scholarly journals Opioid use trends in patients undergoing elective thoracic and lumbar spine surgery

2020 ◽  
Vol 63 (3) ◽  
pp. E306-E312
Author(s):  
Alexandra Stratton ◽  
Eugene Wai ◽  
Stephen Kingwell ◽  
Philippe Phan ◽  
Darren Roffey ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Lumbar Spine Surgery ◽  
Opioid Use ◽  
Thoracic And Lumbar Spine

scholarly journals Rating the incidence of iatrogenic vascular injuries in thoracic and lumbar spine surgery as regards the approach: A PRISMA-based literature review

2021 ◽  
Author(s):  
Alice Giotta Lucifero ◽  
Cristian Gragnaniello ◽  
Matias Baldoncini ◽  
Alvaro Campero ◽  
Gabriele Savioli ◽  
...  
Keyword(s):  
At Risk ◽  
Lumbar Spine ◽  
Spine Surgery ◽  
Iliac Vein ◽  
Lumbar Spine Surgery ◽  
Common Iliac Vein ◽  
Suture Repair ◽  
Vascular Injuries ◽  
Mesh Terms ◽  
Thoracic And Lumbar Spine

Abstract Purpose To assess the rate, timing of diagnosis, and repairing strategies of vascular injuries in thoracic and lumbar spine surgery as their relationship to the approach. Methods PubMed, Medline, and Embase databases were utilized for a comprehensive literature search based on keywords and mesh terms to find articles reporting iatrogenic vascular injury during thoracic and lumbar spine surgery. English articles published in the last ten years were selected. The search was refined based on best match and relevance. Results Fifty-six articles were eligible, for a cumulative volume of 261 lesions. Vascular injuries occurred in 82% of instrumented procedures and in 59% during anterior approaches. The common iliac vein (CIV) was the most involved vessel, injured in 49% of anterior lumbar approaches. Common iliac artery, CIV, and aorta were affected in 40%, 28%, and 28% of posterior approaches, respectively. Segmental arteries were injured in 68% of lateral approaches. Direct vessel laceration occurred in 81% of cases and recognized intraoperatively in 39% of cases. Conclusions Incidence of iatrogenic vascular injuries during thoracic and lumbar spine surgery is low but associated with an overall mortality rate up to 65%, of which less than 1% for anterior approaches and more than 50% for posterior ones. Anterior approaches for instrumented procedures are at risk of direct avulsion of CIV. Posterior instrumented fusions are at risk for injuries of iliac vessels and aorta. Lateral routes are frequently associated with lesions of segmental vessels. Suture repair and endovascular techniques are useful in the management of these severe complications.

Risk factors for delayed extubation in thoracic and lumbar spine surgery: a retrospective analysis of 135 patients

2013 ◽  
Vol 28 (2) ◽  
pp. 161-166 ◽  
Author(s):  
Fenghua Li ◽  
Reza Gorji ◽  
Richard Tallarico ◽  
Charles Dodds ◽  
Katharina Modes ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lumbar Spine ◽  
Retrospective Analysis ◽  
Spine Surgery ◽  
Lumbar Spine Surgery ◽  
Thoracic And Lumbar Spine ◽  
Delayed Extubation

scholarly journals Review of psychiatric comorbidities and their associations with opioid use in elective lumbar spine surgery

Medicine ◽  
2020 ◽  
Vol 99 (47) ◽  
pp. e23162
Author(s):  
Frank M. Mezzacappa ◽  
Kyle P. Schmidt ◽  
Steven O. Tenny ◽  
Kaeli K. Samson ◽  
Sandeep K. Agrawal ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Lumbar Spine Surgery ◽  
Opioid Use ◽  
Psychiatric Comorbidities

Impact of Preoperative Opioid Use on Postoperative Patient-reported Outcomes in Lumbar Spine Surgery Patients

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Joseph A. Weiner ◽  
Joseph E. Snavely ◽  
Daniel J. Johnson ◽  
Wellington K. Hsu ◽  
Alpesh A. Patel
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Patient Reported Outcomes ◽  
Lumbar Spine Surgery ◽  
Opioid Use ◽  
Postoperative Patient ◽  
Patient Reported

Regional Variation in Opioid Use After Lumbar Spine Surgery

2019 ◽  
Vol 121 ◽  
pp. e691-e699 ◽  
Author(s):  
Owoicho Adogwa ◽  
Mark A. Davison ◽  
Victoria D. Vuong ◽  
Shyam A. Desai ◽  
Daniel T. Lilly ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Regional Variation ◽  
Lumbar Spine Surgery ◽  
Opioid Use

scholarly journals The Impact of Preoperative Mindfulness-Based Stress Reduction on Postoperative Patient-Reported Pain, Disability, Quality of Life, and Prescription Opioid Use in Lumbar Spine Degenerative Disease: Three- and Twelve-Month Results

Neurosurgery ◽  
2019 ◽  
Vol 66 (Supplement_1) ◽  
Author(s):  
Juneyoung L Chavez ◽  
Christina A Porucznik ◽  
Lisa H Gren ◽  
Jian Guan ◽  
Evan Joyce ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Treatment Group ◽  
Spine Surgery ◽  
Stress Reduction ◽  
Postoperative Outcomes ◽  
Prescription Opioid ◽  
Lumbar Spine Surgery ◽  
Opioid Use ◽  
Patient Reported ◽  
Change In Mean

Abstract INTRODUCTION Prescription opioids negatively affect postoperative outcomes after lumbar spine surgery, and according to the CDC, the drug overdose epidemic has been exacerbated by the involvement of prescription medications. Thus, alternatives for pain control are imperative. Mindfulness-based stress reduction (MBSR) has been associated with improved activity, mood, walking, and work in opioid-using chronic pain patients. Prospective studies utilizing preoperative MBSR to impact postoperative outcomes in degenerative lumbar spine surgery are lacking. METHODS The intervention group underwent a preoperative online MBSR course. The comparison group was matched retrospectively in a 1:1 ratio by age, sex, type of surgery, and preoperative opioid use. A total of 3- and 12-mo postoperative patient-reported outcomes for pain, disability, quality of life, and prescription opioid use were compared. Univariate linear regression was used to assess if MBSR use was a significant predictor of outcomes. RESULTS At 3 mo, follow-up was 87.5% and 95.8% in the comparison and treatment groups, respectively. Mean ODI was significantly lower (P = .032), mean PROMIS-PF was significantly higher (P = .002), and mean PROMIS-PI was significantly lower (P = .025) in the treatment group. Also, change in mean PROMIS-PF and change in mean PROMIS-PI were significantly greater (P = .002, P = .038). MBSR use was a significant predictor of change in PROMIS-PF (P = .003). At 12 mo, follow-up was 58.3% and 83.3% in the comparison and treatment groups, respectively. Mean PROMIS-PI was significantly lower (P = .011) and change in mean PROMIS-PI was significantly greater (P = .003) in the treatment group. MBSR use was a significant predictor of change in PROMIS-PI (P = .004). CONCLUSION At 3 mo, the treatment group experienced significantly lower disability, higher physical function, and lower pain interference. At 12 mo, only lower pain interference persisted. Further clinical trials are needed to assess the effectiveness of preoperative MBSR on postoperative outcomes in lumbar spine surgery for degenerative disease.

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