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Spine Satisfaction

Atul Goel, Ravikiran Vutha, Abhidha Shah, Pralhad Dharurkar, Neha Jadhav, Dikpal Jadhav
OBJECTIVE: Immediate postoperative and early clinical outcome of treatment of spinal kyphoscoliosis associated with Chiari formation and syringomyelia and treated by atlantoaxial fixation is described. MATERIAL AND METHODS: During the period April 2016 to March 2018, 11patients having spinal kyphosciolosis (SKS) as a major presenting symptom in association with Chiari formation and syringomyelia were surgically treated and are analysed retrospectively. There were 6 males and 5 females and their ages ranged from 11 to 17 years (average 14 years)...
February 11, 2019: World Neurosurgery
Sebastian A Ahmadi, Hosai Sadat, Kai-Michael Scheufler, Hans-Jakob Steiger, Beate Weber, Thomas Beez
STUDY DESIGN: Retrospective analysis of anonymized malpractice claims. SUMMARY OF BACKGROUND DATA: Spine surgery is considered a high-risk specialty with regards to malpractice claims. However, limited data is available for Germany. We analyzed the rate, subject and legal outcome of malpractice claims faced by spine surgeons in one of the largest Medical Council coverage areas in Germany, representing 60,000 physicians and a population of 10 million. METHODS: Analysis of all malpractice claims regarding spinal surgeries completed by the Review Board (RB) of the North Rhine Medical Council (NRMC) from 2012-2016...
February 8, 2019: Spine Journal: Official Journal of the North American Spine Society
Arnold P P Achermann, Éder S Brazão, Cássio L Z Riccetto, Paulo C R Palma
INTRODUCTION: Pelvic Organ Prolapse (POP) is a common condition in elderly resulting from the weakening of the organ suspension elements of multifactorial origin. It compromises significantly the quality of life and can affect more than 50% of multiparous women. Stage IV prolapse or complete uterovaginal eversion corresponds to 10% of the cases and the only form of curative treatment is the surgical correction. The aim of this video is to demonstrate our technique of sacrospinous hysteropexy with a low weight transvaginal polypropylene mesh for treatment of this challenge condition, focusing on technical details in order to prevent mesh related complications...
February 10, 2019: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Bassel G Diebo, Frank A Segreto, Cyrus M Jalai, Dennis Vasquez-Montes, Cole A Bortz, Samantha R Horn, Nicholas J Frangella, Max I Egers, Eric Klineberg, Renaud Lafage, Virginie Lafage, Frank Schwab, Peter G Passias
Background: The study is a retrospective review of a multi-institutional database, aiming to determine predictors of non-depressed, satisfied adult spinal deformity (ASD) patients with good self-image at 2-year follow-up (2Y). ASD significantly impacts a patients' psychological status. Following treatment, little is known about predictors of satisfied patients with high self-image and mental status. Methods: Inclusion: primary ASD pts >18 y/o with complete 2Y follow-up...
December 2018: Journal of Spine Surgery (Hong Kong)
Rasheedat T Zakare-Fagbamila, Elisabeth Seyferth, Tracy Z Cheng, Mary Clement, Bethany Stroup, Oren N Gottfried
OBJECTIVES: Up to half of all patients leave their outpatient clinic visit with an uncommunicated need. We designed the Clinic Satisfaction Tool (CST) as a low-cost, highly-utilized assessment of the spine clinic experience that improved communication in our multidisciplinary spine practice. The purpose of this study was to qualitatively analyze chief complaints and feedback from the CSTs to determine how spine clinic patients used the form, identify the most prevalent concerns, and mark areas for improvement...
January 31, 2019: International Journal of Clinical Practice
Guy Waisbrod, Anne F Mannion, Támas F Fekete, Frank Kleinstueck, Deszö Jeszenszky, Daniel Haschtmann
PURPOSE: The aim of this study was to investigate the difference in patient-reported outcomes and surgical complication rates between lumbar procedures carried out either by experienced board-certified spine surgeons (BCS) or by supervised spine surgery residents (RES) in a large Swiss teaching hospital. METHODS: This was a single-center retrospective analysis of data collected prospectively within the framework of the EUROSPINE Spine Tango Registry. It involved the data of 1415 patients undergoing first-time surgery in our institution between the years 2004 and 2016...
January 29, 2019: European Spine Journal
Adam S Baumgarten, Jonathan A Beilan, Bhavik B Shah, Aram Loeb, Michael Bickell, Justin Parker, Gerard D Henry, Rafael E Carrion
INTRODUCTION: Many men suffering from erectile dysfunction are overweight with generous suprapubic fat pads, which often contribute to a decrease in visible exophytic phallic length. AIM: To present a novel surgical concept of suprapubic fat pad excision with a concomitant placement of inflatable penile prosthesis. METHODS: A transverse incision begins slightly medial to the anterior superior iliac spine, with the superior edge crossing transversely to the contralateral anterior superior iliac spine...
January 25, 2019: Journal of Sexual Medicine
Harshad Patil, Nitin Garg, Laxmikant Banabokade, Deepa Navakar
Lumbar surgery can be performed under general or regional anesthesia (epidural or spinal anesthesia). General anesthesia (GA) is commonly used technique. Associated comorbidities may make general anesthesia risky or contraindicated. Since last decade the available literature has increased progressively in support of regional anesthesia for lumbar spine surgery. However in high risk lumbar spine surgery benefits of spinal anesthesia are unclear. Herein authors presented their experience of spinal anesthesia (SA) in cases where general anesthesia is contraindicated...
January 22, 2019: World Neurosurgery
Cordelia Schott, Sonja Zirke, Jillian Marie Schmelzle, Christel Kaiser, Lluis Aguilar I Fernández
Back pain and diseases of the spine are today a health disorder of outstanding epidemiological, medical, and health economic importance. The cost of care for patients with lumbosciatic complaints are steadily increasing. Accordingly, the guidelines and treatments are constantly renewed. One concept is the orthotic care. In the following we want to give an overview of the literature and the effectiveness of lumbar orthoses in low back pain supplemented by our own data. A prospective randomized study with 230 patients, divided into three groups, each with two subgroups...
December 6, 2018: Orthopedic Reviews
Do Hyung Kim, Young Soo Kim, Sang Joon Shin, Hyun Kang, Seokhoon Kim, Hwa Yong Shin
Purpose: Percutaneous cervical nucleoplasty (PCN) is used to treat cervical disc herniation. Radiological imaging studies, including, plain radiography, computed tomography (CT), and magnetic resonance imaging (MRI), have been used to make early predictions of cervical spinal surgery outcomes. However, simple radiological studies do not provide sufficiently detailed information; moreover, CT and MRI are highly expensive. Here we aimed to elucidate the usefulness of digital infrared thermography imaging (DITI) as an outcome marker after cervical nucleoplasty by correlating the changes in thermal differences (ΔTD) with the changes in pain intensity after PCN expressed as visual analogue scale (ΔVAS) scores...
October 7, 2018: Neurospine
Joanne Guay, Santhanam Suresh, Sandra Kopp, Rebecca L Johnson
BACKGROUND: Spine surgery may be associated with severe acute postoperative pain. Compared with systemic analgesia alone, epidural analgesia may offer better pain control. However, epidural analgesia has sometimes been associated with rare but serious complications. Therefore, it is critical to quantify the real benefits of epidural analgesia over other modes of pain treatment. OBJECTIVES: To assess the effectiveness and safety of epidural analgesia compared with systemic analgesia for acute postoperative pain control after thoraco-lumbar spine surgery in children...
January 16, 2019: Cochrane Database of Systematic Reviews
Ahmet Öğrenci, Orkun Koban, Onur Yaman, Mesut Yilmaz, Sedat Dalbayrak
AIM: The aim of this study is to evaluate the satisfaction of patients operated due to degenerative lumbar spinal diseases with dynamic stabilization with Polyetheretherketone (PEEK) rod and to share their radiological and clinical results (mid-term) with Visual Analog Scale(VAS) and Oswestry Disability Index(ODI) scores. MATERIAL AND METHODS: The preoperative and postoperative low back pain, leg pain VAS and ODI scores of 172 patients who were operated for degenerative spinal diseases were evaluated...
September 13, 2018: Turkish Neurosurgery
Micheal Raad, Brian J Neuman, Khaled M Kebaish, Lee H Riley, Richard L Skolasky
STUDY DESIGN: Prospective cohort study OBJECTIVES.: To evaluate whether Patient-Reported Outcomes Measurement Information System (PROMIS) health domains can effectively estimate health utility index values for patients presenting for spine surgery. SUMMARY OF BACKGROUND DATA: Stable estimates of health utility are required to determine cost-effectiveness of spine surgery. There are no established methods to estimate health utility using PROMIS. METHODS: We enrolled 439 patients with spine disease (mean age, 54 ± 18 years) presenting for surgery and assessed their health using the Medical Outcomes Study Short Form-12, version 2 (SF-12v2) and PROMIS domains...
January 7, 2019: Spine
Sivashankar Chandrasekaran, Nader Darwish, Ashraf H Darwish, Carlos Suarez-Ahedo, Parth Lodhia, Benjamin G Domb
PURPOSE: The purpose of this study was to conduct a matched pair analysis to determine the effect of prior lumbar spine surgery (LSS) on clinical outcomes of hip arthroscopy. METHODS: Data were prospectively collected on all patients undergoing hip arthroscopy during the study period from April 2008 to December 2012. Patients were excluded if they had previous hip conditions or had undergone prior hip surgery. Patients in the LSS group (history of LSS) were matched in a 1:1 ratio to a control group (no history of LSS) according to age ±5 years, gender, body mass index categories, Tönnis grade, and labral treatment...
January 3, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Emily R Oleisky, Jacquelyn S Pennings, Jeffrey Hills, Ahilan Sivaganesan, Inamullah Khan, Richard Call, Clinton J Devin, Kristin R Archer
BACKGROUND CONTEXT: No consensus exists for defining chronic preoperative opioid use. Most spine studies rely solely on opioid duration to stratify patients into preoperative risk categories. PURPOSE: The purpose of this study is to compare established opioid definitions that contain both duration and dosage to opioid models that rely solely on duration, including the CDC Guideline for Prescribing Opioids for Chronic Pain, in patients undergoing spine surgery. STUDY DESIGN: This was a retrospective cohort study that used opioid data from the Tennessee Controlled Substance Monitoring Database and prospective clinical data from a single-center academic spine registry...
January 3, 2019: Spine Journal: Official Journal of the North American Spine Society
Armagan Dagal, Carlo Bellabarba, Richard Bransford, Fangyi Zhang, Randall M Chesnut, Grant E O'Keefe, David R Wright, Timothy H Dellit, Ian Painter, Michael J Souter
STUDY DESIGN: The enhanced perioperative care (EPOC) program is an institutional quality improvement initiative. We used a historically controlled study design to evaluate patients who underwent major spine surgery before and after the implementation of the EPOC program. OBJECTIVE: To determine whether multidisciplinary EPOC program was associated with an improvement in clinical and financial outcomes for elective adult major spine surgery patients. SUMMARY OF BACKGROUND DATA: The enhanced recovery after surgery (ERAS) programs successfully implemented in hip and knee replacement surgeries, and improved clinical outcomes and patient satisfaction...
December 19, 2018: Spine
Jeffrey M Hills, Jacquelyn S Pennings, Kristin R Archer, Joseph B Wick, Joshua Daryoush, Marjorie Butler, Ahilan Sivaganesan, Inamullah Khan, Richard Call, Clinton J Devin
STUDY DESIGN: Longitudinal Cohort Study. OBJECTIVE: Determine 1-year patient-reported outcomes associated with preoperative chronic opioid therapy and high-preoperative opioid dosages in patients undergoing elective spine surgery. SUMMARY OF BACKGROUND DATA: Back pain is the most disabling condition worldwide and over half of patients presenting for spine surgery report using opioids. Preoperative dosage has been correlated with poor outcomes, but published studies have not assessed the relationship of both preoperative chronic opioids and opioid dosage with patient-reported outcomes...
December 19, 2018: Spine
Xiaoping Mu, Jianxun Wei, Jiancuo A, Zhuhai Li, Yufu Ou
PURPOSE: To systematically compare the efficacy and safety of lumbar total disc replacement (TDR) with the efficacy and safety of anterior lumbar interbody fusion (ALIF) for the treatment of lumbar degenerative disc disease (LDDD). METHODS: The electronic databases PubMed, Web of Science and the Cochrane Library were searched for the period from the establishment of the databases to March 2018. The peer-reviewed articles that investigate the safety and efficacy of TDR and ALIF were retrieved under the given search terms...
2018: PloS One
Rudo Duri, Kaitlyn Brown, Megan Johnson, Amy McIntosh
STUDY DESIGN: Adolescent idiopathic scoliosis (AIS) patients undergoing spine fusion (SF) had their data prospectively collected. The SRS Spine Appearance Questionnaire (SAQ) was the primary outcome measure. The data were reviewed in a retrospective manner. OBJECTIVES: Patient concerns about breast/chest wall asymmetry in AIS is high. This study sought to determine the improvement after spinal fusion (SF). SUMMARY: Breast/chest wall asymmetry is a significant physical deformity associated with AIS...
January 2019: Spine Deformity
V A Byvaltsev, V Y Goloborod'ko, A A Kalinin, A K Okoneshnikova, M V Strelkov
The aim of the study was a comparative analysis of the effectiveness of the use of Dexmedetomidine and Propofol in the treatment of degenerative diseases of the lumbar spine with minimally invasive puncture techniques in elderly patients. The study included 83 elderly patients (over 60 years old) who underwent laser denervation of facet joints (n=44) and posterolateral transforaminal endoscopic discectomy (n=39): in the first group, Dexmedetomidine (n=32), in the second group - Propofol (n=51). For the comparative analysis, gender characteristics (gender, age), constitutional features (height, weight, body mass index), the degree of physical status by ASA, the intensity of the pain syndrome before surgery, the duration of the operation, the degree of patient satisfaction with the Macnab surgery, the complications...
2018: Advances in Gerontology, Uspekhi Gerontologii
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