Outcomes spinal fusion. Medical search. Frequent questions

8 ] demonstrated that global sagittal alignment improved through short-segment fusion in patients with spinal stenosis and spondylolisthesis. (asianspinejournal.org)
Further spinal stenosis, the restoration of SVA turned out to differ in a manner dependent on the number of fused segments and the level of the fusion segment [ 8 , 9 ]. (asianspinejournal.org)
A range of online databases were systematically searched up to October 2022 for randomised controlled trials (RCTs) and prospective studies comparing outcomes of decompression alone versus decompression with fusion for lumbar spinal stenosis in patients with degenerative spondylolisthesis. (spinalnewsinternational.com)
BACKGROUND The efficacy of lumbar fusion surgery in patients age 80 years and older with lumbar spinal stenosis (LSS) is still controversial. (londonspine.com)
Cervical stenosis occurs when the spinal canal narrows and compresses the spinal cord and is most frequently caused by degeneration associated with aging. (aans.org)
Severe stenosis may impinge the spinal cord causing injury and requires referral to a neurosurgeon. (aans.org)
Laminectomy is a standard procedure for patients with a narrowing spine or lumbar spinal stenosis. (weisshospital.com)
Background To investigate the clinical effect of anterior controllable antedisplacement and fusion (ACAF) technique for the treatment of multilevel cervical spondylotic myelopathy with spinal stenosis (MCSMSS), and compare ACAF with hybrid decompression fixation (HDF). (researchsquare.com)
Multilevel cervical spondylotic myelopathy with spinal stenosis (MCSMSS) is a disorder of spinal cord dysfunction characterized by involving three or more cervical segments, which is caused by congenital, developmental or degenerative factors which results in spinal stenosis and compression of spinal cord and its blood vessel at the levels of both intervertebral disc and vertebra[1]. (researchsquare.com)
The aims of this study were first, to determine if adding fusion to a decompression of the lumbar spine for spinal stenosis decreases the rate of radiological restenosis and/or proximal adjacent level stenosis two years after surgery, and second, to evaluate the change in vertebral slip two years after surgery with and without fusion. (boneandjoint.org.uk)
The Swedish Spinal Stenosis Study (SSSS) was conducted between 2006 and 2012 at five public and two private hospitals. (boneandjoint.org.uk)
We randomized 222 patients with central lumbar spinal stenosis at one or two adjacent levels into two groups, decompression alone and decompression with fusion. (boneandjoint.org.uk)
A new stenosis on two-year MRI was used as the primary outcome, defined as a dural sac cross-sectional area ≤ 75 mm 2 at the operated level (restenosis) and/or at the level above (proximal adjacent level stenosis). (boneandjoint.org.uk)
It is done to treat spinal stenosis or disk problems and allow normal movement of the backbone. (medlineplus.gov)
Surgery for spinal stenosis may be considered if you have severe symptoms that interfere with your daily life and do not improve with other therapy. (medlineplus.gov)
During traditional spinal surgery for spinal stenosis, the surgeon will need to fuse some of the bones in your spine to make your spine more stable. (medlineplus.gov)
For patients who have back pain associated with radiculopathy, spinal stenosis, or another specific spinal cause, magnetic resonance imaging or computed tomography may establish the diagnosis and guide management. (aafp.org)
Patients with spine conditions such as degenerative disc disease, fractures, scoliosis, spinal stenosis and spinal tumors will benefit. (roi-nj.com)
When there is nerve compression, this is called spinal stenosis . (hss.edu)
The doctor will also use the physical exam and imaging to assess the patient for signs of spinal stenosis (the narrowing or compression of the spinal canal). (hss.edu)
Spinal stenosis is a narrowing of the lumbar or cervical spinal canal. (mountsinai.org)

WASHINGTON - A standardized care pathway for children with adolescent idiopathic scoliosis undergoing spinal fusion surgery reduces the need for opioid pain medications and shortens hospital stays at Children's National Health System. (childrensnational.org)
The focal orthopedic complications of neurofibromatosis, which usually appear early, include spinal deformities such as scoliosis and kyphoscoliosis, congenital bowing and pseudoarthrosis of the tibia and the forearm, chest-wall deformities, overgrowth phenomenon of the extremity, and soft-tissue tumors. (medscape.com)
When it comes to patient care and special surgeries for sick children, Dr. Newton primarily treats scoliosis and other spinal conditions, such as vertebral fractures. (rchsd.org)
among his areas of focus are spine surgery, scoliosis without spinal fusion, and orthopedic biomechanics. (rchsd.org)
Non-Fusion Versus Fusion Surgery in Pediatric Idiopathic Scoliosis: What Trade-Offs in Outcomes Are Acceptable for the Patient and Family? (rchsd.org)
Pregnancy and Childbirth After Spinal Fusion for Adolescent Idiopathic Scoliosis. (rchsd.org)
Pain Medication Use Two Years After Adolescent Idiopathic Scoliosis Fusion Surgery. (rchsd.org)
Machine Learning for Benchmarking Adolescent Idiopathic Scoliosis Surgery Outcomes. (rchsd.org)
Late Infection After Spinal Fusion for Adolescent Idiopathic Scoliosis: Implant Exchange Versus Removal. (rchsd.org)
Complications such as infection, nerve damage, blood loss, and bowel and bladder problems are some of the potential risks of any type of spinal surgery, including spinal fusion for the treatment of scoliosis. (medtronic.com)
Additional complications that may be associated with scoliosis surgery include loss of proper spinal balance, failure, of the bones to properly heal and fuse (pseudoarthrosis), instrumentation failure and vertebral degeneration in the levels adjacent to the fused section. (medtronic.com)
Lumbar Spinal Fusion is commonly recommended for patients with a misshapen (scoliosis) or unstable spine (spondylolisthesis). (weisshospital.com)
The purpose of this study is to determine the radiographic and clinical outcomes of Scoliosis surgical and non-operative treatment in patients with Cerebral Palsy. (childrenshospital.org)
Very little evidence exists regarding the impact spinal surgery on the quality of life in children with scoliosis related to cerebral palsy. (childrenshospital.org)
Degenerative lumbar scoliosis (DLS) patients undergoing posterior long-segment spinal fusion surgery often require perioperative blood transfusions, and previous studies have reported that increased complications and additional costs accompany these transfusions. (medscimonit.com)
Pain may be related to the curve itself or due to compression of the spinal nerves," explains Oheneba Boachie-Adjei, MD, Chief Emeritus of the Scoliosis Service at HSS. (hss.edu)
IT opioids can be administered as an adjunct to general anesthesia (e.g., for scoliosis surgery) or combined with local anesthetics and administered during spinal anesthesia (e.g., for total hip arthroplasty). (medscape.com)

For adult spinal deformity, it is critical to create optimal lumbar lordosis (LL) in order to achieve restoration of sagittal imbalance. (asianspinejournal.org)
In patients with spinal deformity, achieving sagittal balance is essential to obtain good clinical outcomes. (asianspinejournal.org)
Insufficient correction of LL might cause iatrogenic flat-back deformity after short-segment as well as long-segment fusions [ 5 , 6 ]. (asianspinejournal.org)
Between 10% and 33% of children with NF1 have spinal deformity. (medscape.com)
Perioperative Complications and Health-related Quality of Life Outcomes in Severe Pediatric Spinal Deformity. (rchsd.org)
Intraoperative neuromonitoring predicts postoperative deficits in severe pediatric spinal deformity patients. (rchsd.org)
Scholars@Duke publication: The role of concurrent fusion to prevent spinal deformity after intramedullary spinal cord tumor excision in children. (duke.edu)
OBJECTIVES: Spinal deformity is a common development after laminectomy and resection of pediatric intramedullary spinal cord tumors. (duke.edu)
Our objective is to compare the occurrence of postlaminectomy spinal deformity in children with intramedullary spinal cord tumors that underwent decompression with fusion at the time of surgery to those that did not undergo fusion. (duke.edu)
Preoperative spinal alignment, surgical treatment, postoperative deformity, and risk factors for deformity were evaluated. (duke.edu)
Among skeletally mature children, 18 of 28 (64%) developed deformity after laminectomies and laminoplasties, compared with 22% (2/9) of the patients in the fusion group (P = 0.03). (duke.edu)
CONCLUSIONS: In the surgical treatment of patients with intramedullary spinal cord tumors, those that undergo instrumentation or in situ fusion at the time of spinal cord tumor excision are significantly less likely to develop postresection spinal deformity. (duke.edu)
Comparison of Staged vs Same-Day Circumferential Spinal Fusions for Adult Spinal Deformity. (bvsalud.org)
Patients often undergo circumferential (anterior and posterior) spinal fusions to maximize adult spinal deformity (ASD) correction and achieve adequate fusion. (bvsalud.org)

A total of 69 patients with transforaminal lumbar interbody fusion (TLIF) for degenerative spinal disease were evaluated with a minimum 2-year follow-up. (asianspinejournal.org)
Total disc arthroplasty (TDA) using an artificial disc (AD) is an attractive surgical technique for the treatment of spinal disorders, since it can maintain or restore spinal motion (unlike interbody fusion). (sigmaaldrich.com)
1 Li T, Shi L, Luo Y, Chen D, Chen Y. One-level or multilevel interbody fusion for multilevel lumbar degenerative diseases: a prospective randomized control study with a 4-year follow-up. (spine-health.com)
Nerve injury after lateral lumbar interbody fusion: a review of 919 treated levels with identification of risk factors. (spine-health.com)
The entire cohort included a total of 211 (ST = 50, SD = 161) patients , 100 of whom (ST = 44, SD = 56) underwent more than 4 levels fused posteriorly and anterior lumbar interbody fusion (ALIF). (bvsalud.org)
Interbody fusion rate of the treated level(s), evaluated on radiological images by the surgeon within the study FU period as Solid fusion, Fibrous union, or Non-union. (who.int)
[ 1 ] The preferred method of fusion has been interbody fusion via a posterior or an anterior approach, or both combined for a circumferential fusion. (medscape.com)

So we would recommend spine surgeons to be more conservative in offering concomitant fusion to patients with degenerative spondylolisthesis. (spinalnewsinternational.com)
SSI After Spinal Fusion Fell After Best Practice Guidelines The implementation of recommendations in the 2013 Best Practice Guideline resulted in a significant drop in surgical site infections in spine surgery patients. (medscape.com)
The neck region of the spinal column, the cervical spine , consists of seven bones (C1-C7 vertebrae ), which are separated from one another by intervertebral discs. (aans.org)
Coronal CT, SPECT, and SPECT/CT views through the lower lumbar spine and sacroiliac joints show hyperintensities on CT related to the spinal fixation screws with focal increase in tracer uptake seen on SPECT and SPECT/CT images corresponding to the left L4/L5 vertebral facet adjacent and medial to the fixation screw. (siemens-healthineers.com)
Present Study: Application of direct or alternating electrical current has been shown to induce and speed up the process of bone healing following spine fusion surgery. (medicalxpress.com)
The following is a discussion of the most commonly employed fusion techniques in various regions of the spine. (medscape.com)
As to the anterior cervical corpectomy decompression and fusion (ACCF), although its effect of decompression is significant, the instability of cervical spine and the high risk of complications cannot be ignored[6]. (researchsquare.com)
A leader in pediatric spine care, Children's performs more spinal fusion surgery on kids, teens and young adults than any other pediatric hospital in the country. (choa.org)
Doing the operation through the abdomen allows the surgeon to access the spine without disturbing the spinal nerves. (medlineplus.gov)
As a result, other parts of your spine below and above the fusion may be more likely to have disk problems in the future. (medlineplus.gov)
The most common risk of a spine fusion surgery is the failure to relieve lower back pain symptoms following the surgery. (spine-health.com)
Significant Blood Loss in Lumbar Fusion Surgery for Degenerative Spine. (spine-health.com)
Because evidence of improved outcomes is lacking, lumbar spine radiography should be delayed for at least one to two months in patients with nonspecific pain. (aafp.org)
Spine surgery is frequently used to stabilize vertebral bones and spinal joints and relieve pressure on the nerves in the spine. (roi-nj.com)
It facilitates more precise and more minimally invasive spine surgery, which will translate into shorter patient recoveries and better outcomes. (roi-nj.com)
On January 9, 1911, he performed a landmark and extremely controversial surgery to fuse the 'spinous processes, laminae and intervertebral articulations' to prevent the progression of curvature of the spine in a patient with spinal tuberculosis. (srs.org)
Validation of a surgical invasiveness index in patients with lumbar spinal disorders registered in the Spine Tango registry. (eurospine.org)
To bring the whole thing full circle, Fauber spends much of the body of this latest installment explaining how conflicts of interest and other questionable ethical situations, including off-label use, propelled the early and sustained success of Medtronic's spine-fusion blockbuster and set the stage for the emerging pain epidemic. (healthjournalism.org)
Medtronic's ongoing woes with its blockbuster spine fusion product Infuse have been a staple of Covering Health for as long as we can remember, but things have reached a crescendo this week. (healthjournalism.org)
Trauma to the spine may cause injuries involving the spinal cord, vertebrae, or both. (msdmanuals.com)
Outcome measure(s): Outcome measures included repeat lumbar spine surgery, all-cause readmission, life-threatening complications, wound problems, device complications, and costs. (cdc.gov)

Higher correction of LL using hyper-lordotic angle cages is thus recommended in short-segment lumbar fusion, since postoperative improvements of SVA significantly affect clinical outcomes. (asianspinejournal.org)
Management of postoperative spinal infections. (wjgnet.com)
Prior evidence has supported the use of local intraoperative epidural steroids in lumbar discectomy for improvements in postoperative pain and outcomes. (thejns.org)
The present investigation aimed to evaluate the impact of local epidural administration of triamcinolone acetonide-soaked Gelfoam on postoperative pain and patient-reported outcomes in patients undergoing instrumented posterolateral lumbar spinal fusion. (thejns.org)
The primary outcome measure was early postoperative visual analog scale (VAS) scores for pain both at rest and with movement. (thejns.org)
This study compares outcomes following laminoplasty and LPSF in patients with matched postoperative cervical lordosis. (duke.edu)
In both the whole cohort and the long segment fusions, postoperative pulmonary embolism was more common in ST procedures . (bvsalud.org)
The last postoperative visit is mandatory as well as a CT scan to measure fusion. (who.int)

The team conducted a retrospective analysis of prospective data from all patients (213) undergoing posterior spinal fusion at Children's National Health System from 2014 to 2017, a period of time that captures nearly one year before implementation of the new pathway and 2.5 years after implementation. (childrensnational.org)
Scholars@Duke publication: Laminoplasty versus laminectomy with posterior spinal fusion for multilevel cervical spondylotic myelopathy: influence of cervical alignment on outcomes. (duke.edu)
OBJECTIVE Cervical curvature is an important factor when deciding between laminoplasty and laminectomy with posterior spinal fusion (LPSF) for cervical spondylotic myelopathy (CSM). (duke.edu)
Although patient characteristics and comorbidities were not dissimilar between the ST and SD groups, both the number of levels fused in ALIF and posterior spinal fusion (PSF) were significantly different. (bvsalud.org)

We investigated the impact of short-segment lumbar fusion on the restoration of global sagittal alignment and the correlations between spino-pelvic parameters and clinical outcomes. (asianspinejournal.org)
Radiological spino-pelvic parameters including sagittal vertical axis (SVA) and clinical outcomes using the Oswestry Disability Index (ODI) and Numeric Rating Scale (NRS) were evaluated. (asianspinejournal.org)
Spino-pelvic parameters such as SVA and pelvic tilt (PT) are known to be related to clinical outcomes after spinal fusion surgery. (asianspinejournal.org)
Spinal fusion supplemented with DIAM significantly reduced the incidence of clinical adjacent segment disease (CASD) (OR = 0.358, p = 0.032). (tmu.edu.tw)
Conclusions: Spinal fusion supplemented with DIAM substantially reduced the incidence of radiographic and clinical adjacent segment disease. (tmu.edu.tw)
At the brain tumor laboratory, Henry Brem, M.D. and Betty Tyler , along with more than 350 trainees, have conducted scientific research, contributed to scientific literature, amended clinical practice, and illuminated new pathways for improving clinical outcomes. (hopkinsmedicine.org)
He is currently working on understanding the extreme responders and extreme clinical phenotypes of brain and spinal cord tumors to identify factors that may modulate responses to therapy. (hopkinsmedicine.org)
Posterior cervical spinal fusion in the pediatric population using modern adult instrumentation - clinical outcome and safety. (rchsd.org)
They found significant improvement overall in the rates of bone fusion following a course of electrical stimulation in both preclinical (animal) and clinical (human) studies. (medicalxpress.com)
Clinical outcomes and radiographic results were compared. (duke.edu)
Of these, 52 patients with a biopsy-proven intramedullary spinal cord tumor had complete clinical records and radiographic data. (duke.edu)
In order to better solve the clinical problems of MCSMSS, we proposed to utilize a novel treatment scheme of anterior controllable antedisplacement and fusion (ACAF) on MCSMSS. (researchsquare.com)
She then obtained additional research training through a General Medicine Fellowship at the Massachusetts General Hospital and obtained a Masters of Public Health at the Harvard School of Public Health, and subsequently entered a career as a clinical outcomes researcher. (ucsf.edu)
Intramuscular diaphragm stimulation for ventilator-dependent chronic respiratory failure from high spinal cord injuries should only be used with special arrangements for clinical governance, consent, and audit or research. (bvsalud.org)

Intrathecal (IT), often referred to as "spinal," anesthesia refers to the delivery of anesthetic agents to the subarachnoid layer of the spinal column into cerebrospinal fluid (CSF) surrounding the spinal cord. (medscape.com)

Death rates after spinal fusion and other surgeries "similar" regardless of. (spinalnewsinternational.com)
Surgeries here lead to some of the shortest stays, best outcomes and highest patient satisfaction. (choa.org)
The attorneys at Benson & Bingham Personal Injury Lawyers, LLC successfully won compensation for a client who was seriously injured in a bicycle accident that resulted in several extensive, invasive spinal fusion surgeries and ongoing pain. (bensonbingham.com)
This study aims to compare perioperative outcomes and costs of ST vs SD circumferential ASD corrective surgeries. (bvsalud.org)

0.01) significantly lowered the incidence of radiographic adjacent segment degeneration (RASDeg) compared with spinal fusion surgery alone. (tmu.edu.tw)

There is high quality evidence showing that there is no difference in terms of functionality after decompression alone compared to decompression with fusion in patients with degenerative lumbar spondylolisthesis at two years of follow-up. (spinalnewsinternational.com)
The researchers believe that further studies should focus on long-term comparative outcomes, health economic evaluations, and identifying those patients that may benefit more from decompression with fusion instead of decompression alone. (spinalnewsinternational.com)
Furthermore, there was high-quality evidence of no difference in leg pain (MD −1.79, 95% CI −5.08 to 1.5) or back pain (MD −2.54, 95% CI −6.76 to 1.67) between patients undergoing decompression vs. decompression with fusion. (spinalnewsinternational.com)
Patients achieving a difference in outcome score of at least one standard error of measurement would have achieved a minimal clinically important difference. (wikipedia.org)
This retrospective study aimed to evaluate the surgical outcomes of LSS patients ³80 vs 65-79 years. (londonspine.com)
All patients underwent posterior lumbar decompression, fixation, and fusion surgery. (londonspine.com)
A new study looks at the one-year outcomes in patients who developed these complications. (medscape.com)
The proportion of patients who achieved a minimum clinically important difference for patient-reported outcomes were also similar between the two groups. (thejns.org)
They found nearly a fivefold increase in the odds of successful bone fusion in animals and a greater than twofold increase in patients treated with electrical stimulation therapy. (medicalxpress.com)
A subgroup analysis of patients with and without preoperative pain was performed, and the effects of cervical curvature on pain outcomes were examined. (duke.edu)
In cohorts of matched follow-up cervical sagittal alignment, pain outcomes were similar between laminoplasty and LPSF patients. (duke.edu)
It's common for laminectomy patients to require spinal fusion as part of their back pain treatments. (weisshospital.com)
This study would be the first large-scale prospective, multi-center series of spinal fusion outcomes in patients with Cerebral Palsy. (childrenshospital.org)
Despite the recent momentum for urgent surgery, the optimal treatment strategy for patients sustaining for acute traumatic incomplete cervical spinal cord injury (SCI) remains unclear, in particularly for those without bone injury. (spine.org)
This paper sought to address the question of how the timing of surgical decompression impacts neurological and functional outcomes in patients with central cord syndrome. (spine.org)
A total of 211 patients underwent surgery at a mean age of 66 years (69% female): 103 were treated by decompression with fusion and 108 by decompression alone. (boneandjoint.org.uk)
Following spinal fusion surgery, patients may experience postsurgical complications during the recovery period. (spine-health.com)
ARTIS pheno is a robotic imaging system that enables you to deliver outcomes that matter to patients undergoing spinal fusion surgery. (siemens-healthineers.com)
She is also a core investigator in the ATRIA Study group, which investigates stroke and hemorrhage outcomes in patients with atrial fibrillation. (ucsf.edu)
We sought to evaluate the costs and benefits of preoperative administration of 1 g of intravenous TXA, without maintenance, in DLS patients undergoing long-segment spinal fusion surgery. (medscimonit.com)
Patient-rated outcome after atlantoaxial (C1-C2) fusion: more than a decade of evaluation of 2-year outcomes in 126 patients. (eurospine.org)
Treatments such as spinal fusion, routine episiotomies, and neonatal intensive care are helpful for some patients, but widely overused. (americanprogress.org)
Patients admitted to the emergency department of any age for spinal cord injury and having performed a radiological examination were included. (bvsalud.org)
Patient sample: All patients undergoing an inpatient lumbar fusion for degenerative disease (n=4,628) were included the patient sample. (cdc.gov)

patient-reported outcome measures are similar, but risk of complications and costs are higher. (spinalnewsinternational.com)
Spinal complications are the most common orthopedic manifestation of NF1. (medscape.com)
Infection places a patient at higher risk for non-fusion (pseudoarthrosis), chronic pain, revision surgery, neurological complications, and delayed recovery. (spine-health.com)
To examine complications and rates of subsequent surgery following lumbar spinal fusion (LF) and lumbar total disc arthroplasty (TDA) at up to 5-year follow-up. (medscape.com)
Conclusions: Broader lumbar fusion coverage policy was associated with greater use of lumbar fusion, use of more invasive operations, more reoperations, higher rates of complications, and greater inpatient costs. (cdc.gov)

At each vertebral level, a pair of spinal nerves exit through small openings called foramina (one to the left and one to the right). (aans.org)
Volume rendering of the CT with zoomed visualization of the spinal vertical stabilization rods shows the fracture of the right vertical rod (arrow) at the mid-L4 vertebral level. (siemens-healthineers.com)
The vertebral column provides protection to the spinal cord that runs through its central cavity. (mountsinai.org)
Unstable vertebral injuries are those in which bony and/or ligamentous integrity are disrupted sufficiently that free movement can occur, potentially compressing the spinal cord or its vascular supply and resulting in marked pain and potential worsening of neurologic function. (msdmanuals.com)

The study is the first of its kind to show that the benefits of this unique care pathway, which was mapped and designed at Children's National using the Six Sigma LEAN process, are sustainable and repeatable over a longer period of time, and have been maintained longer than any other pediatric spinal fusion care model to date. (childrensnational.org)
METHODS: A retrospective chart review of 255 children with spinal cord tumors treated at 2 tertiary pediatric cancer centers between was performed. (duke.edu)
Acquiring enough bone to perform the fusion, especially in pediatric cases, allowed Hibbs to succeed where others failed and stands as a testament to his meticulous operative skills. (srs.org)

An approximately 75-year-old male with history of posterior spinal stabilization surgery presented with severe lower back pain. (siemens-healthineers.com)
Anatomy Spinal cord disorders can cause permanent severe neurologic disability. (msdmanuals.com)
Lumbar fusion (LF) is commonly performed for the treatment of severe degenerative disc disease (DDD) causing pain refractory to nonoperative management. (medscape.com)

The patient is asked what minimal outcome would be necessary to undergo the proposed treatment. (wikipedia.org)
Background: Each year in the United States approximately 400,000 persons undergo spinal fusion surgery for spinal instability, pain, and/or loss of function. (medicalxpress.com)
Incorrectly placed implants negatively affect procedural outcomes and frequently require the patient to undergo another surgery. (siemens-healthineers.com)

The primary outcome was the Oswestry Disability Index and secondary outcomes included leg and back pain, surgical outcomes, and radiological outcomes. (spinalnewsinternational.com)
Pooled surgical outcomes showed less blood loss after decompression only, shorter length of hospital stay, and a similar reoperation rate compared to decompression with fusion. (spinalnewsinternational.com)
However, adverse surgical outcomes of contemporary lumbar TDAs have been reported. (sigmaaldrich.com)

Speaking to Spinal News International , Gadjradj said: "The added value of fusion in addition to lumbar decompression for degenerative spondylolisthesis has been controversial for a few decades. (spinalnewsinternational.com)

Comparison of perioperative outcomes and cost of spinal fusion for cervical trauma: weekday versus weekend admissions. (rush.edu)
Nandyala SV, Marquez-Lara A, Fineberg SJ, Schmitt DR, Singh K. Comparison of perioperative outcomes and cost of spinal fusion for cervical trauma: weekday versus weekend admissions. (rush.edu)

This space, called the spinal canal , is the area through which the spinal cord and nerve bundles pass. (aans.org)
Neck pain may be caused by arthritis , disc degeneration , narrowing of the spinal canal, muscle inflammation, strain or trauma. (aans.org)
Herniated discs or bone spurs may cause a narrowing of the spinal canal, or the small openings through which spinal nerve roots exit, putting pressure on spinal cord or the nerves. (aans.org)
These changes result in a narrowing of the spinal canal. (aans.org)
ACAF is characterized by hoisting the anterior wall of the spinal canal to make it move forward, thus expanding the volume of the spinal canal and relieving the compression. (researchsquare.com)
Bleeding during lumbar spinal fusion surgery may be associated with conditions such as spinal canal narrowing. (spine-health.com)

20 degrees requiring bracing or surgery) developed in 57% (21/37) of resections without fusion (laminectomy or laminoplasty alone), and in 27% (4/15) of those with fusion (P = 0.05). (duke.edu)

Over the years clinicians and researchers have moved away from physical and radiological endpoints towards patient-reported outcomes. (wikipedia.org)

The delicate spinal cord and nerves are protected by suspension in the spinal fluid in the dural sac, then further by the bony vertebrae. (aans.org)
Pressure on the spinal cord in the cervical region can be a serious problem, because virtually all of the nerves to the rest of the body have to pass through the neck to reach their final destination (arms, chest, abdomen, legs). (aans.org)

However, within the whole cohort and the long segment fusion cohort, the ST group continued to show significantly increased rates of pulmonary embolism , longer length of stay , and higher hospital admission costs compared with the SD group. (bvsalud.org)

In anticipated instability (eg, extensive discitis and osteomyelitis treated with debridement, decompression and antibiotics), bracing may be used as a temporary means of stabilization, before fusion is undertaken or until spontaneous fusion occurs. (medscape.com)
Washington State's workers' compensation (WC) program requires imaging confirmation of instability and limits initial fusions to a single level. (cdc.gov)

There was no significant difference in patient-reported outcomes including VAS scores for back and leg pain as well as the Oswestry Disability Index at 4 and 12 weeks postoperatively. (thejns.org)
The efficacy of short term chiropractic care for spinal pain will be examined at two week follow-up by assessing pain, physical function, minimum acceptable outcome, and satisfaction with care, with the use of the following outcome measures: Numerical Rating Scale, Functional Rating Index, Neck Disability Index, Minimum Acceptable Outcome Questionnaire, Oswestry Disability Index, and a global measure of treatment satisfaction. (biomedcentral.com)
Development of a mapping function ("crosswalk") for the conversion of scores between the Oswestry Disability Index (ODI) and the Core Outcome Measures Index (COMI). (eurospine.org)

As pressure builds to increase the value of care, many hospital systems are trying standardized care pathways for many complex conditions, in an effort to decrease care variability, improve outcomes and decrease cost. (childrensnational.org)
Dr. Victor Yang invented and commercialized a surgical navigation device to improve outcomes of spinal fusion procedures. (sunnybrook.ca)

Direct current stimulation requires implantation of a stimulation device, which is usually done at the time of spinal fusion surgery. (medicalxpress.com)

However, currently there is a paucity of data regarding the efficacy of local epidural steroids in spinal fusion procedures. (thejns.org)
In contrast to the existing literature on the beneficial use of local intraoperative epidural steroids in conventional lumbar discectomy, the present study did not demonstrate such significant efficacy for the use of local epidural steroids in instrumented posterolateral lumbar spinal fusion. (thejns.org)
Reduces blood loss: In total hip arthroplasty (THA), studies have demonstrated that both spinal and epidural anesthesia tend to have approximately a 30% reduction in intraoperative blood loss compared with general anesthesia , owing to lower arterial and venous pressures. (medscape.com)

The spinal cord is bathed in cerebrospinal fluid (CSF) and surrounded by a protective layer called the dura, a leathery sac. (aans.org)

In recent years, the "topping-off" technique has emerged as a new surgical method, combining spinal fusion with a hybrid stabilization device (HSD) or interspinous process device (IPD) proximal to the fused vertebrae. (tmu.edu.tw)
Routine X-ray of the lower thoracic and lumbar vertebrae shows bilateral spinal stabilization rod and screws without any clear evidence of displacement or fracture. (siemens-healthineers.com)
Sagittal CT and SPECT/CT views through the lumbar vertebrae show the left vertical spinal stabilization rod with focal hypermetabolism surrounding the L4 fixation screw. (siemens-healthineers.com)
It was determined that he needed further stabilization, so he had surgery again to perform an anterior fusion of his C3-T1 and posterior fusion of his C3-T4 spinal bones. (bensonbingham.com)

The minimal important difference (MID) or minimal clinically important difference (MCID) is the smallest change in a treatment outcome that an individual patient would identify as important and which would indicate a change in the patient's management. (wikipedia.org)

average age 15.3 years) with major thoracic (n = 18) or thoracolumbar/lumbar (n = 42) curves were treated with dual-rod instrumented anterior spinal fusion. (wustl.edu)
or performing thoracic spinal fusion, which requires large instruments. (siemens-healthineers.com)
At Englewood Health, spinal procedures such as lumbar or thoracic fusion will now be possible, thanks to the new technology. (roi-nj.com)

Cervical curvature (lordosis) should be considered as an important factor in pain outcomes following posterior decompression for multilevel CSM. (duke.edu)
The likelihood of this result is relatively higher with multilevel fusions involving three or more levels. (spine-health.com)
In contrast, California requires coverage if a second opinion supports surgery, allows initial multilevel fusion, and provides additional reimbursement for surgical implants. (cdc.gov)

Conclusion: Spinal cord injuries are "time-dependent" medical and surgical emergencies. (bvsalud.org)
Spinal cord injuries occur when blunt physical force damages the vertebrae, ligaments, or disks of the spinal column, causing bruising, crushing, or tearing of spinal cord tissue, and when the spinal cord is penetrated (eg, by a gunshot or a knife wound). (msdmanuals.com)

Methods: A literature search using the PubMed, Cochrane Central Register of Controlled Trials, EMBASE, and Web of Science databases identified eligible studies comparing topping-off implant(s) with spinal fusion surgery for lumbar degenerative diseases. (tmu.edu.tw)

For single-level compression, anterior cervical discectomy and fusion (ACDF) is the "gold standard" for surgical treatment[4, 5]. (researchsquare.com)

There is still controversy over whether short-segment lumbar fusion may affect global sagittal alignment. (asianspinejournal.org)

Purpose: The purpose of this study was to compare population-level data on the use of complex fusion techniques, adverse outcomes within 3 months, and costs for two states with contrasting coverage policies. (cdc.gov)

The system provides support throughout the spinal fusion procedure, from fast 3D scans up to individualized screw path planning, guidance, and immediate assessment of implant positioning. (siemens-healthineers.com)
It is not only beneficial to a patient, it improves implant placement accuracy, which translates into better outcomes. (roi-nj.com)

All patient-reported outcomes showed low statistical heterogeneity. (spinalnewsinternational.com)
However, using patient-reported outcomes does not solve the problem of small differences being statistically significant but possibly clinically irrelevant. (wikipedia.org)
MCID is the smallest change in an outcome that a patient would identify as important. (wikipedia.org)
Using the one-half standard deviation benchmark of an outcome measure entails that patient improving more than one-half of the outcome score's standard deviation have achieved a minimal clinically important difference. (wikipedia.org)
The study measured the impact of a new spinal fusion surgical home pathway that delivers coordinated, comprehensive care for every patient without increasing costs. (childrensnational.org)
All treatment and outcome results are specific to the individual patient. (medtronic.com)
This procedure carries lower risks of patient movement restrictions than spinal fusion surgery. (weisshospital.com)
Coronal Curve >50 degrees on sitting film (as measured by 'greatest Cobb') OR Kyphotic curve >70 degrees on sitting film (as measured by T5-T12) AND A spinal fusion is being undertaken and the patient/family is proceeding with the spinal fusion (with any level of distal fusion). (childrenshospital.org)
A spinal fusion is not being undertaken (Non-Operative cohort) either because the family has refused surgery or because it is not recommended at this point or surgery is recommended but is not being undertaken because they are on a waiting list, and are being enrolled as a non-op patient because they will be on the waiting list for >18 months. (childrenshospital.org)
The advantages of IT opioids for analgesia, especially if spinal anesthesia is already planned, include its simplicity, lack of need for catheter care or pumps, low cost, and easy supplementation with low-dose patient-controlled analgesia (PCA) opioids as needed. (medscape.com)
[ 13 , 14 ] Additionally, lumbar TDA may allow for earlier patient mobilization by negating the need for activity restrictions often required for fusion maturation. (medscape.com)
[ 16-20 ] Lumbar TDA has been found to be equivalent, and in some studies superior, to fusion in improving patient-perceived outcomes such as disability, pain intensity, and quality of life. (medscape.com)

However, surgeons do not pay attention to correcting LL in short-segment lumbar fusion. (asianspinejournal.org)
Two- or three-segment lumbar fusion using hyper-lordotic angle cages improved LL and SVA. (asianspinejournal.org)
Even when LL is insufficiently corrected in short-segment lumbar fusion, compensatory hyperextension at the unfused segments and pelvic retroversion can prevent global sagittal imbalance just after surgery. (asianspinejournal.org)
Given the success of arthroplasty in other orthopedic subspecialties, lumbar total disc arthroplasty (TDA) was proposed as an alternative to lumbar fusion for the treatment of DDD. (medscape.com)
How do coverage policies influence practice patterns, safety, and cost of initial lumbar fusion surgery? (cdc.gov)
Background context: In response to increasing use of lumbar fusion for improving back pain , despite unclear efficacy, particularly among injured workers, some insurers have developed limited coverage policies. (cdc.gov)
There are no studies that compare population-level effects of these policy differences on utilization, costs, and safety of lumbar fusion. (cdc.gov)
Results: Overall rate of lumbar fusion operations through WC programs was 47% higher in California than in Washington. (cdc.gov)

To be successful, spinal surgery requires highly accurate placement of surgical hardware used to hold vertebrae. (roi-nj.com)

My research interests involve understanding the relationship between policies and health outcomes in developing countries. (stanford.edu)
Based on a study of regional variation, Dartmouth researchers concluded that Medicare spending could be reduced by 29 percent without reducing effective care or affecting health outcomes. (americanprogress.org)
The finding suggests that the entire American health care system spends roughly $700 billion a year that does not improve health outcomes. (americanprogress.org)

It is not possible to conclude the cause of the hypermetabolism or whether it is related to loosening of spinal screw or degenerative changes from planar studies alone. (siemens-healthineers.com)

Anatomy16

Organisms2

Diseases40

Chemicals and Drugs12

Analytical, Diagnostic and Therapeutic Techniques and Equipment47

Psychiatry and Psychology1

Phenomena and Processes21

Disciplines and Occupations3

Anthropology, Education, Sociology and Social Phenomena1

Technology, Industry, Agriculture3

Information Science3

Named Groups1

Health Care18

Stenosis21

Scoliosis17

Deformity14

Interbody fusion7

Spine21

Postoperative8

Posterior spinal fusion4

Clinical14

Surrounding the spinal cord1

Surgeries4

Radiographic1

Patients24

Complications5

Vertebral4

Pediatric3

Severe3

Undergo3

Surgical outcomes3

Spondylolisthesis1

Perioperative2

Canal6

Laminectomy1

Radiological1

Nerves2

Long-segment1

Instability2

Oswestry Disability Index3

Improve outcomes2

Time of spinal1

Epidural3

Cerebrospinal fluid1

Stabilization4

Treatment outcome1

Thoracic3

Multilevel3

Cord injuries2

Methods1

Anterior cervic1

Sagittal alignment1

Adverse1

Implant2

Patient12

Lumbar fusion8

Vertebrae1

Health outcomes3

Degenerative changes1