Prospective Cohort Analysis of Disability Reduction With Lumbar Spinal Fusion Surgery in Community Practice

2008 ◽  
Vol 21 (4) ◽  
pp. 235-240 ◽  
Author(s):  
Peter A. Robertson ◽  
Lindsay D. Plank
Keyword(s):  
Spinal Fusion ◽  
Prospective Cohort ◽  
Cohort Analysis ◽  
Community Practice ◽  
Lumbar Spinal Fusion ◽  
Fusion Surgery ◽  
Spinal Fusion Surgery ◽  
Lumbar Spinal

Biomechanical effects of fusion levels on the risk of proximal junctional failure and kyphosis in lumbar spinal fusion surgery

2015 ◽  
Vol 30 (10) ◽  
pp. 1162-1169 ◽  
Author(s):  
Won Man Park ◽  
Dae Kyung Choi ◽  
Kyungsoo Kim ◽  
Yongjung J. Kim ◽  
Yoon Hyuk Kim
Keyword(s):  
Spinal Fusion ◽  
Lumbar Spinal Fusion ◽  
Fusion Surgery ◽  
Spinal Fusion Surgery ◽  
Proximal Junctional Failure ◽  
Lumbar Spinal

scholarly journals Local infiltration with cocktail analgesics during 2 level lumbar spinal fusion surgery

Medicine ◽  
2019 ◽  
Vol 98 (19) ◽  
pp. e15526
Author(s):  
Zhinan Ren ◽  
Zheng Li ◽  
Shugang Li ◽  
Lin Sheng ◽  
Derong Xu ◽  
...  
Keyword(s):  
Spinal Fusion ◽  
Lumbar Spinal Fusion ◽  
Local Infiltration ◽  
Fusion Surgery ◽  
Spinal Fusion Surgery ◽  
Lumbar Spinal

Postoperative Continuous Paravertebral Anesthetic Infusion for Pain Control in Lumbar Spinal Fusion Surgery

Spine ◽  
2008 ◽  
Vol 33 (2) ◽  
pp. 210-218 ◽  
Author(s):  
James B. Elder ◽  
Daniel J. Hoh ◽  
Michael Y. Wang
Keyword(s):  
Spinal Fusion ◽  
Pain Control ◽  
Lumbar Spinal Fusion ◽  
Fusion Surgery ◽  
Spinal Fusion Surgery ◽  
Lumbar Spinal

scholarly journals Patient journey following lumbar spinal fusion surgery (LSFS): protocol for a multicentre qualitative analysis of the patient rehabilitation experience (FuJourn)

BMJ Open ◽  
2018 ◽  
Vol 8 (1) ◽  
pp. e020710 ◽  
Author(s):  
Alison Rushton ◽  
J Bart Staal ◽  
Martin Verra ◽  
Andrew Emms ◽  
Michael Reddington ◽  
...  
Keyword(s):  
Spinal Fusion ◽  
Phenomenological Analysis ◽  
Normal Function ◽  
Interpretive Phenomenological Analysis ◽  
Lumbar Spinal Fusion ◽  
Patient Journey ◽  
Fusion Surgery ◽  
Software Analysis ◽  
Spinal Fusion Surgery ◽  
Lumbar Spinal

IntroductionThere has been a 65% increase in lumbar spinal fusion surgery (LSFS) worldwide over the last 13 years, with costs of £26 million to the UK National Health Service annually. Patient dissatisfaction with outcome and persistent pain and disability incurs further costs. Three trials provide low-quality evidence for the role of physiotherapy. Our UK surveys investigating physiotherapy/surgeon practice concluded rehabilitation should be tailored to the individual patient owing to considerable clinical heterogeneity. This study will explore the perceptions of patients who undergo LSFS to inform precision rehabilitation.Methods and analysisA qualitative study, using interpretive phenomenological analysis, will recruit a purposive sample (n=40) to ensure patterns of similarity and difference in their journeys can be explored. In-depth semistructured interviews will be undertaken following discharge from hospital and at 12 months postsurgery. Patients’ preoperative and postoperative experiences, underlying attitudes and beliefs towards the surgical intervention, facilitators and barriers to recovery, adherence to advice and physiotherapy, experiences of rehabilitation and return to normal function/activity/work will be explored. A 12-month patient diary will provide real time access to patient data, capturing a weekly record of life as lived, including symptoms, medication, experiences of stages of recovery, rehabilitation adherence, healthcare professional appointments, attitudes, their feelings and experiences throughout their journey. Data will be analysed in a number of stages in accordance with interpretive phenomenological analysis, supported using NVivo software. Analysis of the first interviews and patient diaries will afford a rich density of data to build an overall understanding of the patients’ lived experiences, informing the 12-month interview. Strategies (eg, reflexivity) will ensure trustworthiness.Ethics and disseminationThe study has ethical approval (IRAS 223283). Findings will ensure that patient-driven data inform precision rehabilitation by understanding the patient journey. Findings will be disseminated through peer-reviewed journals and conferences.

scholarly journals Interdisciplinary Cognitive-Behavioral Therapy as Part of Lumbar Spinal Fusion Surgery Rehabilitation

2016 ◽  
Vol 35 (4) ◽  
pp. 238-247 ◽  
Author(s):  
Pil Lindgreen ◽  
Nanna Rolving ◽  
Claus Vinther Nielsen ◽  
Kirsten Lomborg
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Spinal Fusion ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Lumbar Spinal Fusion ◽  
Fusion Surgery ◽  
Spinal Fusion Surgery ◽  
Lumbar Spinal

90-day Readmission After Lumbar Spinal Fusion Surgery in New York State Between 2005 and 2014

Spine ◽  
2017 ◽  
Vol 42 (22) ◽  
pp. 1706-1716 ◽  
Author(s):  
Ali A. Baaj ◽  
Gernot Lang ◽  
Wei-Chun Hsu ◽  
Mauricio J. Avila ◽  
Jialin Mao ◽  
...  
Keyword(s):  
New York ◽  
Spinal Fusion ◽  
New York State ◽  
Lumbar Spinal Fusion ◽  
Fusion Surgery ◽  
York State ◽  
Spinal Fusion Surgery ◽  
Lumbar Spinal

scholarly journals S-ketamine in patient-controlled analgesia reduces opioid consumption in a dose-dependent manner after major lumbar fusion surgery: a randomized, double-blind, placebo-controlled clinical trial

2021 ◽  
Author(s):  
Elina C.V. Brinck ◽  
Taru Virtanen ◽  
Sanna Mäkelä ◽  
Venla Soini ◽  
Ville-Veikko Hynninen ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Spinal Fusion ◽  
Opioid Consumption ◽  
Controlled Clinical Trial ◽  
Dependent Manner ◽  
Lumbar Spinal Fusion ◽  
Patient Controlled Analgesia ◽  
Fusion Surgery ◽  
Spinal Fusion Surgery ◽  
Lumbar Spinal

AbstractBACKGROUNDSpinal fusion surgery causes severe pain. Strong opioids, commonly used as postoperative analgesics, may have unwanted side effects. S-ketamine may be an effective analgesic adjuvant in opioid patient-controlled analgesia (PCA). However, the optimal adjunct S-ketamine dose to reduce postoperative opioid consumption is still unknown.METHODSWe randomized 107 patients at two tertiary hospitals in a double-blinded, placebo-controlled clinical trial of adults undergoing major lumbar spinal fusion surgery. Patients were randomly allocated to four groups in order to compare the effects of three different doses of adjunct S-ketamine (0.25, 0.5, and 0.75 mg ml−1) or placebo on postoperative analgesia in oxycodone PCA. Study drugs were administered for 24 hours postoperative after which oxycodone-PCA was continued for further 48 hours. Our primary outcome was cumulative oxycodone consumption at 24 hours after surgery.RESULTSOf the 100 patients analyzed, patients receiving 0.75 mg ml−1 S-ketamine in oxycodone PCA needed 25% less oxycodone at 24 h postoperatively (61.2 mg) compared with patients receiving 0.5 mg ml−1 (74.7 mg) or 0.25 mg ml−1 (74.1 mg) S-ketamine in oxycodone or oxycodone alone (81.9 mg) (mean difference: −20.6 mg; 95% confidence interval [CI]: −41 to −0.20; P = 0.048). A beneficial effect in mean change of pain intensity at rest was seen in the group receiving 0.75 mg ml−1 S-ketamine in oxycodone PCA compared with patients receiving lower ketamine doses or oxycodone alone (standardized effect size: 0.17, 95% CI: 0.013–0.32, P = 0.033). The occurrence of adverse events was similar among the groups.CONCLUSIONSOxycodone PCA containing S-ketamine as an adjunct at a ratio of 1: 0.75 decreased cumulative oxycodone consumption at 24 h after major lumbar spinal fusion surgery without additional adverse effects.

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