Surgical Factors and Treatment Severity for Perioperative Complications Predict Hospital Length of Stay in Adult Spinal Deformity Surgery
Conclusion.
Careful selection of surgical factors may help reduce hospital LOS following surgery for ASD. Classification of complications by treatment severity can help surgeons better understand and predict the implications of complications, in turn assisting with surgical planning and patient counseling.
Level of Evidence: 4 (Source: Spine)
Source: Spine - December 17, 2021 Category: Orthopaedics Tags: DEFORMITY Source Type: research
Best Practice Guidelines for Assessment and Management of Osteoporosis in Adult Patients Undergoing Elective Spinal Reconstruction
Conclusion.
Based on the consensus of a multidisciplinary panel of experts, we propose best practice guidelines for assessment and treatment of poor bone health prior to elective spinal reconstructive surgery. Patients above age 65 and those with particular risk factors under 65 should undergo formal bone health evaluation. We also established guidelines on perioperative optimization, utility of various diagnostic modalities, and the optimal medical management of bone health in this population.
Level of Evidence: 5 (Source: Spine)
Source: Spine - December 17, 2021 Category: Orthopaedics Tags: DEFORMITY Source Type: research
Prospective Randomized Control Pilot Study to Compare the Role of Injection Cerebrolysin in Operated cases of Degenerative Cervical Myelopathy
We present our pilot study which analyzes the role of cerebrolysin in patients of DCM managed by surgical modalities.
Methods.
This prospective randomized control trial was conducted at a tertiary care institute in Mumbai. Sixty operated cases of DCM were randomly divided into 2 groups. The first group was given Injection Cerebrolysin 5 mL diluted in 100 mL Normal Saline over 30 minutes once a day for 21 days postoperatively. The second group was given placebo. Modified Japanese Orthopedic Association scores (mJOA) and visual analog scale (VAS) were used to document functional outcomes at 3 weeks, 3 months, 6 mo...
Source: Spine - December 17, 2021 Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research
Single-level Cervical Arthroplasty with Prodisc-C Vivo Artificial Disc: Five-year Follow-up Results From One Center
Study Design.
Retrospective study.
Objective.
The aim of this study was to evaluate the long-term clinical and radiographic outcomes of cervical arthroplasty using the ProDisc-C Vivo prosthesis.
Summary of Background Data.
Previous reports have shown that cervical arthroplasty with ProDisc-C artificial disc has acceptable clinical outcomes at 5-year and 10-year follow-ups.
Methods.
Clinical and radiographic evaluations, including dynamic flexion-extension lateral images, were performed at baseline and at the 5-year follow-up.
Results.
Twenty-eight patients who underwent single-level ProDisc-...
Source: Spine - December 17, 2021 Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research
Relationship Between Vertebral Bone Marrow Edema and Early Progression of Intervertebral Disc Wedge or Narrowing After Lumbar Decompression Surgery
Study Design.
A retrospective study.
Objectives.
The aim of this study was to review clinical and imaging features in patients with lumbar spinal canal stenosis (LSS) with and without postoperative early progression of intervertebral disc degeneration (IDD) and to identify predictive factors.
Summary of Background Data.
Progression of IDD after lumbar decompression surgery can induce low back pain and leg pain, and may require revision surgery. However, risk factors for postoperative radiological changes indicating IDD linked to development of symptoms have not been described.
Methods.
We included ...
Source: Spine - December 17, 2021 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research
