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.
KR Chin, FJR Pencle, AGU Newcomb, MT Reis, PM Reyes, D Malhotra, WD Yu, CA Bruce, NR Crawford
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.
FJR Pencle, NT Britton, CF Packer, JA Seale, KR Chin
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.
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.
KR Chin, FJR Pencle, AM O’Neill, KJ Conklin, MJ McGarry, JA Seale
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.
KR Chin, FJR Pencle, AV Coombs, L Lendvai, JA Seale, VB Cumming, CA Bruce
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.
KR Chin, FJR Pencle, CF Packer, NT Britton, AV Coombs, RF Douglas, JA Seale
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.
West Indian Medical Journal
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