditionally-trained spinal surgeons...
Metronic Intellis

Non-opioid alternative for chronic pain approved in Europe

A Conformité Européene (CE) Mark has been received by Medtronic for its neurostimulation platform Intellis for spinal cord stimulation (SCS) and peripheral nerve stimulation...

One-year data reveal superior pain improvements for SI-Bone Ifuse

One-year results from the IMIA (Ifuse Implant System Minimally Invasive Arthrodesis) randomised controlled trial have shown better pain and disability improvements for SI-Bone’s Ifuse...

KnowYourBack offers invaluable resource for spine patients

KnowYourBack is the North American Spine Society (NASS)’s patient-focused education platform. Brainchild of Raj Rao (Washington, DC, USA), it has been providing valuable information...

Tiger Woods undergoes MIS ALIF for severe back and leg pain

World-renowned golfer Tiger Woods has announced on his website that he has undergone a minimally invasive anterior lumbar interbody fusion (MIS ALIF) procedure to...

ReActiv8’s clinically important disability, pain and quality-of-life improvements sustained at one-year

The disruption of lumbar multifidus muscle control is one factor involved in many cases of functional instability and chronic low back pain. Whilst targeted...
Patient-reported functional outcomes vary considerably after lumbar spinal fusion surgery

Back pain associated with increase in all-cause mortality

Published in the European Journal of Pain, a study of 4390 Danish twins aged over 70 years old has found that those suffering from...

Spinal cord stimulation reduces or stabilises opioid use among chronic pain patients

New research has found spinal cord stimulation therapy can reduce or stabilise the use of opioids in patients battling chronic pain. Researchers examined opioid...

NIH recognises back-pain treating mindfulness and epidural stimulation as 2016 research highlights

The US National Institutes of Health (NIH) have recognised two spine-related studies as research highlights for 2016. Research into the effects of meditation and...

Surgery for degenerative spinal disease reduces problems with sex-related pain

For patients with degenerative spinal disease, surgery is more effective in reducing pain that interferes with sexual activity, compared to nonsurgical treatment, reports a...

Adult spinal deformity surgery outperforms non-surgical treatment for pain, function, cosmesis and mental health

Clinically-significant positive outcomes for the surgical treatment of adult spinal deformity have proven elusive for researchers, with many studies limited by the non-randomisation of...

Survey indicates that many back pain patients get limited relief from opioids and worry...

Millions of people take opioids for chronic back pain, but many of them get limited relief while experiencing side effects and worrying about the...

Study finds open placebo treatment reduces back pain

For patients with chronic back pain, "open" treatment with placebo—informing patients that they are taking an inactive pill, and why it might be helpful—leads...
Patient

Majority of women experience changes in sexual function following anterior spinal surgery

A study from NSpine has shown that a majority of women experience problems in sexual function following anterior spinal surgery. The study, which was...

Researchers investigate link between diet, type 2 diabetes and back pain

As part of an ongoing collaboration between Rensselaer Polytechnic Institute (Troy, USA) and the Icahn School of Medicine at Mount Sinai (New York City,...

Most patients with chronic truck or limb pain experience “substantial” pain relief with spinal...

Twenty-four month data from a postmarket, clinical registry have found that most patients suffering from chronic pain of the trunk and/or limbs reported “substantial”...

Crowdsourced patient-reporting platform suggests 84% of US back surgeries ultimately ineffective

Health Outcome, a consumer website focused on bridging the information gap for treatment outcomes, has launched the first crowdsourcing platform for patients to rate...

Fusion of multiple lumbar segments associated with sacroiliac joint pain

The number of segments involved in lumbar and lumbosacral procedures has been shown to affect the incidence of sacroiliac joint pain, in a study...

Mindfulness meditation can lead to back pain relief in older adults

Mindfulness meditation programs can help reduce severe pain and increase function for older adults with chronic low back pain, according to new research.

Nearly one in three adolescents report back pain

It is becoming more common for children and adolescents to seek medical care for back pain, according to a literature review published in the Journal of the American Academy of Orthopaedic Surgeons.

Artificial lumbar disc effective at 11-year follow-up

In the short- to mid-term, lumbar total disc replacement has at least equivalent clinical results compared with lumbar fusion. However, questions remain regarding long-term complications effectiveness.

The move towards nonopioid pain management

The high prevalence of opioid related adverse events and costly consequences to our society has prompted many to critically look at our practice of outpatient opioid prescription, writes Matthew J McGirt.

Bracing for idiopathic adolescent scoliosis produces similar quality of life scores to the general...

The study, led by Ane Simony, University of Southern Denmark, Denmark, and published by Scoliosis is one of very few studies focusing on long-term outcomes of brace treatment.

The use of photographs can improve patient satisfaction following scoliosis surgery

Akif Albayrak writes that the use of pre- and postoperative patient photographs allows scoliosis patients a better perspective of surgical impact, thus enhancing their satisfaction with the treatment.

Oral steroids for acute sciatica produce limited improvement in function and pain

Among patients with acute sciatica caused by acute radiculopathy, a short course of oral steroids resulted in only modest improvement in function and none in pain, according to a study in the Journal of the American Medical Association.

Diagnosing chronic pain using evidence-based medicine will improve outcomes and reduce worker compensation costs

Low back injuries are the most costly musculoskeletal condition in US workers’ compensation claims, representing 20-25% of all costs.

Phone counselling reduces pain and disability after spinal surgery

Research at Johns Hopkins University, Baltimore, USA, suggests that a short series of phone conversations with trained counsellors can substantially boost recovery and reduce pain in patients after spinal surgery.

Study supports use of i-FACTOR as alternative to autograft in chronic back pain surgery

i-FACTOR biologic bone graft features synthetic small peptide (P-15) technology that supports bone growth through cell attachment and osteoblast differentiation.

Stimwave launches chronic pain trial for neuromodulation device

Stimwave has announced initiation of a clinical study of its wireless high frequency stimulator for the treatment of chronic, non-specific origin low back pain.

Brace treatment for compression fractures may not provide additional improvement in healing, mobility or...

A study published in Journal of Bone & Joint Surgery has found that patients who wore a brace as treatment for a spinal compression fracture had comparable outcomes in terms of pain, function and healing when compared to patients who did not wear a brace.

FDA clears Stimwave’s injectable wireless pain relief system

Stimwave has received FDA clearance to market its wireless microtechnology neuromodulation device for relief of chronic back and leg pain.

Recognising and managing sacroiliac joint pain

Spurred by newer treatment options and increased clinical research, it is increasingly recognised that 20-40% of low back pain complaints are generated from the sacroiliac joint. Steven R Garfin reviews the evidence for the minimally invasive sacroiliac joint fusion.

Pain catastrophising may explain gender differences in pain and disability in lumbar spinal stenosis...

A new study has found that women with lumbar spinal stenosis are more prone to pain catastrophising than men with the condition and this may explain why women report higher levels of pain and disability than men in this patient population.

Managing back pain in children

Omar Gabbar reviews the prevalence and management of back pain in children and adolescents, including the importance of excluding serious pathologies.

Scoliosis patients with a low body mass index have poorer outcomes after surgery

A new study suggests that patients with adolescent idiopathic scoliosis and a low body mass index have poorer outcomes, independent of the curve magnitude and the percentage of correction, after corrective surgery than patients with a normal body mass index.

Trial shows significant pain relief for spine cancer patients following targeted radiofrequency ablation treatment

The study followed patients at five leading academic centres and found a significant decrease (p <0.01) in pain scores after targeted radiofrequency ablation (t-RFA) with the Star (DFINE) tumour ablation system.

KIVA vertebral augmentation system lowers cement leakage

At EuroSpine (2-4 October, Liverpool, UK), Panagiotis Korovessis reported the results of a study that indicated the KIVA vertebral augmentation system was associated with a significantly lower rate of cement leakage than balloon kyphoplasty for the management of osteoporotic vertebral compression fractures.

Back pain in patients under 20 may not be a “red flag”

Back pain in patients under the age of 20 is seen as "red flag" "a potential indicator of spinal tumours or spinal infection. James Hiett reports the results of his study, which suggest that this "red flag" is of dubious significance

Medtronic initiates landmark study of neurostimulation therapy for failed back surgery syndrome

First patients treated in global clinical trial evaluating impact of neurostimulation therapy on predominant low back pain.

Vertebral augmentation procedures provide greater pain relief than non-surgical management

Balloon kyphoplasty and vertebroplasty are more effective at reducing pain and are associated with fewer subsequent fractures than non-surgical management, according to a study presented by Jan Van Meirhaeghe, Brugee, Belgium, at ISSAS 2012.

Patients want information on specific exercises following spinal surgery

Alison McGregor, London, UK, and colleagues have found from the FASTER (Function after spinal treatment, exercise and rehabilitation) study that patients have a clear desire for specific advice on which exercises to perform to help their recovery from spinal surgery, causing a dilemma for spinal surgeons as there is no evidence to support specific exercise prescription.

Study supports the use of radiofrequency ablation of the lateral branches for patients suffering...

Researchers have found that there is no evidence that the degree of pain relief from intraarticular steroid injections of the sacroiliac joint predicts the outcome of radiofrequency ablation of the lateral branches in patients suffering with low back pain.

FDA approves AdaptiveStim neurostimulation device for chronic back or leg pain treatment

Medtronic's AdaptiveStim with RestoreSensor neurostimulation system is the first and only chronic pain treatment that harnesses motion sensor technology to provide effective pain relief and convenience by automatically adapting stimulation levels to the needs of people with chronic back and/or leg pain.

The European Federation of the International Association for the Study of Pain launches European...

The campaign is dedicated to raise awareness on chronic back pain, including the design of a new and appropriate classification of this condition, the promotion of better research, and the development of more effective treatments.

Biostat System pilot study shows positive outcomes after 2-year follow up

Positive 2-year outcomes were reported from the Biostat System pilot study for the treatment of discogenic low back pain. The results were presented by Way Yin at the Annual Meeting of the International Spine Intervention Society (ISIS).

Transforaminal endoscopic approach “effective” in treating most common causes of failed back surgery syndrome

New research shows that endoscopic transforaminal decompression is a minimally invasive surgical technique that produces good results and does not "burn bridges" for a more conventional decompression/fusion approach.

Transforaminal lumbar interbody fusion shows cost-effectiveness for patients with back and leg pain associated...

Researchers at Vanderbilt University Medical Center in Nashville, USA, found out that transforaminal lumbar interbody fusion is a cost-effective treatment option for patients with back and leg pain associated with grade 1 degenerative spondylolisthesis, however, for patients primarily with back pain and minimal leg pain, the same treatment may be less cost-effective.

Complex low back surgery – Sharp spike, but is there a benefit?

Study finds 15-fold increase in more invasive surgery among Medicare patients. Complex lower back surgery has a greater risk of life-threatening complications, sometimes without providing better results for older patients

Encourage healthy lifestyles to treat teenagers with back pain

More and more young people suffer from back pain but their quality of life is not strongly affected by it. Expensive therapies are not usually necessary. In many cases, sport and a healthy lifestyle could be enough of a treatment, say Spanish experts at the European Orthopaedics Congress (EFORT) in Madrid.

Boston Scientific begins groundbreaking clinical trial comparing spinal cord stimulation to spine re-operation in...

EVIDENCE Trial to study Boston Scientific’s Precision Plus spinal cord stimulator system

FREE of pain faster with kyphoplasty

The final results of the FREE (Fracture Reduction Evaluation) international, multicentre, randomised controlled trial with two-year follow-up, comparing balloon kyphoplasty to non-surgical management for the treatment of painful vertebral compression fractures was presented at the 35th Annual Meeting of the Society of Interventional Radiology, Tampa, USA

SIR supports vertebroplasty for painful spine fractures, says patient selection is key

The Society of Interventional Radiology supports additional scientific studies, and aims to fight the negative backlash from two controversial studies which compared vertebroplasty to a placebo. The society says the backlash could possibly place patients with osteoporosis in danger of losing access to the treatment

Percutaneous disc decompression better than conservative treatment for long-term back pain relief

A randomised, controlled study comparing standard conservative therapy to a minimally invasive treatment called percutaneous disc decompression for painful herniated disc revealed that while both treatments help patients in the short run, only disc decompression kept patients pain free up to two years later.

Overweight children may develop back pain and spinal abnormalities

Being overweight as a child could lead to early degeneration in the spine, according to a study presented today at the annual meeting of the Radiological Society of North America (RSNA).

Discovery of thoracic spine abnormality resolves undiagnosed pain, in mostly younger women

The discovery of a multilevel arteriovenous malformation (AVM) in the thoracic epidural space can now bring relief to potentially thousands of suffers of chronic thoracic pain and progressive myelopothy.

Texas Back Institute’s experience with nearly 1000 Total Disc Replacement procedures

Richard D Guyer provides an overview of the team's experiences.

Most children and adolescents with lumbar disc herniation present with malformations of the spinal...

Results published in Neurosurgery also suggest that surgery on the disc alone, without spinal fusion, may be sufficient to treat low back pain from herniated discs in young people.

CE mark application for Mainstay Medical’s ReActiv8

Mainstay Medical has submitted a CE mark application for its ReActiv8 implantable neurostimulation device, which is designed to treat disabling chronic low back pain.

Mainstay Medical applies to start US clinical trial of ReActiv8

ReActiv8 is an implantable neurostimulation device designed to treat people with disabling chronic low back pain for whom conventional therapy has not been successful and for whom surgery is not indicated.

Zyga Technology receives CE mark approval for Glyder Facet Restoration Device

Zyga Technology has announced CE mark approval of the Glyder Facet Restoration Device, offering patients a long-term surgical treatment for low back pain caused by facet joint degeneration.

Genesys Spine launches Sacroiliac Joint Fusion system

Genesys Spine has announced the launch of its Sacroiliac Joint Fusion system. The system consists of partially threaded and fully threaded implants designed to...

Nanocoated PEEK cages improve osseointegration in PLIF procedure

Investigators have found that nanocoated polyetheretherketone (PEEK) cages for posterior lumbar interbody fusion (PLIF) achieve a better fusion rate than uncoated PEEK cages at...
idct

Japanese study of disc degeneration cell therapy passes safety review

IDCT (DiscGenics) has passed the initial safety review of its double blinded clinical study evaluating the allogenic, injectable disc cell therapy in Japanese patients...
Margareta Nordin in spine care

Margareta Nordin

In a career spanning several decades, Margareta Nordin has gained renown for her evidence-based approach to spine care. She talks to Spinal News International...

Outcomes of SCOUT interbody fusion trial detailed

Spineology has announced that 24-month outcomes data from SCOUT clinical trial were presented by John Chi (Brigham and Women’s Hospital, Boston, USA), at the...
idct

DiscGenics receives FDA fast track designation for disc degeneration cell therapy

DiscGenics has announced that the US Food and Drug Administration (FDA) has granted fast track designation for its investigational cell therapy, IDCT, currently being...
IDCT

First patients treated in Japanese clinical trial of cell therapy for DDD

DiscGenics today announced the first patients have been treated in its Japanese safety study, a clinical trial of IDCT for mild to moderate degenerative...

Global effort to address degenerative spine conditions “imperative” to reduce disability

In a recent, award-winning study, 266 million individuals worldwide (3.63%) were found to have degenerative spine disease and low back pain annually. “Significantly,” the...
intracept

Relievant announces publication of Level I INTRACEPT study

Relievant Medsystems recently announced the publication of the Level I INTRACEPT Study results in The Spine Journal. The INTRACEPT Study is a Level I,...
intracept

Relievant announces publication of SMART trial 24-month results

Relievant Medsystems have announced the publication of 24-month results from the SMART trial in the International Journal of Spine Surgery. A total of 106...

Use of artificial intelligence to improve surgical referrals in degenerative lumbar spine conditions

Winner of the Sanford J Larson Award, Nathan Xie, presented his research, "Use of artificial intelligence to improve surgical referrals in degenerative lumbar spine...
vertebroplasty

Response: The ASBMR taskforce report is “dangerous” and “shameful”

A recent taskforce report charged by the American Society for Bone and Mineral Research (ASBMR) concluded that current evidence does not support the routine...

Spineology mesh interbody fusion technologies yield excellent/good patient satisfaction scores

Spineology has announced that two abstracts highlighting the company’s proprietary mesh technologies were presented during the 19th Annual Meeting of the International Society for...

Spinal News International Issue 50 – March 2019

Highlights: Single-level anterior cervical discectomy provides "solid alternative" to fusion or arthroplasty Banned in the USA: Petition calls for FDA to prohibit reprocessed pedicle...

“The best of all worlds”: A surgeon’s clinical experience with the Lucent® XP Expandable...

This advertorial has been sponsored by INVIBIO ™ Hyun W Bae, MD, is a medical director at The Spine Institute (Saint John’s Health Center, Santa...

SI-Bone announces publication of two-year iMIA randomised controlled trial results

Two-year results of a randomised controlled trial, published in the Journal of Bone and Joint Surgery, suggest that minimally invasive sacroiliac joint arthrodesis with triangular...
IDCT

Clinical evaluation of non-surgical degenerative disc disease treatment to begin in Japan

The Japanese Pharmaceuticals and Medical Devices Agency (PMDA) has approved a Clinical Trial Notification (CTN) application for IDCT (DiscGenics), an allogenic injectable disc cell...

Mainstay Medical to showcase ReActiv8 and key clinical data at the 13th German Spine...

It has been announced that Mainstay Medical will participate in the upcoming 13th German Spine Congress of the Deutsche Wirbelsäulengesellschaft (DWG; 6—8 December, Wiesbaden,...

RTI Surgical announces HealthPartners’ positive coverage decision for minimally invasive sacroiliac joint fusion surgery

RTI Surgical has announced that HealthPartners, the largest consumer governed non-profit healthcare organisation in the USA, issued a positive coverage decision for minimally invasive sacroiliac...

The world’s first combined endoscopic and robotic-guided spine surgery is performed by surgeons at...

Colin Haines and Christopher Good, spine surgeons at Virginia Spine Institute, Virginia, USA, have performed the world’s first spinal surgery using combined endoscopic and...

Mainstay Medical announces the completion of all implants in the ReActiv8-B study

Mainstay Medical International, a medical device company focused on bringing to market ReActiv8, an implantable neurostimulation system to treat chronic low back pain, announces...
NASS Spine Registry

NASS launches multidisciplinary Spine Registry to “Collect, measure, care”

US spine care providers have a brand new tool to measure and improve patient care: a diagnosis-based clinical data registry that tracks patient care...

Opioid dependence in patients with degenerative spondylolisthesis more likely to occur before than after...

“Decompression and fusion for degenerative spondylolisthesis is associated with reduced risk of opioid dependency”, says Mayur Sharma (Department of Neurosurgery, University of Louisville, Louisville,...

Raja Rampersaud

An advocate for interprofessional models of care for spine and musculoskeletal disorders, Raja Rampersaud is a spine surgeon globally recognised as a leader and innovator...
Bruce Dall is a spine surgeon, and an advocate for those with sacroiliac joint pain

It was supposed to be a Blue Ocean! Why sacroiliac joint fusion surgery is...

Bruce Dall is a spine surgeon, having gained his medical qualification at the University of Nebraska Medical School (Omaha, USA), and an advocate for...
IDCT

First patient treated in US clinical trial of IDCT for degenerative disc disease

DiscGenics, a clinical stage regenerative medicine company, has announced the first patient has been treated in its phase I/II US clinical trial of IDCT...

Spinal News International Issue 47 – May 2018

Highlights: Percutaneous vertebroplasty does not result in statistically significant greater pain relief than a sham procedure, according to the most recent results of the...
IDCT

Preclinical studies of a non-invasive cell therapy for DDD highlight its safety and efficacy

Two preclinical studies of IDCT, an allogenic (donor-derived), non-invasive cell therapy for the treatment of degenerative disc disease (DDD), demonstrate that proprietary discogenic cells,...

Therapeutic Goods Administration requests additional clinical data on Mainstay Medical’s ReActiv8

Mainstay Medical, a medical device company focused on bringing to market ReActiv8, an implantable restorative neurostimulation system to treat disabling chronic low back pain,...

State-of-the-art orthopaedic technique may help to identify which cervical radiculopathy patients need surgery

  New research using unbiased serum proteomics, a state-of-the-art technique in orthopaedics, aims to predict which cervical radiculopathy patients will fail conservative treatment and consequently...
The Concorde Clear minimally invasive discectomy device

DePuy Synthes’ Concorde Clear minimally invasive discectomy device launched in Europe, Middle East and...

  A surgical solution designed to “simplify discectomy in minimally invasive spinal fusion surgery,” the Concorde Clear from DePuy Synthes has this week been released...
Driving your patient engine can help grow your practice

What are “patient engines” and why should you care?

Running a busy spine surgery in the 21st century is not easy, writes Matthew Coffy. Healthcare professionals in all practice areas are facing unprecedented...
MRI of the lumbar spine of two subjects

New biomarker offers improved method to image degeneration

A study led by the University of Hong Kong (HKU), Hong Kong, is first to report that a new biomarker—the ultra-short time-to-echo disc sign...
Profile: Todd Wetzel

Todd Wetzel

As his term as NASS president comes to a close, Spinal News International caught up with Todd Wetzel to discuss his career to date,...

Spinal News International Issue 44 – October 2017

Highlights: Sugar nanostructures reduce BMP-2 requirements for fusion by 99% Radiofrequency denervation fails to provide clinically important chronic low back pain improvement Profile: Todd Wetzel ...
DiscGenics logo

DiscGenics’ IDCT Investigational New Drug application accepted by US FDA

DiscGenics has been notified by the US Food and Drug Administration (FDA) that an Investigational New Drug (IND) application for a clinical study of...

Highmark to cover non-Ifuse sacroiliac joint fusion systems

Highmark, the USA’s fourth-largest Blue Cross and Blue Shield-affiliated insurer, has expanded positive coverage of sacroiliac joint fusion devices. All devices cleared by the...
Stem cells

Stem cell therapy: Myth or panacea?

The ability of stem cells to differentiate into a plethora of distinct adult cells has led to great excitement in both scientific literature and...

Highmark to cover SI-Bone Ifuse system

SI-Bone has announced that Highmark, the USA's fourth largest Blue Cross and Blue Shield-affiliated insurer, has established an exclusive positive coverage policy for minimally...

New MRI tool offers improved method of imaging degeneration

For the past 30 years, the “conventional” T2-weighted magnetic resonance imaging (MRI) has been broadly used to diagnose low back pain. However, this is...

Intralink-Spine’s Réjuve system effective at 12 months

Based on 12-month follow-up clinical data from its safety and feasibility study, Intralink-Spine has reported that the company’s Réjuve system has continued to effectively...

Mainstay Medical’s ReActiv8 clinical trial passes enrolment mid-point

Over half the required number of implants in Mainstay Medical’s ReActiv8-B clinical trial have been performed. The clinical trial is investigating the company’s novel...

Study details key concerns for looking after the spines of elite athletes

Nearly one in three competitive athletes experiences low back pain. According to a literature review in the Journal of the American Academy of Orthopaedic...

“Alarmingly high” number of interpretive errors and inconsistencies in MRI examinations

Magnetic resonance imaging (MRI) results play a crucial role in patient diagnosis and treatment, as well as the decisions of insurance companies and other...

SMART trial shows nerve ablation “well-tolerated and effective”

Both surgical and conservative methods of treating chronic low back pain have reported variable scientific and clinical outcomes. New prospective, double-blinded, randomised, sham-controlled trial...

The criticality of gender specific medicine in spine health

by Kimberly Templeton and Janice Werbinski It has been 36 years since the publication of the “Physicians’ Health Study,” which showed that low dose aspirin...

SpineConnect reaches 3,000 post milestone

Since 2014, the SpineConnect forum has offered North American Spine Society (NASS) members the ability to share, discuss and debate cases, techniques, and research...

First commercial implantation of ReActiv8 in Ireland takes place

The first Irish sale and implantation of Mainstay Medical’s ReActiv8 has taken place in Dublin. The implantation was performed at St Joseph’s Hospital, part...
Patient-reported functional outcomes vary considerably after lumbar spinal fusion surgery

Study maps molecular pathways of disc degeneration

New research detailing the molecular mechanisms involved in the breakdown of the soft tissue discs of the spine may provide opportunities for advanced, minimally...

Tackling opioid addiction in America

Substance misuse is “one of the most pressing public health crises of our time” according to US Surgeon General Vivek H Murthy, in his...
Patient-reported functional outcomes vary considerably after lumbar spinal fusion surgery

JAAOS article outlines guidance for hip-spine syndrome diagnosis

Many patients live with low back pain that radiates to the buttock, groin, thigh, and/or knees. The challenge for patients, and often their doctors,...

First commercial implantation of Mainstay Medical’s ReActiv8 performed in Germany

The first commercial implantation of Mainstay Medical’s ReActiv8 has taken place in Germany. The implantation was performed by Francis Kilian, orthopaedic and neurosurgeon at the...

Safety study of Intralink-Spine’s Réjuve nears completion as multicentre pivotal study begins

With positive clinical results at the six-month juncture from its early safety and feasibility study in Malaysia, Intralink-Spine, has confirmed that the Réjuve system...

Spinal Elements Magnum+ achieves 96% solid fusion at seven months

Data obtained from a retrospective study involving the Spinal Elements’ Magnum+ device used in anterior lumbar interbody fusion have demonstrated a 96% rate of...

Mainstay Medical applies for Australian marketing approval for ReActiv8

Mainstay Medical has applied for ReActiv8 to be admitted to the Australian Register of Therapeutic Goods (ARTG) which would allow for commercialisation in Australia. Mainstay’s...

DePuy Synthes Spine launches two new products to bring “better standardisation to the field”

Spinal News International recently met with DePuy Synthes Spine’s Dan Wildman and Bill Horton to discuss the company’s aims, strategies, and upcoming product releases....

Study demonstrates improved outcomes with Clarix regenerative matrix as an adjunct to lumbar discectomy

Amniox Medical has announced results of a prospective randomised clinical study of its proprietary cryopreserved Amniotic Membrane as an adjunct to lumbar discectomy. The...

Mainstay Medical ReActiv8-B clinical trial enrols first subject

The first subject has been enrolled in the ReActiv8-B Clinical Trial of the Mainstay Medical ReActiv8 device. The trial is intended to gather data...

Mainstay Medical ReActiv8-A sustains performance at one year in clinical trial

Mainstay Medical has announced the one-year results from the ReActiv8-A Clinical Trial, an international, multi-centre, prospective, single arm trial for ReActiv8 in people with...

Christopher Bono

Christopher Bono’s interest in surgery was piqued after watching live operations on television as a teenager. After training and working in New York, USA,...

Minimally invasive decompression surgery for lumbar spinal stenosis and spondylolisthesis

Decompression of lumbar spinal stenosis using the traditional laminectomy technique leads to good improvement of neurogenic claudication symptoms. However, impairment of facet joint and...

Risk stratification is not a “universal language”, numerous IMAST presentations find

The benefits and challenges of risk stratification research in spinal surgery were explored in detail during the 2016 International Meeting on Advanced Spinal Techniques...

US FDA grants 510(k) clearance to Relievant Medsystems for Intracept

Relievant Medsystems has received US Food and Drug Administration (FDA) 510(k) clearance for the Intracept intraosseous nerve ablation system. According to a company release, the...

The great debate: Hybrid vs. fusion for two-level lumbar degenerative disc disease

Jack E Zigler, Texas Back Institute, Plano, USA, and Louis G Jenis, Massachusetts General Hospital, Boston, USA, debate the benefits and pitfalls of hybrid...

Geisinger Health plan to exclusively cover SI-Bone iFuse for sacroiliac joint fusion

Geisinger Health Plan, a commercial health plan covering more than 500,000 individuals in the US states of Delaware, Maine, New Jersey, Pennsylvania, and West...

Virginie Lafage

Virginie Lafage entered the world of spinal research by chance, after an engineering project drove her to a biomechanics lab in Paris, France. Since...

CE mark granted to Mainstay Medical for ReActiv8

Mainstay Medical International has received CE mark approval for ReActiv8, its proprietary implantable neurostimulation system designed to treat disabling chronic low back pain. According to...

iMIA results mirror INSITE for SI-Bone’s iFuse minimally invasive sacroiliac joint fusion

The European Spine Journal has published six-month results from iMIA (iFuse Implant System Minimally Invasive Arthrodesis). iMIA is a randomised controlled trial conducted in Europe to measure the safety and...

Spinal surgery is “entirely failing” to address sexual health

NSpine is surveying female patients to investigate the effects of anterior spinal surgery with regards to scars, sexual function and relationships as part of...

Spinal News International Issue 30 – April 2014

Highlights: -Disc degeneration in asymptomatic patients increases risk of low back pain -Intermittent hypoxia could be a powerful therapy for spinal cord therapy -Sport...

Spinal News International Issue 27 – May 2013

Highlights: Patient satisfaction does not mean good efficacy; Peroperative neck pain predicts clinical benefit from cervical disc arthroplasty; Fusion is not always the best...

Spinal News International Issue 22 – March 2012

  Highlights: -Positive signs for gene therapy in slowing the course of disc degeneration -No consensus among spinal surgeons on tests for predicting success of spinal...

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06/02/2009 00:00

Marek Szpalski

Inspired by Alexander Fleming, Marek Szpalski wanted to become a medical researcher. After becoming disillusioned with a life in the laboratory, he embarked on...

First four patients enrolled in expanded clinical study of sacroiliac joint fusion

The first four patients have been enrolled in the expanded Evolusion (EVSI) clinical study. This prospective, 40-site, 250-patient trial will evaluate long-term fusion and...

Investigating sacroiliac joint fusion surgery

Sacroiliac joint fusion surgery has grown in popularity over the past five years. Whilst procedure rates are still relatively low, many physicians are convinced...

FDA clears Stimwave’s miniature StimQ peripheral nerve stimulator

Stimwave has begun to market the StimQ peripheral nerve stimulator (PNS) system for the relief of severe intractable chronic pain of peripheral origin. The system...

Half of Americans have a musculoskeletal condition leading to US$213 billion cost

A report issued by the United States Bone and Joint Initiative (USBJI) estimates that 126.6 million Americans "half of the adult population "are affected by a musculoskeletal condition.

Two economic publications show sacroiliac joint surgery as cost-effective and money-saving

SI-Bone has announced that two economic studies show cost benefits for minimally invasive sacroiliac joint fusion surgery in the treatment of chronic sacroiliac joint dysfunction.

Positive results of ReActiv8-A clinical trial confirmed by additional data

Additional data from 13 subjects has been released by Mainstay Medical, showing significant and lasting improvements in pain, disability and quality of life.

Pessimism and a lack of exercise is “a risky combination”

Anne Mannion and Achim Elfering discuss their research, which evaluates the longitudinal validity of beliefs in predicting future pain in the shoulders, neck and back. They consider if cognitive behavioural interventions, education and exercise programmes could serve to reduce the impact of back pain in high-risk groups.

Medicare outpatient and physician payments to increase for minimally invasive sacroiliac joint fusion surgery

These proposed payments represent an increase of 14% for outpatient payment and 25% for physician reimbursement, and will become effective on January 1, 2016.

Minimally invasive implant procedure shown to be highly effective in treatment of sacroiliac joint...

A clinical trial featured in the November issue of Neurosurgery has shown that minimally invasive sacroiliac joint fusion using triangular titanium implants is highly effective in reducing pain and disability for patients with sacroiliac joint (SIJ) dysfunction.

Robert Gunzburg

Robert Gunzburg followed in the footsteps of his father and grandfather in becoming a doctor. Breaking with the family tradition of rheumatology, Gunzburg decided to specialise in spinal medicine. He told Spinal News International about his path to and what he has learned from his journey so far.

INSITE data indicate efficacy of minimally invasive sacroiliac joint fusion

Peter Whang discusses recent results from the INSITE trial, which compares the use of minimally invasive sacroiliac joint fusion using iFuse implants (SI-Bone) with non-surgical management to treat chronic sacroiliac joint dysfunction.

SI-Bone announces three publications on iFuse use for minimally invasive sacroiliac joint fusion

Results from prospective clinical trials demonstrate early and marked improvements in pain, disability and quality of life achieved at six months, which are sustained at one year.

Zyga receives 510(k) clearance for SImmetry sacroiliac joint fusion system updates

The new procedural option allows surgeons to perform sacroiliac joint fusion through a single incision.

Chronic opioid therapy diminishes lumbar fusion outcomes in workers’ compensation patients

Extended opioid therapy following lumbar fusion surgery for US workers' compensation patients is associated with worse outcomes, a new study has found.

Musings of an octogenarian surgeon

In the context of the spinal surgery profession, the experienced surgeon has gained wisdom through experience, and is now ready to impart it to younger colleagues, writes Robert Mulholland.

NASS recommends positive coverage policy for iFuse sacroiliac joint fusion

The coverage policy is based on 19 clinical studies, from which the committee concluded that the sacroiliac joint is an established source of chronic low back and that joint fusion has proven to be relatively safe.

INSITE trial receives Leon L Wiltse Award for best paper at ISASS 2015

The award, sponsored by Hansen Yuan and his wife, is voted on by the committee chairs each year and is based on a combination of quality of submitted abstract and podium presentation.

Heidi Prather

Heidi Prather was appointed President of the North American Spine Society (NASS) at its most recent Annual Meeting in November 2014. She spoke to Spinal News International about her career to date and the goals of her presidential term.

First Glyder facet restoration surgery completed in Cyprus

The device was implanted to address new-onset facet joint pain in a patient with a previous total disc replacement.

SI-Bone reaches 15,000 iFuse procedure milestone

Over 900 surgeons have now performed the iFuse procedure in the USA and 17 countries across Europe.

Zyga Technology announces first Glyder device implantation and clinical study data

Zyga Technology has completed the first Glyder Facet Restoration Device commercial surgery and has published 12-month primary outcome data from the GLISSADE study.

William C Watters III

Initially intending to do a PhD in psychology, William C Watters III (clinical associate professor, Baylor College of Medicine, University of Texas Medical Branch, Houston, USA) switched to medicine when he realised he wanted greater exposure to clinical problems.

Boston Scientific announces schedule for presentations at NANS meeting

Boston Scientific will present data on key clinical programs at the 18th North American Neuromodulation Society (NANS) Meeting, being held in Las Vegas, from the 11-14 December 2014.

Novel biologic bone graft improves clinical outcomes in ALIF procedures

A new study published in the Journal of Neurosurgery: Spine indicates that Cerapedics' i-Factor biologic bone graft improves clinical outcomes patients undergoing ALIF.

SI-BONE announces positive coverage decision by Priority Health

SI-BONE has announced that Priority Health (Michigan, USA) published an update to its Lumbar Fusion Medical Policy No. 91590-R4 providing positive coverage for SI-BONE's MIS sacroiliac joint fusion procedure.

Monitor spinal cord injury patients for many years after cell transplantation

A case report of a patient who developed a mass eight years after undergoing cell transplantation to treat a spinal cord injury suggests that the safety monitoring of patients who undergo such procedures should continue for many years.

Can cognitive behavioural therapy help spinal surgery patients return to work and daily life?

Nanna Rolving and colleagues have launched a study to investigate the clinical effectiveness and cost-effectiveness of using a multidisciplinary cognitive behavioural intervention to help patients undergoing lumbar spinal fusion surgery to return to work and to activities of daily living.

First patient enrolled in Simmetry sacroiliac joint fusion study

Zyga Technology has announced the first patient enrolment in Sacroiliac fusion study (SAIF), designed to evaluate fusion and pain reduction following use of the Simmetry sacroiliac joint fusion system.

The value of the nerve root sedimentation sign in diagnosing lumbar spinal stenosis

There is growing evidence that the "nerve root sedimentation sign" (SedSign) could aid the diagnosis of lumbar spinal stenosis. Markus Melloh and Thomas Barz, who invented the SedSign, review the evidence base for this prospective diagnostic tool.

New post-implantation efficacy data for Spectra spinal cord stimulation system at WIP Congress

New retrospective six-month post-implantation data on the efficacy of Boston Scientific's Spectra spinal cord stimulation system for low-back pain will be presented at the World Institute of Pain (WIP) World Congress in Maastricht, The Netherlands, May 7-10, 2014.

BioGlue is effective adjunct to immediate dural repair

A study published ahead of print in the European Spine Journal has found that BioGlue (CryoLife) "as an adjunct to immediate repair of a dural tear during spinal surgery "is associated with comparable safety and efficacy to Tissucol (Baxter).

Improving spinal care with activity monitors

Mobile technologies are increasingly used in healthcare to transmit patient data remotely, making recording patient data easier for both the doctor and the patient. Matthew Smuck, Stanford, USA, spoke to Spinal News International about the use of activity monitors for the management of spinal disorders.

William C Watters III named president of North American Spine Society

During the 28th Annual Meeting of the North American Spine Society (NASS), William C Watters III, was named the 2013-14 NASS president. Watters is an orthopaedic surgeon from Houston, USA.

Success criteria in phase III study of Biostat fibrin sealant not met

Spinal Restoration has announced that the results of its phase III study of Biostat Biologx fibrin sealant indicate that the novel drug is not significantly more beneficial than saline injection in patients with single-level discogenic back pain.

Jack Zigler

Jack Zigler is the medical director of the Texas Back Institute, Plano, USA, and is the associate editor of the International Journal of Spine Surgery. He spoke to Spinal News International about his career achievements and research interests.

“Educating the patient with clarity is essential”

Heidi Prather spoke at NASS about "What we know about postoperative training in the spine patient". She talked to Spinal News International about this topic.

Impact of adult spinal deformity on physical function similar to impact of cancer

The idea that patients with adult spinal deformity do not have a "true reason for disability" is mistaken because the impact of condition is actually similar to the impact of conditions such as cancer, a study presented at NASS found.

New imaging techniques: Are they helpful?

Jeffrey C Lotz, professor, vice chair of research, UCSF Orthopaedic Bioengineering Laboratory, San Francisco, USA, reviews the pros and cons of using new imaging techniques to diagnose spinal disorders.

Two-year outcomes of patients treated with iFuse Implant System for degenerative sacroiliitis or sacroiliac...

Si-Bone's minimally invasive surgical device is safe and effective in the treatment of sacroiliac joint disruptions or degenerative sacroiliitis study says

Ciaran Bolger

Ciaran Bolger, professor of Clinical Neuroscience at Beaumont Hospital, Dublin, Ireland, is the immediate past president of Eurospine. He talked to Spinal News International about his career in spinal surgery and becoming the first Irish astronaut.

Encouraging results for new interspinous system for lumbar spinal stenosis

Results published in the European Spine Journal show that the Aperius PercLID spinal system (Medtronic) is associated with a significant decrease of disability parameters.

Amedica announces launch of new facet joint implant

The Procet Facet Allograft Implant system has a dual-hemispherical shape that limits motion while providing distraction. It is designed to remain stable in the joint, to increase the potential for fusion.

Steven Garfin

Steven Garfin, incoming president of the International Society for the Advancement for Spine Surgery (ISASS), talked to Spinal News International about his involvement in the design of new techniques for the management of spinal deformities, his most memorable cases in spinal surgery and his goals as president of the ISASS.

Spinal cord stimulation with multiplecolumn configuration produces bilateral lumbar or dorsolumbar paraesthesia

A small pilot study, published in the March issue of Neurosurgery, shows that a 16-contact spinal cord stimulation lead, in a multiplecolumn configuration, successfully relieves back pain in patients with failed back surgery syndrome

Overweight and obese individuals are significantly more likely to have lumbar disc degeneration

Investigators in China have noted through one of the world's largest studies assessing lumbar disc degeneration on MRI that elevated body mass index (BMI), in particular overweight and obese individuals, is significantly associated with a greater number of levels with disc degeneration.

Jeffrey Goldstein

Listed in Who's Who in Medicine and Healthcare, Jeffrey Goldstein, clinical professor of orthopaedic surgery, New York University Hospital for Joint Diseases, New York, USA, has had an impressive career "his extensive achievements range from developing a unique surface morphology to helping a man with a fractured spine walk again in addition to being a first responder during 9/11.

MedSolutions launches Spine Surgery Management Programme

The solution offers evidence-based guidelines to determine whether spine surgery is clinically appropriate. The programme also protects members from risks and complications.

FDA clears neurostimulation lead delivery system

The Epiducer lead delivery system (St. Jude Medical) reduces the need for multiple incisions typically required to place more than one neurostimulation lead utilised in spinal cord stimulation therapy for the management of chronic pain.

Artificial disc replacement is cost-effective and provides better long term results over standard fusion...

Two new studies published in the SAS Journal show that, in certain situations, artificial disc replacement may give better long-term results to relieve back or neck pain than spinal fusion surgery, procedure usually used as last resort when physical therapy and drugs fail.

Federico Balagué

Federico Balagué, current president of Eurospine, tells Spinal News International how he became a spine specialist.

FDA approves new treatment for disc nucleus regeneration for Phase I clinical trial

Injectable formulation of juvenile chondrocytes, designed to regenerate cartilage and restore disc function, given the green signal.

DePuy begins testing rhGDF-5 for degenerative disc disease

First patient treated with genetic engineered protein in randomised pilot study treated at Texas Back Institute.

Oxygen-ozone treatment for herniated discs will soon become standard in the USA: Kieran Murphy

Ongoing research in ozone treatment for herniated discs shows outcomes similar to surgery, and has researchers predicting that the minimally invasive treatment could soon become standard in the USA.

Ozone treatment for herniated discs will soon become standard in the USA: Kieran Murphy

Ongoing research in ozone treatment for herniated discs shows outcomes similar to surgery, and has researchers predicting that the minimally invasive treatment could soon become standard in the USA.

Charles Branch

CIMZIA approved for use by Health Canada

UCB Canada has announced that CIMZIA (certolizumab pegol) for the treatment of adults with severe active non-radiographic axial spondyloarthritis (nr-axSpA), has been approved for...

Study assesses reliability of PROM score change in spine surgery research

Changes in patient-reported outcome measure (PROM) scores must be considerable in order to distinguish a true change from random error in degenerative lumbar spine...

The invisible cost of spine surgery

This advertorial has been sponsored by Aesculap Spine surgery is changing—the increasing demands on treatment concepts are making hospital processes more complex, and all departments...

Nevro receives US FDA approval for Senza Omnia spinal cord stimulation system

  Nevro has received approval from the US Food and Drug Administration (FDA) for the Senza Omnia spinal cord stimulation system to treat chronic pain....

AI-based classification may guide preoperative decisions in ASD patients

Hierarchical clustering of patient data using artificial intelligence (AI) can identify patterns that may guide preoperative decision-making in adult spinal deformity (ASD) surgery by...

EUROSPINE 2019: Decompressive surgery remains the ‘gold-standard’ for lumbar spinal stenosis compared to IPD,...

Long-term results demonstrate that even though implantation of a stand-alone interspinous process device (IPD) can be successful in treating intermittent neurogenic claudication (INC), the...
tetrafuse

RTI Surgical showcase clinical data at NASS 2019

RTI Surgical will showcase its body of clinical data at the 34th Annual Meeting of the North American Spine Society Annual Meeting (NASS 2019;...

National Osteoporosis Foundation supports new evidence-based vertebral compression fracture care pathway

Medtronic has announced that the National Osteoporosis Foundation (NOF) supports the vertebral compression fracture (VCF) Care Pathway, a new evidence-based clinical care pathway...
vertebroplasty

Percutaneous vertebroplasty safe and effective only in patients with acute fractures

A meta-analysis, recently published in Osteoporosis International, has found that the application of percutaneous vertebroplasty (PVP) is safe and effective only in patients with...
Patient-reported functional outcomes vary considerably after lumbar spinal fusion surgery

Majority of women unaware that SI joint issues a leading cause of chronic LBP...

Results of a recent survey of 1,000 women (age 35–60) conducted by SI-Bone found that 86% of respondents are unaware that sacroiliac (SI) joint...

NYU Langone performs first US procedure with newly approved device to reduce herniated disc...

NYU Langone Health last month became the first centre in the USA to perform a discectomy with repair of a large annular defect using...
AERIAL

Globus Medical launches first expandable interspinous fixation

Globus Medical recently announced the launch of AERIAL, a minimally invasive expandable interspinous fixation system with independent locking plates. The expandable central core of...

Boston Scientific announces agreement to acquire Vertiflex

Boston Scientific today announced that it has entered into a definitive agreement to acquire Vertiflex, a privately-held company which has developed and commercialised the...

Matthew Scott-Young

As the incoming president of the Spine Society of Australia, Matthew Scott-Young details how his experience as an Emergency Department intern sparked a life-long...

New results “strongly support” the safety of the ProDisc-C device

At the annual meeting of the International Society for the Advancement of Spinal Surgery (3–5 April, Anaheim, USA), Jack E Zigler (Texas Health Center...
M6-C

Positive two-year data released for the M6-C cervical disc

Orthofix Medical today announced the full two-year outcomes from its US Investigational Device Exemption (IDE) study of the M6-C artificial cervical disc (Orthofix). Jack Zigler,...

Opioid medication use before and during transforaminal lumbar interbody fusion surgery may predict long-term...

New retrospective studies led by Charla Fischer, associate professor of orthopaedic surgery and director of quality and patient safety at NYU Langone’s Spine Center...
vertebroplasty

“No further trials of vertebroplasty should be performed”, report concludes

Current evidence does not support the use of vertebroplasty for the treatment of pain from vertebral fractures, concludes a recent task force report charged...

Expanding access to surgery on a global scale

Universal health is a top priority at the Weill Cornell Brain and Spine Centre in New York, USA. Their global neurosurgery programme, a collaborative...

Life Spine announces initiation of SIMPACT sacroiliac joint fixation outcomes study

Life Spine has announced the initiation of the SIMPACT sacroiliac joint (SI) fixation outcomes study, with Keith Maxwell of Southeastern Sports Medicine and Orthopedics...
pedicle screw

Banned in the USA: Petition calls for FDA to prohibit reprocessed pedicle screws

Aakash Agarwal (Department of Bioengineering and Orthopaedic Surgery, Engineering Center for Orthopaedic Research Excellence, University of Toledo, Toledo, USA) has filed an official citizen...

Use of opioids before surgery hinders post-surgical improvements

New results suggest that patients treated with chronic opioids prior to spine surgery are “significantly less likely” to achieve meaningful improvements at one-year in...

HoloSurgical announces first surgical procedure utilising ARAI system

A successful first-in-human surgical procedure utilising ARAI, an augmented reality and artificial intelligence based surgical navigation system (HoloSurgical) has been carried out. The ARAI is...

Successful first in human for zLOCK spinal facet joint fixation system

The successful start of a first in human clinical study for the zLOCK spinal facet joint fixation system (ZygoFix) has been announced. The clinical...

Positive payor policy covering coflex by AmeriHealth Caritas for the surgical treatment of lumbar...

An AmeriHealth Caritas Clinical Policy, dated 1 September, 2018, has been issued for the exclusive coverage of the coflex interlaminar stabilisation device (Paradigm Spine) for...

Donna Ohnmeiss

A self-described “long-shot” and in the first generation of her family to attend university, Donna Ohnmeiss speaks to Spinal News International about why she chose...

Eurospine audience sceptical of digital learning’s potential in spinal surgery training

As emerging and existing technologies continue to shape the way we communicate and spread knowledge, the potentials of digital learning is given increasing consideration....

“The last 25 years has seen a technological revolution”: What will the next 25...

Paul Arnold, a spine surgeon based in Kansas for most of his career, now practising at the University of Illinois, USA, and current chair...

A neurosurgeon’s experience with PEEK-OPTIMA™ HA Enhanced devices

This advertorial has been sponsored by INVIBIO™ Jill Wright Donaldson, MD, is a neurosurgeon at Community Hospital North (Indianapolis, IN, USA), specialising in the surgical...
Simplify Disc

Simplify Medical completes enrolment in US IDE pivotal trial of Simplify Disc for two-level...

Simplify Medical, maker of the Simplify cervical artificial disc, has announced that it has completed the enrolment and treatment of all patients in its US...

Southlake Equity leads Series B round of financing to prime Titan Spine for next...

Titan Spine, a medical device surface technology company focused on developing surface-enhanced spinal interbody fusion implants, has announced it has closed a substantial round...
Wellness

International interest in physician wellness escalates

Speaking anonymously to Spinal News International, a career and life coach for physicians said that the most effective way to address the issue of...
Senza

Nevro receives TGA approval for Senza II spinal cord stimulation system delivering HF10 therapy

The Therapeutic Goods Administration (TGA) has granted approval to Nevro for its next-generation Senza II spinal cord stimulation system delivering the company’s proprietary HF10...

New positive commercial payor policy covering coflex for the surgical treatment of lumbar spinal...

Paradigm Spine, a company specialising in the treatment of lumbar spinal stenosis, has announced the issuance of a broad coverage medical policy from BlueCross...

St. Mary’s Medical Center selected to study use of Tops System

The Spine Center at Dignity Health St. Mary's Medical Center (San Francisco, USA), has been selected to participate in a FDA/IDE pivotal study, sponsored...
weight

Recent findings contradict the common recommendation to rapidly lose weight prior to lumbar fusion...

According to Woojin Cho (Montefiore Medical Center, the University Hospital for Albert Einstein College of Medicine, New York, USA), who presented at the 25th International Meeting on...
concorde

DePuy Synthes launches Concorde Lift expandable interbody implant for minimally invasive TLIF spine surgery

Concorde Lift (DePuy Synthes), a new expandable interbody device, is launching in the USA. The implant is designed to treat patients suffering from degenerative...

Bone cement solution indicated for treating sacral fractures granted FDA approval

The US Food and Drug Administration (FDA) has granted 510(k) clearance of Kyphon HV-R bone cement (Medtronic) for fixation of pathological fractures of the...

Many surgeons do not use patient-reported outcome measures in spine care

Almost one third of spine surgeons do not routinely use patient-reported outcome measures (PROMs). This was the result presented by Asdrubal Falavigna (Department...

Paradigm Spine announces NASS coverage policy recommendation for coflex interlaminar stabilisation

The North American Spine Society (NASS) has issued a coverage policy recommendation for Lumbar Interlaminar Device without Fusion and with Decompression, which applies to...

CIMZIA effective in treating axial spondyloarthritis patients

CIMZIA (certolizumab pegol) is the first therapy to demonstrate positive results in a 52-week, placebo controlled non-radiographic axial spondyloarthritis study. The positive topline results...

Chronic opioids linked to increased complications after spinal fusion surgery

Patients who have been taking opioids as pain relievers for several months before spinal fusion surgery are at increased risk of complications after their...

VERTOS IV raises doubts about vertebroplasty

Percutaneous vertebroplasty does not result in statistically significant greater pain relief than a sham procedure, reports a study detailing the results of the VERTOS...
NURTURE

Scotland leads the way in approval of first licensed treatment for life-threatening genetic disease...

The Scottish Medicines Consortium (SMC) has recommended the routine funding of Spinraza (nusinersen) for the treatment of symptomatic type 1 5q spinal muscular atrophy...

Intervertebral disc narrowing greater in women than men in an elderly Chinese population

In an elderly Chinese population, intervertebral disc narrowing over a four-year period is associated with the presence of osteoporosis, and is greater in women...

Percutaneous vertebroplasty and kyphoplasty: current status, new developments and old controversies

Dimitri Filippiadis and Alexis Kelekis (both Department of Radiology II, Attikon University Hospital, Athens, Greece) here detail the history and future of percutaneous vertebroplasty...

New algorithm decodes spine oncology treatment

Experts explain their approach to treating patients who are living longer with cancer that has spread to the spine, as the options for metastatic...
Taltz Eli Lilly and Company

Lilly announces positive top-line Phase 3 results for Taltz in Ankylosing Spondylitis

Eli Lilly and Company has announced that Taltz (ixekizumab) met the primary and all key secondary endpoints in COAST-V, a Phase three study evaluating the safety...

Durability and sustainability of decompression procedures extended with coflex

The results of a two-year study demonstrate decompression with coflex interlaminar stabilisation extends the durability and sustainability of a decompression procedure. coflex is the...

First cases using the Triojection System to treat disc herniation completed in Germany

The first cases using the Triojection system to treat spinal disc herniations in Germany were recently performed, Minimus Spine Inc. has announced. The cases...

Rectifying a failed titanium fusion with PEEK-OPTIMA™ HA Enhanced cage and iliac crest autograft

This case report is sponsored by INVIBIO™ To view this case report as a PDF, please click here. Timothy Bassett, MD (SouthEastern Spine Specialists, Tuscaloosa, AL,...
Selam, Ethiopia, intact skull feature image

Modern spinal structure established millions of years earlier than previously thought

Analysis of a 3.3 million-year-old fossil skeleton has revealed the most complete spinal column of any early human relative, including vertebrae, neck and rib...
Tiger Woods to return to competitive golf after lumbar spine fusion surgery

Tiger Woods will return to competitive golf seven months after fourth lumbar spine surgery

The golfing world’s eyes are trained on the Hero World Challenge, which begins this week in the Bahamas. In April, Tiger Woods underwent his...
Solomon Wilcots interviews Vikas Kapoor at NASS 2017

NFL broadcaster Solomon Wilcots interviews doctors at EUROSPINE and NASS

The former professional football player is a leader of Russo Partners’ Sports–Health Alliance, a service connecting sports, health and medicine. In addition to interviews...
John F Kennedy speaking

John F Kennedy: “I think the doc should have read just one more book...

US president John F Kennedy is famous in equal parts for his youth, his diplomatic skill and his untimely demise. Less well-known are the...

First patient enrolled in long-term Infuse posterolateral fusion study

Medtronic has announced the launch of a long-term clinical study programme to collect prospective data on rhBMP-2 (Infuse) bone graft in posterolateral fusion (PLF)...

US FDA clears Stimwave’s full-body MRI-ready wireless peripheral nerve stimulator

Stimwave has received US Food and Drug Administration (FDA) 510(k) clearance for the first wireless, micro-technology neuromodulation device that can enable ongoing full-body MRI...

Emerging technologies, education and evidence in the spinal world

In a market booming with new technologies and therapies, spinal surgeons are spoilt for choice when it comes to implants and other devices. Stryker’s...

Researchers trace the history behind JFK’s four spine surgeries

US President John Fitzgerald Kennedy (JFK)—the second-youngest man to hold the position in history—is not known for his ill-health. However, the president was faced...

Keith DK Luk

Keith KD Luk converted his childhood love of handiwork into a medical degree and numerous fellowships, eventually specialising in spinal surgery. Over his career,...

Designing spines: Innovations in patient-specific 3D printing

Three-dimensional printing—also known as additive manufacturing—is one of the most exciting platforms shaping technology across sectors as diverse as art, food production and medicine....

CE mark approval for Stimwave’s world-first fully percutaneous spinal cord stimulator anchoring system

CE mark approval has been granted for the world’s first percutaneous injectable anchor system, SandShark. The Stimwave system is used to fixate the company’s...

Modern spinal structure established millions of years earlier than previously thought

Analysis of a 3.3 million-year-old fossil skeleton has revealed the most complete spinal column of any early human relative, including vertebrae, neck and rib...

Lisa Ferrara

Intending to become a cardiac surgeon, Lisa Ferrara began her career as a biology student in Bridgewater, USA. A lecture on future technologies and...

Methadone may reduce need for opioids after fusion surgery

Patients undergoing spinal fusion surgery who are treated with methadone during the procedure require significantly less intravenous and oral opioids to manage postoperative pain,...

NASS’ allograft and spinal cord stimulation coverage recommendations open for public comment

The president of the North American Spine Society (NASS), F Todd Wetzel (Philadelphia, USA), has announced the opening of the society’s 30-day public comment...

First patient treated with Simplify disc in US pivotal trial

Simplify Medical has announced that the first patient has been treated in the company’s pivotal clinical trial studying use of the Simplify disc in...

One step closer to halting the “relentless cascade” of disc degeneration

According to a “Best Paper” presentation at the North American Spine Society annual meeting (NASS; 26–29 October 2016, Boston, USA), it may be possible...

UK’s NICE issues updated guidance on lateral interbody fusion procedures

Updated guidance has been published by the National Institute for Health and Care Excellence (NICE) in the UK for lateral interbody fusion in the...

EUROSPINE offers advice on preventing “text neck”

Some of today’s most popular presents are smartphones. Thousands of these useful electronic tools were bestowed upon a loved one during the past couple...

Will the VAPOUR trial affect the future of bone augmentation techniques?

Is it a come-back for vertebroplasty? Two randomised controlled trials published in 2009 suggested that there is no clear benefit for treatment by vertebroplasty...

Researchers determine algorithm for bionic hand treatment

No longer only an image conjured by science fiction, bionic hands can return functionality in cases of traumatic nerve and muscle loss. A new...

US Veterans Affairs Opioid Safety Initiative shown to reduce opioid prescriptions

Fewer veterans received prescriptions for risky dosages of opioid painkillers after a USA-wide initiative took aim at reducing high doses and potentially dangerous drug...

Inaugural NASS Ultrasound and Fluoroscopic Guided Lumbar Procedures Workshop a success in Singapore

by Allen Chen, MD, MPH Continuing its global educational efforts, NASS successfully produced the inaugural Ultrasound and Fluoroscopic Guided Lumbar Procedures Workshop at the Singapore...

SpinalCyte receives Institutional Review Board approval for phase I clinical trial

SpinalCyte has received Institutional Review Board approval to begin clinical trials with its dermal fibroblast cell product, CybroCell, in the treatment of degenerative disc...

Scott Blumenthal

Scott Blumenthal (Plano, USA) is best known as the first surgeon to perform an artificial disc replacement in the USA. His pioneering research into...

Minimus Spine enrols 30th participant to randomised study comparing Triojection to discectomy

Minimus Spine has enrolled the 30th subject into its 50-patient randomised study comparing Triojection; a system intended to facilitate the treatment of disc herniations...

Improved outcomes found for lumbar discectomy with Amniox Clarix

A prospective randomised clinical study of Amniox’s Clarix regenerative matrix used as an adjunct to lumbar discectomy has found statistically significant improvements on Oswestry...

The Spine Journal and NASS announce 2016 “Outstanding Paper” awards

The Spine Journal and the North American Spine Society (NASS) have announced three winners of the 2016 Outstanding Paper Awards at NASS’ 31st Annual...

A positive attitude does not always lead to positive results in lumbar spine surgery

According to a new study presented at the 31st Annual Meeting of the North American Spine Society (NASS), high expectations of pain improvement before...

One-year Zyga SImmetry data supports sacroiliac joint fusion with decortication

Zyga Technology has released 12-month fusion and clinical results for patients receiving SImmetry sacroiliac joint fusion with decortication. Study results were presented at the...

Bone Therapeutics reports positive efficacy data for Allob phase 2A spinal fusion trial

Bone Therapeutics has reported positive efficacy data for its phase IIA spinal fusion trial with Allob. Results of the first half of patients in...

Tuberculous lumbar spinal epidural abscess in a young adult: A case report

Tuberculous spinal epidural abscess is an uncommon pathology that needs an urgent intervention to decompress pressure on the spinal epidural sac, cord and roots,...

Andrew King: My experience with patient-specific rods

The use of computers to map the spine, to plan surgery, and to aid in the manufacturing of medical devices is becoming increasingly common...

Transpedicular interbody fusion: A new advancement in percutaneous spinal surgery

Today, transcutaneous spinal fixation is efficient in terms of solidity and reduction. Achieving real fusion remains a problem, however, as does the successful navigation...

Intraoperative navigation: The options

Intraoperative navigation is becoming more and more popular with the advent of minimally invasive spinal surgery. Whilst uptake of the technology is limited by...

Gunnar BJ Andersson named chairman of International Advocates for Spine Patients

Orthopaedic spine surgeon Gunnar BJ Andersson, has taken the position of chairman of the Board of Directors of International Advocates for Spine Patients (IASP),...

The coming year for NASS

Christopher Bono (Brigham and Women’s Hospital, Boston, USA) has been appointed as North American Spine Society (NASS) president for 2015-16. He talks to Spinal...

Lattice Biologics to launch three matrix-assisted regeneration products

Lattice Biologics is to launch three new products using its patent-pending matrix-assisted regeneration (MAR) platform; MarBrane and MarGraft and MarCell. "With the advent of the...

Motion trumps fusion at NASS debate

The treatment of many common spinal conditions by procedures designed to preserve motion or by the more conventional fusion was the subject of a...

Medovex enters into international distribution agreement with Innosurge

Medovex has entered into an international distribution agreement with Innosurge, a supplier of orthopaedic surgery equipment. The agreement covers the distribution of its DenerveXSystem...

First implantation of Wenzel Spine VariLift-LX takes place in USA

The first implantation of the VariLift-LX system (Wenzel Spine) has taken place. The company is to begin a limited release of the system, following...

Five-year data demonstrate long-term therapeutic effect of Paradigm Spine’s coflex compared to fusion

The results of this study with 5-year follow-up support that decompression and interlaminar stabilisation is an effective and sustainable treatment option, according to the authors.

Smoking linked to cervical degenerative disc disease

Whilst smoking has previously been connected with lumbar degeneration, this study has associated it with degeneration of the cervical spine.

The evolution and present role of percutaneous pedicular screw fixation in the management of...

Minimally invasive surgery is beneficial in a well-selected group of MSD patients suffering from clinically significant instability with intractable back pain or motor deficits, Naresh Kumar tells Spinal News International.

Hyun Bae

Hyun Bae began his medical studies at Columbia University, where he graduated with a degree in biomechanics. Having interacted with numerous medical students in Columbia's orthopaedics lab, he decided that orthopaedic medicine was the career path he wanted to follow.

Substantial reduction of adolescent idiopathic scoliosis curvature at one-to-three years with ApiFix non-fusion, minimally...

The ApiFix system, which has now been used to correct scoliosis in 50 adolescents since the system was approved for marketing in Europe, has continued to demonstrate encouraging results at one-to-three years of follow-up with 25 patients.

Avoid misconceptions by educating patients and restoring the doctor-patient relationship

Cheerag Upadhyaya, Kate W-C Chang, Donald Tomford and Lynda J-S Yang discuss the evolution of the doctor-patient relationship, and what physicians can do re-establish a bond that has long comforted and healed patients.

Non-fusion alternatives to traditional fusion in elderly patients

The indications for fusion in elderly patients are often not definitive. Alternatives to fusion have thus emerged including interspinous devices and dynamic stabilisation, writes Scott L Blumenthal.

Bony decompression remains the gold standard for treating lumbar spinal stenosis

The use of surgical interspinous implants has been a controversial subject. Wouter A Moojen writes that the efficacy of such devices should be challenged in order to adhere to medical ethical standards and protect patients.

The potential of augmented vertebroplasty in treating extreme vertebral fractures

Alexis Kelekis and Dimitrios Filippiadis write that augmented vertebroplasty could offer improved mechanical and structural support compared with standard vertebroplasty in the treatment of extreme vertebral fractures.

Physical therapy and surgery produce the same results for stenosis in older patients

Lumbar spinal stenosis symptoms were relieved and function improved in as many patients utilising physical therapy as those undergoing surgical treatment, University of Pittsburgh researchers have shown in a new study.

Minimally invasive surgery with perioperative non-opioid analgesics could be “a game changer”

Michael Wang has pioneered the awake minimally invasive TLIF using the liposomal bupivacaine Exparel. He spoke to Spinal News International about why the combination of Exparel and minimally invasive methods could change the nature of spinal surgery.

Excessive mobile technology use is damaging the cervical spine

Kenneth K Hansraj wrote for Spinal News International following the publication of his study, "Assessment of stresses in the cervical spine caused by posture and position of the head", which made waves worldwide.

Patient misconceptions concerning lumbar spondylosis diagnosis and treatment persist

As expectations of treatment can influence clinical outcomes, the authors of a new study write that identification of these misconceptions is critical to providing informed and quality healthcare.

Robotic assistance improves spine tumour surgery accuracy and safety

This study used Mazor Robotics' Renaissance device, which guides the surgeon in the placement of spinal instrumentation according to a preoperatively-planned trajectory.

Stimwave announces first full body 3-Tesla MRI conditional neuromodulation medical implantable device

Stimwave's Wireless Pain Relief technology, the Freedom stimulator, means that chronic pain patients are able to have 3-Tesla full body magnetic resonance imaging examinations with the device implanted.

Superion interspinous process spacer found to be as effective and less invasive than X-Stop

The FDA investigational device exemption study, published by The Spine Journal, involved 391 randomised patients at 29 sites in the USA between August 2008 and December 2011.

Adolescent lumbar disk herniation patients are more satisfied with surgical outcomes than adults

In a new study 86% of adolescents were satisfied with the outcome of surgery compared to 78% in the younger adults and 76% in the older adults group.

Direct repair surgery with screw fixation for young lumbar spondylolysis patients produces poor one-year...

The study found that although both the intensity and frequency of lower back pain had significantly improved at final follow-up compared with preoperative level, pain frequency tended to worsen after six months.

Minimally invasive electrical muscle stimulation corrects spinal curvature in children

The StimulAIS Project aims to introduce alternative scoliosis treatments based on electrical muscle stimulation of deep paraspinal rotator muscles "a technique known as functional electrical stimulation.

Medtronic agrees US$2.8m False Claims Act settlement

Prosecutors alleged that the company made illegal payments to physicians in 20 US states from 2007-2011 in exchange for recommendations of procedures that were neither safe nor effective.

DePuy Synthes Spine expands indication for Synapse occipital-cervical-thoracic system

First screw-rod occipital-cervical-thoracic system cleared for the use of screws in the posterior cervical spine.

Spinal cord stimulation procedures can be safely performed in outpatient setting

Spinal cord stimulation can, with the correct skills and knowledge, be performed in an outpatient setting by trained interventional radiologists, according to a retrospective study.

Minimally invasive spine procedures produce significant benefits for workers and employers

The Laser Spine Institute (Tampa, USA), along with Rivenbark Consulting, has released details of a study that shows the income and productivity gains provided by spinal decompression procedures performed by Laser Spine Institute.

Lori Karol

Lori Karol, Texas Scottish Rite Hospital, Dallas, USA, talks to Spinal News International about the importance of personally managing the care of a child with scoliosis and the rewards of helping patients with scoliosis to lead fulfilling lives.

Magec system recommended by NICE and NHS in UK

The recommendations were triggered by recently published medical technology guidance from NICE, encouraging the NHS to use the Magec system in children aged two years and over who suffer from early onset scoliosis.

AXS Medical showcases Biomod at IMAST

Imaging company AXS Medical are showcasing their Biomod imaging system, which offers 3D modelling of the spine in a standing position, at the International Meeting on Advanced Spine Techniques (IMAST; 16-19 July, Valencia, Spain).

ReWalk personal approved by FDA for home use

ReWalk is a wearable robotic exoskeleton that provides powered hip and knee motion to enable individuals with spinal cord injury to stand upright and walk.

Luiz Pimenta

Luiz Pimenta, immediate past president of the International Society for the Advancement of Spinal Surgery (ISASS) talks to Spinal News International about the development of minimally invasive surgery and his achievements as president of ISASS.

FDA approval for world’s first upgradeable spinal cord stimulation system

Protégé is the first and only neurostimulation system that allows spinal cord stimulation technology upgrades as they are approved to be made via software updates. Chronic pain sufferers implanted with this new device can access innovative therapies, stimulation modes, diagnostics or other features once approved through future software upgrades " without the need to surgically replace their medical device.

Mainstay Medical begins clinical trial of ReActiv8

Mainstay Medical has secured approval from Ethics Committees in Australia to start a clinical trial of ReActiv8, its innovative implantable neurostimulation device for the treatment of people with chronic low-back pain. Recruitment of subjects for the trial has commenced at three clinical sites in Australia.

NICE consults on a new spine-straightening device for children with scoliosis

NICE is consulting on its draft medical technology guidance on a device that aims to straighten and lengthen the spine of children with scoliosis.

VERTOS IV study uses strict inclusion criteria

The principal investigators of the ongoing VERTOS IV (A randomised sham controlled trial of vertebroplasty for painful acute osteoporotic vertebral fractures) study spoke to Spinal News International about the study and the role of vertebroplasty today

iFuse implant system could save Medicare US$660 million

A report in ClinicoEconomics and Outcomes Research indicates that the lifetime costs of treating appropriately selected Medicare patients with minimally invasive sacroiliac joint fusion (iFuse, SI-Bone) could result in savings from US $660 million to US $4 billion when compared with lifetime costs of non-operative care.

Interspinous process device does not improve short-term outcomes for stenosis patients

Results from the FELIX (Foraminal enlargement lumbar interspinous distraxtion) trial suggest that the use of an interspinous process device (Coflex, Paradigm Spine) does not improve short-term outcomes compared with bony decompression in patients with lumbar spinal stenosis.

Philip Sell

Philip Sell, consultant orthopaedic and spinal surgeon, University Hospitals of Leicester and Queens Medical Centre Nottingham (UK), is the 2013-14 president of EuroSpine. He spoke to Spinal News International about his career highlights and the key themes of this year's EuroSpine meeting (2-4 October, Liverpool, UK).

Improvement with chiropractic treatment is not clinically important

Short-term usual chiropractic care is superior to sham treatment for the management of spinal pain, but differences between treatments are small and not clinically important.

Driving a new standard of care

Bryan J McEntire, chief technology officer for Amedica Corporation outlines why he believes Silicon Nitride overcomes the limitations of the materials currently used in fusion surgery.

Pelvic-incidence lumbar lordosis mismatch may be a primary surgical indicator for symptomatic patients

A new study suggests that patients with adult spinal deformity should be assessed for pelvic incidence minus lumbar lordosis (PI-LL) mismatch (PI-LL >10 degrees) as it may be a primary indication for surgery in the setting of pain and disability.

Magnetic growth rods could potentially avoid spinal trauma

Kenneth MC Cheung, Hong Kong, will be giving the talk "Magnetic growth rods in early onset scoliosis" at the 9th combined congress of the Asia Pacific Spine Society and Asia Pacific Orthopaedic Association Paediatric section (29-31 August, Kuching, Malaysia). He spoke to Spinal News International about these devices.

From a handful to hundreds: 21 years of the ISIS annual meeting

The International Spine Intervention Society (ISIS) will hold its 21st annual scientific meeting this year (16-20 July, New York, USA). The president of the society, Ray Baker (Washington Interventional Spine Associates, Kirkland, USA) and vice president Jeffrey Summers (NewSouth NeuroSpine, Mississippi's Spine Center, Jackson, USA) spoke to Spinal News International about how the meeting has developed over the last 21 years.

Globus launches LATIS minimally invasive expandable lumbar interbody spacer

Globus Medical has announced the launch of LATIS, a minimally-invasive lumbar interbody fusion spacer for patients suffering from degenerative disc disease.

Helping patients to understand spinal disease will help to allay their fears about surgery

Myths about the supposed pitfalls of receiving treatment for back problems can prevent some patients from seeking treatment and to be unnecessarily afraid of having spinal surgery. Joseph Cheng looks at what these myths are and how patients' fears can be put to rest.

Higher rates of reoperation with interspinous spacer

A study presented at ISASS indicates that the interspinous spacer X-Stop (Medtronic), compared with decompressive surgery, is associated with higher rates of reoperation but similar patient-reported outcomes in patients with neurogenic claudication.