CERVICAL CORPECTOMY AND STRUT GRAFTING

Neurosurgery ◽  
2007 ◽  
Vol 60 (suppl_1) ◽  
pp. S1-137-S1-142 ◽  
Author(s):  
Andrea F. Douglas ◽  
Paul R. Cooper
Keyword(s):  
Selection Criteria ◽  
Soft Tissues ◽  
Simple Procedure ◽  
Postoperative Management ◽  
Neoplastic Disease ◽  
Cervical Corpectomy ◽  
Patient Selection Criteria ◽  
Spine Disorders ◽  
Adequate Decompression ◽  
Attention To Detail

Abstract CERVICAL CORPECTOMY AND strut grafting is a deceptively simple procedure that has been performed for many years for a variety of cervical spine disorders (infection, neoplastic disease, and trauma) but most commonly for cervical spondylosis. The procedure requires attention to detail to ensure adequate decompression of the neural structures and avoiding injury to the soft tissues of the neck and the vertebral artery in the transverse foramina. The following description of the technique is one we have successfully used for cervical corpectomy and strut grafting. We also discuss patient selection criteria, avoidance of common complications, and postoperative management.

PATIENT SELECTION CRITERIA IN THE SURGICAL TREATMENT OF VENO-OCCLUSIVE DYSFUNCTION

1999 ◽  
Vol 161 (4) ◽  
pp. 1145-1147 ◽  
Author(s):  
F. SASSO ◽  
G. GULINO ◽  
J. WEIR ◽  
A.M. VIGGIANO ◽  
E. ALCINI
Keyword(s):  
Surgical Treatment ◽  
Patient Selection ◽  
Selection Criteria ◽  
Patient Selection Criteria

Effect of Method of Defining the Active Patient Population on Measured Immunization Rates in Predominantly Medicaid and Non-Medicaid Practices

PEDIATRICS ◽  
2000 ◽  
Vol 106 (Supplement_1) ◽  
pp. 171-176
Author(s):  
Ardythe L. Morrow ◽  
R. Clinton Crews ◽  
Henry J. Carretta ◽  
Mekibib Altaye ◽  
Albert B. Finch ◽  
...  
Keyword(s):  
Selection Criteria ◽  
Immunization Practice ◽  
Immunization Rate ◽  
The Past ◽  
Immunization Rates ◽  
Patient Selection Criteria ◽  
Definition Of ◽  
Practice Assessment ◽  
Active Patients

Objective. To examine the effect of patient selection criteria on immunization practice assessment outcomes. Methods. In 3 high- (50%–85%) and 7 low- (<25%) Medicaid pediatric practices in urban eastern Virginia, we assessed immunization rates of children 12 and 24 months old comparing thestandard criteria (charts in the active files excluding those that documented the child moved or went elsewhere) with 3 alternative criteria for selecting active patients: 1)follow-up: the chart contained a complete immunization record or the patient was found to be active in the practice through follow-up contact by phone or mail; 2) seen in the past year: the chart indicated that the patient was seen in the practice in the past year; 3) consecutive: patients that were seen consecutively for any reason. Results. Of the 1823 charts assessed in the high- and low-Medicaid practices, follow-up identified 61% and 83% as active patients; 78% and 95% were ever seen in the past year. At 24 months, mean practice immunization rates were lower for standard (70%) than all 3 alternative criteria (78%–86%). Immunization rate differences between standard and alternative criteria were greater in high- (17%–23%) than low-Medicaid practices (5%–13%). Conclusion. The standard for practice assessment should be based on a consistent definition of active patients as the immunization rate denominator.

scholarly journals Making a Traditional Spine Surgery Clinic Telemedicine-Ready in the “New Normal” of Coronavirus Disease 2019

2021 ◽  
Vol 15 (2) ◽  
pp. 164-171
Author(s):  
Ka-Po Gabriel Liu ◽  
Wei Loong Barry Tan ◽  
Wei Luen James Yip ◽  
Jun-Hao Tan ◽  
Hee-Kit Wong
Keyword(s):  
Spine Surgery ◽  
Disease Transmission ◽  
Selection Criteria ◽  
Herd Immunity ◽  
Clinical Protocol ◽  
New Normal ◽  
Safe Strategy ◽  
Healthcare Crisis ◽  
Patient Selection Criteria ◽  
Outpatient Practice

Study Design: An original article describing a comprehensive methodology for making a traditional spine surgery clinic telemedicineready in terms of logistical considerations and workflow.Purpose: The aim of this study is to promote the use of telemedicine via videoconferencing to reduce human exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and reduce the risk of coronavirus disease 2019 (COVID-19) transmission at outpatient clinics.Overview of Literature: The COVID-19 pandemic is the biggest healthcare crisis in the 21st century. Until a vaccine is developed or herd immunity against SARS-CoV-2 is achieved, social distancing to avoid crowding is an important strategy to reduce disease transmission and resurgence. Telemedicine has already been applied in the field of orthopedics with encouraging results.Methods: We reviewed the evidence behind telemedicine and described our clinical protocol, patient selection criteria, and workflow for telemedicine. We discussed a simple methodology to convert pre-existing traditional clinic resources into telemedicine tools, along with future challenges.Results: Our methodology was successfully and easily applied in our clinical practice, with a streamlined workflow allowing our spine surgery service to implement telemedicine as a consultation modality in line with the national recommendations of social distancing.Conclusions: Telemedicine was well incorporated into our outpatient practice using the above workflow. We believe that the use of telemedicine via videoconferencing can become part of the new normal and a safe strategy for healthcare systems as both a medical and an economic countermeasure against COVID-19.

scholarly journals Suggested Patient Selection Criteria for Initial Clinical Trials of Pig Kidney Xenotransplantation in the USA

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Abhijit Jagdale ◽  
Vineeta Kumar ◽  
Douglas J. Anderson ◽  
Jayme E. Locke ◽  
Michael J. Hanaway ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Patient Selection ◽  
Selection Criteria ◽  
Pig Kidney ◽  
The Usa ◽  
Patient Selection Criteria

Opioid Pharmacotherapies for Substance Use Disorders and Addiction (DRAFT)

2018 ◽  
Author(s):  
Jason Baker Fields ◽  
William F. Haning ◽  
Yngvild Olsen
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Selection Criteria ◽  
Respiratory Arrest ◽  
Outpatient Setting ◽  
Psychosocial Treatment ◽  
Federal Regulations ◽  
Respiratory Compromise ◽  
Concurrent Use ◽  
Patient Selection Criteria

This chapter is about patient selection criteria and the dosing recommendations for methadone, buprenorphine, and naltrexone. It also addresses the legal and documentation issues uniquely associated with the former two medications, and specific complicating circumstances such as hepatic impairment, pregnancy, breast-feeding, and respiratory compromise. Risk factors including concurrent use of benzodiazepines and alcohol are addressed, as well as the intrinsic risks of the medications themselves (e.g., seizures for buprenorphine, respiratory arrest with methadone). The objective of the chapter is to orient the primary care provider to available pharmacotherapies in the outpatient setting; the need for parallel or integrated psychosocial treatment is implicit. Accompanying text boxes include additional resources and a discussion of the changing federal regulations regarding patient population limits for buprenorphine prescribers.

Use of Strict Patient Selection Criteria to Achieve Significant Surgical Outcomes from a Low DIEP Flap Breast Reconstruction

2019 ◽  
Vol 35 (08) ◽  
pp. 622-630
Author(s):  
Han Gyu Cha ◽  
Min Kyu Kang ◽  
Hyun Ho Han ◽  
Eun Key Kim ◽  
Jin Sup Eom
Keyword(s):  
Breast Reconstruction ◽  
Ct Angiography ◽  
Patient Selection ◽  
Surgical Outcomes ◽  
Selection Criteria ◽  
Diep Flap ◽  
Complication Rates ◽  
Abdominal Scar ◽  
Significant Difference ◽  
Patient Selection Criteria

Abstract Background The low deep inferior epigastric perforator (DIEP) flap was first introduced in 2016 as it had aesthetic advantages over the conventional DIEP flap. With our experience of over 100 low DIEP flap procedures to date, we have conspicuously lowered complication rates and established more definitive criteria to select proper candidates. Methods We analyzed 103 patients who underwent breast reconstruction with the low DIEP flap at our hospital between May 2014 and June 2018. Demographics, patient selection criteria, flap specifics, surgical outcomes including postoperative complications, and the location of the abdominal scar and umbilicus were reviewed retrospectively. Results The mean patient age was 46.7 years, and the average body mass index was 23.7 kg/m2. A low DIEP with an average weight of 377 g was utilized within 6 hours 17 minutes in this cohort. There was no significant difference in the rate of venous congestion or fat necrosis compared with the conventional DIEP flap. The average distance from the pubic hairline to the abdominal scar was 0.6 cm and from the anterior superior iliac spine to the abdominal scar was −0.4 cm. The postoperative location of the umbilicus was 7.0 cm above the pubic hairline. Conclusion The low DIEP flap is not only a reliable option for a breast reconstruction but is an aesthetically superior approach with a lower abdominal scar and natural umbilicus. Patients may benefit from this technique if prudently selected by computed tomography (CT) angiography. A perforator that is larger than 1 mm in diameter and well enhanced on CT angiography from the division of the external iliac artery to the abdominal skin particularly in the intramuscular course should be selected.

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