STUDY DESIGN The study design of this paper is a systematic review of literature published in the recent 10 years. OBJECTIVE It is the objective of this paper to compare the clinical efficacy and safety of minimal access (MIS) spinal surgery and open spinal surgery for treating painful spine metastasis. METHODS Two research questions below were determined through a consensus among a panel o...

BACKGROUND Transforaminal lumbar endoscopic discectomy is a minimally invasive spine surgery procedure performed principally for the treatment of lumbar herniated discs. Endoscopic spine surgeons around the world have noted how far patients will travel to undergo this minimally invasive spine surgery, but the actual distance patients travel has never been investigated. OBJECTIVE We present he...

As the number of elderly persons in the United States continues to increase, there will be an associated increase in age-related diseases, such as degenerative conditions of the lumbar spine. Elderly patients frequently present to their geriatrician or primary care provider with low back and leg pain. Spine surgery is one of several options the geriatric patient may consider for symptomatic rel...

The emergence of new devices and new technologies has led to signifi cant and important changes in the practice of spine surgery over the past decade. Spine surgeons are responsible for continuously learning about new implants, instruments, bone graft substitutes, and new procedures. Making informed decisions on the adoption of new technologies in spine surgery is an important challenge for all...

BACKGROUND The United States has the highest rate of lumbar spine surgery in the world, with rates increasing over 200% since 1990. Medicare spends over $1 billion annually on lumbar spine surgery. Despite surgical advances, up to 40% of patients report chronic pain and disability following surgery. Our work has demonstrated that fear of movement is a risk factor for increased pain and disabili...

BACKGROUND The surgeon's attention to the patient's underlying psychological state is essential to attaining desired outcomes. We aimed to investigate the prevalence and severity of psychological disorders in patients undergoing elective spine surgery. METHODS In this case-control study, associated psychological disorders were assessed using the Hospital Anxiety and Depression Scale (HADS) qu...

Purpose. The purpose of our study is to evaluate the level of evidence (LOE) of spine surgery publications in the Arab countries and compare it with standard international literature in spine surgery and to determine the stand of the Arab nations academic production with that of the global one. Methods. An online search using "PubMed" and "Google Scholar" was carried out, using search terms rel...

Introduction: Spinal tumors are rare lesions. The incidence of spinal is about 0.5-2.5 cases per 100,000 population year.1 Thirty percent located intradural. Twenty to thirty intradural schwannoma and neurofibroma.2 Surgery the leading choice for schwannomas neurofibromas that grow progressively or cause neurological deficits.2,3,4 Currently, minimally invasive surgery developing rapidly, inclu...

POSTOPERATIVE visual loss after nonophthalmic surgery is rare, with a reported incidence ranging from 0.01% to 1%. Most recently, perioperative visual loss associated with spine surgery prompted a Practice Advisory from the American Society of Anesthesiologists. That advisory specifically focused on the most common causes during spine surgery, including ischemic optic neuropathy and central ret...