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https://www.readbyqxmd.com/read/28538082/risk-factors-associated-with-failure-to-reach-minimal-clinically-important-difference-in-patient-reported-outcomes-following-minimally-invasive-transforaminal-lumbar-interbody-fusion-for-spondylolisthesis
#1
Fady Y Hijji, Ankur S Narain, Daniel D Bohl, Kelly H Yom, Krishna T Kudaravalli, Gregory D Lopez, Kern Singh
STUDY DESIGN: Retrospective cohort. OBJECTIVE: To determine risk factors associated with failure to reach the minimal clinically important difference (MCID) in patient-reported outcomes (PROs) for patients undergoing minimally invasive transforaminal lumbar interbody fusion (MIS TLIF) for spondylolisthesis. SUMMARY OF BACKGROUND DATA: The MCID of PROs are often utilized to determine the benefit of spinal procedures. However, negative predictive factors for reaching MCID in patients surgically treated for lumbar spondylolisthesis have been difficult to elucidate...
May 19, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28538081/is-body-mass-index-a-risk-factor-for-revision-procedures-after-minimally-invasive-transforaminal-lumbar-interbody-fusion
#2
Ankur S Narain, Fady Y Hijji, Daniel D Bohl, Kelly H Yom, Krishna T Kudaravalli, Kern Singh
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To determine if an association exists between body mass index (BMI) and the rate of revision surgery after single-level minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). SUMMARY OF BACKGROUND DATA: MIS TLIF is an effective treatment for lumbar degenerative disease. Previous studies in the orthopedic literature have associated increased BMI with increased postoperative complications and need for revision...
May 19, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28456671/lateral-lumbar-interbody-fusion-a-systematic-review-of-complication-rates
#3
Fady Y Hijji, Ankur S Narain, Daniel D Bohl, Junyoung Ahn, William W Long, Jacob V DiBattista, Krishna T Kudaravalli, Kern Singh
BACKGROUND CONTEXT: Lateral lumbar interbody fusion (LLIF) is a frequently utilized technique for the treatment of lumbar pathology. Despite its overall success, LLIF has been associated with a unique set of complications. However, there has been inconsistent evidence regarding the complication rate of this approach. PURPOSE: To perform a systematic review analyzing the rates of medical and surgical complications associated with LLIF. STUDY DESIGN: Systematic Review PATIENT SAMPLE: 6819 patients who underwent LLIF reported in clinical studies through June 2016...
April 26, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28422799/publication-rates-of-abstracts-accepted-to-the-2010-2012-annual-meetings-of-the-north-american-spine-society
#4
Ankur S Narain, Fady Y Hijji, Krishna T Kudaravalli, Kelly H Yom, Kern Singh
STUDY DESIGN: Retrospective review of conference abstracts. OBJECTIVE: To determine the publication rate of podium and poster presentations at the 2010-2012 North American Spine Society (NASS) annual meetings. SUMMARY OF BACKGROUND DATA: Presentations at medical conferences are utilized to disseminate new clinical information. The orthopaedic literature estimates the rate of publication for abstracts presented at major meetings to be between 34...
April 18, 2017: Spine
https://www.readbyqxmd.com/read/28343045/cervical-disc-arthroplasty-do-conflicts-of-interest-influence-the-outcome-of-clinical-studies
#5
REVIEW
Ankur S Narain, Fady Y Hijji, Kelly H Yom, Krishna T Kudaravalli, Kern Singh
BACKGROUND CONTEXT: Cervical disc arthroplasty (CDA) is an emerging technique for the treatment of cervical degenerative disease. Multiple studies have investigated the outcomes of CDA, particularly in comparison with cervical arthrodesis techniques such as anterior cervical discectomy and fusion (ACDF). As many entities have financial interests in CDA implants, it is imperative to consider the influence of conflicts of interest on the results of studies investigating the efficacy of CDA...
March 22, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28207667/differences-in-short-term-outcomes-between-primary-and-revision-anterior-cervical-discectomy-and-fusion
#6
Bryce A Basques, Nathaniel T Ondeck, Erik J Geiger, Andre M Samuel, Adam M Lukasiewicz, Matthew L Webb, Daniel D Bohl, Dustin H Massel, Benjamin C Mayo, Kern Singh, Jonathan N Grauer
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To compare short-term morbidity for primary and revision anterior cervical discectomy and fusion (ACDF). SUMMARY OF BACKGROUND DATA: Revision ACDF procedures are relatively common, yet their risks are poorly characterized in the literature. There is a need to assess the relative risk of revision ACDF procedures compared with primary surgery. METHODS: The prospectively collected American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was used to identify patients who underwent primary and revision ACDF from 2005 to 2014...
February 15, 2017: Spine
https://www.readbyqxmd.com/read/27956726/effect-of-surgery-start-time-on-day-of-discharge-in-anterior-cervical-discectomy-and-fusion-patients
#7
Benjamin C Mayo, Dustin H Massel, Daniel D Bohl, William W Long, Krishna D Modi, Kern Singh
STUDY DESIGN: Retrospective cohort. OBJECTIVE: To compare time to discharge for anterior cervical discectomy and fusions (ACDF) when performed as either a first case versus later surgical start times. SUMMARY OF BACKGROUND DATA: ACDF is a commonly performed spinal procedure that typically has a short acute recovery period. With an increasing focus on reducing hospital costs and a shift toward outpatient surgical practices, early patient discharge has become a priority for hospitals and physicians alike...
December 15, 2016: Spine
https://www.readbyqxmd.com/read/27896677/results-of-database-studies-in-spine-surgery-can-be-influenced-by-missing-data
#8
Bryce A Basques, Ryan P McLynn, Michael P Fice, Andre M Samuel, Adam M Lukasiewicz, Daniel D Bohl, Junyoung Ahn, Kern Singh, Jonathan N Grauer
BACKGROUND: National databases are increasingly being used for research in spine surgery; however, one limitation of such databases that has received sparse mention is the frequency of missing data. Studies using these databases often do not emphasize the percentage of missing data for each variable used and do not specify how patients with missing data are incorporated into analyses. This study uses the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database to examine whether different treatments of missing data can influence the results of spine studies...
November 28, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27879573/multimodal-analgesia-versus-intravenous-patient-controlled-analgesia-for-minimally-invasive-transforaminal-lumbar-interbody-fusion-procedures
#9
Kern Singh, Daniel D Bohl, Junyoung Ahn, Dustin H Massel, Benjamin C Mayo, Ankur S Narain, Fady Y Hijji, Philip K Louie, William W Long, Krishna D Modi, Tae D Kim, Krishna T Kudaravalli, Frank M Phillips, Asokumar Buvanendran
STUDY DESIGN: Retrospective analysis. OBJECTIVE: To compare postoperative narcotic consumption and pain scores between multimodal analgesia (MMA) and patient-controlled analgesia (PCA) following minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). SUMMARY OF BACKGROUND DATA: A multimodal analgesic approach to pain management may lead to decreased pain and narcotic consumption following orthopaedic procedures. However, additional evidence is required to determine how MMA compares to intravenous (IV) PCA following MIS TLIF...
November 22, 2016: Spine
https://www.readbyqxmd.com/read/27875417/the-utility-of-routinely-obtaining-postoperative-laboratory-studies-following-a-minimally-invasive-transforaminal-lumbar-interbody-fusion
#10
Junyoung Ahn, Dustin H Massel, Benjamin C Mayo, Fady Y Hijji, Ankur S Narain, Khaled Aboushaala, Daniel D Bohl, Islam M Elboghdady, Jacob V DiBattista, Kern Singh
STUDY DESIGN: This is a retrospective analysis. OBJECTIVE: To test the hypothesis that there is limited utility in routinely obtaining postoperative laboratory values following minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). BACKGROUND DATA: At many institutions, it is routine to obtain a complete blood count and basic metabolic profile (BMP) following a MIS TLIF. However, the utility of this practice has not been well characterized...
November 21, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27875412/preoperative-mental-health-is-not-predictive-of-patient-reported-outcomes-following-a-minimally-invasive-lumbar-discectomy
#11
Benjamin C Mayo, Dustin H Massel, Daniel D Bohl, William W Long, Krishna D Modi, Ankur S Narain, Fady Y Hijji, Gregory Lopez, Kern Singh
STUDY DESIGN: This is a retrospective cohort study. OBJECTIVE: To determine if preoperative mental health is associated with patient-reported outcomes (PROs) following a minimally invasive lumbar discectomy. SUMMARY OF BACKGROUND DATA: PROs are commonly used to quantify a patient's perceived health status. Recently, mental health has been theorized to directly affect patients' perception of their disability and pain after spine surgery. MATERIALS AND METHODS: A registry of patients who underwent a primary, single-level minimally invasive lumbar discectomy was reviewed...
November 21, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27851659/improvements-in-neck-and-arm-pain-following-an-anterior-cervical-discectomy-and-fusion
#12
Dustin H Massel, Benjamin C Mayo, Daniel D Bohl, Ankur S Narain, Fady Y Hijji, Steven J Fineberg, Philip K Louie, Bryce A Basques, William W Long, Krishna D Modi, Kern Singh
STUDY DESIGN: Retrospective Analysis OBJECTIVE.: To quantify improvements in Visual Analogue Scale (VAS) neck and arm pain, Neck Disability Index (NDI), and Short Form-12 (SF-12) Mental (MCS) and Physical (PCS) Composite scores following an ACDF. SUMMARY OF BACKGROUND DATA: Anterior Cervical Discectomy and Fusion (ACDF) is evaluated with patient-reported outcomes. However, the extent to which these outcomes improve following ACDF remains poorly defined. METHODS: A surgical registry of patients who underwent primary, 1- or 2-level ACDF during 2013-2015 was reviewed...
November 15, 2016: Spine
https://www.readbyqxmd.com/read/27779602/spinal-surgeon-variation-in-single-level-cervical-fusion-procedures-a-cost-and-hospital-resource-utilization-analysis
#13
Fady Y Hijji, Dustin H Massel, Benjamin C Mayo, Ankur S Narain, William W Long, Krishna D Modi, Rory M Burke, Jeff Canar, Kern Singh
STUDY DESIGN: Retrospective analysis. OBJECTIVE: To compare perioperative costs and outcomes of patients undergoing single-level anterior cervical discectomy and fusions (ACDF) at both a service (orthopedic versus neurosurgical) and individual surgeon level. SUMMARY OF BACKGROUND DATA: Hospital systems are experiencing significant pressure to increase value of care by reducing costs while maintaining or improving patient-centered outcomes...
October 24, 2016: Spine
https://www.readbyqxmd.com/read/27689424/preoperative-mental-health-status-may-not-be-predictive-of-improvements-in-patient-reported-outcomes-following-an-anterior-cervical-discectomy-and-fusion
#14
Benjamin C Mayo, Dustin H Massel, Daniel D Bohl, Ankur S Narain, Fady Y Hijji, William W Long, Krishna D Modi, Bryce A Basques, Alem Yacob, Kern Singh
OBJECTIVE Prior studies have correlated preoperative depression and poor mental health status with inferior patient-reported outcomes following lumbar spinal procedures. However, literature regarding the effect of mental health on outcomes following cervical spinal surgery is limited. As such, the purpose of this study is to test for the association of preoperative SF-12 Mental Component Summary (MCS) scores with improvements in Neck Disability Index (NDI), SF-12 Physical Component Summary (PCS), and neck and arm pain following anterior cervical discectomy and fusion (ACDF)...
February 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/27664337/patient-knowledge-regarding-radiation-exposure-from-spinal-imaging
#15
Daniel D Bohl, Fady Y Hijji, Dustin H Massel, Benjamin C Mayo, William W Long, Krishna D Modi, Ankur S Narain, Blaine T Manning, Junyoung Ahn, Philip K Louie, Kern Singh
BACKGROUND CONTEXT: Spine surgeons employ a high volume of imaging in the diagnosis and evaluation of spinal pathology. However, little is known regarding patients' knowledge of the radiation exposure associated with these imaging techniques. PURPOSE: To characterize spine patients' knowledge regarding radiation exposure from various imaging modalities. STUDY DESIGN/SETTING: A cross-sectional survey study. PATIENT SAMPLE: One hundred patients at their first clinic visit with a single spine surgeon at an urban institution...
September 21, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27579813/nationwide-databases-in-orthopaedic-surgery-research
#16
REVIEW
Daniel D Bohl, Kern Singh, Jonathan N Grauer
The use of nationwide databases to conduct orthopaedic research has expanded markedly in recent years. Nationwide databases offer large sample sizes, sampling of patients who are representative of the country as a whole, and data that enable investigation of trends over time. The most common use of nationwide databases is to study the occurrence of postoperative adverse events. Other uses include the analysis of costs and the investigation of critical hospital metrics, such as length of stay and readmission rates...
October 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27404852/current-trends-in-outpatient-spine-surgery
#17
Junyoung Ahn, Daniel D Bohl, Ehsan Tabaraee, Bryce A Basques, Kern Singh
Because of the increasing pressure to contain health-care-related costs, the number of spinal surgeries performed in the outpatient setting has significantly increased. The higher perioperative efficiency and greater predictability of associated costs offer significant incentives for payers and providers to move surgical procedures into the outpatient setting. Nonetheless, judicious patient selection is advised to optimize outcomes.
July 11, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27385691/bone-morphogenetic-proteins-in-lumbar-arthrodesis-what-is-all-the-debate-about-commentary-on-an-article-by-daniel-c-beachler-phd-mhs-et-al-bone-morphogenetic-protein-use-and-cancer-risk-among-patients-undergoing-lumbar-arthrodesis-a-case-cohort-study-using
#18
COMMENT
Kern Singh, Dustin H Massel, Benjamin C Mayo, Daniel D Bohl, William W Long, Krishna D Modi
No abstract text is available yet for this article.
July 6, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27359358/effect-of-surgeon-volume-on-complications-length-of-stay-and-costs-following-anterior-cervical-fusion
#19
Bryce A Basques, Philip K Louie, Grant D Shifflett, Michael P Fice, Benjamin C Mayo, Dustin H Massel, Javier Z Guzman, Daniel D Bohl, Kern Singh
STUDY DESIGN: Retrospective cohort. OBJECTIVE: To identify the association between surgeon volume and inpatient complications, length of stay, and costs associated with ACF. SUMMARY OF BACKGROUND DATA: Increased surgeon volume may be associated with improved outcomes after surgical procedures. However, there is a lack of information on the effect of surgeon volume on short-term outcomes after anterior cervical fusion (ACF). METHODS: A retrospective cohort study of ACF patients was performed using the Nationwide Inpatient Sample (NIS) from 2003 to 2009...
March 15, 2017: Spine
https://www.readbyqxmd.com/read/27359353/to-the-editor
#20
Kern Singh, Sreeharsha V Nandyala, Alejandro Marquez-Lara, Steven J Fineberg, Miguel Pelton
No abstract text is available yet for this article.
September 1, 2016: Spine
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