scholarly journals Lumbar Spine Fusion Patients’ Use of an Internet Support Group: Mixed Methods Study

2019 ◽  
Vol 21 (7) ◽  
pp. e9805
Author(s):  
Janni Strøm ◽  
Mette Terp Høybye ◽  
Malene Laursen ◽  
Lene Bastrup Jørgensen ◽  
Claus Vinther Nielsen
Keyword(s):  
Mixed Methods ◽  
Lumbar Spine ◽  
Support Group ◽  
Spine Fusion ◽  
Mixed Methods Study ◽  
Lumbar Spine Fusion ◽  
Internet Support Group ◽  
Internet Support

scholarly journals Lumbar Spine Fusion Patients’ Use of an Internet Support Group: Mixed Methods Study (Preprint)

2018 ◽  
Author(s):  
Janni Strøm ◽  
Mette Terp Høybye ◽  
Malene Laursen ◽  
Lene Bastrup Jørgensen ◽  
Claus Vinther Nielsen
Keyword(s):  
Mixed Methods ◽  
Lumbar Spine ◽  
Peer Support ◽  
Well Being ◽  
Spine Fusion ◽  
Social Recognition ◽  
Anxiety And Depression ◽  
Sociodemographic Characteristics ◽  
Lumbar Spine Fusion ◽  
Internet Support

BACKGROUND Internet use within health care contexts offers the possibility to provide both health information and peer support. Internet Support Groups (ISGs) for patients may offer advantages, which are not found in face-to-face support. In patients undergoing lumbar spine fusion (LSF), ISGs could have a particular potential, as peer support on the web might bridge the decreased satisfaction with social life and social isolation found within these patients. ISGs might in this way contribute to increasing the functioning and overall health-related quality of life. However, LSF patients may generally belong to a group of citizens not prone to internet and online peer support. However, our knowledge of how LSF patients use ISGs is limited. OBJECTIVE The aim of this study was to describe the characteristics of users of an ISG and thematically explore the content of ISG interactions in Danish patients undergoing instrumented LSF because of degenerative spine disorders. METHODS Participants were recruited from a randomized controlled trial and included in a prospective cohort with a mixed methods design. Sociodemographic characteristics and information on psychological well-being (symptoms of anxiety and depression) were obtained at baseline and 1 to 5 weeks before surgery. Usage of the ISG was registered from baseline until 3 months after surgery. All posts and comments were collected, and content analysis was performed. RESULTS A total of 48 participants comprised the study population, with a mean age of 53 years (range 29-77). Of the participants, 54% (26/48) were female, 85% (41/48) were cohabitating, 69% (33/48) were unemployed, and the majority (69% [33/48]) had secondary education. Approximately one-third of the participants had symptoms of depression (35%, 17/48) and anxiety (29%, 14/48). Overall, 90% (43/48) of the participants accessed the ISG. No correlations were found between sociodemographic characteristics and access to the ISG. Women were more prone to be active users, contributing with posts (P=.04). Finally, active users contributing with posts or comments had viewed more pages, whereas passive users, users without posts or comments, had more interactions with the ISG (P<.001). The ISG contained 180 conversation threads, generating 354 comments. The 180 conversation threads in the ISG were constituted by 671 independent dialogue sequences. On the basis of those 671 dialogue sequences, 7 thematic categories emerged. CONCLUSIONS Sociodemographic characteristics were not predictors of ISG use in this study, and active use was found to be gender dependent. Content of interactions on the ISG emerged within 7 thematic categories and focused on social recognition, experience of pain or use of pain medication, experience of physical activity or physical rehabilitation, expression of psychosocial well-being, advising on and exploring the ISG, and employment, which seemed to correspond well with the prevalent occurrence of symptoms of anxiety and depression.

scholarly journals Preoperative Fluoroscopically Guided Regional Erector Spinae Plane Blocks Reduce Opioid Use, Increase Mobilization, and Reduce Length of Stay Following Lumbar Spine Fusion

2021 ◽  
pp. 219256822110107
Author(s):  
Robert J. Owen ◽  
Noah Quinlan ◽  
Addisyn Poduska ◽  
William Ryan Spiker ◽  
Nicholas T. Spina ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Length Of Stay ◽  
Lumbar Fusion ◽  
Spine Fusion ◽  
Erector Spinae ◽  
Control Group ◽  
Block Group ◽  
Opioid Use ◽  
Lumbar Spine Fusion ◽  
Delivery Technique

Study Design: Retrospective review. Objective: To determine the effectiveness of erector spinae plane (ESP) blocks at improving perioperative pain control and function following lumbar spine fusions. Methods: A retrospective analysis was performed on patients undergoing < 3 level posterolateral lumbar fusions. Data was stratified into a control group and a block group. We collected postop MED (morphine equivalent dosages), physical therapy ambulation, and length of stay. PROMIS pain interference (PI) and physical function (PF) scores, ODI, and VAS were collected preop and at the first postop visit. Chi-square and student’s t-test ( P = .05) were used for analysis. We also validated a novel fluoroscopic technique for ESP block delivery. Results: There were 37 in the block group and 39 in the control group. There was no difference in preoperative opioid use ( P = .22). On postop day 1, MED was reduced in the block group (32 vs 51, P < .05), and more patients in the block group did not utilize any opioids (22% vs 5%, P < .05). The block group ambulated further on postop day 1 (312 ft vs 204 ft, P < .05), and had reduced length of stay (2.4 vs 3.2 days, P < .05). The block group showed better PROMIS PI scores postoperatively (58 vs 63, P < .05). The novel delivery technique was validated and successful in targeting the correct level and plane. Conclusions: ESP blocks significantly reduced postop opioid use following lumbar fusion. Block patients ambulated further with PT, had reduced length of stay, and had improved PROMIS PI postoperatively. Validation of the block demonstrated the effectiveness of a novel fluoroscopic delivery technique. ESP blocks represent an underutilized method of reducing opioid consumption, improving postoperative mobilization and reducing length of stay following lumbar spine fusion.

Degenerative Lumbar Spine Disease, Not Fusion, May Be a Risk Factor for Instability after Total Hip Arthroplasty

2020 ◽  
Vol 4 (04) ◽  
pp. 193-200
Author(s):  
Daniel K. Witmer ◽  
Evan R. Deckard ◽  
R. Michael Meneghini
Keyword(s):  
Lumbar Spine ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Spine Fusion ◽  
Joint Disease ◽  
Total Hip ◽  
Female Sex ◽  
Lumbar Spine Fusion ◽  
Radiographic Measurements ◽  
Acetabular Protrusio

AbstractDislocation rates after total hip arthroplasty (THA) in patients with fixed spinopelvic motion have been reported as high as 20%. Few studies exist specifically for lumbar spine degenerative joint disease (DJD) and its relationship to THA instability. There were two study objectives: (1) report the incidence of lumbar spine DJD and previous lumbar spine fusion and (2) evaluate the relationship of these two conditions and other potential risk factors to postoperative dislocation after THA. We retrospectively reviewed 818 consecutive THAs performed by a single surgeon utilizing a posterior approach. Comprehensive medical chart and radiographic review was performed to identify patients with lumbar spine DJD and lumbar spine fusion. Radiographic measurements, patient factors, surgical factors, and incidences of dislocation also were recorded. Eight hundred and twelve THAs were analyzed. There were 10 dislocations (1.2%, 10/812). Lumbar spine DJD and previous lumbar spine fusion occurred in 33.4% (271/812) and 5.9% (48/812) of patients, respectively. Lumbar spine DJD, acetabular protrusio, and female sex were significant predictors of dislocation using a Firth penalized maximum likelihood estimation specifically for rare events (area under receiver-operator characteristic curve = 0.91, 95% confidence interval 0.86, 0.96). Interestingly, only 2 of 10 dislocations had a previous lumbar spine fusion. Lumbar spine DJD, acetabular protrusio, and female sex were significant predictors of dislocation, while lumbar spine fusion was largely unrelated. This study used data available to most practicing surgeons and provides useful information for counseling patients preoperatively.

P64. Impact of body mass index on opioid consumption in lumbar spine fusion surgery

2021 ◽  
Vol 21 (9) ◽  
pp. S170-S171
Author(s):  
Taryn E. LeRoy ◽  
Andrew S. Moon ◽  
Marissa Gedman ◽  
Jessica P. Aidlen ◽  
Ashley L. Rogerson
Keyword(s):  
Body Mass Index ◽  
Lumbar Spine ◽  
Body Mass ◽  
Spine Fusion ◽  
Opioid Consumption ◽  
Fusion Surgery ◽  
Lumbar Spine Fusion

The Influence of No Fault Compensation on Functional Outcomes After Lumbar Spine Fusion

Spine ◽  
2015 ◽  
Vol 40 (14) ◽  
pp. 1140-1147 ◽  
Author(s):  
Alexander Sheriff Montgomery ◽  
John Edward Cunningham ◽  
Peter Alexander Robertson
Keyword(s):  
Lumbar Spine ◽  
Functional Outcomes ◽  
Spine Fusion ◽  
Lumbar Spine Fusion ◽  
Fault Compensation

A comparative study on screw loosening in osteoporotic lumbar spine fusion between expandable and conventional pedicle screws

2011 ◽  
Vol 132 (4) ◽  
pp. 471-476 ◽  
Author(s):  
Zi-xiang Wu ◽  
Fu-tai Gong ◽  
Li Liu ◽  
Zhen-sheng Ma ◽  
Yang Zhang ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Comparative Study ◽  
Pedicle Screws ◽  
Spine Fusion ◽  
Screw Loosening ◽  
Lumbar Spine Fusion

scholarly journals Metabolic Syndrome and Lumbar Spine Fusion Surgery

Spine ◽  
2012 ◽  
Vol 37 (11) ◽  
pp. 989-995 ◽  
Author(s):  
Stavros G. Memtsoudis ◽  
Meghan Kirksey ◽  
Yan Ma ◽  
Ya Lin Chiu ◽  
Madhu Mazumdar ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Lumbar Spine ◽  
Spine Fusion ◽  
Fusion Surgery ◽  
Lumbar Spine Fusion

Incidence and Risk Factors for Postoperative Urinary Retention Following Lumbar Spine Fusion

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
John J. Bowman ◽  
Charles C. Edwards ◽  
Clayton Dean ◽  
Justin Park ◽  
Charles C. Edwards
Keyword(s):  
Risk Factors ◽  
Lumbar Spine ◽  
Urinary Retention ◽  
Spine Fusion ◽  
Postoperative Urinary Retention ◽  
Lumbar Spine Fusion

P13. Posterior lateral lumbar spine fusion with silicate substituted calcium-phosphate

2005 ◽  
Vol 5 (4) ◽  
pp. S116
Author(s):  
Donna Wheeler ◽  
Jason Marini ◽  
Matthew Kovach ◽  
Tatiana Motta ◽  
Amy Lyons ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Calcium Phosphate ◽  
Spine Fusion ◽  
Lumbar Spine Fusion ◽  
Lateral Lumbar Spine
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