The goal of any surgical intervention in spine surgery is to restore function, relieve pain, and improve quality of life. Traditional assessments of patient outcomes failed to accurately reflect patient's quality of life improvement. Patient-reported outcome measures (PROM) were designed to translate the patients perceived health into quantitative data. The data can help providers gauge the severity of a condition, develop a treatment plan, and follow the patient over time to determine treatment efficacy. Both in clinical practice and research, PROMs are helpful in comparing treatment options and advancing the field of spine surgery. This article discusses the utility and reliability of patient-reported outcomes, utilization in research, and provides examples of the most widely utilized PROMs in spine surgery.
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http://dx.doi.org/10.1097/BSD.0000000000000773 | DOI Listing |
J Orthop Surg Res
January 2025
Department for Orthopedics and Traumatology, Kepler University Hospital GmbH, Krankenhausstrasse 9, 4020, Linz, Austria.
Background: The occurrence of periprosthetic femoral fractures (PFFs) in cementless total hip arthroplasty (THA) might be associated with the proximal femoral morphology and the pelvis. PFFs in short stem THA are associated with an increased Canal Flare Index. PFFs in straight stem THA show a decreased Canal Flare Index.
View Article and Find Full Text PDFSpine Deform
January 2025
Department of Orthopedic Surgery, Children's Mercy Kansas City, Kansas City, Missouri, USA.
Purpose: Scoliosis is a complex multi-dimensional deformity of the spine that is common in children and adults. Of the various treatments for scoliosis, one is posterior spinal fusion with instrumentation. The rods typically used are composed of titanium or cobalt-chrome.
View Article and Find Full Text PDFCell Signal
January 2025
Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Guangzhou 510120, PR China. Electronic address:
Intervertebral disc degeneration (IVDD) is a leading cause of low back pain, primarily driven by inflammatory processes within the disc, particularly involving the infiltration and activity of macrophages. High Mobility Group Box 1 (HMGB1) has been identified as a crucial mediator in this inflammatory cascade, yet its precise role in macrophage-induced disc degeneration remains unclear. In this study, we employed a combination of in vivo and in vitro models, including genetically engineered mice with macrophage-specific overexpression of HMGB1, a rat model of IVDD, and cultured macrophages and nucleus pulposus cells (NPCs), to elucidate the role of HMGB1 in IVDD.
View Article and Find Full Text PDFWorld Neurosurg
January 2025
Department of Spine Surgery, The Affiliated Taizhou People's Hospital of Nanjing Medical University.
Background: Lumbar disc herniation (LDH) is a common cause of back and leg pain. Diagnosis relies on clinical history, physical exam, and imaging, with magnetic resonance imaging (MRI) being an important reference standard. While artificial intelligence (AI) has been explored for MRI image recognition in LDH, existing methods often focus solely on disc herniation presence.
View Article and Find Full Text PDFSpine J
January 2025
University of California Irvine, Department of Orthopaedic Surgery, 101 The City Drive South, Pavillion III, Building 29A, Orange, CA 92868. Electronic address:
Background Context: Endoscopic spine surgery (ESS) is rapidly emerging as a viable minimally invasive technique to successfully treat symptomatic degenerative spinal conditions. Widespread adoption has been limited in part due to the learning curve.
Purpose: To systematically review the learning curve for uniportal and biportal ESS and compare the two techniques.
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