Diagnostic Imaging and Minimally Invasive Treatment of Degenerative Spine Disease

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Methodology, Drug and Device Discovery".

Deadline for manuscript submissions: closed (5 October 2022) | Viewed by 11539

Special Issue Editors


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Guest Editor
1. Unit of Neurosurgery, Mater Olbia Hospital, 07026 Olbia, Italy
2. Institute of Neurosurgery, IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Catholic University, 00168 Rome, Italy
Interests: degenerative spine; traumatic spine; spine tumor; spine surgery
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Co-Guest Editor
1. DOCS Surgical Hospital and DOCS Health, Los Angeles, CA, USA
2. Spine Surgery Cedars Sinai Medical Center, Los Angeles, CA, USA
Interests: cervical and lumbar artificial disc replacement surgery (ADR); degenerative disc disease; reconstructive surgery for spinal tumors and deformities

Special Issue Information

Dear Colleagues,

Diagnostic imaging in spine disease is of paramount importance today, and it includes an understanding of the pathology, its gravity, and influence on life, as well as the psychosocial background. Hence, appropriate management plan is crucial in diagnostic imaging.

Moreover, the constant technological developments have kept providing new updates to diagnostic imaging, with improved imaging visualization and more detailed images allowing a more sophisticated diagnosis and, ultimately, the best therapeutic strategy for the patient.

Spinal surgery sees the benefits of this tremendous technological innovation both in diagnosis and intraoperative imaging and/or navigation tools.  

The goal of this Special Issue of the Journal of Personalized Medicine, “Diagnostic Imaging of Spine Disease”, is to publish new and interesting studies, particularly original research with a clinical focus.

Dr. Giuseppe La Rocca
Dr. Brian Perri
Guest Editors

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Keywords

  • degenerative spine
  • spine disease
  • diagnostic spine images
  • spine surgery
  • technology in spine
  • 3D imaging in spine

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Published Papers (2 papers)

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Research

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11 pages, 1498 KiB  
Article
Cone-Beam Navigation Can Reduce the Radiation Exposure and Save Fusion Length-Dependent Operation Time in Comparison to Conventional Fluoroscopy in Pedicle-Screw-Based Lumbar Interbody Fusion
by Sebastian Rohe, Patrick Strube, Alexander Hölzl, Sabrina Böhle, Timo Zippelius and Chris Lindemann
J. Pers. Med. 2022, 12(5), 736; https://doi.org/10.3390/jpm12050736 - 1 May 2022
Cited by 2 | Viewed by 1797
Abstract
This study investigates the advantages and disadvantages of cone-beam-based navigated standardized posterior lumbar interbody fusion surgery (PLIF), regarding the radiation exposure and perioperative time management, compared to the use of fluoroscopy. Patients treated receiving an elective one- to three-level PLIF were retrospectively enrolled [...] Read more.
This study investigates the advantages and disadvantages of cone-beam-based navigated standardized posterior lumbar interbody fusion surgery (PLIF), regarding the radiation exposure and perioperative time management, compared to the use of fluoroscopy. Patients treated receiving an elective one- to three-level PLIF were retrospectively enrolled in the study. The surgery time, preparation time, operation room time, and effective dose (mSv) were analyzed for comparison of the radiation exposure and time consumption between cone-beam and fluoroscopy; Results: 214 patients were included (108 cone-beam navigated, and 106 traditional fluoroscopies). Using cone-beam navigation, reductions in the effective dose (2.23 ± 1.96 mSv vs. 3.39 ± 2.32 mSv, p = 0.002) and mean surgery time of 30 min (143.62 ± 43.87 min vs. 171.10 ± 48.91 min, p < 0.001) were demonstrated, which leveled out the extended preparation time of 7–8 min (37.25 ± 9.99 min vs. 29.65 ± 7.69 min, p < 0.001). These effects were fusion length dependent and demonstrated additional benefits in multisegmental surgeries. The cone-beam navigation system led to a reduction in the perioperative time requirements and radiation exposure. Furthermore, the controversially discussed longer preparation time when using cone-beam navigation was amortized by a shortened surgery time, especially in multilevel surgery. Full article
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Review

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14 pages, 2575 KiB  
Review
Degenerative Disc Disease of the Spine: From Anatomy to Pathophysiology and Radiological Appearance, with Morphological and Functional Considerations
by Luca Scarcia, Marco Pileggi, Arianna Camilli, Andrea Romi, Andrea Bartolo, Francesca Giubbolini, Iacopo Valente, Giuseppe Garignano, Francesco D’Argento, Alessandro Pedicelli and Andrea Maria Alexandre
J. Pers. Med. 2022, 12(11), 1810; https://doi.org/10.3390/jpm12111810 - 1 Nov 2022
Cited by 13 | Viewed by 8857
Abstract
Degenerative disc disease is a common manifestation in routine imaging of the spine; this finding is partly attributable to physiological aging and partly to a pathological condition, and sometimes this distinction is simply not clear. In this review, we start focusing on disc [...] Read more.
Degenerative disc disease is a common manifestation in routine imaging of the spine; this finding is partly attributable to physiological aging and partly to a pathological condition, and sometimes this distinction is simply not clear. In this review, we start focusing on disc anatomy and pathophysiology and try to correlate them with radiological aspects. Furthermore, there is a special focus on degenerative disc disease terminology, and, finally, some considerations regarding disc morphology and its specific function, as well as the way in which these aspects change in degenerative disease. Radiologists, clinicians and spine surgeons should be familiar with these aspects since they have an impact on everyday clinical practice. Full article
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