scholarly journals The Utility of Augmented Reality in Spinal Decompression Surgery Using CT/MRI Fusion Image

Cureus ◽  
2021 ◽  
Author(s):  
Ryoma Aoyama ◽  
Ukei Anazawa ◽  
Hiraku Hotta ◽  
Itsuo Watanabe ◽  
Yuichiro Takahashi ◽  
...  
Keyword(s):  
Augmented Reality ◽  
Decompression Surgery ◽  
Spinal Decompression ◽  
Fusion Image

scholarly journals Acute Exacerbation of Symptoms After Lumbar Decompression Surgery: An Analysis Readmissions and Reoperations in 81 365 Patients

Neurosurgery ◽  
2019 ◽  
Vol 66 (Supplement_1) ◽  
Author(s):  
Andre Samuel ◽  
Avani Vaishnav ◽  
Steven Mcanany ◽  
Sravisht Iyer ◽  
Todd Albert ◽  
...  
Keyword(s):  
Back Pain ◽  
Lumbar Spine ◽  
Neurological Deficits ◽  
Leg Pain ◽  
Decompression Surgery ◽  
Rare Occurrence ◽  
Spinal Decompression ◽  
Lumbar Decompression ◽  
National Cohort ◽  
Exacerbation Of Symptoms

Abstract INTRODUCTION While lumbar spine decompression is a common surgical procedure, acute readmission or reoperation for exacerbation of symptoms is a rare occurrence that has not been extensively studied. METHODS A retrospective review was conducted of a national cohort of patients who underwent lumbar spine decompression surgery between 2013 and 2016. Readmission within 30 d postoperatively, due to exacerbation of back pain, leg pain, or neurological deficits were identified. Reoperations within 30 d for revision spinal decompression or fusion were also measured. Multivariate logistic regression was utilized to determine preoperative patient and surgical factors associated with 30-d readmissions or reoperations. RESULTS In all 40% patients underwent a laminectomy or bilateral decompression and 62% underwent a foraminotomy or unilateral decompression. A total of 3188 patients (3.9%) were readmitted within 30-d postoperatively due to exacerbation of back pain, leg pain, or neurological deficits. A total of 1967 patients (2.4%) underwent reoperation for revision spinal decompression or fusion within 30-d postoperatively. Revision decompression (OR: 2.0, P = .01), additional levels of foraminotomy/unilateral decompression levels (OR: 1.3, 1.5, and 2.5 for 1, 2, and 3+ levels, P = .05), microscopic laminectomy (OR: 1.5, P = .04), and female sex (odds ratios [OR]: 1.2, P = .01) were associated with increased likelihood for readmission. Revision decompression surgery (OR: 2.0) and additional foraminotomy/unilateral decompression levels (OR: 1.9, 1.8, and 2.3 for 1, 2, and 3 + levels, P = .05) were associated with an increased likelihood of reoperation. CONCLUSION While acute readmission or reoperation for symptom exacerbation after lumbar decompression is a rare occurrence, incidence of exacerbation increases with revision decompression surgery and multilevel foraminotomies/unilateral decompression.

Postoperative antimicrobial prophylaxis following spinal decompression surgery: is it necessary?

2010 ◽  
Vol 15 (3) ◽  
pp. 305-309 ◽  
Author(s):  
Hiroyuki Kakimaru ◽  
Michihaya Kono ◽  
Masahiko Matsusaki ◽  
Atsushi Iwata ◽  
Yuji Uchio
Keyword(s):  
Antimicrobial Prophylaxis ◽  
Decompression Surgery ◽  
Spinal Decompression

Cortical Reorganizations for Recovery from Depressive State After Spinal Decompression Surgery

2018 ◽  
Vol 112 ◽  
pp. e632-e639 ◽  
Author(s):  
Masahiro Sawada ◽  
Takuro Nakae ◽  
Toshihiro Munemitsu ◽  
Masato Hojo
Keyword(s):  
Decompression Surgery ◽  
Depressive State ◽  
Spinal Decompression

scholarly journals The outcome of spinal decompression surgery 5 years on

2007 ◽  
Vol 16 (11) ◽  
pp. 1842-1847 ◽  
Author(s):  
N. K. Anjarwalla ◽  
L. C. Brown ◽  
A. H. McGregor
Keyword(s):  
Decompression Surgery ◽  
Spinal Decompression

scholarly journals Ultrasonic bone scalpel for thoracic spinal decompression: case series and technical note

2020 ◽  
Author(s):  
Chuiguo Sun ◽  
Guanghui Chen ◽  
Tianqi Fan ◽  
Weishi Li ◽  
Zhaoqing Guo ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Blood Loss ◽  
Operating Procedure ◽  
Recovery Rate ◽  
Standard Operating Procedure ◽  
Decompression Surgery ◽  
Spinal Decompression ◽  
Thoracic Spinal ◽  
Standard Operating ◽  
The Mean

Abstract Background: Thoracic spinal stenosis (TSS) is a rare but intractable disease that fails to respond to conservative treatment. Thoracic spinal decompression, which is traditionally performed using high-speed drills and kerrison rongeurs, is a time-consuming and technically challenging task. Unfavorable outcomes and high incidence of complications are the major concerns. The development and adaptation of ultrasonic bone scalpel (UBS) has promoted its application in various spinal operations, but its application and standard operating procedure in thoracic decompression have not been fully clarified. Therefore, the purpose of this study is to describe our experience and technique note of using UBS, and come up with a standard surgical procedure for thoracic spinal decompression.Methods: A consecutive of 28 patients with TSS who underwent posterior thoracic spinal decompression surgery with UBS between December 2014 and May 2015 were enrolled in this study. The demographic data, perioperative complications, operation time, estimated blood loss, pre-and postoperative neurological statuses were recorded and analyzed. Neurological status was evaluated with a modified Japanese Orthopaedic Association (JOA) scale and the neurological recovery rate was calculated using the Hirabayashi’s Method.Results: Thoracic spinal decompression surgery was successfully carried out in all cases via a single posterior approach. The average age at surgery was 49.7±8.5 years. The mean operative time of single-segment laminectomy was 3.0±1.4min and the blood loss was 108.3±47.3ml. In circumferential decompression, the average blood loss was 513.8±217.0ml. Two cases of instrument-related nerve root injury occurred during operation and were cured by conservative treatment. Six patients experienced cerebrospinal fluid (CSF) leakage postoperatively, but no related complications were observed. The mean follow-up period was 39.7±8.9 months, the average JOA score increased from 4.7 before surgery to 10.1 postoperatively, and the average recovery rate was 85.8%.Conclusions: The UBS is an optimal instrument for thoracic spinal decompression, and its application enables surgeons to decompress the thoracic spinal cord safely and effectively. This standard operating procedure is expected to help achieve favorable outcomes, and can be used to treat various pathologies leading to TSS.

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