Canadian Journal of Surgery最新文献

{"title":"The migration of hysteroscopy from the operating room to an ambulatory setting.","authors":"John Thiel, Chelsie Warshafsky, Tin Yan Ngan, Chandrew Rajakumar, Margot Rosenthal, Liane Belland, Olga Bougie, Meghan O'Leary","doi":"10.1503/cjs.008825","DOIUrl":"10.1503/cjs.008825","url":null,"abstract":"<p><p>SummaryThe relocation of appropriate gynecologic procedures, such as diagnostic and operative hysteroscopy, from the operating room to an ambulatory setting meets all 3 arms of Kissick's \"Iron Triangle\": providing quality care with improved access without an associated increase in cost to the system.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"69 1","pages":"E68-E70"},"PeriodicalIF":2.0,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146117876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of incomplete colonoscopies: a single-centre retrospective study.","authors":"Rim Abdelli, Tania Smith-Doiron, Shanel Normandin, Sonia Gabriela Cheng-Oviedo, Valérie Leblanc, Nathalie McFadden","doi":"10.1503/cjs.003425","DOIUrl":"10.1503/cjs.003425","url":null,"abstract":"<p><strong>Background: </strong>Screening for colorectal cancer reduces mortality by enabling early detection. In Quebec, follow-up within 60 days after an incomplete colonoscopy is recommended. In this study, we sought to assess the impact of delays in follow-up on patient outcomes.</p><p><strong>Methods: </strong>In this retrospective study, we included adults who underwent a colonoscopy following a positive immunochemical fecal occult blood test at the Centre intégré universitaire de santé et de services sociaux de l'Estrie-Centre hospitalier de l'université de Sherbrooke between Jan. 1, 2013, and Dec. 31, 2015. We verified colonoscopy adequacy and guideline adherence. We classified advanced polyps and colorectal cancer as clinically significant lesions (CSLs) to assess the clinical impact of incomplete or missing follow-up colonoscopies.</p><p><strong>Results: </strong>In 89 cases of incomplete colonoscopies, inadequate bowel preparation was the leading cause of exam interruption (61.8%). A total of 57 patients had a subsequent follow-up, and 23 colonoscopies were completed within the 60-day time frame. Six CSLs, including advanced polyps and cancer, were detected within the recommended 60-day time frame, and 4 were identified after 60 days. We found a statistically significant difference in the rates of colorectal cancer diagnosis (<i>p</i> < 0.001), the need for surgery (<i>p</i> < 0.02), and death (<i>p</i> < 0.001) between patients who had a complete colonoscopy diagnostic process and those who did not.</p><p><strong>Conclusion: </strong>The poorer prognosis associated with patients who had a delayed or missing follow-up highlights the importance of respecting provincial guidelines concerning follow-up after incomplete colonoscopies.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"69 1","pages":"E59-E67"},"PeriodicalIF":2.0,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146117922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health care costs of major upper-extremity amputations in Ontario: a retrospective matched-cohort analysis with considerations for transplantation.","authors":"Çağdaş Duru, Nina Hadzimustafic, Siba Haykal","doi":"10.1503/cjs.000525","DOIUrl":"10.1503/cjs.000525","url":null,"abstract":"<p><strong>Background: </strong>Major upper-extremity amputation, defined as loss above the wrist, profoundly affects all aspects of life and imposes substantial health care burdens. Standard care involves prosthetics, which have limitations, while vascularized composite allotransplantation (VCA) offers improved functionality but raises cost-effectiveness concerns. We sought to evaluate health care use and cost of major upper-extremity amputation in Ontario.</p><p><strong>Methods: </strong>We conducted a 20-year retrospective matched-cohort study using administrative health care data from Ontario. We matched patients with major upper-extremity amputations (April 2002 to March 2023) 4:1 with general population and hospital-based trauma controls. We analyzed health care use and costs by follow-up duration (1 yr, 1 to 4 yr, 5 to 9 yr, > 10 yr).</p><p><strong>Results: </strong>We identified 617 patients with a mean follow-up of 6.95 years, including 41.7% with traumatic amputations and 58.3% with nontraumatic amputations. Forearm-level amputations were most common. Median health care costs were $52 661 (interquartile range [IQR] $22 009 to $120 120) for traumatic amputations and $90 928 (IQR $43 128 to $213 034) for nontraumatic amputations, both exceeding controls. Bilateral amputations incurred higher costs than unilateral amputations ($104 895 [IQR $41 290 to $243 967] for traumatic and $117 006 [IQR $68 447 to $226 491] for nontraumatic cases), excluding prosthetics. Total treatment costs with myoelectric prosthetics exceeded $344 895 for patients with bilateral amputations and $171 860 for those unilateral amputations, surpassing prior projections.</p><p><strong>Conclusion: </strong>Although lifetime VCA costs remain higher than for prosthetics, the lack of Canadian utility measures, societal cost data, and return-to-work outcomes underscores the need for further study to assess whether the functional and quality-of-life benefits could justify these expenditures for patients with bilateral amputations.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"69 1","pages":"E48-E58"},"PeriodicalIF":2.0,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12854802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146008908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconstructive surgery and immigration status among females with breast cancer.","authors":"Olivia Lovrics, David Kirkwood, Christopher J Coroneos, Gregory Pond, Nicole Hodgson, Aristithes G Doumouras, Jessica Bogach, Mark Levine, Elena Parvez","doi":"10.1503/cjs.012324","DOIUrl":"10.1503/cjs.012324","url":null,"abstract":"<p><strong>Background: </strong>Immigrants are susceptible to marginalization within health care systems, and breast reconstruction after mastectomy is a procedure prone to disparities in delivery. We sought to measure differences in immediate and delayed reconstruction between immigrant and nonimmigrant females with breast cancer in urban Ontario, Canada.</p><p><strong>Methods: </strong>We conducted a retrospective population-based study using linked administrative databases held at ICES. We included female patients with stage I to III breast cancer, diagnosed from January 2010 through April 2016, who were treated with mastectomy. We excluded those with in situ disease only, missing staging data, another cancer diagnosis, no provincial health coverage, or rural residence. We categorized patients as immigrants if they arrived in Canada from 1985 onward. We compared the proportions of immigrants and nonimmigrants who underwent breast reconstruction.</p><p><strong>Results: </strong>We identified 2174 immigrants and 12 052 nonimmigrants. Immigrants were younger (mean age 53.3 yr v. 62.2 yr) and more often had stage III disease (32.8% v. 29.7%). They were less likely to undergo reconstruction (odds ratio [OR] 0.54, 95% confidence interval [CI] 0.48 to 0.62). In stratified analyses by age (< 50 yr and ≥ 50 yr), compared with nonimmigrants, the odds ratio for reconstruction was 0.51 (95% CI 0.44 to 0.60) in immigrants younger than 50 years and 1.12 (95% CI 0.94 to 1.30) in those aged 50 years and older. The difference between groups was more pronounced for delayed (OR 0.48, 95% CI 0.41 to 0.56) than immediate (OR 0.83, 95% CI 0.68 to 1.00) reconstruction. Immigrants were less likely to undergo reconstruction regardless of disease stage. Those from East Asian or Pacific, South Asian, and sub-Saharan African regions were least likely to undergo reconstruction.</p><p><strong>Conclusion: </strong>Immigrant females were less likely to undergo breast reconstruction than nonimmigrant females. This study identified subgroups for further research to understand how to ensure equitable access to this important health care resource.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"69 1","pages":"E38-E47"},"PeriodicalIF":2.0,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12854801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146008865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The burden of trauma in Eeyou Istchee (Cree territories, James Bay): epidemiology, transfers, and patient outcomes.","authors":"Hamad Alsuwaidi, Jeongyoon Moon, Steven Di Marco, Gregory Clark, Evan Wong, Kosar Khwaja, Dan Deckelbaum, Guillaume Groleau, Jeremy Grushka","doi":"10.1503/cjs.011325","DOIUrl":"10.1503/cjs.011325","url":null,"abstract":"<p><strong>Background: </strong>In this study, we sought to characterize the epidemiologic features of trauma in Eeyou Istchee and describe outcomes for patients referred to our institution. Our primary objectives were to better define the regional burden of injury, identify potentially hidden trauma mortality, and explore opportunities for injury prevention and trauma system optimization in this unique setting in northern Quebec.</p><p><strong>Methods: </strong>We conducted a retrospective review of our institutional trauma registry, identifying all trauma patients transferred to the Montreal General Hospital from Eeyou Istchee between 2012 and 2022. We extracted and analyzed patient demographics, mechanisms of injury, and outcomes. We also reviewed the coroner's reports for all trauma-related deaths in Eeyou Istchee over the same period. We used descriptive statistics for analysis.</p><p><strong>Results: </strong>A total of 587 patients (aged 18 to 91 yr) were transferred, including 353 males (60.1%) and 234 females (39.9%). The highest number of transfers (<i>n</i> = 84, 14.3%) occurred in 2022. The most common mechanisms of injury were blunt trauma (<i>n</i> = 228, 38.8%) and falls (<i>n</i> = 163, 27.8%). We also observed motor vehicle collisions (<i>n</i> = 103, 17.5%) and penetrating trauma (<i>n</i> = 50, 8.5%), while 17 cases (2.9%) involved other mechanisms, and 26 (4.4%) were of unknown origin. Assault was reported by 211 (35.9%) patients. Of all patients, 146 (24.9%) were admitted, and 441 (75.1%) were discharged from the emergency department. Computed tomography was performed for 376 patients (85.3%), among whom 222 (59.0%) patients had no injuries identified. Coroner data identified 82 trauma-related deaths, including 61 males (74.4%) and 21 females (25.6%). Motor vehicle collisions were the most common cause of death (<i>n</i> = 23, 28.0%). The trauma-related mortality rate in Eeyou Istchee was 47.8 per 10 000 population, compared with 27.8 per 10 000 in the rest of Quebec, yielding a relative risk of 1.72.</p><p><strong>Conclusion: </strong>There is a marked disparity in trauma-related mortality between Eeyou Istchee and the rest of Quebec, with motor vehicle collisions representing the leading cause of trauma death. Strengthening partnerships with local communities in Eeyou Istchee is essential to enhance awareness, promote injury prevention, and improve trauma system effectiveness in the region.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"69 1","pages":"E30-E36"},"PeriodicalIF":2.0,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12826693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145965444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is pneumonectomy still relevant for non-small cell lung cancer? Long-term overall survival from a 15-year experience.","authors":"Pier-Luc Hache, Geraud Galvaing, Serge Simard, Etienne J Couture, Sami Sassi, Catherine Champagne, Massimo Conti, Jocelyn Gregoire, Anne-Sophie Laliberté","doi":"10.1503/cjs.007524","DOIUrl":"10.1503/cjs.007524","url":null,"abstract":"<p><strong>Background: </strong>Pneumonectomy has long been shown to be curative for lung cancer but may lead to several acute and chronic adverse physiologic changes. Limited data are available on long-term follow-up of patients who have undergone this procedure. We sought to evaluate whether pneumonectomy is still a valuable therapeutic procedure when it is the only curative approach available and to report on long-term survival after the procedure as well as operative mortality and morbidity.</p><p><strong>Methods: </strong>The primary outcome of our study was long-term overall survival after pneumonectomy. Secondary outcomes were operative mortality and morbidity at 30 days and 90 days, and identification of risk factors influencing operative mortality and overall survival. We conducted a single-institution retrospective study involving all patients who underwent a pneumonectomy for non-small cell lung cancer between Jan. 1, 2005, and Dec. 31, 2019.</p><p><strong>Results: </strong>We included 277 patients; 59.6% were male and the mean age was 64 years. The median survival time was 3.2 years. Overall survival rates at 1, 5, 10, and 15 years were 73.3%, 42.8%, 29.7%, and 26.3%, respectively. Univariate and multivariate analyses on survival showed that age, tobacco exposure, advanced oncologic stage, and bronchopleural fistula were associated with a worse prognosis. Mortality at 30 days and 90 days was 6.5% and 11.2%, respectively. Neoadjuvant therapy and right-sided pneumonectomy did not increase the risk of death, whereas intrapericardial pneumonectomy, pulmonary complications, atrial fibrillation, and bronchopleural fistula did increase it.</p><p><strong>Conclusion: </strong>Pneumonectomy remains a valuable therapeutic option when treating patients with non-small cell lung cancer with a curative intent with regard to their overall survival, but it remains a procedure with high perioperative morbidity and mortality.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"69 1","pages":"E22-E29"},"PeriodicalIF":2.0,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12826684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145965434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Bring your own\" reusables to surgery: an environmental sustainability quality-improvement initiative.","authors":"Sukham K Brar, Celia Dann, Mike Apostol, Jacob Davidson, Claire A Wilson, Jenny Sleegers, Shannon Bilodeau, Ancy Rajan, Rebecca Walters, Joanna Bossy, Ken Leslie, Julie E Strychowsky","doi":"10.1503/cjs.001325","DOIUrl":"10.1503/cjs.001325","url":null,"abstract":"<p><strong>Background: </strong>Operating rooms (ORs) produce more than 30% of a hospital's total waste, with plastic accounting for 20% of that waste. Our project aimed to reduce OR plastic waste by encouraging patients at London Health Sciences Centre sites to bring reusable bags for their belongings and reusable water bottles.</p><p><strong>Methods: </strong>We used the Plan-Do-Study-Act (PDSA) quality-improvement method, conducting 3 PDSA cycles, first at Nazem Kadri Surgical Centre, and then at Victoria Hospital and University Hospital. Educational interventions informed staff and encouraged patients to bring their own reusable items. Outcome measures included environmental carbon footprint savings, waste savings, and cost savings over a 1-year period. Process measures included the percentage of patients who brought their own reusable bags and water bottle, the percentage of plastic belongings bags purchased, and the percentage of patients informed to bring their own reusables. Balancing measures assessed patient satisfaction and administrative workflow changes.</p><p><strong>Results: </strong>In PDSA cycle 3 at University Hospital and Victoria Hospital, 60.0% and 78.0% of patients brought their own reusable bags for belongings, and 15.7% and 57.8% brought a reusable water bottle. There was a 45.7% reduction of plastic bags for patient belongings purchased annually, which equated to a reduction of 2141 kg of carbon dioxide equivalents, 10 393 km driven equivalent emissions, $1259.55 saved, and 252 kg of waste saved. Most patients and staff agreed that bringing reusable bags for surgery is easy.</p><p><strong>Conclusion: </strong>This quality-improvement initiative achieved high patient uptake of reusable items and resulted in substantial reductions in plastic use, waste, and associated carbon emissions. Transitioning to reusable bags for patient belongings and reusable water bottles is an environmentally friendly initiative to reduce the carbon footprint of an OR.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"69 1","pages":"E1-E9"},"PeriodicalIF":2.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of socioeconomic status on the management of rotator cuff tears in a publicly funded health care system.","authors":"Keigo Honoki, Sheila McRae, Peter MacDonald, Heather J Prior, Hannes Tytgat, Melinda Fowler-Woods, Jarret Woodmass","doi":"10.1503/cjs.010924","DOIUrl":"10.1503/cjs.010924","url":null,"abstract":"<p><strong>Background: </strong>Timely access to care after rotator cuff tear is an important factor in treatment success. We sought to determine the relationship between socioeconomic status (SES) and time to treatment among patients who underwent rotator cuff repair (RCR) in a publicly funded health care system, including time from general practitioner diagnosis to orthopedic consultation (T1) and time from orthopedic consultation to surgery (T2).</p><p><strong>Methods: </strong>We conducted a retrospective, population-based cohort study using data from the Manitoba Population Research Data Repository. We calculated T1 and T2 for all patients who underwent RCR between 1990 and 2020. We compared times between SES levels as defined using the Socioeconomic Factor Index-2 (SEFI-2). We compared SES level between surgical and nonsurgical patients with rotator cuff injuries between 2015 and 2020.</p><p><strong>Results: </strong>There were no significant differences in T1 and T2 by SES level (<i>p</i> = 0.4 and <i>p</i> = 0.2, respectively). The odds ratio of having surgery within 1 year after consultation for patients in the lowest SES category was 0.70 (95% confidence interval 0.52 to 0.94) compared with patients in other SES categories. The mean SEFI-2 was -0.21 for surgical patients and -0.03 for nonsurgical patients (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>In a publicly funded health care system, patients with lower SES were less likely to undergo RCR than those with higher SES. The odds of waiting longer than 1 year for surgery from the time of orthopedic consultation were greatest among patients with the lowest SES.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"69 1","pages":"E15-E21"},"PeriodicalIF":2.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pre- and postsurgery measurements of continuous muscle compartment pressure in patients with extremity trauma.","authors":"Yasser Bouklouch, Justin Matta, William T Obremskey, Ross Leighton, Mitchell Bernstein, Edward J Harvey","doi":"10.1503/cjs.001525","DOIUrl":"10.1503/cjs.001525","url":null,"abstract":"<p><strong>Background: </strong>Continuous pressure measurement of traumatized muscle has been shown to be an accurate method of diagnosing acute compartment syndrome (ACS), but no baseline data have been released to show the reaction to surgery in extremity fracture. We sought to establish normal values for perioperative pressures.</p><p><strong>Method: </strong>We obtained pressure tracings from prospective clinical trials of forearm and tibia fractures requiring surgery. We standardized data and produced graphs using the ggplot2 library in R version 4.2.2. We generated generalized pressure curves based on the mean pressure and quantile distribution for each time point.</p><p><strong>Results: </strong>We retrieved data from 79 preoperative and 50 postoperative patients. The mean age was 43 years in both groups. Patients exhibited higher pressures postoperatively whether or not they developed ACS. In both the preoperative and postoperative ACS groups, muscle pressure trended upward at an average rate of 0.078 and 0.073 mmHg per hour, respectively, but trended downward in non-ACS groups, at a rate of 0.24 and 0.27 mm Hg per hour pre- and postoperatively, respectively. Patients younger than 45 years registered the highest initial postoperative pressure. Postoperative initial pressures were higher than preoperative pressures and were higher among males than females. Females had steeper decreasing pressure curves in both pre- and postoperative scenarios.</p><p><strong>Conclusion: </strong>We observed trends in muscle pressure by sex, age, and diagnosis of ACS among trauma patients. Understanding these variations is essential for improving timely diagnosis of ACS.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"69 1","pages":"E10-E14"},"PeriodicalIF":2.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Canadian Spine Society: 25th Annual Scientific Conference, February 25 to 28, 2025, Fairmont Le Manoir Richelieu, La Malbaie, Charlevoix, Que., Canada.","authors":"Vivien Chan, Adeesya Gausper, Andy Liu, Lindsay M Andras, Kenneth D Illingworth, David L Skaggs, Rachelle Imbeault, Justin Dufresne, Stefan Parent, Sylvain Deschênes, Marjolaine Roy-Beaudry, Jack Legler, Lee Benaroch, Ali Ahmadi Pirshahid, Olivia Serhan, Draydon Cheng, Debra Bartley, Timothy Carey, Parham Rasoulinejad, Supriya Singh, Patrick Thornley, Khaled Skaik, Genevieve Belanger, Philippe Phan, Alexandra Stratton, Coyle Matthew, Stephen Kingwell, Eve Tsai, Eugene Wai, Hannah Fonteyne, Sarah Southon Hryniuk, Eric Parent, Eric Huang, Kyle Stampe, Marie J Beaulieu, Monica Chan, Gloria Thevasagayam, Gabriela Marino-Merlo, Armaan K Malhotra, Christopher S Lozano, Zaid Salaheen, Anahita Malvea, Husain Shakil, Leeor Yefet, Ali Moghaddamjou, Sam Molot-Toker, Christopher D Witiw, Jefferson R Wilson, Eisha Christian, Jennifer L Quon, Peter B Dirks, James M Drake, James T Rutka, Abhaya V Kulkarni, Reinhard Zeller, David E Lebel, George M Ibrahim, Antoine Dionne, Julie Joncas, Soraya Barchi, Stefan Parent, Jean-Marc Mac-Thiong, Samuel Yoon, Karim Aboelmagd, Archana Sivakuganandan, Amna Zulfiqar, Anne Murphy, Stanley Moll, Julia Sorbara, Brett Rocos, David Lebel, Mark Camp, Vivien Chan, Geoffrey Shumilak, Armaan K Malhotra, Jalen Dansby, Andy M Liu, Andrew Michael Chan-Tai-Kong, David E Lebel, Kenneth D Illingworth, David L Skaggs, Daisy A Lu, Zhi Wang, Monique Clar, M Fidaa Al-Shakfa, Jesse Shen, Parham Rasoulinejad, Firoz Miyanji, Karim Kantar, Timothy Carey, Chris Bailey, Ravi Ghag, Brent Lanting, Supriya Singh, Jennifer Urquhart, Tiffany Lung, Zeeshan Sardar, Saumayajit Basu, Manish Gupta, Stephen Lewis, Abdullah T Eissa, So Kato, Lawrence Lenke, Kristen Jones, Christopher Nielsen, Saumyajit Basu, Michael Kelly, Justin Smith, Samuel Strantzas, Yong Qiu, Ferran Pellise, Ahmet Alanay, Nasir Quraishi, Randolph Gray, Go Yoshida, Amer Aziz, Stephen Lewis, Jennyfer Paulla Galdino Chaves, Brian Hsu, Stone Sima, Bhisham Singh, Vinay Kulkarni, Ashish Diwan, Taryn Ludwig, Farbod Moghaddam, Mina Aminghafari, May Choi, Fred Nicholls, Eliana Seider, Lauren Daunt, Vanessa Vashishth, Aazad Abbas, Chloe Cadieux, Stephen Lewis, Ali Ahmadi, Pawel Brzozowski, Asra Toobaie, Parham Rasoulinejad, Renan Rodrigues Fernandes, James J Young, Jennifer Urquhart, Chris Bailey, Greg McIntosh, Andrew Glennie, Charles Fisher, Anthony V Perruccio, Raja Rampersaud, Andrew Glennie, Jennifer Urquhart, Amir Mishreky, Charles Fisher, Raja Rampersaud, Chris Bailey, Mark A MacLean, Lisa Julien, Glenn Patriquin, Jason Leblanc, Ryan Greene, Jacob Alant, Sean Barry, R Andrew Glennie, William Oxner, Sean D Christie, Karlo Pedro, Aazad Abbas, Christopher Bailey, Jennifer Urquhart, Greg MacIntosh, Andrew Glennie, Charles Fisher, Philippe Phan, Y Raja Rampersaud, Daniel P Smith, Erin E Bigney, Jeffrey Hebert, Eden A Richardson, Neil A Manson, Edward Abraham, Abdullah Zein, Kyra Holt, Hannah Isaac, Jill Kearney, Chris Small, Nathan Evaniew, Abdullah Alduwaisan, Victoria Smith, Tara Whittaker, Denise Eckenswiller, Elias Soumbasis, Robert Tanguay, W Bradley Jacobs, Kenneth C Thomas, Fred Nicholls, Alex Soroceanu, Ganesh Swamy, Celina Nahanni, Tiffany S Lung, James J Young, Chloe N Cadieux, Jin Tong Du, Raja Rampersaud, Andrew Glennie, Cynthia Dunning, Emma Jones, William Oxner, Kaike Lobo, Paweł Łajczak, Claudia Santos, Numa Rajab, Rafael Oliveira, Yasmin Picanco Silva, Ramon Guerra Barbosa, Yan G M D Silva, Aazad Abbas, Gurjovan Sahi, Jin Tong Du, Michael Johnson, Edward Buchel, Jay Toor, Ronit Kulkarni, Melanie Bertolino, Chase Walton, Gabriella Rivas, John Glaser, Charles A Reitman, James Lawrence, Robert Ravinsky, Karlo Pedro, Michael Fehlings, Mohammed Alvi, Ahmad Essa, Husain Shakil, Armaan K Malhotra, Avery B Nathens, Jetan Badhiwala, Eva Y Yuan, Yingshi He, Francois 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Charest-Morin, Alexandra Rocha, Matthew Renaud, Jennifer Urquhart, Supriya Singh, Marco Perez Caceres, Omer Ahmed, Véronique Freire, Jesse Shen, Fidaa Al-Shakfa, Danielle Boulé, Zhi Wang, Christopher S Lozano, Armaan K Malhotra, Vishwathsen Karthikeyan, Husain Shakil, Neevya Balasubramaniam, Jefferson R Wilson, Christopher Witiw, W Bradley Jacobs, Zhi Wang, Perry Dhaliwal, Carlo Santaguida, Chris Bailey, Emily Bangsboll, Koren Roach, Neil Duncan, Paul Salo, Jacques Bouchard, Janet Ronsky, Ganesh Swamy, Germain Sophie Ngana, Zain Nassrullah, Mohamed Alhantoobi, Suhail S Al-Assiri, Abdulaziz Al-Zailaie, Geofrey Ngetich, Desmond Kwok, Markian Pahuta, Amanda Martinyuk, Daipayan Guha, Nathan Evaniew, Armaan K Malholtra, Raphaële Charest-Morin, Alex Soroceanu, W Bradley Jacobs, David W Cadotte, Nicolas Dea, Negeen Halabian, Jiawen Deng, Mohammed Ali Alvi, Karlo M Pedro, Michael G Fehlings, Newton Cho, Abdul Al-Shawwa, Bradley Jacobs, Nathan Evaniew, Peter Lewkonia, Fred Nicholls, Alex 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Jabbar, Mariana Zamprogno Zottele, Gabriela Fonseca Nascimento, Fabio Victor Vieira Rocha, Oguz Kagan Sahin, Eshita Sharma, Ramon Barbosa, Walter Fagundes, Yan G M D Silva, Chien Yew Kow, Farbod Moghaddam, May Choi, Fred Nicholls, Jennyfer Paulla Galdino Chaves, Brian Hsu, Stone Sima, Bhisham Singh, Ashish Diwan, Victoria Smith, Nathan Evaniew, Alex Soroceanu, Steve Lewis, Fred Nicholls, Ganesh Swamy, Mark Abdelnour, Tanya Cierson, Rohail Mumtaz, TingHua Zhang, Mamdoh Alhowsawi, Ganesh Swamy, Kenneth Thomas, Alex Soroceanu, Zhi Wang, Alexandra Stratton, Stephen Kingwell, Eugene Wai, Eve Tsai, Philippe Tran Nhut Phan, Chloe Cadieux, So Kato, Eric Klineberg, Caglar Yilgor, Michael Kelly, Lawrence Lenke, Christopher Shaffrey, Kenneth Cheung, Sigurd Berven, Yukihiro Matsuyama, Ferran Pellise, Benny N Dahl, Maarten Spruit, Ahmet Alanay, Stephen J Lewis, Abdullah T Eissa, So Kato, Lawrence Lenke, Kristen Jones, Christopher Nielsen, Saumyajit Basu, Michael Kelly, Samuel Strantzas, Yong Qiu, Ferran Pellise, Ahmet Alanay, Nasir Quraishi, Randolph Gray, Go Yoshida, Amer Aziz, Stephen Lewis, Vivien Chan, Suhas Etigunta, Armaan K Malhotra, Geoffrey Shumilak, David E Lebel, Kenneth D Illingworth, David L Skaggs, Ariel Zohar, Janneke Loomans, Ferran Pellise, So Kato, Zeeshan Sardar, Lawrence G Lenke, Stephen J Lewis, Lily Switzer, Karim Aboelmagd, Alison Anthony, Emma Nadler, Jennifer A Dermott, Mark Camp, David E Lebel, Karim Aboelmagd, Anne Versteeg, Mark Camp, Reinhard Zeller, David Lebel, Nuno M Batista, Taylor Liu, Jessica Romeo, Andrew Tice, James Jarvis, Kevin Smit, Rachelle Imbeault, Jesse Shen, Stefan Parent, Abdulmajeed Alzakri, Olivier Turcot, Marie Beauséjour, Marjolaine Roy-Beaudry, Soraya Barchi, Isabelle Turgeon, Samuel Yoon, Erich Rutz, Mia Percival, Michael B Johnson, Kris Lundine, Vivien Chan, Geoffrey Shumilak, Armaan K Malhotra, David E Lebel, Kenneth D Illingworth, David L Skaggs, Christopher J Nielsen, Fatemeh Alavi, Francois Dantas, Y Raja Rampersaud, Stephen J Lewis, Vivien Chan, Andrew Michael Chan Tai Kong, Adeesya Gausper, Suhas Etigunta, Andy M Liu, Kenneth D Illingworth, David L Skaggs, Paweł Łajczak, Eshita Sharma, Iago Nathan Simon Petry, Rabbia Jabbar, Yasmin Picanço Silva, Fabio Victor Vieira Rocha, Oguz Kagan Sahin, Kaike Eduardo da Silva Lobo, Ayesha Ayesha, Aisha Rizwan Ahmed, Walter Fagundes, Yan G M D Silva, Aazad Abbas, Karlo Pedro, Christopher Bailey, Philippe Phan, Jennifer Uruqhurt, Greg McIntosh, Y Raja Rampersaud, Chloe Cadieux, Tiffany Lung, Jin Tong Du, Celina Nahanni, Christopher Nielsen, Stephen J Lewis, Raja Y Rampersaud, Nicolas Ross, Carlos Aleman, Alexandre Dhenin, Matthieu Vassal, Guillaume Lonjon, Hamidullah Salimi, Hidetomi Terai, Koji Tamai, Masato Uematsu, Hiroshi Katsuda, Eshita Sharma, Ayesha Ayesha, Kaike Eduardo Silva Lobo, Beatriz Westphalen Pomianoski, Jose Martin Kotochinsky, Yan G M D Silva, Ramon Guerra Barbosa, Newton Pimenta, Yan Silva, Jieun Kim, Richard Roberts, Frank Kortbeek, Mark A MacLean, Y Raja Rampersaud, Chris Bailey, Charles Fisher, R Andrew Glennie, Guillaume Lonjon, Alexandre Dhenin, Matthieu Vassal, Hannah Van Brenk, Erin E Bigney, Neil A Manson, Chris Small, Edward Abraham, Najmedden Attabib, Jill Kearney, Eden A Richardson, Gwyneth deVries, Stephan Dombrowski, Jeffrey Hebert, Ramon Guerra Barbosa, Newton Pimenta, Yan Silva, Renan Rodrigues Fernandes, Bradley Jacobs, Christopher Witiw, Zhi Wang, Perry Dhaliwal, Carlo Santaguida, Christopher Bailey, Sufyan Faridi, Erin Bigney, Jeffrey Hebert, Neil Manson, Edward Abraham, Chris Small, Eden Richardson, Jill Kearney, Najmedden Attabib, Y Raja Rampersaud, J Denise Power, Mohit Kapoor, Anthony V Perruccio, Eshita Sharma, Kaike Eduardo Silva Lobo, Ayesha Ayesha, Paweł Łajczak, Beatriz Westphalen Pomianoski, Yan G M D Silva, Zhi Wang, Bradley Jacobs, Christopher Witiw, Perry Dhaliwal, Carlo Santaguida, Chris Bailey, Alicia Wright, Brent Rosenstein, Chanelle Montpetit, Nicolas Vaillancourt, Maryse Fortin, Brent Rosenstein, Maxime Bergevin, Florian Bobeuf, Louis Bherer, Benjamin Pageaux, Mathieu Roy, Maryse Fortin, Daniel Wolfe, Geoffrey Dover, Mathieu Boily, Maryse Fortin, Emma Nadler, David E Lebel, Dorothy J Kim, Jennifer A Dermott, Emma Wagman, Dorothy J Kim, Emma Nadler, David E Lebel, Jennifer A Dermott, Myriam Provost, Nikita Cobetto, Marie Beausejour, Julie Joncas, Francisca Rojas, Shi-Jia Tran, Dhawal Sharma, Aurelien Balondona, Hubert Labelle, Carl-Eric Aubin, Vivien Chan, George Michael, Kenneth D Illingworth, David L Skaggs, Jérémie Thibault, Antoine Dionne, Jean-Marc Mac-Thiong, Leonardo Olijnyk, Vivian Huong Hoang Thien Le, Fidaa Al-Shakfa, Edisond Florial, Daniel Shedid, Sung-Joo Yuh, Ghassan Boubez, Jesse Shen, Zhi Wang, Vivian Huong Hoang Thien Le, Leonardo Olijnyk, Fidaa Al-Shakfa, Edisond Florial, Daniel Shedid, Sunj-Joo Yuh, Ghassan Boubez, Zhi Wang, Van Tri Truong, The Khanh Dang, Galil Osman, Fidaa Al-Shakfa, Danielle Boulé, Philippe Phan, Jesse Shen, Zhi Wang, Anne Versteeg, Karim Abdoelmagd, Mark Camp, David Lebel, Sevan Hopyan, Stephen Lewis, Ahmad Essa, Husain Shakil, Armaan K Malhotra, Avery B Nathens, Eva Y Yuan, Yingshi He, Andrew S Jack, Francois Mathieu, Yoram Anekstien, Tej D Azad, Jefferson R Wilson, Christopher D Witiw, Michael Bond, Aidan Beresford, Vanessa K Noonan, Naama Rotem-Kohavi, Marcel F Dvorak, Brian K Kwon, Guiping Liu, Jason M Sutherland, Gareth Ryan, Victoria Smith, Fred Nicholls, Jennifer R Lischynski, Karnvir Brar, Aasiyah Siddiqui, Jennyfer Galdino, Uchenna Ajoku, Miguel Vega, Arsilan Alizadeh, Faisal Siddiqui, Frederick Zeiler, Perry Dhaliwal, Tara A Whitten, Naama Rotem-Kohavi, Nancy Thorogood, Suzanne P Humphreys, Vanessa K Noonan, Chester Ho, Jeffrey A Bakal, Karlo Pedro, Michael Fehlings, Mohammed Alvi, Karlo Pedro, Michael Fehlings, Mohammed Alvi, Ahmad Essa, Armaan K Malhotra, Husain Shakil, Avery B Nathens, Eva Y Yuan, Yingshi He, Andrew S Jack, Francois Mathieu, Jefferson R Wilson, Christopher D Witiw, Michael Fehlings, Karlo Pedro, Mohammed Alvi, Antoine Dionne, Andréane Richard-Denis, Émile Brouillard, Ismail Lassassy, Etienne Bourassa-Moreau, Paul Khoueir, Zhi Wang, Jean-Marc Mac-Thiong, Michael Bond, Aidan Beresford, Vanessa K Noonan, Naama Rotem-Kohavi, Marcel F Dvorak, Brian K Kwon, Guiping Liu, Jason M Sutherland, Ahmad Essa, Armaan K Malhotra, Husain Shakil, Avery B Nathens, Eva Y Yuan, Yingshi He, Francois Mathieu, Michael C Sklar, Jefferson R Wilson, Christopher D Witiw, Jetan Badhiwala, Ojasvi Sharma, Jordan J Levett, Michael H Weber, Ramon Guerra Barbosa, Gustavo Lages, Johmeson Alencar, Said Sadiqi, Aline J Hakbijl-van der Wind, Sylvia Egberts, Janneke Stolwijk, Rutger Osterthun, Tijn van Diemen, F Cumhur Oner, Marcel W M Post, Heather A Hong, Jessica Parsons, Jijie Xu, Kristen Walden, Nader Fallah, Christiana L Cheng, Najmedden Attabib, Sean D Christie, Cathy B Craven, Michael Fehlings, Daryl R Fourney, Hardeep S Kainth, Brian K Kwon, Gary A Linassi, Saranjan Moganathas, Jerome Paquet, Jean-Marc Mac-Thiong, Andrea F Townson, Jennifer Urquhart, Eve Tsai, Alex J Whelan, Vanessa K Noonan, Vincent C Ye, Armaan K Malhotra, Husain Shakil, Ahmad Essa, Christopher D Witiw, Michael Bond, Aidan Beresford, Vanessa K Noonan, Naama Rotem-Kohavi, Marcel F Dvorak, Brian K Kwon, Guiping Liu, Jason M Sutherland, Vishwathsen Karthikeyan, Christopher Lozano, Armaan Malhotra, Husain Shakil, Jefferson Wilson, Christopher Witiw, Jetan Badhiwala, Alexandre Chenevert, Charlotte Lanoue, Jérôme Couture, Sonia Bédard, Juliette Gammel, Jason Silvestre, Gabrielle Rivas, James Lawrence, Robert Ravinsky, Jennifer A Dermott, Liisa Jaakkimainen, Teresa To, Maryse Bouchard, Andrew W Howard, David E Lebel, Curtis A Ostertag, Tara Whittaker, Fred H Nicholls, Siril Teja Dukkipati, Mark Driscoll, Daisy A Lu, Oussama Sahraoui, Alain Danino, Zhi Wang, Gurjovan Sahi, Jin Tong Du, Aazad Abbas, Sager Hanna, Neil Berrington, Alysa Almojuela, Michael Johnson, Stephen Lewis, Michael Goytan, Jay Toor, Jin Tong Du, Tiffany Lung, Celina Nahanni, Chloe Cadieux, Gavin Dandal, Nicola Anderson, Stephen Lewis, Christopher Nielsen, Eric Massicote, Raja Rampersaud, Khaled Skaik, Philippe Phan, Genevieve Belanger, Stephen Kingwell, Alexandra Stratton, Matthew Coyle, Eugene Wai, Leonardo Olijnyk, Paul Kaiser, Tristan Brunette-Clément, Daniel Shedid, Sung-Joo Yuh, Ramon Guerra Barbosa, Gustavo Lages, Newton Pimenta, Sean A Murray, Mark Driscoll, Tiffany Lung, Chloe Cadieux, Jin Tong Du, Jed Lazarus, Celina Nahanni, Christopher Nielsen, Raja Rampersaud, Arim Yoo, Pranjan Gandhi, Nathasha Rajapaksege, Shannon L Hart, Victoria Shi, Markian Pahuta, Daipayan Guha, Daisy A Lu, Zhi Wang, M Fidaa Al-Shakfa, Jesse Shen, Drew Mulhall, Chien Yew Kow, Anand Oliveira Masson, Catherine Veilleux, Stephan du Plessis, Steve Casha, Ken Thomas, Michael Yang, Jan Valošek, Maxime Bouthillier, Julien Cohen-Adad, Ling Jing Li, Siril Teja Dukkipati, Mark Driscoll, Taryn Ludwig, Mina Mina, Stephanie Gibbon, Oluwakanyinsola Bello, Sarah J Anderson, Lian Willetts, Peter Lewkonia, Andy Deprato, Kieran Chalmers, Andrew Tice, Jessica Romeo, Sasha Carsen, Kevin Smit, Ayesha Hadi, Dorothy J Kim, Andrea S Doria, Farzad Khalvati, Chaojun Chen, Jennifer A Dermott, David E Lebel, Justin Dufresne, Benjamin Aubert, Rachelle Imbeault, Marjolaine Roy-Beaudry, Thierry Cresson, Stefan Parent, Taylor Liu, Andrew Tice, Jessica Romeo, Kevin Smit","doi":"10.1503/cjs.020125","DOIUrl":"10.1503/cjs.020125","url":null,"abstract":"","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"68 6suppl3","pages":"S58-S132"},"PeriodicalIF":2.2,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12705198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145741290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}