Presenteeism and Absenteeism Before and After Single-Level Lumbar Spine Surgery

Objective. The aim of the study was to assess the effectiveness of physiotherapy, including assessment of the functional level of patients after surgical treatment of the spine. Material and methods. The study involved 46 people after cervical or lumbar spine surgery. The research was carried out using the author's questionnaire, the Oswestry questionnaire was used to assess the level of disability in people with lumbar pain. The NDI questionnaire was used to assess the degree of disability in people with cervical pain. The study was conducted before and after the ZUS-rehabilitation program, i.e. 3 weeks after it was started. Results. The intensity of lumbar pain before the stay remained strong, while after rehabilitation the pain remained moderate. The intensity of cervical pain before rehabilitation remained strong, while after rehabilitation the pain was mild. Before rehabilitation of patients after lumbar spine surgery the degree of disability was moderate and severe, while after rehabilitation it was mild and to a lesser extent moderate. In patients after cervical spine surgery, the level of disability before the stay was moderate and severe, but after physiotherapy - mild. Conclusions. The implemented physiotherapy program of patients after spine surgery is effective in reducing pain and improving the functioning of patients in daily activities. However, it is still necessary to verify and improve the methods of post operative physiotherapy of the spine so as to increase efficiency and therapy effectiveness in all evaluated domains.

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Do Former Smokers Exhibit a Distinct Profile Before and After Lumbar Spine Surgery?

The Spine Journal ◽

10.1016/j.spinee.2017.08.169 ◽

2017 ◽

Vol 17 (10) ◽

pp. S251 ◽

Cited By ~ 1

Author(s):

Ehsan Jazini ◽

Steven D. Glassman ◽

Erica F. Bisson ◽

Eric A. Potts ◽

Leah Y. Carreon

Keyword(s):

Lumbar Spine ◽

Spine Surgery ◽

Lumbar Spine Surgery ◽

Before And After ◽

Former Smokers

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INFLUENCE OF ANESTHESIA TYPE ON INTRAOCULAR PRESSURE DURING SPINE SURGERY IN PRONE POSITION

Wiadomości Lekarskie ◽

10.36740/wlek202001120 ◽

2020 ◽

Vol 73 (1) ◽

pp. 104-106

Author(s):

Mykola V. Lyzohub ◽

Marine A. Georgiyants ◽

Kseniia I. Lyzohub ◽

Juliia V. Volkova ◽

Dmytro V. Dmytriiev ◽

...

Keyword(s):

Intraocular Pressure ◽

Lumbar Spine ◽

Spinal Anesthesia ◽

Spine Surgery ◽

Head Rotation ◽

Lumbar Spine Surgery ◽

Intravenous Anesthesia ◽

Group I ◽

Before And After ◽

Spinal Segments

The aim was to examine intraocular pressure (IOP) during lumbar spine surgery in PP under general vs spinal anesthesia and to compare it with volunteers in PP. Materials and methods: We performed randomized prospective single institutional trial. Patients were operated in PP with fixation of 1-2 spinal segments. Patients of group I (n = 30) were operated under SA, group 2A (n = 25) – under TIVA (total intravenous anesthesia) with 45° head rotation (left eye was located lower, than right eye), group 2B (n=25) – under TIVA with no head rotation (both eyes were located on the same level). IOP was measured with Maklakov method before and after surgery. Volunteers (n = 20) were examined before and 90 minutes after lying in PP with 45° head rotation. Results: In all patients and volunteers after lying in PP, we found that IOP have increased. In SA patients and in TIVA patients with no head rotation there was no difference between eyes. The most significant raise of IOP was found in the dependent eye of IIA group patients: it was higher than in volunteers and I group patients (p < 0.01), and IIB group patients (p < 0.05). In SA patients there was no difference in IOP comparing to volunteers. Conclusions: IOP increased in PP in healthy people and patients under anesthesia (SA and TIVA). IOP in SA patients did not differ from volunteers. IOP increased superiorly in the dependent eye in TIVA patients.

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Ambulation on Postoperative Day #0 Is Associated With Decreased Morbidity and Adverse Events After Elective Lumbar Spine Surgery: Analysis From the Michigan Spine Surgery Improvement Collaborative (MSSIC)

Neurosurgery ◽

10.1093/neuros/nyz501 ◽

2019 ◽

Vol 87 (2) ◽

pp. 320-328 ◽

Cited By ~ 2

Author(s):

Hesham Mostafa Zakaria ◽

Michael Bazydlo ◽

Lonni Schultz ◽

Muwaffak Abdulhak ◽

David R Nerenz ◽

...

Keyword(s):

Lumbar Spine ◽

Adverse Events ◽

Spine Surgery ◽

Postoperative Care ◽

Enhanced Recovery ◽

Cost Savings ◽

Lumbar Spine Surgery ◽

Lumbar Surgery ◽

Single Level ◽

Vein Thrombosis

Abstract BACKGROUND While consistently recommended, the significance of early ambulation after surgery has not been definitively studied. OBJECTIVE To identify the relationship between ambulation on the day of surgery (postoperative day (POD)#0) and 90-d adverse events after lumbar surgery. METHODS The Michigan Spine Surgery Improvement Collaborative (MSSIC) is a prospective multicenter registry of spine surgery patients. As part of routine postoperative care, patients either ambulated on POD#0 or did not. The 90-d adverse events of length of stay (LOS), urinary retention (UR), urinary tract infection (UTI), ileus, readmission, surgical site infection (SSI), pulmonary embolism/deep vein thrombosis (PE/DVT), and disposition to a rehab facility were measured. RESULTS A total of 23 295 lumbar surgery patients were analyzed. POD#0 ambulation was associated with decreased LOS (relative LOS 0.83, P < .001), rehab discharge (odds ratio [OR] 0.52, P < .001), 30-d (OR 0.85, P = .044) and 90-d (OR 0.86, P = .014) readmission, UR (OR 0.73, P = 10), UTI (OR 73, P = .001), and ileus (OR 0.52, P < .001) for all patients. Significant improvements in LOS, rehab discharge, readmission, UR, UTI, and ileus were observed in subset analysis of single-level decompressions (4698 pts), multilevel decompressions (4079 pts), single-level fusions (4846 pts), and multilevel fusions (4413 pts). No change in rate of SSI or DVT/PE was observed for patients who ambulated POD#0. CONCLUSION POD#0 ambulation is associated with a significantly decreased risk for several key adverse events after lumbar spine surgery. Decreasing the incidence of these outcomes would be associated with significant cost savings. As ambulation POD#0 is a modifiable factor in any patient's postoperative care following most spine surgery, it should be encouraged and incorporated into spine-related, enhanced-recovery-after-surgery programs.

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Liposomal bupivacaine incisional injection in single-level lumbar spine surgery

The Spine Journal ◽

10.1016/j.spinee.2016.06.013 ◽

2016 ◽

Vol 16 (11) ◽

pp. 1305-1308 ◽

Cited By ~ 26

Author(s):

Ross C. Puffer ◽

Kevin Tou ◽

Rose E. Winkel ◽

Mohamad Bydon ◽

Bradford Currier ◽

...

Keyword(s):

Lumbar Spine ◽

Spine Surgery ◽

Lumbar Spine Surgery ◽

Liposomal Bupivacaine ◽

Single Level

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Ambulation on POD#0 Is Associated With Decreased Adverse Events After Elective Lumbar Spine Surgery: Analysis of the Michigan Spine Surgery Improvement Collaborative (MSSIC)

Neurosurgery ◽

10.1093/neuros/nyz310_100 ◽

2019 ◽

Vol 66 (Supplement_1) ◽

Author(s):

Hesham M Zakaria ◽

Rachel J Hunt ◽

Theresa A Elder ◽

Michael Bazydlo ◽

Lonni Schultz ◽

...

Keyword(s):

Lumbar Spine ◽

Adverse Events ◽

Spine Surgery ◽

Enhanced Recovery ◽

Cost Savings ◽

Lumbar Spine Surgery ◽

Lumbar Surgery ◽

Single Level ◽

Patient Variables ◽

Multilevel Fusion

Abstract INTRODUCTION The Michigan Spine Surgery Improvement Collaborative (MSSIC) is a multicenter quality-improvement collaborative. Using MSSIC, we sought to identify the relationship between ambulation on the day of surgery (POD#0) and 90-d adverse events after lumbar surgery, specifically length of stay (LOS), urinary retention (UR), urinary tract infection (UTI), ileus, readmission, surgical site infection (SSI), PE/DVT, and disposition to a rehab facility. METHODS In 23295 lumbar surgery patients, matching was performed to ensure overlap on patient variables. Generalized estimating equations (GEE) models were run on the matched dataset to further account for patient demographics, medical history, and surgical intensity. RESULTS POD#0 ambulation was associated with decreased LOS (OR 0.83, P < .001), UR (OR 0.73, P = .008), UTI (OR 0.52, P = .001), ileus (OR 0.52, P < .001), 30-d (OR 0.84, P = .035) and 90-d (OR 0.86, P = .009) readmission, and rehab discharge (OR 0.52, P < .001) for all patients. POD#0 ambulation after single-level decompression (6244 patients) decreased LOS (OR 0.72, P < .001), UR (OR 0.73, P = .004), UTI (OR 0.43, P = .003), and rehab discharge (OR 0.18, P < .001). Ambulation after multilevel decompression (5526 patients) was associated with decreased LOS (OR 0.73, P < .001), UR (OR 0.75, P = .04), ileus (OR 0.60, P = .027), and rehab discharge (OR 0.44, P < .001). Ambulation after single-level fusion (5790 patients) decreased LOS (OR 0.85, P < .001), 30-d readmission (OR 0.77, P = .032), and rehab discharge (OR 0.65, P = .004). Ambulation after multilevel fusion (5735 patients) decreased LOS (OR 0.88, P < .001), UTI (OR 0.60, P = .003), ileus (OR 0.51, P = .02), 30-d readmission (OR 0.77, P = .032), and rehab discharge (OR 0.59, P < .001). No change in rate of or DVT/PE was observed for patients who ambulated POD#0. CONCLUSION POD#0 ambulation is associated with a significantly decreased risk for several key adverse events after lumbar spine surgery. Decreasing the incidence of these outcomes would be associated with significant cost savings. As ambulation POD#0 is a modifiable factor in any patient's postoperative care following most spine surgery, it should be encouraged and incorporated into spine-related enhanced recovery after surgery (ERAS) programs.

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