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JOURNAL ARTICLE
Kieran P Nunn, Ahida A Velazquez, John F Bebawy, Kan Ma, Bruno Erick Sinedino, Akash Goel, Sergio M Pereira
Complex spine surgery is associated with significant acute postoperative pain. Methadone possesses pharmacological properties that make it an attractive analgesic modality for major surgeries. This scoping review aimed to summarize the evidence for the perioperative use of methadone in adults undergoing complex spine surgery. The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). A search was performed using MEDLINE, CINAHL, Cochrane Library, Scopus, Embase, and Joanna Briggs between January 1946 and April 2023...
April 16, 2024: Journal of Neurosurgical Anesthesiology
#2
JOURNAL ARTICLE
Tadatsugu Morimoto, Takaomi Kobayashi, Hirohito Hirata, Masatsugu Tsukamoto, Tomohito Yoshihara, Yu Toda, Hayato Ito, Koji Otani, Masaaki Mawatari
INTRODUCTION: Perioperative cerebrovascular accidents (CVAs) related to spine surgery, although rare, can lead to significant disabilities. More studies on spine surgeries are required to identify those at risk of perioperative CVAs. The characteristics and outcomes of patients that experienced CVAs during spine surgery were assessed through a retrospective descriptive study and meta-analysis. METHODS: Patients aged ≥18 years who underwent spine surgery under general anesthesia at a hospital between April 2011 and March 2023 were examined...
March 27, 2024: Spine surgery and related research
#3
JOURNAL ARTICLE
Jing-Yang Liou, Hsin-Yi Wang, Yu-Cheng Yao, Po-Hsin Chou, Chun-Sung Sung, Wei-Nung Teng, Fu-Wei Su, Mei-Yung Tsou, Chien-Kun Ting, Chun-Liang Lo
BACKGROUND CONTEXT: Postoperative pain control following spine surgery can be difficult. The Enhanced Recovery After Surgery (ERAS) programs use multimodal approaches to manage postoperative pain. While an erector spinae plane block (ESPB) is commonly utilized, the ideal distance for injection from the incision, referred to as the ES (ESPB to mid-surgical level) distance, remains undetermined. PURPOSE: We evaluated the impact of varying ES distances for ESPB on Numerical Rating Scale (NRS) measures of postoperative pain within the ERAS protocol...
April 12, 2024: Spine Journal: Official Journal of the North American Spine Society
#4
REVIEW
Chuan-Ching Huang, Jamal Fitts, David Huie, Deb A Bhowmick, Muhammad M Abd-El-Barr
Cervical endoscopic spine surgery is rapidly evolving and gaining popularity for the treatment of cervical radiculopathy and myelopathy. This approach significantly reduces muscular damage and blood loss by minimizing soft tissue stripping, leading to less postoperative pain and a faster postoperative recovery. As scientific evidence accumulates, the efficacy and safety of cervical endoscopic spine surgery are continually affirmed. Both anterior and posterior endoscopic approaches have surfaced as viable alternative treatments for various cervical spine pathologies...
April 6, 2024: Journal of Clinical Medicine
#5
JOURNAL ARTICLE
Sirima Phoowanakulchai, Hironobu Hayashi, Ayako Oi, Yasuhiro Takeshima, Tsunenori Takatani, Masahiko Kawaguchi
BACKGROUND: We present a case with abnormal findings of initial motor-evoked potential (MEP) in the left upper limb after prone positioning during lumbar spine surgery. CASE PRESENTATION: A 71-year-old man with bilateral lower extremity numbness without a history of preexisting motor weakness underwent L3-5 spinal fenestration. Initial MEP monitoring after prone positioning revealed markedly prolonged latency and lower amplitude in the left abductor pollicis brevis (APB)...
April 10, 2024: JA Clinical Reports
#6
JOURNAL ARTICLE
Chidebelum O Nnake, Alondra Concepcion-Gonzalez, Matan S Malka, Emma Berube, Anne Ferris, Nicole Bainton, Michael G Vitale, Benjamin D Roye
OBJECTIVE: Severe scoliosis can affect thoracic organs, potentially leading to cardiovascular abnormalities. Thus, echocardiograms have been suggested for use in preoperative screening in patients with significant scoliosis. However, the utility of preoperative heart screenings in patients without known or suspected heart problems is not well understood. This study aims to find the incidence of cardiac findings in patients with severe scoliosis ≥90° without cardiac history...
April 8, 2024: Journal of Pediatric Orthopedics
#7
JOURNAL ARTICLE
Laura E Gilbertson, Wallis T Muhly, Michael C Montana, Vidya Chidambaran, Sabina DiCindio, Kesavan Sadacharam, Robert T Wilder, Simon D Whyte, Alan Hifko, Paul D Sponseller, David D Frankville
BACKGROUND: Adolescent Idiopathic Scoliosis (AIS) affects 2%-4% of the general pediatric population. While surgical correction remains one of the most common orthopedic procedures performed in pediatrics, limited consensus exists on the perioperative anesthetic management. AIMS: To examine the current state of anesthetic management of typical AIS spine fusions at institutions which have a dedicated pediatric orthopedic spine surgeon. METHODS: A web-based survey was sent to all members of the North American Pediatric Spine Anesthesiologists (NAPSA) Collaborative...
April 5, 2024: Paediatric Anaesthesia
#8
Alexander C Aretakis, James P Farrell, David C Ou-Yang, Christopher J Kleck
BACKGROUND: For patients undergoing long-construct fusion surgeries, simultaneous sacroiliac joint (SIJ) fusion is a growing trend in spine surgery. Some options for posterior SIJ fusion include 3D-printed triangular titanium implants or self-harvesting SIJ screws. Both implants require fixation within the sacrum and ileum. Fat embolism syndrome is a rare but known complication of lumbar pedicle instrumentation but has never been reported in association with SIJ fusion, regardless of implant type...
March 20, 2024: Journal of Spine Surgery (Hong Kong)
#9
JOURNAL ARTICLE
Camille Lecouvet, Pierre Geradon, Xavier Banse, Gauthier Rausin, Nicolas Guyot, Frederic E Lecouvet
BACKGROUND: To our knowledge, there is no previous report in the literature of non-traumatic neglected complete cervical spine dislocation characterized by anterior spondyloptosis of C4, extreme head drop, and irreducible cervicothoracic kyphosis. CASE PRESENTATION: We report the case of a 33-year-old Caucasian man with a 17-year history of severe immune polymyositis and regular physiotherapy who presented with severe non-reducible kyphosis of the cervicothoracic junction and progressive tetraparesia for several weeks after a physiotherapy session...
April 1, 2024: Journal of Medical Case Reports
#10
JOURNAL ARTICLE
Nattharut Chaibhuddanugul, Santi Weerakul, Artit Laoruengthana, Panapol Varakornpipat, Pawin Sudbanthad, Akaworn Mahatthanatrakul
STUDY DESIGN: Randomized double-blind controlled trial. OBJECTIVE: The purpose of this study was to determine the efficacy of pain control and opioid consumption after administration of ketorolac directly to paraspinal muscle after spinal fusion. SUMMARY OF BACKGROUND DATA: Ketorolac is added to multimodal analgesia regimens to improve pain control, reduce opioid consumption following Orthopaedics and spine surgery. However, evidence of efficacy of adding ketorolac to local anesthesia for intrawound infiltration after spine surgery is still limited...
April 1, 2024: Spine
#11
JOURNAL ARTICLE
Takafumi Arita, Osamu Kawano, Hiroaki Sakai, Yuichiro Morishita, Muneaki Masuda, Tetsuo Hayashi, Kensuke Kubota, Takeshi Maeda, Yasuharu Nakashima, Kazuya Yokota
INTRODUCTION: The objective of this study was to examine if halo vest fixation provides sufficient stabilization of cervical spine alignment to endorse its use through intraoperative positional changes in patients with cervical spine instability. METHODS: The subjects of this study were 14 patients with cervical spine instability who were immobilized in halo vests until they underwent subsequent internal fixation surgery. After induction of anesthesia, the patients in halo vests were repositioned from the supine position to the prone position...
March 30, 2024: Heliyon
#12
JOURNAL ARTICLE
Ha-Jung Kim, Ji-Young Kim, Hyeok-Seong Park, Hyungtae Kim, Young-Jin Ro, Won Uk Koh
Background and Objectives : Remimazolam offers advantages over propofol in terms of hemodynamic stability. However, it remains unclear whether remimazolam-based total intravenous anesthesia (TIVA) can reduce intraoperative hypotension compared to propofol-based TIVA, especially after prone positioning. In this study, we compared the effects of remimazolam- and propofol-based TIVA on intraoperative hemodynamic stability in patients undergoing surgery in the prone position. Materials and Methods : This study randomly assigned patients undergoing major spinal surgery in the prone position to the propofol or remimazolam group...
March 5, 2024: Medicina
#13
Tarika D Patel, Meagan N McNicholas, Peyton A Paschell, Paul M Arnold, Cheng-Ting Lee
Spinal surgeries are accompanied by excessive pain due to extensive dissection and muscle retraction during the procedure. Thoracolumbar interfascial plane (TLIP) blocks for spinal surgeries are a recent addition to regional anesthesia to improve postoperative pain management. When performing a classical TLIP (cTLIP) block, anesthetics are injected between the muscle (m.) multifidus and m. longissimus. During a modified TLIP (mTLIP) block, anesthetics are injected between the m. longissimus and m. iliocostalis instead...
March 28, 2024: BMC Anesthesiology
#14
REVIEW
Chloe Cottone, David Kim, Christopher Lucasti, Maxwell M Scott, Benjamin C Graham, Nell Aronoff, Bilal Hasanspahic, David Kowalski, Justin Bird, Dil Patel
STUDY DESIGN: Systematic review. OBJECTIVES: Intraoperative neuromonitoring (IOMN) has become a standard practice in the detection and prevention of nerve damage and postoperative deficit. While multicenter studies have addressed this inquiry, there have been no systematic reviews to date. This systematic review identifies the leading causes of IONM alerts during adult spinal deformity (ASD) surgeries. METHODS: Following PRISMA guidelines, a literature search was performed in PubMed and Embase...
March 27, 2024: Global Spine Journal
#15
JOURNAL ARTICLE
Caroline Melhado, Rachelle Durand, Katie W Russell, Natalya E Polukoff, John Rampton, Rajiv R Iyer, Shannon N Acker, Richele Koehler, Connor Prendergast, Nicholas Stence, Brent O'Neill, Benjamin E Padilla, Ramin Jamshidi, Jennifer A Vaughn, Jennifer S Ronecker, Leigh Selesner, Katrine Lofberg, Michael Regner, Jaclyn Thiessen, Christine Sayama, Ryan G Spurrier, Erin E Ross, Chia-Shang Jason Liu, Jason Chu, Kathryn McNevin, Catherine Beni, Bryce R H Robinson, Ken Linnau, Robert T Buckley, Stephanie D Chao, Akanksha Sabapaty, Elizabeth Tong, Laura M Prolo, Romeo Ignacio, Gretchen Floan Sachs, Peter Kruk, David Gonda, Mark Ryan, Samir Pandya, Korgun Koral, Bruno P Braga, Kurtis Auguste, Aaron R Jensen
INTRODUCTION: Clinical clearance of a child's cervical spine after trauma is often challenging due to impaired mental status or an unreliable neurologic examination. Magnetic resonance imaging (MRI) is the gold standard for excluding ligamentous injury in children but is constrained by long image acquisition times and frequent need for anesthesia. Limited-sequence MRI (LSMRI) is used in evaluating the evolution of traumatic brain injury and may also be useful for cervical spine clearance while potentially avoiding the need for anesthesia...
March 25, 2024: Journal of Trauma and Acute Care Surgery
#16
JOURNAL ARTICLE
Marianne Dyrby Lorenzen, Casper Friis Pedersen, Leah Y Carreon, Jane Clemensen, Mikkel O Andersen
INTRODUCTION: The Quality of Recovery (QoR-15) score evaluates patient's recovery after surgery and anesthesia. There is a lack of studies focusing on the patients' quality of recovery in the early post-discharge phase after elective lumbar spine surgery. RESEARCH QUESTION: We aimed to identify the QoR-15 score in patients who underwent surgery for degenerative low back conditions. Furthermore, we aimed to identify the individual items of the QoR-15 that are crucial for the patients' quality of recovery...
2024: Brain Spine
#17
JOURNAL ARTICLE
Eric S Schwenk, Polina Ferd, Marc C Torjman, Chris J Li, Alex R Charlton, Vivian Z Yan, Michael A McCurdy, Christopher K Kepler, Gregory D Schroeder, Andrew N Fleischman, Tariq Issa
INTRODUCTION: As ambulatory spine surgery increases, efficient recovery and discharge become essential. Multimodal analgesia is superior to opioids alone. Acetaminophen is a central component of multimodal protocols and both intravenous and oral forms are used. While some advantages for intravenous acetaminophen have been touted, prospective studies with patient-centered outcomes are lacking in ambulatory spine surgery. A substantial cost difference exists. We hypothesized that intravenous acetaminophen would be associated with fewer opioids and better recovery...
March 18, 2024: Regional Anesthesia and Pain Medicine
#18
JOURNAL ARTICLE
Vera Irawany, Vizzi A F Nasution, Noorcahya Amalia
BACKGROUND: Vertebral artery injury is a rare condition in trauma settings. In the advanced stages, it causes death. CASE: A 31-year-old Sundanese woman with cerebral edema, C2-C3 anterolisthesis, and Le Fort III fracture after a motorcycle accident was admitted to the emergency room. On the fifth day, she underwent arch bar maxillomandibular application and debridement in general anesthesia with a hyperextended neck position. Unfortunately, her rigid neck collar was removed in the high care unit before surgery...
March 16, 2024: Journal of Medical Case Reports
#19
JOURNAL ARTICLE
Helen Karimi, Jainith Patel, Michelle Olmos, Matthew Kanter, Nicholas S Hernandez, Rachel E Silver, Penny Liu, Ron I Riesenburger, James Kryzanski
BACKGROUND: Polypharmacy and opioid administration are thought to increase the risk of postoperative cognitive dysfunction (POCD) and delirium in elderly patients. Spinal anesthesia (SA) holds potential to reduce perioperative polypharmacy in spine surgery. As more geriatric patients undergo spine surgery, understanding how SA can reduce polypharmacy and opioid administration is warranted. AIMS: Compare the perioperative polypharmacy and dose of administered opioids in patients ≥65 years who undergo transforaminal lumbar interbody fusion (TLIF) under SA versus general anesthesia (GA)...
March 1, 2024: World Neurosurgery
#20
JOURNAL ARTICLE
Mei Wang, Jian-Xiang Che, Lei Chen, Ting-Ting Song, Jin-Tao Qu
Objective Dexmedetomidine (Dex) is a highly selective a2 adrenoceptor agonist that reduces blood pressure and heart rate. However, its ability to provide stable hemodynamics and a clinically significant reduction in blood loss in spine surgery is still a matter of debate. This study aimed to investigate the effects of Dex on intraoperative hemodynamics and blood loss in patients undergoing spine surgery. Methods The Web of Science, MEDLINE, EMBASE, and The Cochrane Library were searched up to February 2023 for randomized controlled trials (RCTs) including patients undergoing spine surgeries under general anaesthesia and comparing Dex and saline...
March 1, 2024: Chinese Medical Sciences Journal
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