Global spine journal
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Global spine journal · Aug 2020
Variability in Opioid Prescription Following Primary Single-Level Lumbar Microdiscectomy.
Retrospective case series. ⋯ We found significant variability in opioid prescription following primary single-level lumbar microdiscectomy. For standard spinal procedures like lumbar microdiscectomy, opioid-prescribing guidelines should be established to standardize postoperative pain management.
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Global spine journal · Aug 2020
"Law of Temporary Diminishing Distraction Gains": The Phenomenon of Temporary Diminished Distraction Lengths With Magnetically Controlled Growing Rods That Is Reverted With Rod Exchange.
Prospective study. ⋯ We propose a "law of temporary diminishing distraction gains" that MCGR users should be aware of when monitoring rod lengthening. Diminishing distraction length gains is observed as the rod is lengthened and is a phenomenon independent of patient factors. It is only temporary as the rates of achieved lengthening returns to baseline after rod exchange.
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Global spine journal · Aug 2020
Spine Surgery and COVID-19: The Influence of Practice Type on Preparedness, Response, and Economic Impact.
Cross-sectional observational cohort study. ⋯ The current study indicates that practice setting affected both preparedness and response to COVID-19. Surgeons in private and privademic practices reported increased worry about the economic implications of the current crisis compared with surgeons in academic and public hospitals. COVID-19 decreased overall clinical productivity, revenue, and income. Government response to the current pandemic and preparation for future pandemics needs to be adaptable to surgeons in all practice settings.
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Global spine journal · Aug 2020
Perioperative Anticoagulation Management in Spine Surgery: Initial Findings From the AO Spine Anticoagulation Global Survey.
Cross-sectional, international survey. ⋯ This survey highlights the heterogeneity of spine care and accentuates geographical variations. Furthermore, it identifies the difficulty in providing consistent perioperative anticoagulation recommendations to patients, as there remains no widely accepted, definitive literature of evidence or guidelines.
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Global spine journal · Aug 2020
Automated Measurement of Lumbar Lordosis on Radiographs Using Machine Learning and Computer Vision.
Cross sectional database study. ⋯ This study is the first to use artificial intelligence and computer vision in a combined pipeline to rapidly measure a sagittal spinopelvic parameter without prior manual surgeon input. The pipeline measures angles with no statistically significant differences from manual measurements by surgeons. This pipeline offers clinical utility in an assistive capacity, and future work should focus on improving segmentation network performance.