A comparative study on screw loosening in osteoporotic lumbar spine fusion between expandable and conventional pedicle screws

2011 ◽  
Vol 132 (4) ◽  
pp. 471-476 ◽  
Author(s):  
Zi-xiang Wu ◽  
Fu-tai Gong ◽  
Li Liu ◽  
Zhen-sheng Ma ◽  
Yang Zhang ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Comparative Study ◽  
Pedicle Screws ◽  
Spine Fusion ◽  
Screw Loosening ◽  
Lumbar Spine Fusion

scholarly journals A Systematic Review of Treatment Strategies for Degenerative Lumbar Spine Fusion Surgery in Patients With Osteoporosis

2016 ◽  
Vol 7 (4) ◽  
pp. 188-196 ◽  
Author(s):  
Charla R. Fischer ◽  
Gregory Hanson ◽  
Melinda Eller ◽  
Ronald A. Lehman
Keyword(s):  
Systematic Review ◽  
Lumbar Spine ◽  
Lumbar Fusion ◽  
Treatment Strategies ◽  
Pedicle Screws ◽  
Spine Fusion ◽  
Current Evidence ◽  
Review Of The Literature ◽  
Degenerative Lumbar Spine ◽  
Lumbar Spine Fusion

Purpose: To evaluate the current evidence in the literature on treatment strategies for degenerative lumbar spine fusion in patients with osteoporosis. Methods: A systematic review of the literature from 1950 to 2015. Results: The review of the literature yielded 15 studies on the effect of treatment options for osteoporosis on lumbar fusion rates. This study evaluated only degenerative lumbar spine conditions and excluded deformity patients. One study demonstrated an association between low bone mass as measured by Hounsfield units and lower fusion rates. Six studies evaluated perioperative medical treatment of osteoporosis and showed higher fusion rates in patients treated with alendronate and teriparatide. The strongest evidence was for perioperative teriparatide. Eight studies evaluated surgical treatment strategies in patients with osteoporosis and showed that cement augmentation of pedicle screws and expandable pedicle screws demonstrated improved fusion rates than traditional pedicle screws. The strongest evidence was for expandable pedicle screws. Conclusion: There are 15 articles evaluating osteoporosis in patients undergoing lumbar fusion and the highest level of evidence is for perioperative use of teriparatide.

scholarly journals Reduction in Radiation (Fluoroscopy) While Maintaining Safe Placement of Pedicle Screws During Lumbar Spine Fusion

Spine ◽  
2012 ◽  
Vol 37 (21) ◽  
pp. E1305-E1309 ◽  
Author(s):  
Christopher D. Chaput ◽  
Keri George ◽  
Amer F. Samdani ◽  
John I. Williams ◽  
John Gaughan ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Pedicle Screws ◽  
Spine Fusion ◽  
Lumbar Spine Fusion

scholarly journals Preoperative Fluoroscopically Guided Regional Erector Spinae Plane Blocks Reduce Opioid Use, Increase Mobilization, and Reduce Length of Stay Following Lumbar Spine Fusion

2021 ◽  
pp. 219256822110107
Author(s):  
Robert J. Owen ◽  
Noah Quinlan ◽  
Addisyn Poduska ◽  
William Ryan Spiker ◽  
Nicholas T. Spina ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Length Of Stay ◽  
Lumbar Fusion ◽  
Spine Fusion ◽  
Erector Spinae ◽  
Control Group ◽  
Block Group ◽  
Opioid Use ◽  
Lumbar Spine Fusion ◽  
Delivery Technique

Study Design: Retrospective review. Objective: To determine the effectiveness of erector spinae plane (ESP) blocks at improving perioperative pain control and function following lumbar spine fusions. Methods: A retrospective analysis was performed on patients undergoing < 3 level posterolateral lumbar fusions. Data was stratified into a control group and a block group. We collected postop MED (morphine equivalent dosages), physical therapy ambulation, and length of stay. PROMIS pain interference (PI) and physical function (PF) scores, ODI, and VAS were collected preop and at the first postop visit. Chi-square and student’s t-test ( P = .05) were used for analysis. We also validated a novel fluoroscopic technique for ESP block delivery. Results: There were 37 in the block group and 39 in the control group. There was no difference in preoperative opioid use ( P = .22). On postop day 1, MED was reduced in the block group (32 vs 51, P < .05), and more patients in the block group did not utilize any opioids (22% vs 5%, P < .05). The block group ambulated further on postop day 1 (312 ft vs 204 ft, P < .05), and had reduced length of stay (2.4 vs 3.2 days, P < .05). The block group showed better PROMIS PI scores postoperatively (58 vs 63, P < .05). The novel delivery technique was validated and successful in targeting the correct level and plane. Conclusions: ESP blocks significantly reduced postop opioid use following lumbar fusion. Block patients ambulated further with PT, had reduced length of stay, and had improved PROMIS PI postoperatively. Validation of the block demonstrated the effectiveness of a novel fluoroscopic delivery technique. ESP blocks represent an underutilized method of reducing opioid consumption, improving postoperative mobilization and reducing length of stay following lumbar spine fusion.

Degenerative Lumbar Spine Disease, Not Fusion, May Be a Risk Factor for Instability after Total Hip Arthroplasty

2020 ◽  
Vol 4 (04) ◽  
pp. 193-200
Author(s):  
Daniel K. Witmer ◽  
Evan R. Deckard ◽  
R. Michael Meneghini
Keyword(s):  
Lumbar Spine ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Spine Fusion ◽  
Joint Disease ◽  
Total Hip ◽  
Female Sex ◽  
Lumbar Spine Fusion ◽  
Radiographic Measurements ◽  
Acetabular Protrusio

AbstractDislocation rates after total hip arthroplasty (THA) in patients with fixed spinopelvic motion have been reported as high as 20%. Few studies exist specifically for lumbar spine degenerative joint disease (DJD) and its relationship to THA instability. There were two study objectives: (1) report the incidence of lumbar spine DJD and previous lumbar spine fusion and (2) evaluate the relationship of these two conditions and other potential risk factors to postoperative dislocation after THA. We retrospectively reviewed 818 consecutive THAs performed by a single surgeon utilizing a posterior approach. Comprehensive medical chart and radiographic review was performed to identify patients with lumbar spine DJD and lumbar spine fusion. Radiographic measurements, patient factors, surgical factors, and incidences of dislocation also were recorded. Eight hundred and twelve THAs were analyzed. There were 10 dislocations (1.2%, 10/812). Lumbar spine DJD and previous lumbar spine fusion occurred in 33.4% (271/812) and 5.9% (48/812) of patients, respectively. Lumbar spine DJD, acetabular protrusio, and female sex were significant predictors of dislocation using a Firth penalized maximum likelihood estimation specifically for rare events (area under receiver-operator characteristic curve = 0.91, 95% confidence interval 0.86, 0.96). Interestingly, only 2 of 10 dislocations had a previous lumbar spine fusion. Lumbar spine DJD, acetabular protrusio, and female sex were significant predictors of dislocation, while lumbar spine fusion was largely unrelated. This study used data available to most practicing surgeons and provides useful information for counseling patients preoperatively.

P64. Impact of body mass index on opioid consumption in lumbar spine fusion surgery

2021 ◽  
Vol 21 (9) ◽  
pp. S170-S171
Author(s):  
Taryn E. LeRoy ◽  
Andrew S. Moon ◽  
Marissa Gedman ◽  
Jessica P. Aidlen ◽  
Ashley L. Rogerson
Keyword(s):  
Body Mass Index ◽  
Lumbar Spine ◽  
Body Mass ◽  
Spine Fusion ◽  
Opioid Consumption ◽  
Fusion Surgery ◽  
Lumbar Spine Fusion

The Influence of No Fault Compensation on Functional Outcomes After Lumbar Spine Fusion

Spine ◽  
2015 ◽  
Vol 40 (14) ◽  
pp. 1140-1147 ◽  
Author(s):  
Alexander Sheriff Montgomery ◽  
John Edward Cunningham ◽  
Peter Alexander Robertson
Keyword(s):  
Lumbar Spine ◽  
Functional Outcomes ◽  
Spine Fusion ◽  
Lumbar Spine Fusion ◽  
Fault Compensation

scholarly journals Metabolic Syndrome and Lumbar Spine Fusion Surgery

Spine ◽  
2012 ◽  
Vol 37 (11) ◽  
pp. 989-995 ◽  
Author(s):  
Stavros G. Memtsoudis ◽  
Meghan Kirksey ◽  
Yan Ma ◽  
Ya Lin Chiu ◽  
Madhu Mazumdar ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Lumbar Spine ◽  
Spine Fusion ◽  
Fusion Surgery ◽  
Lumbar Spine Fusion

The Effect of Bone Graft Extenders to Enhance the Performance of Iliac Crest Bone Grafts in Instrumented Lumbar Spine Fusion

Orthopedics ◽  
2003 ◽  
Vol 26 (5) ◽  
Author(s):  
Federico P Girardi ◽  
Frank P Cammisa
Keyword(s):  
Lumbar Spine ◽  
Bone Graft ◽  
Iliac Crest ◽  
Bone Grafts ◽  
Spine Fusion ◽  
Lumbar Spine Fusion
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