News Category: Spine


Comparing Cost Effectiveness and Outcomes Between ACDF and CDR

The gold standard of treatment for symptoms including long term neck pain, neurological deficits and radiculopathy stemming from the degenerative changes of the neck is an anterior cervical discectomy and fusion (ACDF). It has a very high clinical success rate but is also associated with some negative long term side-effects […]


Use of Orthosis (brace) or Not for Thoracolumbar Burst Fractures

Treatment for thoracolumbar burst fracture traditionally included surgery, bracing and long term bed rest. In recent years this treatment is changing because of the increased medical risks that go with long term bed rest. There has also been some interest in treating these injuries without surgery as well, again because […]


Treatment Outcomes in Osteoporotic Compression Fractures: Brace or No-Brace?

Non-operative treatment is usually the first line of treatment for benign compression fractures of osteoporotic vertebrae without neurological injury. These fractures are relatively stable secondary to the nature of the injury occurring from a compressional load versus involving shearing or rotational components. Typically this non-operative treatment has included the use […]


Prospective Study and follow-up Comparing Operative with Nonoperative Treatment of a Patient with Neurologically Intact Thoracolumbar Burst Fracture

Contrasting opinions exist in terms of preferred or ideal management of burst fractures located at the thoracolumbar region without neurological deficit. In 2003, a prospective study was conducted comparing surgical and non-surgical outcomes for patients suffering from thoracolumbar burst fractures without neurologic deficit. Results demonstrated that there was no significant […]


Cost-Effectiveness of Minimal Access Versus Conventional Spine Surgery

Surgical techniques for the cervical and lumbar spine can be separated into two categories based on amount of tissue disruption. Minimal access surgery (MAS) is reported to have better short term perioperative results as it utilizes small incisions and minimal muscle disruption. This technique involves use of a tube or […]


A Review of Posterior Lumbar Fusion Techniques

Posterior lumbar fusion is a relatively common surgical procedure for pain in the low back. In this surgery two or more levels of vertebra are stabilized with bone grafts, or bone graft substitute. Then movement at those levels is limited to encourage the natural processes to grow bone in the […]


Motor Vehicle Collisions and Thoracic Disc Injury

TDHs (Thoracic disc herniations) have a variable presentations and can mimic other diseases and many are misdiagnosed because of this. A TDH is thought be relatively rare compared to cervical or lumbar herniation. A traumatic origin has been estimated in up to 25 per cent of TDHs. Whiplash injury has […]


Assessing Cost-effectiveness of Surgery for Cervical Degenerative Diseases

Value based health care is swiftly becoming a thing of the present and substantiation of treatments for spinal conditions will be necessary. Optimal treatment options need to be identified in value-based health care, where optimal can be defined as greatest gain in quality of life at the lowest cost to […]


Is Active Rehab After Spinal Stenosis Surgery Effective?

A recent review article has been published looking at active rehabilitation as a tool to improve postoperative results from lumbar spinal stenosis surgery. Spinal stenosis is the narrowing of the spinal canal which can lead to pressure on the spinal cord or nerve roots, resulting in pain in the back […]


Researching the use of spinal cord stimulation after failed back surgery

Failed back surgery syndrome (FBSS) is a problematic source of chronic low back pain. This syndrome is estimated to effect between five and forty percent of all patients who have had surgery for low back pain. This chronic pain can often result in long term disability and contributes large costs […]


Ten-Year Study for Back Pain: Is Strengthening or Flexibility More Helpful?

Low back pain (LBP) is a big problem, with approximately eighty percent of people reporting back pain at some point in their life. This pain can be the cause of much stress, lost function, lost productivity and financial expense. Exercises have been shown in many research articles to be effective […]


Facet Joints Related Pain and Radiofrequency Denervation

Low back pain affects 60 per cent to 80 per cent of people worldwide. One of the sources of back pain can be the facet joints of the spine. They have been implicated in up to 15 per cent to 45 per cent of back pain cases. Facet joint-related symptoms […]


Motor Vehicle Collisions and Thoracic Disc Injury

TDHs (Thoracic disc herniations) have a variable presentations and can mimic other diseases and many are misdiagnosed because of this. A TDH is thought be relatively rare compared to cervical or lumbar herniation. A traumatic origin has been estimated in up to 25 per cent of TDHs. Whiplash injury has […]