Surgery

First spine surgery with 3D-printed vertebral body— Will this change everything?

Becker’s Spine Review Laura Dyrda – Monday, August 18th, 2014 Surgeons in China performed the first spinal disc replacement implanting a three-dimensional printed vertebra, according to a CNTV report. The 3D printing technology uses digital models of a patient’s anatomy to construct a “printed” customized implant in almost any material. While the overall 3D printing […]

Is medical management effective for lumbar spine disease? 5 key findings

Written by Laura Dyrda | Friday, 01 August 2014 An article recently published in the Journal of Neurosurgery: Spine examines the medical management of lumbar spine disease to find cost and quality value two years after surgery. The researchers examined 50 patients with lumbar spondylolisthesis, 50 patients with stenosis and 50 patients with disc herniation. […]

Risks Associated With Injection of Facial Fillers

PRACTICEUPDATE.com Niroshan Sivathasan BSc (Hons), MB, BS (Lond), DRCOG, GradDipAesthMed (UK), MRCS (Eng) Ashish C Bhatia MD, FAAD The use of fillers continues to increase around the world, with more applications and use by a wider cohort of practitioners with different experience levels and skill sets. With this increase, it is not surprising that the […]

Vasectomy Linked to Prostate Cancer in 24-Year Study

PracticeUpdate.com RESEARCH · July 07, 2014 TAKE-HOME MESSAGE Analysis of 40,405 men from the Health Professionals Follow-Up Study found an increased risk for overall (HR, 1.10) and lethal (HR, 1.19) prostate cancer in men who underwent vasectomy, despite controlling for confounding factors. The overall risk for death from prostate cancer in the entire population was […]

California doctors used fake hardware in spine surgeries, lawsuits say

The Center For Investigative Reporting Jul 03, 2014 Christina Jewett Health and Welfare Reporter Will Evans Government Oversight Reporter Story Source Doctors in Southern California have implanted counterfeit screws and rods, ginned up in a small machine shop, into the backs of thousands of injured workers, according to lawsuits filed throughout the state. Some doctors […]

Risk factors for knee replacement due to primary osteoarthritis

Risk factors for knee replacement due to primary osteoarthritis, a population based, prospective cohort study of 315,495 individuals BMC Musculoskeletal Disorders, 06/25/2014  Evidence Based Medicine  Clinical Article PubMed Reference Journal Reference Apold H, et al. – Osteoarthritis (OA) of the knee is a common and disabling condition. Authors wanted to investigate the modifiable risk factors Body Mass […]

Relation between surgeon volume and risk of complications after total hip arthroplasty

Relation between surgeon volume and risk of complications after total hip arthroplasty: propensity score matched cohort study Bheeshma Ravi, resident physician BMJ 2014;348:g3284 Full Text Article Abstract Objectives To identify a cut point in annual surgeon volume associated with increased risk of complications after primary elective total hip arthroplasty and to quantify any risk identified. […]

Novel National Registry Measures Lumbar Surgery Effectiveness

Interventional Pain Medicine ISSUE: JUNE 2014 | VOLUME: 12(6) Novel National Registry Measures Lumbar Surgery Effectiveness Lumbar surgery is effective 12 months after in all but 13.8% of patients—a statistic obtained, along with predictors of poor outcome, from the National Neurosurgery Quality and Outcomes Database (N2QOD), a two-year-old, nationwide, prospective, longitudinal outcomes registry that spans […]

Osteoarthritis more likely following ACL reconstruction

Barenius B. Am J Sports Med. 2014. doi: 10.1177/0363546514526139 May 27, 2014 Story Source Journal Reference Osteoarthritis was approximately three times more likely to occur in the knee of a patient who underwent ACL reconstruction compared with the contralateral knee, according to a study. Researchers conducted a regression analysis in 135 patients following ACL reconstruction. Patients […]

The Failed Back Surgery Syndrome : Pitfalls Surrounding Evaluation and Treatment

Carl M. Shapiro, DO Physical Medicine and Rehabilitation Clinics of North America Volume 25, Issue 2, May 2014, Pages 319–340 This link only shows the KEY POINTS and part of the INTRODUCTION. Impressive nevertheless. Journal Reference

The timing of surgery in lumbar disc prolapse: A systematic review

Indian Journal of Orthopedic Surgery Year : 2014  |  Volume : 48  |  Issue : 2  |  Page : 127-135 Ashutosh B Sabnis, Ashish D Diwan Abstract Herniation of nucleus pulposus leading to leg pain is the commonest indication for lumbar spine surgery. However, there is no consensus when to stop conservative treatment and when […]

Two-year comprehensive medical management of degenerative lumbar spine disease : a value analysis of cost, pain, disability, and quality of life

Two-year comprehensive medical management of degenerative lumbar spine disease (lumbar spondylolisthesis, stenosis, or disc herniation): a value analysis of cost, pain, disability, and quality of life. Parker SL, et al. J Neurosurg Spine. 2014 May 2. [Epub ahead of print] Abstract Object Current health care reform calls for a reduction of procedures and treatments that […]

Tapping into controversial back surgeries

By BEN EISLER CBS NEWS April 24, 2014, 6:30 AM Back pain is one of the most common reasons Americans go to the doctor, and one of the fastest growing treatments is spinal fusion surgery. From 2001 to 2011, the number of spinal fusions in U.S. hospitals increased 70 percent, making them more frequently performed […]

A History of Lumbar Disc Herniation From Hippocrates to the 1990s

Truumees E. Clin Orthop Relat Res. 2014 Apr 22. [Epub ahead of print] Abstract In ancient times, a supernatural understanding of the syndrome of lumbar radiculopathy often involved demonic forces vexing the individual with often crippling pain. The ancient Greeks and Egyptians began to take a more naturalistic view and, critically, suspected a relationship between […]

The risk of venous thromboembolism, myocardial infarction, stroke, major bleeding and death in patients undergoing total hip and knee replacement

A 15-year retrospective cohort study of routine clinical practice  The Bone & Joint Journal, 04/02/2014  Evidence Based Medicine Clinical Article Full Story PubMed Reference Journal Reference Pedersen AB, et al. – Authors examined the risk of thrombotic and major bleeding events in patients undergoing total hip and knee replacement (THR and TKR) treated with thromboprophylaxis, […]

Weight change following TKA, THA affects outcome

March 25, 2014 Patients who lose weight after joint replacement surgery have better clinical outcomes and activity levels, according to data presented at the American Academy of Orthopaedic Surgeons Annual Meeting. “Our findings represent the first report to present evidence that weight loss is associated with improved clinical outcomes, while weight gain is associated with […]

Lumbar fusion compared with conservative treatment in patients with chronic low back pain

Lumbar fusion compared with conservative treatment in patients with chronic low back pain: a meta-analysis Saltychev, Mikhail; Eskola, Merja; Laimi, Katri International Journal of Rehabilitation Research March 2014 Vol. 37 – Issue 1: p 2–8 Abstract We assess the effect of lumbar fusion (LF) in reducing disability among patients with chronic low back pain (CLBP) […]

Prognostic Factors for Successful Recovery After Arthroscopic Rotator Cuff Repair: A Systematic Literature Review

Anouk J.M. Fermont1,2, Nienke Wolterbeek1, Ronald N. Wessel1, Jean-Pierre Baeyens3,4 and Rob A. de Bie5 The authors certify that they have no affiliations with or financial involvement in any organization or entity with a direct financial interest in the subject matter or materials discussed in the article. Address correspondence to Anouk J.M. Fermont, Department of Orthopaedic Surgery, […]

Prognostic Factors for Successful Recovery After Arthroscopic Rotator Cuff Repair: A Systematic Literature Review

Anouk J.M. Fermont1,2, Nienke Wolterbeek1, Ronald N. Wessel1, Jean-Pierre Baeyens3,4 and Rob A. de Bie5 The authors certify that they have no affiliations with or financial involvement in any organization or entity with a direct financial interest in the subject matter or materials discussed in the article. Address correspondence to Anouk J.M. Fermont, Department of Orthopaedic Surgery, […]

Lumbar fusion compared with conservative treatment in patients with chronic low back pain: a meta-analysis

Int J Rehabil Res. 2014 Mar;37(1):2-8. doi: 10.1097/MRR.0b013e328363ba4b. Mikhail Saltychev 1, Merja Eskola, Katri Laimi PMID: 23820296 DOI: 10.1097/MRR.0b013e328363ba4b Abstract We assess the effect of lumbar fusion (LF) in reducing disability among patients with chronic low back pain (CLBP) compared with conservative treatment and to weigh the clinical significance of this effect. We conducted a […]