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Clinical Spine Surgery

journal
https://www.readbyqxmd.com/read/28926344/the-effect-of-severity-of-illness-on-spine-surgery-costs-across-new-york-state-hospitals-an-analysis-of-69-831-cases
#1
I David Kaye, Murillo Adrados, Raj J Karia, Themistocles S Protopsaltis, Joseph A Bosco
STUDY DESIGN: Observational database review. OBJECTIVE: To determine the effect of patient severity of illness (SOI) on the cost of spine surgery among New York state hospitals. SUMMARY OF BACKGROUND DATA: National health care spending has risen at an unsustainable rate with musculoskeletal care, and spine surgery in particular, accounting for a significant portion of this expenditure. In an effort towards cost-containment, health care payers are exploring novel payment models some of which reward cost savings but penalize excessive spending...
September 18, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28914655/percutaneous-nucleoplasty-for-the-treatment-of-a-contained-cervical-disk-herniation
#2
Judith D de Rooij, Pravesh S Gadjradj, John S Soria van Hoeve, Frank J Huygen, Hans A Aukes, Biswadjiet S Harhangi
Cervical radiculopathy is characterized by compression of the roots of the nerve. When conservative treatment fails and symptoms persist or increase in severity, surgical treatment is considered. Anterior cervical discectomy with or without fusion is regarded as the standard treatment for cervical disk herniation. Recently, there is an evolving trend in spinal surgery towards less invasive techniques. Nucleoplasty is a minimally invasive technique in which radiofrequency technology is used for percutaneous decompression...
September 13, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28902743/use-of-an-alternative-surgical-corridor-in-oblique-lateral-interbody-fusion-at-the-l5-s1-segment-a-technical-report
#3
Nam-Su Chung, Chang-Hoon Jeon, Han-Dong Lee
STUDY DESIGN: Technical report. OBJECTIVE: To demonstrate the use of an alternative surgical corridor in oblique lateral interbody fusion (OLIF) at the L5-S1 segment. SUMMARY OF BACKGROUND DATA: OLIF L5-S1 is essentially performed through the central disk space between the bifurcations of the iliac vessels, which is sometimes difficult due to the vascular structures that obstruct the surgical field. Another concern is retrograde ejaculation following superior hypogastric plexus injury in male patients...
September 11, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28902742/effectiveness-of-surgical-treatment-for-tarlov-cysts-a-systematic-review-of-published-literature
#4
Laura E Dowsett, Fiona Clement, Stephanie Coward, Diane L Lorenzetti, Tom Noseworthy, Laura Sevick, Eldon Spackman
OF BACKGROUND DATA: In the general population, it has been estimated that 1.5% of people have ≥1 Tarlov cysts, with about 13% of those being symptomatic. Despite a range of options for treatment, there is debate about when, and how to optimally treat individuals with Tarlov cysts among clinicians, and among policy decision makers. OBJECTIVE: To summarize the current evidence on surgical treatment of Tarlov cysts. STUDY DESIGN: A systematic review was completed...
September 11, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28902741/the-influence-of-geography-time-and-payer-type-on-the-utilization-of-bone-morphogenetic-protein-bmp-between-2005-and-2015
#5
Sohrab S Virk, Frank M Phillips, Safdar N Khan
Bone morphogenetic protein (BMP) is a critical compound for endochondral bone formation and is used as a bone graft substitute to promote spinal fusion and fracture healing. We sought to identify rate, type, and applications of use of BMP in spinal fusion surgery during 2005 to 2015. The Medicare 5% national sample (SAF5) database and the Humana Orthopaedics database (HORTHO) were searched for patients who underwent spinal fusion with BMP. Rate of use over time and influence of geographic region and payer type on utilization of BMP during 2005 to 2015 were analyzed...
September 11, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28902740/comparative-effectiveness-of-treatments-for-chronic-low-back-pain
#6
(no author information available yet)
No abstract text is available yet for this article.
September 11, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28857970/novel-technique-for-sacral-alar-iliac-s2ai-fixation
#7
Nicholas S Andrade, Louis Okafor, Brian J Neuman
OBJECTIVE: To provide reasoning and steps for the placement of sacral alar-iliac (S2AI) screws for pelvic arthrodesis to aid osseous lumbosacral fusion. SUMMARY OF BACKGROUND DATA: Studies support lower rates of screw breakage and need for revision surgery or hardware removal for S2AI screws compared with traditional iliac bolts, as well as low rates of pseudoarthrosis and arthritis associated with this hardware placement. MATERIALS AND METHODS: A case video of S2AI placement demonstrates our operative technique and is accompanied by procedural description of surgical maneuvers...
August 28, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28857969/assessing-online-patient-education-readability-for-spine-surgery-procedures
#8
William W Long, Krishna D Modi, Brittany E Haws, Benjamin Khechen, Dustin H Massel, Benjamin C Mayo, Kern Singh
BACKGROUND CONTEXT: Increased patient reliance on Internet-based health information has amplified the need for comprehensible online patient education articles. As suggested by the American Medical Association and National Institute of Health, spine fusion articles should be written for a 4th-6th-grade reading level to increase patient comprehension, which may improve postoperative outcomes. PURPOSE: The purpose of this study is to determine the readability of online health care education information relating to anterior cervical discectomy and fusion (ACDF) and lumbar fusion procedures...
August 28, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28857968/risk-factors-and-management-of-incidental-durotomy-in-lumbar-interbody-fusion-surgery
#9
Frederik Enders, Amelie Ackemann, Simon Müller, Karl Kiening, Berk Orakcioglu
STUDY DESIGN: This is a retrospective study analysis. OBJECTIVE: In this retrospective study we evaluated risk factors for incidental durotomy and its impact on the postoperative course. SUMMARY OF BACKGROUND DATA: Lumbar interbody fusion (LIF) is increasingly applied for the treatment of degenerative instability. A known complication is incidental durotomy. MATERIALS AND METHODS: A cohort of 541 patients who underwent primary LIF surgery between 2005 and 2015 was analyzed...
August 28, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28857967/the-effect-of-time-to-surgery-for-degenerative-lumbar-stenosis-dls-in-a-workers-compensation-setting
#10
Erik Y Tye, Joshua T Anderson, Arnold R Haas, Rick Percy, Stephen T Woods, Uri M Ahn, Nicholas U Ahn
STUDY DESIGN: Retrospective Cohort Study. OBJECTIVE: The objective of this study is to determine how time to surgery affects outcomes for degenerative lumbar stenosis (DLS) in a workers' compensation (WC) setting. SUMMARY OF BACKGROUND DATA: WC subjects are known to be a clinically distinct population with variable outcomes following lumbar surgery. No study has examined the effect of time to surgery in this clinically distinct population...
August 28, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28857966/mini-open-lateral-retropleural-approach-for-symptomatic-thoracic-disk-herniations
#11
Chun-Po Yen, Juan S Uribe
BACKGROUND: Surgeries for symptomatic thoracic disk herniations (TDH) remain challenging. OBJECTIVE: A mini-open lateral retropleural approach is described and the clinical outcomes are reported. MATERIALS AND METHODS: A total of 23 patients underwent mini-open lateral retropleural diskectomy. Patients were placed in a lateral position. A 5-cm lateral incision was made followed by resection of the rib after careful dissection of its undersurface from the endothoracic fascia...
August 28, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28787282/the-effect-of-hospital-ownership-on-health-care-utilization-in-orthopedic-surgery
#12
Gregory D Schroeder, Mark F Kurd, Christopher K Kepler, Kris E Radcliff, Mitchell G Maltenfort, Hamadi Murphy, Jeffery A Rihn, D Greg Anderson, Alan S Hilibrand, Alexander R Vaccaro
PURPOSE: To determine if ownership of a specialty hospital or ambulatory surgery centers (ASC) affects surgical volume. MATERIALS AND METHODS: All surgeries performed by 75 orthopedic surgeons at a single practice between January 1, 2010 and March 1, 2015 were identified. During this time, the practice purchased an ownership stake in 1 hospital and 3 ASC. The total surgical volume by partnership status and location was collected and analyzed. RESULTS: A total of 104,661 surgical surgeries were performed by 75 surgeons...
August 4, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28719455/microscope-and-fiberscope-assisted-subarachnoid-subarachnoid-s-s-bypass-a-novel-surgical-technique-to-reestablish-cerebrospinal-fluid-flow-in-treating-dorsal-spinal-arachnoid-webs-diagnosed-by-cine-mri
#13
Yasushi Fujiwara, Hideki Manabe, Bunichiro Izumi, Takayuki Shima, Nobuo Adachi
A "dorsal spinal arachnoid web" is the thickened arachnoid band on the surface of the spinal cord which disturbs the cerebrospinal fluid (CSF) flow, known as a rare cause of thoracic myelopathy. The ideal treatment is controversial because of the risk of readhesion after simple resection of the web. A subarachnoid-subarachnoid bypass is a method to reestablish CSF flow through a silicon tube between the cranial and caudal subarachnoid space. This method is reported to be useful for traumatic syringomyelia, adhesive arachnoiditis, etc...
July 17, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28719454/the-difference-in-clinical-outcomes-after-anterior-cervical-fusion-disk-replacement-and-foraminotomy-in-professional-athletes
#14
Harry T Mai, Danielle S Chun, Andrew D Schneider, Andrew C Hecht, Joseph C Maroon, Wellington K Hsu
STUDY DESIGN: Retrospective case series. OBJECT: To compare postoperative outcomes of professional athletes treated for cervical disk herniation after anterior cervical discectomy and fusion (ACDF) and posterior foraminotomy (PF), or total disk replacement (TDR). SUMMARY OF BACKGROUND DATA: ACDF, PF, and TDR have all led to excellent outcomes in the general population but the unique demands in the professional athlete necessitate specific study...
July 17, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28719453/reliability-and-clinical-utility-of-the-cards-classification-for-degenerative-spondylolisthesis
#15
Garret L Sobol, Alan Hilibrand, Ashley Davis, Paul Millhouse, John Koerner, Christopher Kepler, Gregory D Schroeder, Jonathan D Krystal, Erik C Olsson, Jeffrey Rihn, David Greg Anderson, Alexander Vaccaro, Kristen Radcliff
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: The objective of this study is to determine the reliability and clinical utility of the of the proposed CARDS classification for degenerative spondylolisthesis. BACKGROUND: The Clinical and Radiographic Degenerative Spondylolisthesis (CARDS) classification system was recently proposed as an alternative to the Meyerding system for classifying degenerative spondylolisthesis (DS). Unlike Meyerding, CARDS considers other relevant radiographic findings such as disk space collapse and segmental kyphosis to stratify DS into 4 radiographically discreet types...
July 17, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28719452/treatment-of-spinal-tumors-in-a-high-volume-center-has-direct-impact-on-local-recurrence-morbidity-and-mortality
#16
Ran Lador, Stefano Bandiera, Alessandro Gasbarrini, Riccardo Ghermandi, Stefano Boriani
OBJECTIVE OF THE STUDY: En bloc resections of spine tumors aim at locally controlling the disease for both improving the patient's quality of life as well as improving mortality. The purpose of this study was to compare the outcome between patients who were initially treated in a high volume specialized center, and patients who initially underwent either invasive diagnostic procedure or an initial surgical attempt to treat the disease in a different center. MATERIALS AND METHODS: A retrospective study of 1681 patients affected by spine tumors-treated from 1990 to 2015 by the same team...
July 17, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28692571/efficacy-of-target-drug-delivery-and-dead-space-reduction-using-antibiotic-loaded-bone-cement-for-the-treatment-of-complex-spinal-infection
#17
Soichiro Masuda, Shunsuke Fujibayashi, Bungo Otsuki, Hiroaki Kimura, Shuichi Matsuda
STUDY DESIGN: A retrospective study. OBJECTIVES: We have treated complex cases of surgical site infection (SSI) successfully using antibiotic-loaded bone cement to avoid the need for implant removal. In the present study, we describe a new treatment option for SSI. SUMMARY OF BACKGROUND DATA: Although there are several treatment options for SSI after spinal surgery involving instrumentation, several types of problems may arise and are difficult to cure...
July 7, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28692570/payor-reform-opportunities-for-spine-surgery-part-ii-the-potential-emergence-of-population-health
#18
Jason Scalise, David Jacofsky
The pressures on spine surgery to adopt value-based reimbursement models are being seen in the increased implementation of bundled payment strategies. Given that bundled payment models typically link payments to the initiation of the surgical episode in question, despite their potential cost-saving attributes, financial incentives remain tied to the volume of services being provided. As payors and policy makers look to find savings by focusing on waste and variation of care, more comprehensive models such population health strategies are now being develop and deployed...
July 7, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28692569/efficacy-of-conical-laminoplasty-after-thoracic-laminectomy
#19
Kazuyoshi Kobayashi, Shiro Imagama, Kei Ando, Yoshihiro Nishida, Naoki Ishiguro
STUDY DESIGN: Retrospective clinical study. OBJECTIVE: To evaluate the results of a new method of laminoplasty, referred to as conical laminoplasty. SUMMARY OF BACKGROUND DATA: In surgery for a thoracic intradural tumor, laminectomy is frequently used for tumor resection. However, laminoplasty may be more effective due to prevention of damage to the posterior elements. This method can be performed as recapping T-saw laminoplasty and conical laminoplasty which we refer...
July 7, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28692568/superior-segment-facet-joint-violation-during-instrumented-lumbar-fusion-is-associated-with-higher-reoperation-rates-and-diminished-improvement-in-quality-of-life
#20
Jay M Levin, Vincent J Alentado, Andrew T Healy, Michael P Steinmetz, Edward C Benzel, Thomas E Mroz
STUDY DESIGN: A retrospective cohort study at a single tertiary care center. OBJECTIVE: To determine the impact of superior segment facet joint violation (FJV) during lumbar fusion on reoperation rates and quality of life (QOL). SUMMARY OF BACKGROUND DATA: Although lumbar fusion is an efficacious and durable treatment for numerous spinal pathologies, adjacent segment degeneration remains a serious complication. FJV has been suggested to alter load-bearing capability and potentially contribute to adjacent segment degeneration...
July 7, 2017: Clinical Spine Surgery
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