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Spine Patient Satisfaction

Tamir Ailon, Jin Tee, Neil Manson, Hamilton Hall, Ken Thomas, Y Raja Rampersaud, Albert Yee, Nicolas Dea, Andrew Glennie, Chris Bailey, Sean Christie, Michael H Weber, Andrew Nataraj, Jerome Paquet, Mike Johnson, Jonathan Norton, Henry Ahn, Greg McIntosh, Charles G Fisher
STUDY DESIGN: Retrospective review of results from a prospectively collected Canadian cohort in comparison to published literature. OBJECTIVES: (1) To investigate whether patients in a universal health care system (HCS) have different outcomes than those in a multi-tier HCS in surgical management of degenerative spondylolisthesis (DS). (2) To identify independent factors predictive of outcome in surgical DS patients. SUMMARY OF BACKGROUND DATA: Canada has a national health insurance program with unique properties...
October 9, 2018: Spine Journal: Official Journal of the North American Spine Society
Ahilan Sivaganesan, Anthony L Asher, Mohamad Bydon, Inamullah Khan, Panagoitis Kerezoudis, Kevin T Foley, Hui Nian, Frank E Harrell, Kristin R Archer, Clinton J Devin
STUDY DESIGN: This study retrospectively analyzes prospectively collected data. OBJECTIVE: The primary aim of this study is to present a scheme for PRO-based, risk-adjusted rankings of spine surgeons and sites that perform elective lumbar surgery, using the Quality and Outcomes Database (QOD). SUMMARY OF BACKGROUND: There is currently no means of determining which spine surgeons or centers are positive or negative outliers with respect to patient-reported outcomes (PRO) for elective lumbar surgery...
October 11, 2018: Spine
Ilyas S Aleem, Bradford L Currier, Michael J Yaszemski, Heidi Poppendeck, Paul Huddleston, Jason Eck, John Rhee, Mohamad Bydon, Brett Freedman, Ahmad Nassr
STUDY DESIGN: This is a prospective cohort study. OBJECTIVE: To characterize the accuracy of patient recollection of preoperative symptoms after cervical spine surgery. SUMMARY OF BACKGROUND DATA: Recall bias is a well-known source of systematic error. The accuracy of patient recall after cervical spine surgery remains unknown. METHODS: Consecutive patients undergoing cervical spine surgery for myelopathy or radiculopathy were enrolled...
October 5, 2018: Clinical Spine Surgery
Mert Akbas, Abdel Reheem Elawamy, Haitham Hamby Salem, Ahmed Zaghloul Fouad, Nisreen Adel Abbas, Gozde Dagistan
BACKGROUND: Percutaneous epidural adhesiolysis and neuroplasty (PEAN) has been proven to be safe and effective in treating different spine pathologies, in particular post lumbar surgery syndrome (PLSS). OBJECTIVES: The purpose of this study was to compare the efficacy and complication rates of the 3 different PEAN anatomical approaches (caudal, S1 foraminal, and L5-S1 transforaminal) used to treat PLSS. STUDY DESIGN: This study used a case control, blind study...
September 2018: Pain Physician
Qiunan Lyu, Chunguang Zhou, Yueming Song, Limin Liu, Bowen Hu, Ganjun Feng, Zhongjie Zhou, Xi Yang
OBJECTIVE: Hemimetameric segmental shift (HMMS) is defined as two or more contralateral hemivertebrae (HV) that are separated by at least one normal vertebra. Theoretically, the two HV tend to balance each other to produce minor spine deformities. However, curve progression has still been observed in HMMS. Moreover, no research has yet specifically studied its surgical treatment. Therefore, the study aimed to report the efficacy of HV resection for HMMS. METHODS: From 2009 to 2015, 15 patients (5 males and 10 females) with HMMS underwent HV resection in our department...
September 27, 2018: World Neurosurgery
T Zippelius, W Weschenfelder, S O Eicker, M Putzier, E Röhner, G Matziolis, P Strube
PURPOSE OF THE STUDY Back pain and pathologies of the spine are among the main reasons why people consult a doctor, both general practitioners and paediatricians, as well as, specifically, orthopaedists, surgeons, and neurosurgeons. This involvement of different faculties calls for a high degree of interdisciplinary co-operation. In order to mediate these aspects of spine-specific diagnostics, therapy, and research to students during their studies and to promote up-and-coming specialists, the compulsory elective subject 'Spine' was established...
2018: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Aiko Sakamoto, Iwaho Kikuchi, Hiroto Shimanuki, Kaoru Tejima, Juichiro Saito, Kano Sakai, Jun Kumakiri, Mari Kitade, Satoru Takeda
Background/Aims: Despite the benefits of laparoscopic surgery, which is being performed with increasing frequency, complications that do not occur during laparotomy are sometimes encountered. Such complications commonly occur during the initial trocar insertion, making this a procedural step of critical importance. Methods: In 2002, we experienced, upon initial trocar insertion, a serious major vascular injury (MVI) that led to hemorrhagic shock, and we thus modified the conventional closed entry method to an approach that we have found to be safe...
October 2017: Gynecology and minimally invasive therapy
Zemin Li, Houqing Long, Fengyu Huang, Yaodong Zhang, Jinghui Xu, Xiaobo Wang
STUDY DESIGN: This was a retrospective comparative study. OBJECTIVE: The main objective of this study was to investigate the effects of epidural anesthesia (EA) versus general anesthesia (GA) in elderly patients undergoing lower lumbar spine fusion surgeries. SUMMARY OF BACKGROUND DATA: Lumbar spine surgery can be performed under GA or regional anesthesia. GA is more commonly used in lumbar spine surgery, which renders the patient motionless throughout the procedure and provides a secure airway...
September 15, 2018: Clinical Spine Surgery
Linda S Aglio, Muhammad M Abd-El-Barr, Vwaire Orhurhu, Grace Y Kim, Jie Zhou, Laverne D Gugino, Lisa J Crossley, James L Gosnell, John H Chi, Michael W Groff
OBJECTIVE Preemptive administration of analgesic medication is more effective than medication given after the onset of the painful stimulus. The efficacy of preoperative or preemptive pain relief after thoracolumbosacral spine surgery has not been well studied. The present study was a double-blind, placebo-controlled randomized trial of preemptive analgesia with a single-shot epidural injection in adult patients undergoing spine surgery. METHODS Ninety-nine adult patients undergoing thoracolumbosacral operations via a posterior approach were randomized to receive a single shot of either epidural placebo (group 1), hydromorphone alone (group 2), or bupivacaine with hydromorphone (group 3) before surgery at the preoperative holding area...
September 14, 2018: Journal of Neurosurgery. Spine
Fatemeh Javaherforooshzadeh, Iren Amirpour, Farahzad Janatmakan, Mansour Soltanzadeh
Background: Surgery is one of the stressors that cause physiological and psychological stress. Anxiety and pain and their complications are very important in anesthesiology and many researches have been done to decrease or eliminate them. This training was done to compare the effect of melatonin and gabapentin on pain and anxiety during lumbar surgery. Methods: This study was a double-blinded clinical trial conducted on 90 patients undergoing lumbar surgery with general anesthesia in Golestan Academic Hospital in 2017...
June 2018: Anesthesiology and Pain Medicine
Brett D Rosenthal, Linda I Suleiman, Abhishek Kannan, Adam I Edelstein, Wellington K Hsu, Alpesh A Patel
INTRODUCTION: Opioid abuse and dependence have a detrimental effect on elective orthopaedic surgeries, yet pain control is an important predictor of postoperative satisfaction. We aimed at better defining risk factors for prolonged postoperative opioid requirements and risk factors for patients requiring higher doses of opioids after spine surgery. METHODS: The Illinois Prescription Monitoring Program was queried to analyze opioid dispensation patterns at 3 and 6 months postoperatively for adult patients who had spine surgery at a tertiary care hospital by a single surgeon over a 5-year period...
September 6, 2018: Journal of the American Academy of Orthopaedic Surgeons
Beata Łabuz-Roszak, Anna Babińska, Jarosław Skupiński, Elżbieta Czech, Jarosław Szczygieł, Wojciech Wawrzynek
OBJECTIVE: Introduction: Literature data concerning the association between the back pain syndrome and the quality of sexual life are rare, especially in the Polish literature. There are also no reports on the association between magnetic resonance (MRI) results and sexual satisfaction in patients with low back pain (L-S). The aim: To assess the association between the severity of degenerative-discopathic changes in the MRI of L-S spine and the quality of sexual life in patients with low back pain...
2018: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
Philippe Clavert, Agathe Kling, François Sirveaux, Luc Favard, Daniel Mole, Gilles Walch, Pascal Boileau
PURPOSE: Osteoarthritis may be observed after surgery for instability and in the natural history of pathology. The primary objective was to analyze the late clinical and radiographic results of reverse shoulder arthroplasties (RSA) for patients who had instability arthropathy. METHODS: This is a retrospective cohort of 25 patients with a mean follow-up of 6.6 years. Patients had a history of instability surgery (80%) or multiple closed reductions. All were clinically evaluated with the constant score (CS), and radiologically (true AP view and Y view)...
September 3, 2018: International Orthopaedics
Mirjam Renovanz, Julian Haaf, Rebecca Nesbigall, Angelika Gutenberg, Wilfried Laubach, Florian Ringel, Sabine Fischbeck
BACKGROUND CONTEXT: Informed consent is mandatory before surgery and fundamental in the physician-patient interaction. However, communication is sometimes suboptimal. PURPOSE: The objective was to develop a question prompt list (QPL) for patients undergoing spine surgery (spinal neurosurgery-QPL, "SN-QPL") to encourage them to acquire information during the informed consent consultation (ICC) and assess patients' information needs. STUDY DESIGN/SETTING: We conducted a prospective uncontrolled single center study in order to develop a QPL for patients undergoing spine surgery...
August 30, 2018: Spine Journal: Official Journal of the North American Spine Society
Saisanjana Kalagara, Adam E M Eltorai, J Mason DePasse, Alan H Daniels
BACKGROUND: Online physician rating websites are increasingly utilized by patients to evaluate their doctors. The purpose of this investigation was to evaluate factors associated with better spine surgeon ratings. METHODS: Orthopedic spine surgeons were randomly selected from the North American Spine Society directory utilizing a random number generator. Surgeon profiles on three physician rating websites,,, and, were analyzed to gather qualitative and quantitative data on patients' perceptions of the surgeons...
August 1, 2018: Spine Journal: Official Journal of the North American Spine Society
Moona Kuronen, Hannu Kokki, Timo Nyyssönen, Sakari Savolainen, Merja Kokki
PURPOSE: Pain has a negative impact on life satisfaction (LS). Our primary aims were to compare LS in on-opioid and opioid-naïve spine surgery patients and to evaluate whether surgery affects LS during the first 3 weeks after surgery. METHODS: After informed consent 200 patients (99 on-opioid, 101 opioid-naïve; 112 male; aged 23-71 years) having elective spine surgery were enrolled. Their LS was evaluated using a four-item Life Satisfaction Scale (4-20, lower score more satisfied) and pain interference using Brief Pain Inventory (BPI)-questionnaire (0-10, lower score, less interference) before and 21 days after surgery...
August 2, 2018: Quality of Life Research
A Charalampidis, A Möller, M-L Wretling, T Brismar, P Gerdhem
Aims: There is little information about the optimum number of implants to be used in the surgical treatment of idiopathic scoliosis. Retrospective analysis of prospectively collected data from the Swedish spine register was undertaken to discover whether more implants per operated vertebra (implant density) leads to a better outcome in the treatment of idiopathic scoliosis. The hypothesis was that implant density is not associated with patient-reported outcomes, the correction of the curve or the rate of reoperation...
August 2018: Bone & Joint Journal
Kamran Movassaghi, Bryce A Basques, Philip K Louie, Jannat M Khan, Peter B Derman, Michael T Nolte, Justin C Paul, Edward J Goldberg, Howard S An
STUDY DESIGN: Retrospective cohort analysis OBJECTIVE.: To assess whether duration of symptoms (DOS) has an effect on clinical outcomes in patients undergoing lumbar decompression. SUMMARY OF BACKGROUND: The success of surgical interventions for lumbar spinal stenosis varies depending on numerous factors, including DOS. However, existing literature does not provide a clear indication of the outcome of lumbar decompression surgery in regard to DOS secondary to nerve root compression...
July 27, 2018: Spine
Gordon Mao, Nouman Aldahak, Dorian Kusyk, Matthew Yeager, Daniel Cook, Jeffrey Cameron, Boyle Cheng, Michael Oh
Sacroiliac joint (SIJ) dysfunction and its surgical treatment remain a controversial topic in spine surgery. Determining success after SIJ fusion may be difficult due to preexisting back pain, lumbar fusion (LF), and functional disability. We examine the utility of Oswestry Disability Index (ODI) as a measure of clinical outcomes after minimally invasive SIJ fusion. A retrospective review of 24 patients with at least 12- months follow-up. Patients were divided into two groups based on presence of previous LF...
June 14, 2018: Orthopedic Reviews
Suyash Singh, Jayesh C Sardhara, Deepak Khatri, Jeena Joseph, Abhijit N Parab, Kamlesh S Bhaisora, Kuntal Kanti Das, Anant Mehrotra, Arun Kumar Srivastava, Sanjay Behari
Background: There is growing indications of minimally invasive spine surgery. The inherent attitude and institutive learning curve limit transition from standard open surgery to minimally invasive surgery demanding understanding of new instruments and correlative anatomy. Materials and Methods: In this prospective study, 80 patients operated for lumbar disc prolapse were included in the study (between January 2016 and March 2018). Fifty patients (Group A) operated by various minimally invasive spine surgery (MISS) techniques for herniated disc disease were compared with randomly selected 30 patients (Group B) operated between the same time interval by standard open approach...
April 2018: Journal of Craniovertebral Junction and Spine
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