Spine
-
A prospective study. ⋯ Without radiation shielding, a surgeon performing 291 PELDs annually would be exposed to the maximum allowable radiation dose. Given the measurable lifetime radiation hazards to the surgeon, the use of adequate protective equipment is essential to reducing exposure during PELD.
-
Retrospective cohort analysis. ⋯ Although all patients typically present with a similar functional status, patients with intramedullary lesions are more unlikely to improve after surgical resection and derive less of a benefit compared with those with intradural extramedullary and vertebral hemangiomas.
-
Questionnaire survey. ⋯ The majority of Canadian spine surgeons were open to an NPC model of care to assess and triage nonurgent or emergent low back-related complaints. Clinical trials to establish the effectiveness and acceptance of an NPC model of care by all stakeholders are urgently needed.
-
Case Reports
Somatosensory-evoked potential monitoring detects iliac artery occlusion during posterior spinal fusion.
Report of a rare case of iliac artery occlusion occurring during posterior spinal surgery. ⋯ It is feasible to assume that continuous and direct pressure on the inguinal region during surgery on Jackson table was the primary cause of the iliac artery occlusion, particularly in these patients with known peripheral vascular disease. Early recognition and prompt vascular intervention can prevent serious sequelae.
-
Review Meta Analysis
Prevalence of adjacent segment degeneration after spine surgery: a systematic review and meta-analysis.
Systematic review of published prevalence of adjacent segment degeneration (ASD) after spine surgery. ⋯ Spine surgery is associated with significant risk of ASD. These figures may be useful in the estimation of the burden of the ASD after spine surgery.