Spinal Neoplasms
These can be benign or malignant, primary or metastatic, and can affect the structure and function of the spine.
Accurate diagnosis and effective treatment planning are critical for managing spinal neoplasms and optimizing patient outcomes.
PubCompare.ai offers a powerful AI-driven platform to explore the latest research, protocols, and products for spinal neosplasms, supporting data-driven decision making in this important field.
Most cited protocols related to «Spinal Neoplasms»
The data for any given sign/symptom reflect the number of patients for whom we received information, that is, after exclusion of those with entry “unknown” or “Not Specified.” Screening for Lisch nodules was not routinely performed in most patients. None of the patients presented with ophthalmological problems indicative of a symptomatic OPG, but an MRI to exclude presence of an asymptomatic OPG was not routinely performed, except when stated. Similarly, imaging or whole body MRI was not available in patients without signs or symptoms indicative of internal or spinal tumors.
A patient was classified as having short stature when height was below or equal to the 3rd percentile (PC), using the World Health Organization (WHO) growth curve for age less than 2 years, and the Center for Disease Control (CDC) growth curve for age above 2 years in Caucasian and African‐American ethnicity. For the Spanish individuals, Spaniards’ growth charts were used as provided at
A patient was classified as having “NF‐Noonan” when at least two of the following features were present: short stature, low set ears, hypertelorism, midface hypoplasia, webbed neck, or PS.
All patients initially underwent OLIF (Medtronic OLIF25) surgery. A cage (Clydesdale Spinal System, Medtronic, Minneapolis, MN, USA) filled with bone graft from the iliac bone was used in this study. Subsequently, posterior fixation was utilized in all patients. Open pedicle screws, percutaneous pedicle screws, or cortical bone trajectory screws (Medtronic) were used in all patients. Some patients underwent posterior decompression, while others did not. OLIF fusion from 1 to 4 levels and posterior fusion from 1 to 8 levels was performed (
For each of the patients reviewed on a monthly basis, those with a SINS > 7 (imminent instability) are reviewed during the liaison conference call to discuss possible treatments.
During these conference calls, the primary oncologists regularly review images of patients who do not require immediate surgery or radiotherapy, prioritized based on risk factors. In this way, the radiologist's interpretation of each image is reviewed by the orthopedic spine surgeon on a regular basis, and metastatic progression can be detected early. The sequence of events wherein the spine surgeon reviews patient images selected by the radiologist is an important aspect of this treatment method. In addition, spine surgeons, radiologists, and physicians are in close contact to prevent serious SREs in advance, a process that is very important and effective.
This study participant including 454 patients with LDD and 485 controls were recruited from Spine Surgery and Physical Examination Center, the First Affiliated Hospital of Guangxi Medical University. The control group was composed of 252 females and 233 males, and the case group was composed of 259 females and 195 males. All patients were diagnosed with LDD based on clinical examinations and Magnetic Resonance Imaging (MRI). Clinical examinations were performed by one attending spine surgeon. MRI images were obtained using a 1.5-T magnetic resonance imaging Achieva scanner (Philips Medical Systems; Best, the Netherlands) with Nova Dual gradients. The following inclusion criteria were applied: (1) low back pain as the main symptom for at least 3 months; (2) MRI shows degenerative changes in lumbar spine; (3) no previous spinal surgery or other treatment that would deform the lumbar spine. Evaluation of the characteristics of the phenotypes based on MRI was performed by two independent radiologists. Any dispute between the two radiologists was resolved by a senior radiologist. According to MRI phenotypes36 (link), the patients with LDD were further divided into three different mutually exclusive subgroups based on as follows: subgroup 1 included 266 patients affected by lumbar disc herniation; subgroup 2 included 105 patients affected by lumbar spinal stenosis and subgroup 3 included 83 patients affected by lumbar spondylolisthesis (Fig.
Classification of patients into subgroups by MRI imaging. (
Most recents protocols related to «Spinal Neoplasms»
General inclusion criteria for this study were as follows:
Age ≥ 45 years;
Those radiographic parameters met the criteria at least one of the followings: a, coronal curvature ≥ 20°; b, SVA ≥ 5 cm; c, PT ≥ 25°; d, TK ≥ 60° [16 (link), 17 (link)].
The research data before and after surgery, including demographics, surgical and radiographic parameters, were integrated.
The follow-up duration ≥ 24 months.
In this current study, proximal junctional failure (PJF) was defined as fractures or subluxations happening in the UIV and/or UIV + 1; pedicle screw loosening, dislodgment, or even pullout from the UIV [18 (link)]. Demographics (age, gender, and BMI) and surgical data involving UIV, lower instrumented vertebra (LIV), and fixed segments (FS) were reviewed and documented. Postoperatively, follow-up time and PJF-free survival time after surgery were documented. Radiographs at the pre-operation, the immediate post-operation, and the final follow-up were collected.
Background variables for participants with cervical radiculopathy who underwent surgery and postoperative rehabilitation and were included in the secondary analysis of postoperative neurological outcomes.
N | Total | SPT (N = 97) | SA (N = 96) | |
---|---|---|---|---|
Age, mean (SD) | 193 | 50 (8.4) | 50 (8.3) | 50 (8.6) |
Sex male, n (%) | 193 | 100 (52) | 48 (50) | 52 (54) |
Anterior surgery, n (%) | 193 | 155 (80) | 73 (75) | 82 (85) |
NDI %, mean (SD) | 184 | 43 (14.9) | 42 (14.5) | 44 (15.4) |
Neck pain mm VAS, mean (SD) | 188 | 56 (24.3) | 55 (24.9) | 57 (23.8) |
Arm pain mm VAS, mean (SD) | 185 | 50 (28.0) | 52 (26.5) | 48 (29.5) |
Neurological impairment prick touch, n (%) | 193 | 154 (80) | 78 (80) | 76 (80) |
Neurological impairment light touch, n (%) | 193 | 138 (72) | 70 (72) | 68 (71) |
Neurological impairment motor function, n (%) | 191 | 150 (79) | 80 (83) | 70 (74) |
Neurological impairment arm reflex, n (%) | 186 | 109 (59) | 50 (53) | 59 (64) |
Positive Spurling test, n (%) | 142 | 91 (64) | 49 (67) | 42 (61) |
Results are presented with mean value and standard deviation (SD) or number (n) and percentage (%).
Flow chart of participants included in the analyses of secondary neurological outcomes.
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More about "Spinal Neoplasms"
These neoplasms can be benign (non-cancerous) or malignant (cancerous), and can be primary (originating in the spine) or metastatic (spreading from another site in the body).
Accurate diagnosis and effective treatment planning are critical for managing spinal neoplasms and optimizing patient outcomes.
Advances in imaging technologies, such as Brilliance CT Big Bore, 1.5T MRI, and ParaVision 6.0.1, have significantly improved the ability to detect and characterize these tumors.
Surgical intervention, including the use of the Pentero 900 surgical microscope and the CyberKnife VSI system for stereotactic radiosurgery, are often key components of treatment.
The Bryan Disc replacement system is an example of a spinal implant that may be used in some cases.
Preclinical research on spinal neoplasms often utilizes NMRI nude mice and the BGA 12S HP gradient system for MRI imaging.
Computational tools like 3-matic software can also aid in treatment planning and visualization.
By leveraging the power of AI-driven protocol optimization, platforms like PubCompare.ai can help researchers and clinicians explore the latest research, protocols, and products for spinal neoplasms, supporting data-driven decision making in this important field.