Article
Orthopedics
Joshua R. Zadro, Adriane M. Lewin, Priti Kharel, Justine Naylor, Christopher G. Maher, Ian A. Harris
Summary: This study investigated the utilization and costs of physiotherapy before lumbar spine surgery for workers' compensation claimants in NSW, Australia. The results showed that individuals who underwent decompression surgery tended to have shorter, less frequent, and less costly pre-surgery physiotherapy compared to those who had fusion surgery.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Clinical Neurology
Mark Alan Fontana, Wasif Islam, Michelle A. Richardson, Cathlyn K. Medina, Eleni C. Kohilakis, Sheeraz A. Qureshi, Catherine H. MacLean
Summary: This study analyzed presenteeism and absenteeism among employed patients undergoing lumbar spine surgery. The research found that the preoperative average monthly lost time was contributed roughly evenly by presenteeism and absenteeism. Furthermore, after 12 months, there were significant improvements in presenteeism and work performance, suggesting that lumbar spine surgery can offset some of the direct and indirect costs of surgical treatment.
Article
Environmental Sciences
Thomas E. Dorner, Ellenor Mittendorfer-Rutz, Magnus Helgesson, Tea Lallukka, Jenni Ervasti, Konstantinos Pazarlis, Annina Ropponen, Pia Svedberg, Mo Wang, Syed Rahman
Summary: This study investigated work disability patterns in LBP patients undergoing lumbar spine decompression surgery in Sweden. The findings showed that patients who underwent surgery had higher rates of work disability in the three years following the procedure, primarily due to dorsopathies. Decompression surgery appeared to limit further increases in work disability in the long term.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Clinical Neurology
Jose A. Canseco, Brian A. Karamian, Mark J. Lambrechts, Tariq Z. Issa, William Conaway, Paul D. Minetos, Daniel Bowles, Tyler Alexander, Matthew Sherman, Gregory D. Schroeder, Alan S. Hilibrand, Alexander R. Vaccaro, Christopher K. Kepler
Summary: To reduce healthcare costs, some surgeons are transitioning lumbar decompression patients to outpatient procedure centers. A risk stratification calculator based on machine learning algorithms was developed to improve the surgeon's ability to predict whether a patient undergoing lumbar decompression will meet inpatient or outpatient criteria.
Article
Medicine, General & Internal
Morsi Khashan, Dror Ofir, Uri Hochberg, Haggai Schermann, Gilad J. Regev, Zvi Lidar, Khalil Salame
Summary: This study compared the effect of smoking on the outcome of spinal decompression surgery. Retrospective analysis of 188 cases of MIS lumbar decompression surgery found no significant difference in perioperative complications and revision surgery rates between smokers and non-smokers, but smoking may delay the improvement of leg pain and disability.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Multidisciplinary Sciences
Mattias Norrback, Martin Neovius, Johan Ottosson, Ingmar Naslund, Gustaf Bruze
Summary: This study examined the economic impact of bariatric surgery on earnings and work loss. The results showed that patients experienced an increase in earnings after surgery, but work loss remained relatively constant. There was still a gap in earnings and work loss between bariatric surgery patients and the general population.
Article
Orthopedics
Laura Marie-Hardy, Marc Khalife, Peter Upex, Guillaume Riouallon, Stephane Wolff
Summary: The goal of this study was to precisely measure the decompression of central stenosis by unilateral MIS approaches using MRI. The analysis of 42 patients showed that the dural sac cross-sectional area and anteroposterior diameter increased significantly postoperatively, indicating a successful decompression.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2023)
Article
Orthopedics
Ofir Uri, Liad Alfandari, Yoram Folman, Amit Keren, William Smith, Inbar Paz, Eyal Behrbalk
Summary: This study compared the incidence of acute disc herniation following mini-open and minimally invasive decompression of lumbar spinal stenosis. The results showed that the incidence of postoperative disc herniation was significantly lower in the minimally invasive group compared to the mini-open group.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Clinical Neurology
Siril T. Holmberg, Svetlana Skurtveit, Sasha Gulati, Oyvind O. Salvesen, Oystein P. Nygaard, Tore K. Solberg, Olav M. S. Fredheim
Summary: This prospective study aimed to investigate the clinical and sociodemographic factors associated with long-term opioid use after spine surgery. The results showed that a substantial proportion of patients with preoperative opioid use continued to use opioids after surgery. High doses of benzodiazepines, z-hypnotics, and previous surgery at the same lumbar level were identified as important factors contributing to persistent opioid use post-surgery.
Article
Orthopedics
Jwalant Patel, Vishal Kundnani, Suraj Kuriya
Summary: The study showed a 12.96% overall incidence of peri-operative complications with higher rates (29.8%) in the initial three years and lower rates (8.78%) in the last seven years. The most common complication was urinary tract infections. Risk factors for complications included comorbidities, specific levels of stenosis, and types of decompression approach. More than 95% of patients had excellent to good outcomes at the final follow-up.
INTERNATIONAL ORTHOPAEDICS
(2021)
Review
Clinical Neurology
Mustfa K. Manzur, Andre M. Samuel, Kyle W. Morse, Karim A. Shafi, Bridget Jivanelli Gatto, Catherine Himo Gang, Sheeraz A. Qureshi, Sravisht Iyer
Summary: The study systematically reviewed the effects of indirect decompression through lateral lumbar interbody fusion. It found that combined indirect and direct decompression surgery significantly improved patients' lumbar lordosis, but there was no significant difference in functional and pain improvement between the two procedures.
GLOBAL SPINE JOURNAL
(2022)
Review
Clinical Neurology
Martin J. Gagliardi, Alfredo J. Guiroy, Gaston Camino-Willhuber, Andrei F. Joaquim, Charles A. Carazzo, Ezequiel Yasuda, Juan P. Cabrera, Alejandro R. Morales Ciancio
Summary: Indirect and direct decompression and fusion techniques are similarly effective in treating lumbar spinal stenosis and instability. The indirect decompression and fusion group had significantly less intraoperative blood loss and surgical time values.
GLOBAL SPINE JOURNAL
(2023)
Review
Clinical Neurology
Omar Al Jammal, Julian Gendreau, Bejan Alvandi, Neal A. Patel, Nolan J. Brown, Shane Shahrestani, Brian V. Lien, Arash Delavar, Katelynn Tran, Ronald Sahyouni, Luis Daniel Diaz-Aguilar, Kevin Gilbert, Martin H. Pham
Summary: The study revealed significant differences in surgical management and postoperative complication rates for traumatic injury to the lumbar spine based on demographic factors such as gender, race, and insurance type. Further research is needed to understand how patient demographics influence management and complications for lumbar spine trauma.
Article
Clinical Neurology
Pavlina Lenga, Gelo Guelec, Awais Akbar Bajwa, Mohammed Issa, Karl Kiening, Andreas W. Unterberg, Basem Ishak
Summary: This study aims to describe the clinical outcome of metastatic epidural spinal cord compression in octogenarians who undergo laminectomy for an acute onset of neurological illness, assess morbidity and mortality rates, and determine risk factors for a nonambulatory outcome.
WORLD NEUROSURGERY
(2023)
Article
Integrative & Complementary Medicine
Xiang Yu, Hongwei Yue, Huawei Wei, Quanjin Li, Zhiming Li
Summary: This study aimed to compare the efficacy of unilateral biportal endoscopic (UBE) surgery and traditional open surgery in the treatment of lumbar disc herniation (LDH), as well as discuss the complications and learning curve of UBE surgery. The results showed that both UBE and traditional open surgery were effective in treating LDH. The UBE surgery group had better early pain relief and a lower incidence of long-term chronic low back pain compared to the traditional open surgery group, but the UBE group had a higher incidence of early complications compared to the traditional open surgery group.
ALTERNATIVE THERAPIES IN HEALTH AND MEDICINE
(2023)
Article
Public, Environmental & Occupational Health
Mo Wang, Ellenor Mittendorfer-Rutz, Thomas E. Dorner, Konstantinos A. Pazarlis, Annina Ropponen, Pia Svedberg, Magnus Helgesson
SCANDINAVIAN JOURNAL OF PUBLIC HEALTH
(2019)
Article
Public, Environmental & Occupational Health
Syed Rahman, Ellenor Mittendorfer-Rutz, Thomas E. Dorner, Konstantinos Pazarlis, Annina Ropponen, Pia Svedberg, Mo Wang, Magnus Helgesson
EUROPEAN JOURNAL OF PUBLIC HEALTH
(2019)
Article
Medicine, General & Internal
Konstantinos Pazarlis, Anna Punga, Nikos Schizas, Bengt Sanden, Karl Michalsson, Peter Foersth
Article
Environmental Sciences
Thomas E. Dorner, Ellenor Mittendorfer-Rutz, Magnus Helgesson, Tea Lallukka, Jenni Ervasti, Konstantinos Pazarlis, Annina Ropponen, Pia Svedberg, Mo Wang, Syed Rahman
Summary: This study investigated work disability patterns in LBP patients undergoing lumbar spine decompression surgery in Sweden. The findings showed that patients who underwent surgery had higher rates of work disability in the three years following the procedure, primarily due to dorsopathies. Decompression surgery appeared to limit further increases in work disability in the long term.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Clinical Neurology
Konstantinos Pazarlis, Anders Frost, Peter Forsth
Summary: This study investigates the clinical outcome, complications, and subsequent surgery rate of DA treatment for lumbar spinal stenosis (LSS) with disc protrusion (DS). The results demonstrate significant clinical improvement after a 2-year follow-up, with low rates of complications and subsequent surgeries.
Article
Medicine, General & Internal
Konstantinos Pazarlis, Hakan Jonsson, Thomas Karlsson, Nikos Schizas
Summary: This study investigated the role of preoperative MRI and intraoperative monitoring in preventing correction-related complications in idiopathic scoliosis patients. The results showed a low incidence of neurophysiological incidents and intraspinal pathology during surgery, but there were still risks involved. The authors suggest the continuation of preoperative MRI screening and the use of intraoperative monitoring to prevent possible neurological injuries.
JOURNAL OF CLINICAL MEDICINE
(2022)
