Spine
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MINI: Trends in lumbar spinal stenosis surgery are largely unknown outside of the United States. This population-based health record linkage study revealed that complex fusion surgery had a four-fold increase from 2003-2013 in Australia. This surgical procedure increased the risk of complications and resource use compared with decompression surgery alone.
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Comparative Study
Waterless Hand Rub versus Traditional Hand Scrub Methods for Preventing the Surgical-Site Infection in Orthopaedic Surgery.
MINI: Fourteen hundred consecutive patients were investigated for evaluating the utility of waterless hand rub before orthopaedic surgery. The risk in the surgical site infection incidence was the same, but costs of liquids used for hand hygiene were cheaper and the hand hygiene time was shorter for waterless protocol, compared with traditional hand scrub.
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MINI: The publication rate of conference abstract presentations as full-length manuscripts is a potential measure of meeting quality. 43.8% of abstracts presented at the 2010-2012 North American Spine Society annual meetings were published as full-length manuscripts within 3 years. Podium presentations and "Best" or "Outstanding" paper presentations were more likely to be published.
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Case Reports
Multi-Level 3D Printing Implant For Reconstructing Cervical Spine With Metastatic Papillary Thyroid Carcinoma.
MINI: A 3D printing technology is proposed for reconstructing multilevel cervical spine (C2-C4) after resection of metastatic papillary thyroid carcinoma. The personalized porous implant printed in Ti6AL4V provided excellent physicochemical properties and biological performance, including biocompatibility, osteogenic activity, and bone ingrowth effect. ⋯ 5.
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MINI: Pressure injuries are prevalent in patients undergoing spine surgery while prone. Multiple risk factors exist and should be addressed. We found that patients undergoing spinal deformity correction surgery are at unique risk (odds ratio 3.31, P = 0.010) due to body morphological changes occurring secondary to intraoperative changes in spinal alignment. ⋯ 3.