News and Research for Spine Professionals

Two-fold Increased Risk for Unsatisfactory Spine Surgery Outcome Found in Workers’ Compensation Patients

Patients with workers’ compensation have a 2-fold increased risk of an unsatisfactory outcome compared to patients without workers’ compensation after spine surgery.

Managing Spine Patients With Diabetes: A Patient-Centric Approach

Carrie Diulus, MD discussed the unique challenges that diabetes poses for spine providers, including challenges with differential diagnosis, as well as medical, operative, and perioperative management.

Recommendations for Avoiding Position-Related Complications During Lumbar Surgery

New findings from a systematic review and meta-analysis suggest ways to avoid potentially severe complications associated with intraoperative positioning.

Scoliosis Specific Exercise and Adolescent Idiopathic Scoliosis

In adolescents with idiopathic scoliosis, the goal of scoliosis specific exercise (SSE) treatment is prevention or reduction of curve progression, respiratory dysfunction, spinal pain, and improved appearance through postural correction.

Epidural Anesthesia via Catheter in Spine Surgery Effectively Reduces Postoperative Pain

The patient is comfortable and the injection allows for routine neurologic examinations. Many physicians are adopting this new technique.

Lumbar Spine Surgery Outcomes: Physiotherapy, Patient Mood and Behavior

Prolonged pain after surgery has been shown to be influenced by these factors: Patient selection, type of surgery performed, and whether or not there's a postoperative rehabilitation plan. Mood and patient behavior play a significant role in outcomes too.

MRI Findings Not Helpful in Determining Herniated Disc-Related Sciatica Treatment

New research finds that MRI has no value in the decision making between early surgery and prolonged conservative care.

Durotomy in Malpractice Suits: What Spine Surgeons Need to Know

Malpractice and court rulings are explored in a retrospective study involving incidental durotomy and care that was delayed or improperly performed.

Preventing Spinal Implant Contamination in Spine Surgery

Is preventing spinal device-related infection a life-long battle? Bacteria are tougher to kill when they attach to the surface of a spinal implant, even before they form a biofilm.

Do Occult Pathogens Play a Role in Failed Back Surgery?

Occult pathogens may play a role in chronic pain and failed fusion in instrumented spine surgery. The impact of this potential association is marked given the rising rates of instrumented spinal fusions in the past decade.

Nanocoating Technology May Prevent Spinal Implant Infections Without Inhibiting Osseointegration

The paradigm shift in current understanding of the potential role of occult infection in aseptic loosening of spinal instrumentation has prompted research to focus on building an antimicrobial surface coating for spinal implants that offer minimal risk and maximum reward.

Infections in Spine Surgery: The Role of Occult Pathogens

Celeste Abjornson, MD, focused on occult, indolent infections that result from contamination or are innate. Environments created by adding hardware to the body may lead to biofilm development, which is another source of occult infection in spinal surgery.

Opioid Focus: Federal Crisis Response, Education Versus Regulations and Legislation

The complexity of the opioid overdose problem is multifaceted and includes a poorly understood population, lack of provider education and an inordinate focus on pills and not the patient.

Nonopioid Multimodal Analgesia for Pre- and Post-Operative Spine Surgery

Multimodal analgesia, including use of nonopioid analgesia has emerged as a way to improve pain control following spine surgery and help limit the risk of opioid use.

Nonopioid Medications and Acute Low Back Pain

During NASS 2017, Jerome Schofferman, MD, presented alternatives to opioids, which have shown little evidence for efficacy in acute low back pain or pose a high risk for adverse events.
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