scholarly journals Internal Fixation, A Reconstructive Spine Surgery: A Remedy of Long-Term Spinal Problems

2019 ◽  
Vol 9 (1) ◽  
pp. 11-15
Author(s):  
Md Aminul Islam ◽  
Md Abdul Hye Manik ◽  
Rukun Uddin Chowdhury ◽  
Md Al Amin Salek ◽  
Amir Ali ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Spinal Fusion ◽  
Spinal Surgery ◽  
Spinal Instrumentation ◽  
Age And Gender ◽  
Fusion Surgery ◽  
Excellent Outcome ◽  
Spinal Fusion Surgery ◽  
And Gender

Background: Spinal instrumentation provides a stable, rigid column that encourages bones to fuse after spinal fusion surgery. Methods: The study was carried out in the Neurosurgery Center, CMH, Dhaka, from 01 January 2013 to July 31 2018. A total of 95 patients were included with unrestricted age and gender, underwent spinal surgery with fixation. Result: Better outcome was observed in spinal surgery with stabilization. Conclusion: Whereas early (within hours) or immediate (within 48 h) stabilization and indirect or direct decompression has excellent outcome, even delayed stabilization of the unstable spine has benefits. Bang. J Neurosurgery 2019; 9(1): 11-15

scholarly journals Intranasal Premedication Combined with Erector Spinae Plane Block during Spinal Surgery for a Paediatric Patient: A Case Report

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Bao L ◽  
◽  
Qu M ◽  
Jing S ◽  
◽  
...  
Keyword(s):  
Spinal Fusion ◽  
Spinal Surgery ◽  
Congenital Scoliosis ◽  
Posterior Spinal Fusion ◽  
Erector Spinae ◽  
Surgical Trauma ◽  
Fusion Surgery ◽  
Perioperative Analgesia ◽  
Spinal Fusion Surgery ◽  
Erector Spinae Plane Block

Posterior spinal fusion surgery for congenital scoliosis may cause substantial surgical trauma. Erector Spinae Plane Block (ESPB) can alleviate pain in adults who undergo spinal surgery; however, reports regarding its use in paediatric patients are limited. Here, we report the case of a 2-year-old girl who underwent posterior spinal fusion for congenital scoliosis. The patient initially experienced severe sadness upon separation from her parents; however, after performing various interactive activities, premedication using intranasal dexmedetomidine and midazolam was administered to sedate the patient. Ultrasound-guided bilateral ESPB was applied for perioperative analgesia. The anaesthesiologist identified mild-to-moderate pain during the first 6 days after surgery using the visual analogue scale for pain and Face, Legs, Activity, Cry, and Consolability scale. Therefore, ESPB may provide a satisfactory analgesic effect and help reduce postoperative opioid consumption in children who require spinal fusion surgery.

Total Hip Arthroplasty After Spinal Fusion Surgery

2019 ◽  
Vol 158 (03) ◽  
pp. 333-341
Author(s):  
Philip Mark Anderson ◽  
Jörg Arnholdt ◽  
Maximilian Rudert
Keyword(s):  
Total Hip Arthroplasty ◽  
Spinal Fusion ◽  
Hip Arthroplasty ◽  
Spinal Surgery ◽  
Acetabular Cup ◽  
Functional Connection ◽  
Fusion Surgery ◽  
Total Hip ◽  
Spinal Fusion Surgery ◽  
Orthopedic Patients

AbstractGiven the close functional connection between the hip and the spine, their simultaneous degenerative pathology is a common problem seen in orthopedic patients and has been termed the “hip spine syndrome”. Demographic change and an increasing number of operations have led to more patients who have undergone both total hip arthroplasty and spondylodesis especially of the lumbar spine. Studies have shown significant dislocation rates in this cohort of as high as almost 30%. Biomechanical studies and considerations show that spinal surgery directly influences the functional acetabular position and, consequently, the position of the acetabular cup, making the correct implantation challenging for the hip surgeon. Spinal fusion affects not only the biomechanics of the spine but also of the hip joint and, for that reason, must accordingly be taken into account when planning total hip arthroplasty.

Favorable Long-Term Outcomes for Positional Vertebral Artery Occlusion with Treatment Strategy Prioritizing Spinal Fusion Surgery

2018 ◽  
Vol 114 ◽  
pp. e792-e799 ◽  
Author(s):  
Yasuhiro Takeshima ◽  
Fumihiko Nishimura ◽  
Ichiro Nakagawa ◽  
Yasushi Motoyama ◽  
Young-Su Park ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Spinal Fusion ◽  
Treatment Strategy ◽  
Artery Occlusion ◽  
Long Term Outcomes ◽  
Fusion Surgery ◽  
Spinal Fusion Surgery ◽  
Vertebral Artery Occlusion

scholarly journals The impact of obesity measured by outer abdominal fat on instability of the adjacent segments after rigid pedicle screw fixation

2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Maximilian Lenz ◽  
Carolin Meyer ◽  
Christoph Kolja Boese ◽  
Jan Siewe ◽  
Peer Eysel ◽  
...  
Keyword(s):  
Spinal Fusion ◽  
Spinal Surgery ◽  
Abdominal Fat ◽  
Pedicle Screw Fixation ◽  
Adjacent Segment ◽  
Fusion Surgery ◽  
Spinal Fusion Surgery ◽  
Lack Of Information ◽  
Adjacent Segments ◽  
The Impact

Previous studies have shown coherence between obesity and higher rates of complications following spinal surgery. However, there is a lack of information about the influence of obesity and the mass of outer abdominal fat (OAF) on adjacent segment instability after spinal fusion surgery. Radiographs of 194 patients with spinal fusion surgery were assessed retrospectively. Radiographs were performed after surgery during two years’ follow-up and signs of adjacent segment instability were documented. Patients were classified regarding their BMI and extent of OAF was assessed using CT at the umbilical level. In 20 patients (10.3%) instability of adjacent segments occurred during followup. In this cohort mean OAF was significantly thicker (28.07 mm) compared to the patients without instability (22.39) (P=0.038). A total of 45% of patients with instability showed OAF of more than 30 mm at time of intervention compared to 10% in those without signs of instability. There exists significant correlation between the extent of OAF and development of adjacent segment instability postoperatively. Thus, weight reduction before spinal surgery could potentially decrease risk of adjacent segment instability.

scholarly journals Short-term and long-term revision rates after lumbar spine discectomy versus laminectomy: a population-based cohort study

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e021028 ◽  
Author(s):  
Feng-Chen Kao ◽  
Yao-Chun Hsu ◽  
Chang-Bi Wang ◽  
Yuan-Kun Tu ◽  
Pao-Hsin Liu
Keyword(s):  
Cohort Study ◽  
Lumbar Spine ◽  
Spinal Fusion ◽  
Revision Rate ◽  
Population Based ◽  
Lumbar Discectomy ◽  
Research Database ◽  
Fusion Surgery ◽  
Spinal Fusion Surgery

Background/objectiveDegenerative diseases of the lumbar spine were managed with discectomy or laminectomy. This study aimed to compare these two surgical treatments in the postoperative revision rates.DesignA population-based cohort study from analysis of a healthcare database.SettingData were gathered from the Taiwan National Health Insurance Research Database (NHIRD).ParticipantsWe enrolled 16 048 patients (4450 women and 11 598 men) with a mean age of 40.34 years who underwent lumbar discectomy or laminectomy for the first time between 1 January 1997 and 31 December 2007. All patients were followed up for 5 years or until death.ResultsRevision rate within 3 months of the index surgery was significantly higher in patients who underwent discectomy (2.75%) than in those who underwent laminectomy (1.18%; p<0.0001). This difference persisted over the first year following the index surgery (3.38% vs 2.57%). One year afterwards, the revision rates were similar between the discectomy (9.75%) and laminectomy (9.69%) groups. The final spinal fusion surgery rates were also similar between the groups (11.25% vs 12.08%).ConclusionThe revision rate after lumbar discectomy was higher than that after laminectomy within 1 year of the index surgery. However, differences were not identified between patient groups for the two procedures with respect to long-term revision rates and the proportion of patients who required final spinal fusion surgery.

Fatal pulmonary fat embolism after posterior spinal fusion surgery

2006 ◽  
Vol 11 (2) ◽  
pp. 217-220 ◽  
Author(s):  
Yoshimasa Takahashi ◽  
Ken’ichiro Narusawa ◽  
Kenji Shimizu ◽  
Masakazu Takata ◽  
Toshitaka Nakamura
Keyword(s):  
Spinal Fusion ◽  
Posterior Spinal Fusion ◽  
Fat Embolism ◽  
Fusion Surgery ◽  
Spinal Fusion Surgery ◽  
Pulmonary Fat Embolism
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