Spinal fusion is important for the clinical success of patients undergoing surgery, and the immune system plays an increasingly recognized role. Osteoimmunology is the study of the interactions between the immune system and bone. Inflammation impacts the osteogenic, osteoconductive, and osteoinductive properties of bone grafts and substitutes and ultimately influences the success of spinal fusion. Macrophages have emerged as important cells for coordinating the immune response following spinal fusion surgery, and macrophage-derived cytokines impact each phase of bone graft healing. This review explores the cellular and molecular immune processes that regulate bone homeostasis and healing during spinal fusion.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10753333 | PMC |
http://dx.doi.org/10.14444/8556 | DOI Listing |
Eur Spine J
January 2025
Department of Neurosurgery, University of Arizona College of Medicine, 1111 Mc Dowell Road, Phoenix, AZ, 85006, USA.
Purpose: An atypical presentation of cervical spondylopathy (CS), trigeminal neuralgia (TN) is attributable to the extension of trigeminal nuclei into the spinal cord and is frequently overlooked, leading to limited discussion with patients regarding potential anterior cervical surgery. Our systematic review assesses the effectiveness of cervical surgery for concurrent trigeminal neuralgia in cases of cervical spondylopathy.
Methods: A systematic review exploring cases of trigeminal neuralgia related to cervical spondylopathy was conducted searching on PubMed, Scopus and Embase databases for article in English.
EClinicalMedicine
January 2025
Division of Orthopedic Surgery, Oslo University Hospital, Norway.
J Biomech Eng
January 2025
Department of orthopedics, the Second Affiliated Hospital of Medical College of Zhejiang University, Hangzhou, Zhejiang, 310000, China.
This study aims to compare the sinking and shifting of an enhanced escape-proof intervertebral fusion device with a traditional TLIF intervertebral fusion device.Five specimens each of the improved escape-resistant intervertebral cage and the traditional TLIF cage were selected. Four types of mechanical tests were conducted on each cage, Furthermore, a blade-cutting torque test was performed on the escape-resistant cage, with the recording of load-displacement curves and mechanical values.
View Article and Find Full Text PDFWound Manag Prev
December 2024
The First Affiliated Hospital, Unit of Nurses, Zhejiang University School of Medicine, Hangzhou, China.
Background: Early esophageal fistula formation following anterior cervical spine surgery presents a formidable clinical challenge, necessitating astute rehabilitative nursing management. Such fistulas, if not promptly and effectively managed, can precipitate grave complications including mediastinitis, sepsis, respiratory failure, and, in severe instances, mortality. This underscores the critical need for immediate, comprehensive nursing interventions designed to mitigate these risks and enhance patient outcomes.
View Article and Find Full Text PDFWorld Neurosurg
January 2025
Department of Orthopaedic Surgery, University of Miami Hospital, Miami, Florida, USA.
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