Operative Techniques in Orthopaedics最新文献

{"title":"A Comparative Review of Two Major Topical Hemostasis Agents in Spine Surgery","authors":"Ashish D. Chakraborty ,&nbsp;Yixuan Tong ,&nbsp;Charla Fischer","doi":"10.1016/j.oto.2024.101098","DOIUrl":"10.1016/j.oto.2024.101098","url":null,"abstract":"<div><p><span><span>Achieving adequate hemostasis in spine surgery is critical for both the patient and surgeon. Currently, there are 2 major topical </span>hemostatic matrix agents used in spine surgery—Floseal (Baxter Healthcare, Deerfield, Illinois, USA) and Surgiflo (Ethicon Inc., Raritan, New Jersey, USA). While both products have been shown to be effective at achieving hemostasis, there is no consensus supporting the use of one agent over another in spine surgery. There are studies comparing outcomes and cost between Floseal and Surgiflo, but a significant portion of the studies have industry affiliations. Generally, existing literature reports low to moderate cost savings in favor of one agent or the other, with no clinically significant differences in patient-based outcomes such as </span>postoperative hematomas<span>. Animal model studies also suggest unique complications, including epidural fibrosis and associated nerve root compression with use of a flowable topical hemostatic agent. Further nonindustry-affiliated studies are warranted to compare efficacy, patient outcomes, cost analyses, and possible unique complications associated with the two hemostatic agents.</span></p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 1","pages":"Article 101098"},"PeriodicalIF":0.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139636997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cervical Disc Arthroplasty: Tips and Tricks","authors":"Taryn E. LeRoy ,&nbsp;Jessica P. Aidlen","doi":"10.1016/j.oto.2024.101093","DOIUrl":"10.1016/j.oto.2024.101093","url":null,"abstract":"<div><p>Cervical disc arthroplasty<span><span> (CDA) is a motion-preserving treatment<span> option for managing cervical radiculopathy and myelopathy. While CDA may be an excellent surgical technique for select patients, there are many technical challenges that make this procedure less forgiving than </span></span>anterior cervical discectomy and fusion. The purpose of this article is to provide a brief overview of cervical disc arthroplasty, indications, surgical technique, surgical considerations, implant selection, and complications.</span></p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 1","pages":"Article 101093"},"PeriodicalIF":0.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139640268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spine Surgery: Where Have We Been? And Where Are We Going?","authors":"Ashley Rogerson","doi":"10.1016/j.oto.2023.101063","DOIUrl":"10.1016/j.oto.2023.101063","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"33 4","pages":"Article 101063"},"PeriodicalIF":0.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135349569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Augmented Reality in Spine Surgery Narrative Review: Seeing is Believing","authors":"Antoinette J. Charles ,&nbsp;Emily Luo ,&nbsp;Alissa Arango ,&nbsp;Dana Rowe ,&nbsp;C. Rory Goodwin ,&nbsp;Melissa M. Erickson","doi":"10.1016/j.oto.2023.101068","DOIUrl":"10.1016/j.oto.2023.101068","url":null,"abstract":"<div><p>In recent years, augmented reality (AR) has emerged as a promising technology in spine surgery. Its benefits are numerous, including enhanced surgical accuracy, improved anatomic approximation, and uninterrupted visualization. It has proven particularly valuable in spinal fusion<span><span><span>, allowing for meticulous planning of screw trajectories and precise alignment of screws, plates, and implants, resulting in low complication rates. Additionally, AR reduces radiation exposure by minimizing the need for intraoperative fluoroscopy. The technology has also been utilized for surgical education and training, enabling real-time feedback through telementoring. However, challenges exist. Discomfort and wearability issues are reported with current AR models, and the need for 3D image rendering prolongs procedure time. Accuracy is compromised </span>in patients with larger body habitus, necessitating improvements in calibration to individual </span>anatomies. Cost is another significant challenge as it requires advanced imaging capabilities in operating rooms, along with expenses for AR hardware, software, training, and personnel. Ongoing research is necessary to evaluate the sustained benefits and potential complications of AR in spine surgery. While AR demonstrates advantages in terms of patient outcomes and surgical accuracy, continued optimization is essential to enhance accessibility and success in spine surgery and orthopaedic surgery as a whole.</span></p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"33 4","pages":"Article 101068"},"PeriodicalIF":0.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135348087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Table of Contents (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(23)00065-4","DOIUrl":"https://doi.org/10.1053/S1048-6666(23)00065-4","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"33 4","pages":"Article 101085"},"PeriodicalIF":0.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1048666623000654/pdfft?md5=f60741ceb73bd1d0ffa38e4cc81a26eb&pid=1-s2.0-S1048666623000654-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138490931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High Prevalence of Cervical Myelopathy among Hip Fracture Patients","authors":"Hanci Zhang ,&nbsp;Thomas Buell ,&nbsp;Edward Baldwin III ,&nbsp;Tara Dalton ,&nbsp;Clifford Crutcher ,&nbsp;Muhammad M. Abd-El-Barr ,&nbsp;Norah Foster ,&nbsp;C. Rory Goodwin ,&nbsp;Melissa Erickson","doi":"10.1016/j.oto.2023.101066","DOIUrl":"10.1016/j.oto.2023.101066","url":null,"abstract":"&lt;div&gt;&lt;p&gt;&lt;span&gt;&lt;span&gt;Hip fractures&lt;span&gt; are devastating injuries for the elderly and an increasing burden to the healthcare system. Cervical spondylotic myelopathy (CSM), as a common cause of disability, instability, and falls in the elderly population, places patients at risk for hip fracture, and myelopathic patients are associated with increased complications after hip surgery. &lt;/span&gt;&lt;/span&gt;Myelopathy's&lt;span&gt; relationship with hip fractures and impact, however, is not well understood. This study sought to 1) determine the prevalence of CSM among hip fracture patients and 2) hypothesized that hip fractures in CSM patients were associated with greater complexity and costs. In this institutional review board-exempt study, Medicare 1) hip fracture and 2) CSM patients between 2004 and 2014 were identified using the PearlDiver Patient Records Database (PearlDiver Technologies, Inc., CO) with International Classification of Diseases, Ninth Revision, (ICD-9) and Common Procedural Terminology codes. The prevalence of CSM within hip fracture patients was calculated, as was the incidence of hip fractures within CSM patients during this period. Hip fracture patients with CSM were compared with non-CSM hip fracture patients by age, medical comorbidities, average charges/payments, and average lengths of stay (LOS). Hip fracture patients with CSM who underwent cervical surgery were also compared with those who did not undergo cervical surgery, both before and after hip fracture. Statistical analysis with &lt;/span&gt;&lt;/span&gt;&lt;em&gt;t&lt;/em&gt;-test and chi-squared test was performed, with statistical significance set at &lt;em&gt;P&lt;/em&gt; &lt; 0.05. Total 22,884 of 2,309,972 hip fracture patients (1.0%) from 2004 to 2014 also had CSM, representing approximately 9900 cases per million persons, higher than previous estimates of the CSM incidence in the general population. These 22,884 hip fracture patients were 4.6% of 496,939 patients with CSM diagnosed during this period, representing a hip fracture incidence of 419 cases per 100,000 persons/year, also higher than previous estimates of hip fracture incidence in the overall population. Hip fracture patients with CSM were significantly younger (&lt;em&gt;P&lt;/em&gt;&lt;span&gt; &lt; 0.001) but had significantly greater incidence of hypertension, coronary artery disease&lt;span&gt;, stroke, obesity, tobacco use, diabetes, and osteoporosis (&lt;/span&gt;&lt;/span&gt;&lt;em&gt;P&lt;/em&gt; &lt; 0.001) than non-CSM counterparts, as well as significantly greater average hip fracture-related LOS, per-patient charges, and per-patient payments (&lt;em&gt;P&lt;/em&gt; &lt; 0.001). Within this group of hip fractures with CSM, 441 patients (441/22,884; 1.9%) underwent cervical surgery prior to hip fracture, and 245 patients (245/22,884; 1.1%) underwent cervical surgery after hip fracture. These surgically treated patients with CSM were significantly younger but had higher incidence of medical comorbidities (&lt;em&gt;P&lt;/em&gt; &lt; 0.001) relative to hip fracture patients with CSM who did not receive cervical","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"33 4","pages":"Article 101066"},"PeriodicalIF":0.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135388355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cannabinoids in Spine Surgery: A Comprehensive Review","authors":"Rivka Ihejirika-Lomedico,&nbsp;Harold Fogel","doi":"10.1016/j.oto.2023.101065","DOIUrl":"10.1016/j.oto.2023.101065","url":null,"abstract":"<div><p><span>Cannabinoids have gained attention for their potential therapeutic effects in various fields, including pain control, augmenting fusion, </span>neuroprotection, wound healing, inflammation, mental health, and clinical outcomes/complications. We explore the history and mechanism of action of cannabinoids, as well as their role in each of these areas. By examining existing research, the potential benefits and limitations of incorporating cannabinoids into spine nonoperative and operative protocols are highlighted. Ultimately, this review aims to contribute to the understanding of cannabinoids as a viable option for optimizing patient outcomes in the context of spine surgery.</p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"33 4","pages":"Article 101065"},"PeriodicalIF":0.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135348574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Super-Smith Petersen Osteotomy for Fixed Sagittal Imbalance Correction: A Technical Report for a Modification of the Smith-Petersen Osteotomy","authors":"Taryn E. LeRoy ,&nbsp;Andrew Moon ,&nbsp;Pablo Diaz Collado ,&nbsp;Frank F. Rand III","doi":"10.1016/j.oto.2023.101067","DOIUrl":"10.1016/j.oto.2023.101067","url":null,"abstract":"<div><p>To describe a modification to the traditional Smith-Petersen Osteotomy<span><span>, which involves removing the posterior column of bone at a single level, however, instead of gaining approximately 10° of correction, this modification results in 20°-25° of sagittal correction with the use of helper rods. The Super-Smith Petersen Osteotomy is a modification of the Smith-Petersen Osteotomy that is a single-level osteotomy, that with the use of helper rods, one can obtain a larger degree of correction than the traditional Smith Petersen Osteotomy, with less technical demand compared to a pedicle subtraction osteotomy or </span>vertebral column resection.</span></p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"33 4","pages":"Article 101067"},"PeriodicalIF":0.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135349533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Board (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(23)00064-2","DOIUrl":"https://doi.org/10.1053/S1048-6666(23)00064-2","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"33 4","pages":"Article 101084"},"PeriodicalIF":0.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1048666623000642/pdfft?md5=da4a7868b30d7794cc61d2446196c63a&pid=1-s2.0-S1048666623000642-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138490930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Evolution of Care for Spinal Deformity","authors":"Taryn E. LeRoy ,&nbsp;Rohit Bhan ,&nbsp;Qusai Hammouri","doi":"10.1016/j.oto.2023.101064","DOIUrl":"10.1016/j.oto.2023.101064","url":null,"abstract":"<div><p>Care of the patient with spinal deformity has evolved over centuries, from initially relying on traction, bracing, and casting, to now having the ability to directly treat and correct the pathology. The history of management of this condition is rich in innovation and creativity. Here we pay tribute to the advances in our field from the early Grecian times to modern surgical techniques, allowing us now the opportunity to better care for and serve our patients with spinal deformity.</p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"33 4","pages":"Article 101064"},"PeriodicalIF":0.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135348083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}