Jun 22–28, 2026 · 31 new studies, 10 reviews · Spine archive · All weeks
The new Spine research The Reduction sent the week of Jun 22–28, 2026, with the week’s most recent reviews, each with a one-line summary.
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Strategies for Work-up and Treatment of Case Scenarios in Neurogenic Thoracic Outlet Syndrome.
Expert hand surgeons favor supraclavicular decompression with pectoralis tenotomy for thoracic outlet syndrome, with individualized approaches to complex cases.
Despite late skeletal maturity, 12% of female AIS patients with Risser ≥3 experience clinically significant progression; lower BMI and residual growth are independent risk factors.
Radiographic tether breakage in vertebral body tethering remains 50% with second-generation devices; surgeon-observed breakage improved significantly with newer technology.
Carbon fiber-reinforced PEEK and titanium spinal implants show comparable survival and local disease control in vertebral metastases treatment.
Endoscopic Lumbar Surgery in the Elderly: An Age-Stratified Systematic Review and Meta-Analysis.
Endoscopic lumbar surgery in elderly patients achieves comparable pain relief and functional improvement to younger cohorts without age-related safety concerns.
Nonbrachial Plexopathy Diagnoses Seen in a Brachial Plexus Injury Specialty Clinic.
Seven percent of brachial plexus referrals had nonplexus diagnoses; multidisciplinary evaluation prevented misdiagnosis and guided appropriate treatment including surgery in 15% of cases.
Modified percutaneous vertebral-disc biopsy with 16S rRNA sequencing improved pathogen detection to 85.7% for early pyogenic spondylodiscitis without added complications.
Postoperative acute kidney injury in myeloma patients undergoing spinal surgery independently worsens survival, increases infection risk, and accelerates muscle and bone loss.
C2-pelvis fusion for adult spinal deformity caused higher complication rates, prolonged ICU stay, and shorter overall survival compared to T4-pelvis fusion.
Cervical and lumbar degenerative spinal disease independently increase urinary dysfunction risk; combined involvement carries highest risk at 2.24-fold increase.
Timely surgery within 14 days and prolonged time-to-culture-positivity improve survival and recurrence-free outcomes in Staphylococcus pyogenic spondylodiscitis.
Straightening the facts: early versus late adolescent surgery in idiopathic scoliosis.
Adolescent idiopathic scoliosis surgery before age 14 achieved superior radiographic correction maintained over 2 years versus age 14+, with similar clinical outcomes.
Substantial discordance (16-25%) exists among skeletal maturity systems in adolescent scoliosis; Risser staging frequently overestimates maturity versus Sanders and CVM.
Posterolateral Wiltse-type corridor provides short surgical trajectory with good instrument maneuverability for intra-psoas schwannomas as alternative to anterior approaches.
Does Hi-PoAD technique work for congenital scoliosis: a single centre case series.
Hi-PoAD technique achieves meaningful deformity correction in congenital scoliosis with low complication rates, extending its utility beyond adolescent idiopathic scoliosis.
Automated lumbar muscles segmentation with segment anything model for adult degenerative scoliosis.
AI-based automated lumbar muscle segmentation tool accurately measures muscle degeneration and correlates with coronal deformity in adult scoliosis.
Multiple frailty indices predict worse outcomes in adult spinal deformity surgery; FRAIL Scale best for admission/hospital-acquired conditions, mASD-FI for reoperation.
Vectored traction with Gardner-Wells tongs significantly reduces pressure-related complications during pediatric prone spine surgery without perioperative vision loss.
Prophylactic concave-side decompression before 3CO significantly reduces neurological deficits and IONM alerts in severe kyphoscoliosis with type 3 cord morphology.
ALIF with posterior instrumentation provides superior sagittal alignment, lower reoperation rates, and better long-term outcomes than TLIF in patients ≤50 years.
Dexmedetomidine and dexamethasone as perineural adjuvants prolong analgesia; dexamethasone better reduces inflammation and opioid consumption after lumbar spine surgery.
Impact of complications on survival after surgery for metastatic spinal cord compression.
Postoperative systemic complications independently reduce survival after metastatic spinal cord compression surgery; impaired preoperative ambulation predicts higher complication risk and should guide surgical decision-making.
Epinephrine-added irrigation during full-endoscopic lumbar decompression significantly reduces operative time and improves visualization without hemodynamic instability after accounting for the learning curve.
Preoperative steroid use, low albumin, and prolonged PT predict neurological complications after pediatric scoliosis fusion; antifibrinolytic use is protective.
Evaluation of a Pediatric Surgical Risk Calculator for Postoperative Outcomes in Spinal Deformity.
ACS-NSQIP calculator substantially underestimates overall complication risk in pediatric spinal deformity surgery, particularly for extensive fusions and neuromuscular scoliosis.
Both degenerative spine disease and spinal fusion independently increase hip osteoarthritis risk, with spinal fusion particularly associated with progression to total hip replacement.
Contrast-enhanced MRI grading of nuchal ligament disruption in dropped head syndrome correlates with head alignment and cervical extension loss, providing a useful severity stratification tool.
Level of maximal stenosis in cervical OPLL influences symptom patterns and domain-specific recovery; upper stenosis shows better arm/hand improvement, lower stenosis shows worse lower extremity recovery.
Fixed-angle static plates better maintain cervical lordosis after multilevel ACDF than dynamic plates, with similar fusion rates, functional outcomes, and complication profiles at short-term follow-up.
Medially angulated C1 pedicle screw trajectories provide wider corridors and improved vascular clearance compared to straight trajectories in this Indian cohort.
Nodular fasciitis of the intradural cervical spine post-operatively is rare; early total resection yields excellent neurological recovery.
Advancements and applications of 3D printing in pediatric orthopedics: A comprehensive review.
Three-dimensional printing enhances surgical precision and reduces operative time in pediatric orthopedic applications for deformities, tumors, and spinal pathology.
Morphologic and Clinical Aspects of Pott Disease in Ancient Human Remains: A Scoping Review.
Pott disease in ancient skeletal remains shows male predominance and primarily affects the spine; most evidence comes from Europe and Near East excavations.
Orthobiologics including PRP, stem cells, and nucleus pulposus cell injections show early promise for intervertebral disc regeneration and pain reduction, but robust clinical evidence remains limited.
Differentiating Shoulder Pathology from Cervical Spine Pathology: An Algorithmic Approach.
Systematic algorithmic approach differentiates shoulder from cervical spine pathology, reducing diagnostic delays and guiding appropriate management of overlapping presentations.
Low-grade spondylolisthesis responds to conservative care; high-grade disease is progressive and requires fusion; pedicle screw techniques achieve >90% fusion rates.
Hybrid cervical constructs combining arthroplasty with fusion address patient-specific pathology effectively and show promise for multi-level cervical disease.
Current Applications of Machine Learning in Spine: From Clinical View.
Machine learning applications in spine show excellent performance for diagnosis, imaging, and predicting complications; more RCTs needed for clinical acceptance.
Genetic animal modeling for idiopathic scoliosis research: history and considerations.
Genetic animal models of idiopathic scoliosis are difficult due to complex genetics and bipedalism; careful model selection based on research questions essential.
Revision surgery for non-union in adult spinal deformity.
Successful revision surgery for adult spinal deformity pseudoarthrosis requires correcting alignment, restoring anterior column support, and achieving solid fixation; outcomes are generally satisfactory when these goals are met.
A systematic approach to the hip-spine relationship and its applications to total hip arthroplasty.
Hip-spine workgroup consensus standardizes spinopelvic terminology to guide acetabular component positioning in total hip arthroplasty planning.
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