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JA Seale

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

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

Dysphagia Incidence after Outpatient Anterior Cervical Surgery Using Instrumentation versus No Instrumentation

Issue: 
DOI: 
10.7727/wimj.2016.152
Pages: 
39-45
Synopsis: 
The medical records of patients who had undergone anterior cervical discectomy and fusion and anterior cervical discectomy were reviewed. There was no statistically significant difference in the clinical outcomes of neck disability index scores between the groups. The incidence of dysphagia was noted to be 12% in patients who had undergone anterior cervical discectomy and fusion compared to no instrumentation.

ABSTRACT

Accepted: 
11 Jul, 2016
PDF Attachment: 
Journal Sections: 
e-Published: 19 Jul, 2016

Feasibility, Risks, and Outcomes of Percutaneous Oblique Extraforaminal Lumbar Interbody Fusion Technique

DOI: 
10.7727/wimj.2016.214
Synopsis: 
The medical records of the patients who had extraforaminal lumbar fusion were reviewed. There were significant improvements in their clinical outcomes on VAS and NDI scores; however, less than favourable results as the complication rate was noted at 50%.

ABSTRACT

Objective: To demonstrate the feasibility, risks and outcomes of percutaneous oblique extraforaminal lumbar interbody fusion (ELIF) technique. There is a growing interest in using less invasive and less exposure surgery techniques but very little has been written on an extraformainal approach for decompression and interbody fusion through Kambin’s Triangle with the advantage of sparing the facets and lamina plus dissection of the multifidus muscles.

Accepted: 
15 Jun, 2016
PDF Attachment: 
Journal Sections: 
e-Published: 29 Jun, 2016

Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

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