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FJR Pencle

Incidence and Risk Analysis of Surgical Site Infection in Spine Surgery Patients in an Outpatient versus Hospital Cohort

Issue: 
DOI: 
10.7727/wimj.2017.035
Pages: 
450–6
Synopsis: 
A surgical site infection is a well-documented form of patient morbidity. A significant decrease was noted in an outpatient setting. Modifiable risk factors such as weight, smoking, alcohol use and numbers of levels necessary for operation should be considered.

ABSTRACT

Objective: Surgical site infection (SSI) is a well-documented cause of patient morbidity, with an associated increase in cost to the healthcare system. The move to outpatient surgery is to reduce the overall cost of surgery in conjunction with improved patient morbidity.

Accepted: 
12 May, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 10 Jul, 2017

Experience and Benefits of Using a Pre-drilled Screw Hole before Placing Anterior Cervical Plates in 330 Consecutive Patients during Anterior Cervical Discectomy and Fusion

Issue: 
DOI: 
10.7727/wimj.2017.034
Pages: 
445–9
Synopsis: 
The use of a pre-drilled pilot hole prior to anterior cervical plate placement decreases the size of the plate used. There is improved accuracy while placing the plate and it reduces adjacent segment encroachment.

 ABSTRACT

Accepted: 
12 May, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 10 Jul, 2017

Safety and Outcome of Outpatient 2-Level Hybrid Anterior Cervical Discectomy and Fusion plus Adjacent Total Disc Replacement

Issue: 
DOI: 
10.7727/wimj.2017.033
Pages: 
440–4
Synopsis: 
Hybrid anterior cervical discectomy and fusion (ACDF) and total disc replacement (TDR) have been found to exhibit similar outcomes in the treatment of cervical spondylosis.

ABSTRACT

Accepted: 
12 May, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 10 Jul, 2017

Are Lumbar Drains Necessary After Outpatient Lumbar Interbody Fusion Using Less Exposure Surgery Techniques?

Issue: 
DOI: 
10.7727/wimj.2017.032
Pages: 
434–9
Synopsis: 
The concerns of haematoma formation in posterior lumbar interbody fusion may be heightened in outpatient surgery. Innovative techniques for surgery have decreased the need for drains in outpatient single level posterior lumbar interbody fusion.

 ABSTRACT

Objective: The use of postoperative drains for elective spine surgery has not been justified. In transitioning to the outpatient setting there may be concerns for haematoma formation in same day procedures. The purpose of the study is to evaluate the outcomes of lumbar spine surgery with no drains in the outpatient setting compared to the inpatient setting.

Accepted: 
12 May, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 10 Jul, 2017

Trends in Inpatient versus Outpatient Lumbar Microdiscectomy in the United States of America: An Epidemiologic and Economic Analysis

Issue: 
DOI: 
10.7727/wimj.2017.027
Pages: 
404–8
Synopsis: 
This is a significant increase in outpatient microdiscectomy over the study period of seven years. This has been shown to be due to increase reimbursement.

ABSTRACT

Accepted: 
12 May, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 10 Jul, 2017

Transitioning Lumbar Fusions to Outpatient Using Midline Less Exposure Surgery Techniques with Transfacet and Mediolateral Cortical Bone Pedicle Screws

Issue: 
DOI: 
10.7727/wimj.2017.031
Pages: 
428–33
Synopsis: 
The combined approach of unilateral pedicle screws plus contralateral facet screw has equivalent outcomes to bilateral traditional pedicle screw. This study demonstrates the feasibility of an alternative of posterior fixation.

ABSTRACT

Objective: Posterior decompression and fusion have been the standard of treatment for degenerative disc disease as well as disc herniation. Recent advances in medicine and healthcare have shown a trend to move surgeries to the outpatient setting. The authors aim to assess the outcomes of unilateral cortical pedicle screw-rod construct combined with a contralateral transfacet pedicle screw (TFPS) in the outpatient setting.

Accepted: 
12 May, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 24 May, 2017

Avoiding Transfusion in 700 consecutive Outpatient Spine Surgery Patients Using Less Exposure Surgery Techniques

Issue: 
DOI: 
10.7727/wimj.2017.030
Pages: 
424–7
Synopsis: 
Blood loss requiring the need for transfusion is a major potential in spine surgery. There is a need to decrease the risk of transfusion to transition to outpatient surgery. This study demonstrated that no patients required transfusion using several tips and techniques.

ABSTRACT

Objective: Spine surgery is transitioning using minimally invasive and less exposure surgery (LES) techniques. Blood loss requiring transfusions remains a distinct complication. The authors aim to demonstrate the use of tips and techniques in decreasing the risk of transfusion in the outpatient setting.

Accepted: 
12 May, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 24 May, 2017

Biomechanical Comparison of Same Size Transfacet Screws Versus Pedicle Screws Across the L5-S1 Native Disc

Issue: 
DOI: 
10.7727/wimj.2017.029
Pages: 
416–23
Synopsis: 
The use of transfacet pedicle screws is a method for posterior fixation. Bilateral transfacet screws provided better immediate stability than equivalent-sized unilateral or a bilateral standard pedicle screws at L5-S1.

ABSTRACT 

Objective: There is a resurgence in facet screw use; however, there is a paucity of data comparing the stability of transfacet pedicle screws (TFPS) to standard pedicle screw-rod constructs at L5-S1. The authors aim to compare the stabilizing potential of TFPS compared to pedicle screws of the same length and diameter at L5-S1 with an intact native disc.

Accepted: 
12 May, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 24 May, 2017

Body Mass Index and Smoking Status as Predictors of Progression to Surgery and Complications and Postoperative Pain in Non-traumatic Back Pain Patients

Issue: 
DOI: 
10.7727/wimj.2017.028
Pages: 
409–15
Synopsis: 
Positive smoking history leads to an increased risk of patients with non-traumatic back pain progressing to surgery. Surgical patients also have a higher postoperative complication rate. Higher body mass index leads to an increased risk of complication and postoperative pain.

ABSTRACT

Accepted: 
12 May, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 24 May, 2017

Trends in Inpatient versus Outpatient Anterior Cervical Discectomy and Fusion in the United States of America: An Epidemiologic and Economic Analysis

Issue: 
DOI: 
10.7727/wimj.2017.026
Pages: 
399-403
Synopsis: 
Review of national trend in outpatient anterior cervical fusion showed an increase over four years. There was no correlation to reimbursements in database sample.

ABSTRACT

Accepted: 
12 May, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 24 May, 2017

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