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Spine Satisfaction

Andrew K Chan, Erica F Bisson, Mohamad Bydon, Steven D Glassman, Kevin T Foley, Eric A Potts, Christopher I Shaffrey, Mark E Shaffrey, Domagoj Coric, John J Knightly, Paul Park, Michael Y Wang, Kai-Ming Fu, Jonathan R Slotkin, Anthony L Asher, Michael S Virk, Panagiotis Kerezoudis, Anthony M DiGiorgio, Regis W Haid, Praveen V Mummaneni
BACKGROUND: Given recent differing findings following 2 randomized clinical trials on degenerative lumbar spondylolisthesis (DLS) surgery, there is a need to better define how subsets of patients fare following surgery. OBJECTIVE: To investigate the impact of obesity on patient-reported outcomes (PROs) following DLS surgery. METHODS: A total of 12 high-enrolling sites were queried, and we found 797 patients undergoing surgery for grade 1 DLS...
December 12, 2018: Neurosurgery
Graham Seow-Hng Goh, Ming Han Lincoln Liow, William Yeo, Zhixing Marcus Ling, Guo Chang Ming, Wai Mun Yue, Seang Beng Tan, Li Tat John Chen
STUDY DESIGN: Retrospective study using prospectively collected registry data. OBJECTIVES: The authors examine the influence of preoperative mental health on outcomes after anterior cervical discectomy and fusion (ACDF) and determine the impact of ACDF on postoperative mental health. SUMMARY OF BACKGROUND DATA: While studies have reported a negative correlation between preoperative mental health and outcomes following lumbar spine surgery, the influence on outcomes following cervical spine surgery remains relatively understudied...
December 11, 2018: Spine
Ai-Min Wu, Kai Wang, Jian-Shun Wang, Chun-Hui Chen, Xin-Dong Yang, Wen-Fei Ni, Yue-Zheng Hu
Background: Whether or not the addition of 3D (three-dimension) printed models can enhance the teaching and learning environment for undergraduate students in regard to bone spatial anatomy is still unknown. In this study, we investigated the use of 3D printed models versus radiographic images as a technique for the education of medical students about bone spatial anatomy and fractures. Methods: The computed tomography (CT) data from four patients, each with a different fracture type (one spinal fracture, one pelvic fracture, one upper limb fracture, and one lower limb fracture), were obtained, and 3D models of the fractures were printed...
October 2018: Annals of Translational Medicine
Graham Seow-Hng Goh, Ming Han Lincoln Liow, William Yeo, Zhixing Marcus Ling, Yue Wai Mun, Chang Ming Guo, Seang Beng Tan
STUDY DESIGN: Retrospective study using prospectively collected registry data. OBJECTIVES: To evaluate the effect of obesity on patient-reported outcome measures of pain, disability, quality of life, satisfaction and return to work after single-level minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF). SUMMARY OF BACKGROUND DATA: MIS-TLIF is an appealing alternative for obese patients with potentially lower complication risk...
November 20, 2018: Spine
Anthony L Asher, Clinton J Devin, Benjamin M Weisenthal, Jacquelyn Pennings, Inamullah Khan, Kristin R Archer, Ahilan Sivaganesan, Silky Chotai, Mohamad Bydon, Hui Nian, Frank E Harrell, Matthew J McGirt, Praveen Mummaneni, Erica F Bisson, Christopher Shaffrey, Kevin T Foley
STUDY DESIGN: This study retrospectively analyzes prospectively collected data. OBJECTIVE: Here we aim to determine the influence of preoperative and 12-month mJOA on satisfaction; and understand the change in mJOA severity classification after surgical management of DCM. SUMMARY OF BACKGROUND DATA: Degenerative cervical myelopathy (DCM) is a progressive degenerative spine disease resulting from cervical cord compression. The natural progression of DCM is variable; some patients experience periods of stability, while others rapidly deteriorate following disease onset...
November 20, 2018: Spine
Muhammad Asadullah, Rahila Ikram, Shazza Qazi
In Pakistani population the prevalence of Calcium and vitamin D deficiency is at alarming rate. Previous studies show that globally vertebral osteoporosis is most commonly recognized site causing deterioration to personal life satisfaction. It is very unfortunate that in Pakistan ample amount of research work has not been done in the area, consequently, information on rate of vertebral osteoporosis & fracture are rare in Pakistan. There is no reduction in T-score on supplementation with calcium and vitamin D3 administration...
November 2018: Pakistan Journal of Pharmaceutical Sciences
Junya Katayanagi, Takahiro Iida, Atsuki Hayamizu, Kazuyuki Matsumoto, Yasumasa Ohyama, Ken Mine, Satoru Ozeki
BACKGROUND: Spinal sagittal malalignment is managed by long spinal fusion including the pelvis, which reduces lumbar spine range of motion and impairs the activities of daily living. This study aimed to evaluate the changes in activities of daily living after long spinal fusion in adults with spinal deformity, and clarify the improvement or deterioration in the specific activities of daily living postoperatively. METHODS: We retrospectively reviewed 40 adults who underwent long spinal fusion in a single institution between 2014 and 2016 (female/male, 39/1; mean age, 68...
November 21, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
Donna Eastwood, Neil Manson, Erin Bigney, Mariah Darling, Eden Richardson, Richard Paixao, Tracy Underwood, Kate Ellis, Edward Abraham
BACKGROUND CONTEXT: Patient expectations have been demonstrated to influence recovery following spine surgery. Addressing patient expectations specifically in regards to pain and post-surgical healing is an important factor in improving recovery patterns. Pre-surgical education can potentially help manage patient expectations. PURPOSE: The primary objective was to determine if participation in a single preoperative multidisciplinary educational session would result in reduced patient dissatisfaction with surgical expectations...
November 21, 2018: Spine Journal: Official Journal of the North American Spine Society
Daniel L Saenz, Richard Crownover, Sotirios Stathakis, Niko Papanikolaou
PURPOSE: The Brainlab Elements treatment planning system utilizes distinct modules for treatment planning specific to stereotactic treatment sites including single or multiple brain lesions as well as spine. This work investigates the hypothesis that an optimization tailored specifically to spine can in fact create dosimetrically superior plans to those created in more general use treatment planning systems (TPS). METHODS: Ten spine patients at our institution were replanned in Brainlab Elements, Phillips Pinnacle3 , and Elekta Monaco...
November 20, 2018: Journal of Applied Clinical Medical Physics
Jane Halliday, Daniel Holsgrove
OBJECTIVES: To determine the effect of pooling of patients for elective non-instrumented lumbar decompression on patient satisfaction and waiting times. MATERIALS AND METHODS: We performed a retrospective review of Spine Tango and Theatre Databases of our Neurosurgical unit for patients who underwent elective primary non-instrumented lumbar decompression between January 2012 and 2016. Patient satisfaction scores at 3 and 12 months post-surgery were collected from the Spine Tango Registry, and patients categorised as pooled/non-pooled by searching theatre databases to determine their named listing and operating consultants...
November 19, 2018: British Journal of Neurosurgery
Andreas Kiilerich Andresen, Rune Tendal Paulsen, Frederik Busch, Alexander Isenberg-Jørgensen, Leah Y Carreon, Mikkel Ø Andersen
Study Design: Retrospective cohort study. Objectives: It is estimated that 10 000 patients seek medical care due to cervical radiculopathy every year in Denmark. Although the natural course is usually favorable, around 20% undergo surgery for cervical degenerative disease every year in Denmark. We aim to evaluate the patient-reported results and satisfaction of anterior cervical decompression and fusion over a 5-year period from a single Danish center for spine surgery...
October 2018: Global Spine Journal
M Burhan Janjua, Ali Ozturk, Matthew Piazza, Peter Passias, Vincent Arlet, William C Welch
Sacroiliac (SI) joint can produce debilitating lower back pain with radiation to groin, buttocks, and lower extremities. SI joint dysfunction poses a clinical challenge to the spine surgeons. Studies entailing surgical arthrodesis utilizing Titanium implants have been reported with reputedly high level of patient satisfaction. Authors have described technical aspects of surgical technique with use of titanium screw implants. The transarticular technique is used to places SI joint screw implants across the articular portion of SI joint...
November 10, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Jennifer M Bauer, Petya Yorgova, Geraldine Neiss, Kenneth Rogers, Peter F Sturm, Paul D Sponseller, Scott Luhmann, Jeff B Pawelek, Suken A Shah
BACKGROUND: Modern treatment of early onset scoliosis (EOS) includes implantation of traditional growing rods (TGR) or magnetically controlled growing rods (MCGR) for posterior-based distraction if nonoperative treatment plans failed. The recent MCGR innovation has largely been expected to improve patient and family burden by avoiding frequent return to the operating room. At least one study has shown no HRQoL difference between TGR and MCGR, but none have specifically investigated a cohort of conversion patients whose families have experienced both...
November 9, 2018: Journal of Pediatric Orthopedics
Stephan Klessinger
To prevent open surgical procedures, minimally invasive techniques, like Dekompressor (PLDD), have been developed. The absence of reherniation is an important factor correlating with clinical success after lumbar surgery. In this retrospective, observational study, the frequency of additional open surgery after PLDD in a long time retrospective was examined. The correlation between clinical symptoms and outcome was assessed, and the time between PLDD and open surgery was analyzed. Consecutive patients after PLDD between 2005 and 2007 were included...
2018: Minimally Invasive Surgery
Dilip Chand Raja S, Ajoy Prasad Shetty, Balavenkat Subramanian, Rishi Mugesh Kanna, S Rajasekaran
BACKGROUND CONTEXT: Surgical procedures involving the spine are known to cause moderate to severe postoperative pain. Inadequate management of acute pain in the postoperative period results in higher morbidity, and consequently may lead to chronic pain due to central sensitization. The role of preemptive and intraoperative analgesia in management of postoperative pain has gained precedence over recent years. Pathophysiology of postoperative pain in spine surgery is unique, as it is a combination of nociceptive, inflammatory and neuronal stimuli...
October 22, 2018: Spine Journal: Official Journal of the North American Spine Society
Bertram Baenziger, Najia Nadi, Ramon Doerig, Peter Proemmel, Brigitta Gahl, Daniel Hodel, Oliver N Hausmann
BACKGROUND: There are only a few prospective clinical trials investigating the effects of different anesthetic techniques on clinical outcomes after lumbar spine surgery. The purpose of this study was to evaluate clinical outcomes in patients receiving general (GA) and regional anesthesia (RA) for lumbar spine surgery. METHODS: This was a single-center, 2-arm, trial in which 100 patients undergoing lumbar spine surgery were randomized to receive either RA or GA (50 per group)...
October 16, 2018: Journal of Neurosurgical Anesthesiology
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...
December 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
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