Clinical spine surgery
-
Clinical spine surgery · Nov 2020
The Association of Preoperative Duration of Symptoms With Clinical Outcomes and Minimal Clinically Important Difference Following Anterior Cervical Discectomy and Fusion.
This was a retrospective cohort study. ⋯ Among the patient subgroups with <12 and ≥12 months DOS, there were no statistically significant differences observed in any of the measured PRO means at any timepoint. When assessing MCID, however, patients with shorter DOS (<12 mo) were observed to attain NDI MCID at the 3- and 6-month timepoints more often than patients with DOS ≥12 months. Our findings suggest that delayed surgical intervention may impair functional recovery to MCID in patients with degenerative cervical disease.
-
Clinical spine surgery · Nov 2020
Patient Risk Factors Associated With 30- and 90-Day Readmission After Cervical Discectomy: A Nationwide Readmission Database Study.
This is a retrospective cohort study. ⋯ Level III.
-
Clinical spine surgery · Oct 2020
Clinical Anatomy and Possible Clinical Significance of the Postcentral Branches of Spinal Arteries in the L1-L5 Levels.
This was a dissection-based study of 10 embalmed human cadavers. ⋯ Postcentral branches of spinal arteries are common structures in IVF; there are 2 types of postcentral branches. Thorough understanding of the spinal arteries before percutaneous endoscopic lumbar discectomy may be an important step in reducing intraoperative bleeding and ensuring clear visualization, which may result in significant benefits for patients.
-
Clinical spine surgery · Aug 2020
PROMIS PF in the Evaluation of Postoperative Outcomes in Workers' Compensation Patients Following Anterior Cervical Discectomy and Fusion.
This was a retrospective cohort study. ⋯ In our study, WC patients had worse baseline physical function as indicated by lower preoperative PROMIS PF scores and reported lower PROMIS PF scores postoperatively. However, there were no significant differences when comparing the postoperative change from baseline between the cohorts. Both cohorts experienced significant postoperative improvements from baseline. This study established that PROMIS PF is an effective tool to evaluate recovery of WC patients following ACDF.