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Erschienen in: HSS Journal ® 2/2020

Open Access 18.03.2020 | Current Concepts in Spinal Fusion/Guest Editorial

Current Concepts in Spinal Fusion: A Special Issue

verfasst von: Sohrab Virk, MD, MBA, Sheeraz Qureshi, MD, MBA

Erschienen in: HSS Journal ® | Ausgabe 2/2020

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The online version of this article (https://​doi.​org/​10.​1007/​s11420-020-09757-5) contains supplementary material, which is available to authorized users.
The evolution of spinal fusion over the past 100 years has been dramatic, with changes reflected in the care provided to patients around the world. In this special issue of HSS Journal®, we present current practices to enhance spinal fusion among surgeons at the Hospital for Special Surgery (HSS) and other institutions. As guest editors, we have aimed to provide a snapshot of how top surgeons utilize fusion techniques and technologies in treating patients requiring spinal stability and/or deformity correction.
One theme of this issue is the research supporting treatments for challenging patient populations. Othman et al. systematically reviewed the literature on the use of minimally invasive spinal fusion techniques to treat obese patients (https://​doi.​org/​10.​1007/​s11420-019-09735-6). They found that minimally invasive techniques provide equivalent outcomes as open techniques, with lower rates of complications. This is an important consideration for a patient population that has traditionally been associated with high rates of complications after elective spinal surgery [3]. It is important to remember that obese patients still benefit from appropriately indicated surgeries [1], and Othman et al. have outlined minimally invasive techniques to help with these procedures. Multilevel anterior cervical discectomy and fusion (ACDF) has been associated with higher rates of pseudarthrosis [4]. In another article in this issue, McCarthy et al. review ways to augment multilevel ACDF with the use of biologics and graft selection (https://​doi.​org/​10.​1007/​s11420-019-09738-3). In addition, “adjacent segment disease” is a broad term that encompasses a number of difficult clinical problems including worsened stenosis, facet arthropathy, and disk degeneration. Louie et al. summarize a new manner for classifying the etiology of adjacent segment degeneration (https://​doi.​org/​10.​1007/​s11420-019-09723-w).
This special issue also outlines scientific innovations that have been adapted for use in spinal surgery. Greene et al. discuss strategies for taking developments in basic science to help solve difficult clinical questions in spinal fusion (https://​doi.​org/​10.​1007/​s11420-019-09733-8). This process might involve a “reverse translational pathway” to utilize clinical information and patient outcomes to guide basic science research. Developments in material science and nanotechnology have provided new materials that allow for osteointegration at the bone–implant interface during spinal fusion. Within our issue, Katsuura et al. outline new instrumentation that uses surface technology in order to increase osseous integration and enhance spinal fusion (https://​doi.​org/​10.​1007/​s11420-020-09752-w). Steinberger et al. discuss using all these innovations in interbody technology, osteobiologics, and instrumentation to further enhance spinal fusion for patients requiring surgery for spinal deformity (https://​doi.​org/​10.​1007/​s11420-020-09751-x).
We are proud to bring you this special issue, especially given the rich history of spinal surgery at HSS. HSS surgeon John Cobb, MD, was a giant in the field of treating patients with spinal deformity; his work included developing the “Cobb angle” to quantify a scoliotic curve and collaborating with other surgeons to refine the use of a turnbuckle cast, both of which contributed to the foundation of scoliosis correction in particular and spinal surgery in general [2]. Today, surgeons at HSS employ pre-operative planning, spinal instrumentation, osteobiologics, and interbody devices in seeking to augment healing for patients with spinal pathology. We have attempted to capture these advancements in this special issue of HSS Journal. The evolution of spinal fusion has been outlined by Virk et al. to provide context for the innovations discussed in other articles in our special issue (https://​doi.​org/​10.​1007/​s11420-020-09747-7).
We thank all authors for their contributions in gathering the data, the research, and the ideas required to produce an issue of this scope, summarizing the wide array of strategies available to surgeons in spinal fusion. We hope these articles will guide clinicians in better understanding the strategies for creating solid bony fusion for patients, and we encourage readers to use these articles in designing further research to improve outcomes associated with spinal surgery.

Compliance with Ethical Standards

Conflict of Interest

Sohrab Virk, MD, MBA, declares no conflicts of interest. Sheeraz A. Qureshi, MD, MBA, reports consulting fees from Stryker, Globus Medical, Inc., and Paradigm Spine; royalties from RTI, Globus Medical, Inc., and Stryker; ownership interest in Avaz Surgical and Vital 5; medical/scientific advisory board membership at Spinal Simplicity and Lifelink.​com; board membership at Healthgrades and the Minimally Invasive Spine Study Group; and honoraria from AMOpportunities, outside the submitted work

Human/Animal Rights

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Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://​creativecommons.​org/​licenses/​by/​4.​0/​.

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Anhänge

Electronic supplementary material

Literatur
1.
Zurück zum Zitat Jackson KL 2nd, Devine JG. The effects of obesity on spine surgery: a systematic review of the literature. Global Spine J. 2016;6(4):394–400.CrossRef Jackson KL 2nd, Devine JG. The effects of obesity on spine surgery: a systematic review of the literature. Global Spine J. 2016;6(4):394–400.CrossRef
2.
Zurück zum Zitat Mostofi SB. John Robert Cobb: 1903–1967. In: Who’s Who in Orthopedics. London: Springer; 2005. Mostofi SB. John Robert Cobb: 1903–1967. In: Who’s Who in Orthopedics. London: Springer; 2005.
3.
Zurück zum Zitat Onyekwelu I, Glassman SD, Asher AL, Shaffrey CI, Mummaneni PV, Carreon LY. Impact of obesity on complications and outcomes: a comparison of fusion and nonfusion lumbar spine surgery. J Neurosurg Spine. 2017;26(2):158–162.CrossRef Onyekwelu I, Glassman SD, Asher AL, Shaffrey CI, Mummaneni PV, Carreon LY. Impact of obesity on complications and outcomes: a comparison of fusion and nonfusion lumbar spine surgery. J Neurosurg Spine. 2017;26(2):158–162.CrossRef
4.
Zurück zum Zitat Shriver MF, Lewis DJ, Kshettry VR, Rosenbaum BP, Benzel EC, Mroz TE. Pseudoarthrosis rates in anterior cervical discectomy and fusion: a meta-analysis. Spine J. 2015;15(9):2016–2027.CrossRef Shriver MF, Lewis DJ, Kshettry VR, Rosenbaum BP, Benzel EC, Mroz TE. Pseudoarthrosis rates in anterior cervical discectomy and fusion: a meta-analysis. Spine J. 2015;15(9):2016–2027.CrossRef
Metadaten
Titel
Current Concepts in Spinal Fusion: A Special Issue
verfasst von
Sohrab Virk, MD, MBA
Sheeraz Qureshi, MD, MBA
Publikationsdatum
18.03.2020
Verlag
Springer US
Erschienen in
HSS Journal ® / Ausgabe 2/2020
Print ISSN: 1556-3316
Elektronische ISSN: 1556-3324
DOI
https://doi.org/10.1007/s11420-020-09757-5

Weitere Artikel der Ausgabe 2/2020

HSS Journal ® 2/2020 Zur Ausgabe

Current Concepts in Spinal Fusion/Commentary

Technologies to Enhance Spinal Fusion: Bench to Bedside

Current Concepts in Spinal Fusion/Surgical Technique

Awake Endoscopic Transforaminal Lumbar Interbody Fusion: A Technical Note

Current Concepts in Spinal Fusion/Review Article

Advances in Spinal Fusion Strategies in Adult Deformity Surgery

CURRENT CONCEPTS IN SPINAL FUSION/Review Article

Interbody Fusions in the Lumbar Spine: A Review

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