Opiate-reduction protocol for common outpatient spinal procedures: a long-term feasibility study and single-center experience
CONCLUSIONS: A standardized discharge protocol for postoperative outpatient spinal procedures can lead to long-term reductions in opioid discharge quantity, without compromising patient safety or increasing the utilization of hospital resources through readmissions, refill requests, or clinic phone calls. This study provides an example of a feasible and effective discharge prescription regimen that may be generalizable to common outpatient neurosurgical procedures with long-term evidence that a small intervention can lead to ongoing reduced quantities of postoperative opioids at the time of discharge.PMID:38669713 | DOI:10...
Source: Journal of Neurosurgery - April 26, 2024 Category: Neurosurgery Authors: Nicholas Eley Aiyush Bansal Murad Alostaz Rakesh Kumar Jean-Christophe Leveque Philip K Louie Source Type: research
Long-term efficacy of microendoscopic laminotomy for lumbar spinal stenosis in advanced degenerative spondylolisthesis with or without dynamic spinal instability: a propensity score-matching analysis
CONCLUSIONS: MEL may have good long-term results in patients with DS without dynamic instability. Women with dynamic instability may require additional fusion surgery in approximately 25% of cases for a period of ≥ 5 years.PMID:38669704 | DOI:10.3171/2024.2.SPINE231075 (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - April 26, 2024 Category: Neurosurgery Authors: Shizumasa Murata Keiji Nagata Hiroshi Iwasaki Hiroshi Hashizume Akihito Minamide Yukihiro Nakagawa Shunji Tsutsui Masanari Takami Yuyu Ishimoto Masatoshi Teraguchi Hiroki Iwahashi Kimihide Murakami Ryo Taiji Takuhei Kozaki Yoji Kitano Munehito Yoshida Hir Source Type: research
Prevalence and associated factors of non-traumatic knee pain in high school volleyball players: a cross-sectional study
CONCLUSION: Factors associated with knee pain include a history of LBP and reduced flexibility on the heel-buttock distance test. The study highlights the need for a comprehensive approach, considering the coexistence of LBP and focusing on improving anterior thigh flexibility.PMID:38669135 | DOI:10.1080/00913847.2024.2348439 (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - April 26, 2024 Category: Sports Medicine Authors: Yasuaki Mizoguchi Kenta Suzuki Naoki Shimada Hiroyuki Naka Toby Hall Kiyokazu Akasaka Source Type: research
Analgesic Mechanism of Dexmedetomidine and Esketamine in Rats with Spinal Cord Injury
CONCLUSIONS: Treatment using DEX combined with ESK improves the motor function, inhibits inflammation and astrocyte activity, and exerts analgesic effects on rats with SCI. These findings can serve as a reference for the selection of multi-modal analgesics.PMID:38665020 | DOI:10.24976/Discov.Med.202436183.67 (Source: Discovery Medicine)
Source: Discovery Medicine - April 26, 2024 Category: Research Authors: Huiting Zhao Zhuocheng Li Source Type: research
Development and content validity of the caregiver assisted transfer technique instrument
Assist Technol. 2024 Apr 26:1-9. doi: 10.1080/10400435.2024.2336334. Online ahead of print.ABSTRACTInformal caregivers often provide transfer assistance to individuals with disabilities; however, repeated transfers are associated with a high risk of musculoskeletal pain and injury, and training and education around transfers is minimal. The purpose of this study was to develop and assess the content validity of a new tool, the Caregiver Assisted Transfer Technique Instrument (CATT), which could be used to provide an objective indicator of transfer performance. Item importance, clarity, and appropriateness of responses were...
Source: Assistive Technology - April 26, 2024 Category: Rehabilitation Authors: Hailee R Kulich Diane Collins Brad E Dicianno Luci Leykum Lynn Worobey Rory Cooper Alicia M Koontz Source Type: research
Aspergillus Endogenous Endophthalmitis as a Clue to Identifying a Delayed Lumbosacral Osteomyelitis
CONCLUSION: This case highlights the atypical progression of Aspergillus-induced endogenous endophthalmitis to delayed lumbosacral osteomyelitis in an immunocompetent individual. It highlights the crucial role of a meticulous medical history examination and interdisciplinary collaboration in diagnosing and managing diseases, especially in cases with atypical presentations.PMID:38668792 | DOI:10.1080/09273948.2024.2344704 (Source: Ocular Immunology and Inflammation)
Source: Ocular Immunology and Inflammation - April 26, 2024 Category: Allergy & Immunology Authors: Muhammed Altinisik Yeliz Delibay Akgun Mustafa Erdogan Azzam Faiz Mutawakkil Horu Gazi Source Type: research
Prevalence and associated factors of non-traumatic knee pain in high school volleyball players: a cross-sectional study
CONCLUSION: Factors associated with knee pain include a history of LBP and reduced flexibility on the heel-buttock distance test. The study highlights the need for a comprehensive approach, considering the coexistence of LBP and focusing on improving anterior thigh flexibility.PMID:38669135 | DOI:10.1080/00913847.2024.2348439 (Source: Health Physics)
Source: Health Physics - April 26, 2024 Category: Physics Authors: Yasuaki Mizoguchi Kenta Suzuki Naoki Shimada Hiroyuki Naka Toby Hall Kiyokazu Akasaka Source Type: research
Efficacy of local infiltration analgesia on recovery after total hip arthroplasty using direct anterior approach under spinal anaesthesia: a randomized, double-blind, placebo-controlled trial
Acta Orthop Belg. 2024 Mar;90(1):11-15. doi: 10.52628/90.1.12345.ABSTRACTThe utilization of local infiltration analgesia (LIA) is a common practice in total hip arthroplasty (THA) procedures to mitigate postoperative pain and diminish the necessity for opioids. However, contemporary literature reports conflicting results. Our working hypothesis was that LIA renders better postoperative VAS-scores and reduces the need for oral analgetics. We performed a randomized, double-blind, placebo-controlled trial aimed at examining the effectiveness of LIA in THA. A total of 90 patients were included for statistical analysis. Our pri...
Source: Acta Orthopaedica Belgica - April 26, 2024 Category: Orthopaedics Authors: S Biesemans B Schuermans E Voets H Feyen Source Type: research
Efficacy of local infiltration analgesia on recovery after total hip arthroplasty using direct anterior approach under spinal anaesthesia: a randomized, double-blind, placebo-controlled trial
Acta Orthop Belg. 2024 Mar;90(1):11-15. doi: 10.52628/90.1.12345.ABSTRACTThe utilization of local infiltration analgesia (LIA) is a common practice in total hip arthroplasty (THA) procedures to mitigate postoperative pain and diminish the necessity for opioids. However, contemporary literature reports conflicting results. Our working hypothesis was that LIA renders better postoperative VAS-scores and reduces the need for oral analgetics. We performed a randomized, double-blind, placebo-controlled trial aimed at examining the effectiveness of LIA in THA. A total of 90 patients were included for statistical analysis. Our pri...
Source: Acta Orthopaedica - April 26, 2024 Category: Orthopaedics Authors: S Biesemans B Schuermans E Voets H Feyen Source Type: research
Nontraumatic orbital hematoma secondary to labor and childbirth: a case report and review of the literature
ConclusionsNon-traumatic orbital hematomas associated with maternal labor are rare and likely related to increased valsalva during delivery and heightened blood volume in pregnancy. Neuro-imaging and systemic workup are recommended to assess for vascular anomalies or underlying coagulopathies. The overall prognosis is favorable with most having full recovery. (Source: International Ophthalmology)
Source: International Ophthalmology - April 26, 2024 Category: Opthalmology Source Type: research
Minimally invasive surgery versus standard posterior approach in the treatment of adolescent idiopathic scoliosis: a 2-year follow-up retrospective study
ConclusionsMISS is a safe and capable alternative to PSF for AIS patients with curves < 70°, with analogue capacity of scoliosis correction and same operative time and with advantages in blood loss, length of stay and postoperative pain. (Source: European Spine Journal)
Source: European Spine Journal - April 26, 2024 Category: Orthopaedics Source Type: research
Spinal Stimulators: Review of the Current Evidence
This article discusses the most recent evidence of various indications of SCS to manage pain and improve the quality of life in patients.Recent FindingsThe Food and Drug Administration (FDA) has approved SCS for specific etiologies of chronic pain. The ongoing effort has been dedicated to improving stimulation mechanisms and expanding indications of SCS with promising results. It is essential for providers to be aware of the most current technology and approved and potential indications of SCS to maximize outcomes for each individual patient.SummarySCS can manage chronic pain for patients and improve their function and qua...
Source: Current Physical Medicine and Rehabilitation Reports - April 26, 2024 Category: Rehabilitation Source Type: research
Investigating Cervical Flexion-Relaxation Ratio in Subjects with Cervical Lateral Spinal Stenosis Compared with Asymptomatic Controls: a case control study
The cervical flexion-relaxation ratio (FRR) is known as a quantitative measure of the ability of the cervical extensor muscles to relax during the full flexion of the cervical spine. Compared with subjects suffering from non-specific neck pain, the changes occurring in the pattern of the neck muscles' functions in cases with cervical spinal stenosis are not yet well understood. Therefore, this study aimed to compare cervical FRR in subjects with cervical lateral spinal stenosis and asymptomatic controls. (Source: Journal of Bodywork and Movement Therapies)
Source: Journal of Bodywork and Movement Therapies - April 26, 2024 Category: Physiotherapy Authors: Khodabakhsh Javanshir, Zahra Akbarnejad-Basra, Payam Saadat, Roghayeh Mousavi-Khatir Source Type: research
Cutibacterium Acnes in Spine Surgery: Pathophysiology, Diagnosis, and Treatment
Cutibacterium acnes (C. acnes) previously named Propionibacterium acnes (P. acnes) has been increasingly recognized by spine surgeons as a cause of indolent post-surgical spinal infection. Patients infected with C acnes may present with pseudarthrosis or nonspecific back pain. Currently, microbiological tissue cultures remain the gold standard in diagnosing C. acnes infection. Ongoing research into using genetic sequencing as a diagnostic method shows promising results and may be another future way of diagnosis. (Source: The Spine Journal)
Source: The Spine Journal - April 26, 2024 Category: Orthopaedics Authors: Makeen Baroudi, Mohammad Daher, Russell D Parks, Jerzy George Gregoryczyk, Mariah Balmaceno-Criss, Christopher L McDonald, Bassel G Diebo, Alan H Daniels Source Type: research
Development and Validation of a Radiomics-Based Model for Predicting Osteoporosis in Patients with Lumbar Compression Fractures
Osteoporosis, a metabolic bone disorder, markedly elevates fracture risks, with vertebral compression fractures being predominant. Antiosteoporotic treatments for patients with osteoporotic vertebral compression fractures (OVCF) lessen both the occurrence of subsequent fractures and associated pain. Thus, diagnosing osteoporosis in OVCF patients is vital. (Source: The Spine Journal)
Source: The Spine Journal - April 26, 2024 Category: Orthopaedics Authors: Sunqi Nian, Yayu Zhao, Chengjin Li, Kang Zhu, Na Li, Weichao Li, Jiayu Chen Tags: Clinical Study Source Type: research
