174. Generic measures of frailty assessment may be inadequate for the heterogeneity of spine surgery patients; a systematic review of frailty indices used in spine surgery

2020 ◽  
Vol 20 (9) ◽  
pp. S86
Author(s):  
Jamie R. Wilson ◽  
Robert A. Ravinsky ◽  
Jetan H. Badhiwala ◽  
Fan Jiang ◽  
Michael G. Fehlings
Author(s):  
Vivien Chan ◽  
Jamie RF Wilson ◽  
Robert Ravinsky ◽  
Jetan H. Badhiwala ◽  
Fan Jiang ◽  
...  

2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
Camilo A. Molina ◽  
Ziya L. Gokaslan ◽  
Daniel M. Sciubba

Although increasingly aggressive decompression and resection methods have resulted in improved outcomes for patients with metastatic spine disease, these aggressive surgeries are not feasible for patients with numerous comorbid conditions. Such patients stand to benefit from management via minimally invasive spine surgery (MIS), given its association with decreased perioperative morbidity. We performed a systematic review of literature with the goal of evaluating the clinical efficacy and safety of MIS in the setting of metastatic spine disease. Results suggest that MIS is an efficacious means of achieving neurological improvement and alleviating pain. In addition, data suggests that MIS offers decreased blood loss, operative time, and complication rates in comparison to standard open spine surgery. However, due to the paucity of studies and low class of available evidence, the ability to draw comprehensive conclusions is limited. Future investigations should be conducted comparing standard surgery versus MIS in a prospective fashion.


2021 ◽  
Author(s):  
Vishal Kumar ◽  
Vishnu Baburaj ◽  
Prasoon Kumar ◽  
Sarvdeep Singh Dhatt

AbstractBackgroundPedicle screw insertion is routinely carried out in spine surgery that has traditionally been performed under fluoroscopy guidance. Robotic guidance has recently gained popularity in order to improve the accuracy of screw placement. However, it is unclear whether the use of robotics alters the accuracy of screw placement or clinical outcomes.ObjectivesThis systematic review aims to compare the results of pedicle screws inserted under fluoroscopy guidance, with those inserted under robotic guidance, in terms of both short-term radiographic outcomes, as well as long-term clinical outcomes.MethodsThis systematic review will be conducted according to the PRISMA guidelines. A literature search will be conducted on the electronic databases of PubMed, Embase, Scopus, and Ovid with a pre-determined search strategy. A manual bibliography search of included studies will also be done. Original articles in English that directly compare pedicle screw insertion under robotic guidance to those inserted under fluoroscopy guidance will be included. Data on outcomes will be extracted from included studies and analysis carried out with the help of appropriate software.


2018 ◽  
Vol 27 (10) ◽  
pp. 2395-2426 ◽  
Author(s):  
Azeem Tariq Malik ◽  
Nikhil Jain ◽  
Jeffery Kim ◽  
Safdar N. Khan ◽  
Elizabeth Yu

Author(s):  
Imad S. Khan ◽  
Elijah Huang ◽  
Walker Maeder-York ◽  
Renata W. Yen ◽  
Nathan E. Simmons ◽  
...  

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