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Mashup Score: 9A critical appraisal of clinical practice guidelines on surgical treatments for spinal cord injury - 3 day(s) ago
Spinal cord injury (SCI) is a global health problem with a heavy economic burden. Surgery is considered as the cornerstone of SCI treatment. Although various organizations have formulated different guidelines on surgical treatment for SCI, the methodological quality of these guidelines has still not been critically appraised.
Source: www.thespinejournalonline.comCategories: General Medicine News, OrthopedicsTweet
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Mashup Score: 10
The use of static cages for lumbar interbody fusion (LIF) can cause complications such as end plate violation, graft subsidence, and nerve injury. Therefore, expandable cages that allow for in-situ expansion have been developed to overcome these problems. However, it remains uncertain whether expandable cages have better surgical outcomes than static cages do.
Source: www.thespinejournalonline.comCategories: General Medicine News, OrthopedicsTweet
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Mashup Score: 0
C3 laminectomy in cervical laminoplasty is a modified laminoplasty technique that can preserve the semispinalis cervicis muscle attached to the C2 spinous process. Several previous studies have shown that this technique can lead to better outcomes of postoperative axial neck pain and C2–C3 range of motion (ROM) than conventional cervical laminoplasty. However, there is still a lack of understanding of total and proportional postoperative cervical sagittal alignment outcomes.
Source: www.thespinejournalonline.comCategories: General Medicine News, OrthopedicsTweet
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Mashup Score: 3
There is an ongoing debate on whether additional fusion surgery is superior to decompression alone in patients with spinal stenosis and degenerative spondylolisthesis. Previous studies and one recently published randomized controlled trial (RCT) support additional fusion in these patients [1–3]. However, the results of two RCTs have contradicted these findings [4,5]. As a consequence, there is great diversity in the management of degenerative spondylolisthesis on both national and individual levels [6].
Source: www.thespinejournalonline.comCategories: General Medicine News, OrthopedicsTweet
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Mashup Score: 16Reducing surgical site infections after spine surgery: the optimal amount of normal saline for intra-wound irrigation - 25 day(s) ago
Surgical site infection (SSI) following lumbar surgery can increase healthcare costs and lead to poor clinical outcome. Irrigation of wounds with saline solution is widely accepted globally and safe for nearly all kinds of surgery. However, the efficacy of different volumes of wound irrigation has not been addressed in elective spine surgery. The role and the optimal amount of intraoperative wound saline irrigation in preventing SSI in clean spinal surgery remain unclear.
Source: www.thespinejournalonline.comCategories: General Medicine News, OrthopedicsTweet
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Mashup Score: 7Management of nonpurulent wound drainage following spinal surgery: is empiric oral antibiotic treatment appropriate? - 1 month(s) ago
Postoperative incisional concerns including nonpurulent drainage are relatively common following spine surgery. Evidence-based management protocols are lacking.
Source: www.thespinejournalonline.comCategories: General Medicine News, OrthopedicsTweet-
No more abx out of guilt for draining wounds: wash it out or not? Leatherman group answers it! Of 298 patients w/"non-purulent drainage" (that is the key), nearly all (87%) resolved w/o surgery. Oral abx was given in 38%, but this did not make a difference https://t.co/U6d7hHeO6k https://t.co/vmmurZmD5z
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Mashup Score: 5Pharmacotherapies to prevent epidural fibrosis after laminectomy: a systematic review of in vitro and in vivo animal models - 1 month(s) ago
Failed back surgery syndrome (FBSS) is a misnomer describing lumbar spinal pain of unknown origin by the International Association of the Study of Pain, and this syndrome is observed in up to 40% of patients that have undergone a spinal surgery, especially laminectomy or discectomy [1,2]. In physiologically normal healing processes, the formation of tissue adhesions is a normal response which found in the majority of operative patients. However, abnormally excessive production of epidural fibrosis in the nerve root can be a pain source.
Source: www.thespinejournalonline.comCategories: General Medicine News, OrthopedicsTweet
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Mashup Score: 0The role of socioeconomic factors as barriers to patient reported outcome measure completion following lumbar spine fusion - 1 month(s) ago
Although incorporating patient reported outcomes (PROMs) into practice allows healthcare systems to evaluate the value of care provided, research and policy reflecting PROMs can only be valid if they represent all patients. Few studies have evaluated socioeconomic barriers to PROM completion, and none have done so in a spine patient population.
Source: www.thespinejournalonline.comCategories: General Medicine News, OrthopedicsTweet
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Mashup Score: 3
Morbid obesity (MO) has been associated with increased risk of adverse events following procedures such as posterior lumbar fusion (PLF). While preemptive bariatric surgery (BS) has been considered for those with MO (body mass index [BMI] ≥35 kg/m2), not all undergoing such intervention have significant weight loss, and the impact of BS has been shown to correlate with weight loss after different related procedures.
Source: www.thespinejournalonline.comCategories: General Medicine News, OrthopedicsTweet
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Mashup Score: 0
The majority of literature on bacterial flora in the disc stands disadvantaged in utilizing traditional culture methods and targeting a single bacterium, Cutibacterium acnes.
Source: www.thespinejournalonline.comCategories: General Medicine News, OrthopedicsTweet
Zheng et al did a critical appraisal of guidelines for surgery for SCI. They examined many aspects but biggest question was about timing. Overall support for early surgery was high. What is early surgery? 8 to 48 hours. https://t.co/JGU6bhi4Jw https://t.co/b7RYYWvH8e