Trends in Academic Neurological Spine Surgeon Productivity as Measured by the Relative Citation Ratio (RCR)

2020 ◽  
Author(s):  
Dayton Grogan ◽  
Vamsi Reddy ◽  
Arjun Gupta ◽  
Yue-Fang Chang ◽  
Daryl Fields ◽  
...  
Keyword(s):  
Relative Citation ◽  
Spine Surgeon

Is Cauda Equina Syndrome Being Treated Within the Recommended Time Frame?

Neurosurgery ◽  
2011 ◽  
Vol 68 (6) ◽  
pp. 1520-1526 ◽  
Author(s):  
Robert T. Arrigo ◽  
Paul Kalanithi ◽  
Maxwell Boakye
Keyword(s):  
Cauda Equina Syndrome ◽  
Medical Condition ◽  
Cauda Equina ◽  
Time Frame ◽  
Current Guideline ◽  
International Classification Of Disease ◽  
Lumbar Disk ◽  
Urgent Surgery ◽  
Spine Surgeon

Abstract BACKGROUND: Cauda equina syndrome (CES) is a rare but devastating medical condition requiring urgent surgery to halt or reverse neurological compromise. Controversy exists as to how soon surgery must be performed after diagnosis, and clinical and medicolegal factors make this question highly relevant to the spine surgeon. It is unclear from the literature how often CES patients are treated within the recommended time frame. OBJECTIVE: To determine whether CES patients are being treated in compliance with the current guideline of surgery within 48 hours and to assess incidence, demography, comorbidities, and outcome measures of CES patients. METHODS: We searched the 2003 to 2006 California State Inpatient Databases to identify degenerative lumbar disk disorder patients surgically treated for CES. An International Classification of Disease, ninth revision, clinical modification, diagnosis code was used to identify CES patients with advanced disease. RESULTS: The majority (88.74%) of California's CES patients received surgery within the recommended 48-hour window after diagnosis. The incidence of CES in surgically treated degenerative lumbar disk patients was 1.51% with an average of 397 cases per year in California. CES patients had worse outcomes and used more healthcare resources than other surgically treated degenerative lumbar disk patients; this disparity was more pronounced for patients with advanced CES. CES patients treated after 48 hours had 3 times the odds of a nonroutine discharge as patients treated within 48 hours (odds ratio = 3.082; P < .001). CONCLUSION: In California, patients are being treated within the recommended 48-hour time frame.

scholarly journals Can patient-reported profiles avoid unnecessary referral to a spine surgeon? An observational study to further develop the Nijmegen Decision Tool for Chronic Low Back Pain

PLoS ONE ◽  
2018 ◽  
Vol 13 (9) ◽  
pp. e0203518 ◽  
Author(s):  
Miranda L. van Hooff ◽  
Johanna M. van Dongen ◽  
Veerle M. Coupé ◽  
Maarten Spruit ◽  
Raymond W. J. G. Ostelo ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Observational Study ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Decision Tool ◽  
Patient Reported ◽  
Spine Surgeon

scholarly journals Spine Surgeon Treatment Variability: The Impact on Costs

2017 ◽  
Vol 8 (5) ◽  
pp. 498-506 ◽  
Author(s):  
Matthew D. Alvin ◽  
Daniel Lubelski ◽  
Ridwan Alam ◽  
Seth K. Williams ◽  
Nancy A. Obuchowski ◽  
...  
Keyword(s):  
Spine Surgeon ◽  
The Impact

scholarly journals Spinal Brucellosis: A Case Report and Review of the Literature

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
James M Rizkalla ◽  
Khalid Alhreish ◽  
Ishaq Y Syed
Keyword(s):  
Case Report ◽  
Signs And Symptoms ◽  
Radiographic Findings ◽  
Common Location ◽  
Uncommon Case ◽  
Spine Surgeon ◽  
Patient’S History ◽  
Hispanic Male ◽  
Work Up ◽  
Rare Diagnosis

Introduction: The most common location of infection of brucellosis is the musculoskeletal system. It is estimated that the spine is involved in 2–54% of brucellosis infections, with the lumbar spine most commonly affected. We report an uncommon case of brucellar spondylodiscitis, in addition to the pathology, common presentation, and management of spinal brucellosis through additional literature review. Case Report: A 65-year-old Hispanic male presented to an orthopedic spine surgeon with signs and symptoms concerning for metastatic disease to the spine. Investigation revealed that the patient had the rare diagnosis of brucellar spondylodiscitis. This only became apparent after detailed questioning of the patient’s history revealed his employment within a Mexican meat slaughterhouse and a regular consumer of unpasteurized Mexican cheeses. Conclusion: Although uncommon, brucellosis spondylodiscitis should remain as a differential diagnosis in any patient who presents with back pain and fever. Detailed history taking and thorough physical examination remain vital in the work-up of brucellar spondylodiscitis. Understanding the pathology, radiographic findings, and necessary work-up are essential to properly treat this infection. Keywords: Spine, Brucella, spinal brucellosis, infection, spondylodiscitis, discitis, abscess.

Cervical spine injuries

2019 ◽  
pp. 789-800
Author(s):  
Calan Mathieson ◽  
Chris Barrett ◽  
Likhith Alakandy
Keyword(s):  
Cervical Spine ◽  
Classification Systems ◽  
Neurological Injury ◽  
Spine Injury ◽  
Spine Fractures ◽  
Cervical Spine Injuries ◽  
Heterogenous Group ◽  
Spine Injuries ◽  
Spine Surgeon ◽  
Cervical Spine Fractures

The management of cervical spine fractures is a complex and fascinating topic. A multitude of descriptive terminologies and classification systems have been developed over the years in an attempt to better understand this heterogenous group of patients. Despite this however, there is often little consensus with regards to the best way to manage this population. This chapter will predominantly discuss the decision-making process involved in the management of cervical spine fractures. The goal of the spine surgeon in managing patients with acute cervical spine injury is to prevent secondary neurological injury, deformity, and pain by re-establishing stability if necessary. Assessing how to achieve this goal can be very challenging. The surgeon will be faced with many questions. Which patients should undergo surgical intervention? Which operation will best stabilize the spine? Which patients should be treated with a collar or a halo vest? Does the injury require reduction with traction initially? There are also questions of timing. When should the surgeon plan the proposed procedure?

scholarly journals Injuries to the Rigid Spine: What the Spine Surgeon Wants to Know

Radiographics ◽  
2019 ◽  
Vol 39 (2) ◽  
pp. 449-466 ◽  
Author(s):  
Nandish G. Shah ◽  
Abhishek Keraliya ◽  
Diego B. Nunez ◽  
Andrew Schoenfeld ◽  
Mitchel B. Harris ◽  
...  
Keyword(s):  
Spine Surgeon

HIV and the Spine Surgeon

1997 ◽  
Vol 12 (4) ◽  
pp. 39
Author(s):  
&NA;
Keyword(s):  
Spine Surgeon

Complication management with minimally invasive spine procedures

2011 ◽  
Vol 31 (4) ◽  
pp. E2 ◽  
Author(s):  
Namath S. Hussain ◽  
Mick J. Perez-Cruet
Keyword(s):  
Minimally Invasive ◽  
Spine Surgery ◽  
Management Options ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Minimally Invasive Surgical ◽  
Minimally Invasive Spine ◽  
Spine Surgeon ◽  
Improve Patient

Spine surgery as we know it has changed dramatically over the past 2 decades. More patients are undergoing minimally invasive procedures. Surgeons are becoming more comfortable with these procedures, and changes in technology have led to several new approaches and products to make surgery safer for patients and improve patient outcomes. As more patients undergo minimally invasive spine surgery, more long-term outcome and complications data have been collected. The authors describe the common complications associated with these minimally invasive surgical procedures and delineate management options for the spine surgeon.

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