Clinical spine surgery
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Clinical spine surgery · Dec 2019
The Variability of Lumbar Facet Joint Synovial Cyst Recurrence Requiring Revision Surgery After Decompression-only and Decompression/Fusion.
This is a retrospective study. ⋯ Decompression and cyst excision was the more common surgical treatment of lumbar spinal synovial cysts compared with decompression/fusion procedure in our study. The rate of synovial cyst recurrence and revision surgery in patients undergoing index decompression was relatively low and comparable to current literature. Symptomatic improvement of patients undergoing decompression versus decompression/fusion was similar in our study. Although the fusion may be required for the extent of pathology or coexisting instability, decompression and excision of spinal synovial cysts provide durable, effective treatment with a known, appropriate risk of recurrence and subsequent revision surgery.
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Clinical spine surgery · Dec 2019
PHQ-9 Score Predicts Postoperative Outcomes Following Minimally Invasive Transforaminal Lumbar Interbody Fusion.
This was a retrospective cohort study. ⋯ Patients with severe depression symptoms reported greater pain, increased narcotics consumption, and less clinical improvement after MIS TLIF. Therefore, patients with greater PHQ-9 scores should be monitored more closely and may benefit from additional counseling with regard to postoperative outcomes to better manage pain control and expectations of recovery.
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Clinical spine surgery · Dec 2019
Evaluating the Concurrent Validity of PROMIS Physical Function in Anterior Cervical Discectomy and Fusion.
This study was a retrospective cohort analysis. ⋯ Patients undergoing a primary 1-3 level ACDF experience significant improvements in PROMIS PF scores at 12-week and 6-month follow-up. Furthermore, PROMIS PF exhibits strong correlations to NDI and SF-12 at all preoperative and postoperative time points. These results suggest that PROMIS PF accurately measures PF and may be used in lieu of legacy PF instruments for patients undergoing ACDF.
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Clinical spine surgery · Nov 2019
Can the American College of Surgeons Risk Calculator Predict 30-Day Complications After Cervical Spine Surgery?
This was a retrospective cohort study. ⋯ The ACS Risk Calculator accurately predicted complications in the categories of "any complication" (P<0.0001) and "discharge to the skilled nursing facility" (P<0.001) for our cohort. We conclude that the ACS Risk Calculator was unable to accurately predict specific complications on a more granular basis for the patients of this study. Although the ACS risk calculator may be useful in the field of general surgery and in the development of new institutional strategies for risk mitigation, our findings demonstrate that it does not necessarily provide accurate information for patients undergoing cervical spinal surgery.
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Clinical spine surgery · Nov 2019
The Effect of Surgical Decompression on Functional Balance Testing in Patients With Cervical Spondylotic Myelopathy.
A prospective cohort study. ⋯ Human motion video capture can be used to robustly quantify balance parameters in the setting of CSM. Compared with healthy controls, such patients exhibited increased standing sway and poorer performance on a tandem gait task. The surgical intervention resulted in significant improvement in many of the measures of functional balance, but overall profiles had not completely returned to normal when measured 3 months after surgery. These data reinforce the importance of operative intervention in the treatment of symptomatic CSM with the goal of halting disease progress but the expectation that balance may actually improve postoperatively.