Spine surgeons vary considerably in imaging practices

June 22, 2013
Spine surgeons vary considerably in imaging practices
Spinal surgeons show considerable variability in imaging practices for elective lumbar spine surgery, according to a study published in the June 15 issue of Spine.

(HealthDay)—Spinal surgeons show considerable variability in imaging practices for elective lumbar spine surgery, according to a study published in the June 15 issue of Spine.

Daniel D. Bohl, M.P.H., from the Yale School of Medicine in New Haven, Conn., surveyed 41 via a one-page questionnaire regarding their current imaging practices for posterior lumbar decompression, posterior lumbar fusion, and anterior lumbar fusion.

The researchers found that, intraoperatively, 75 to 95 percent used fluoroscopy, while 5 to 25 percent used plain film. In addition, 54 to 80 percent of surgeons took images before skin incision, while 59 to 100 percent always took final images at the end of the procedure. Postoperatively, 13 to 54 percent of surgeons took images after patients had left the but before discharge. Patients were followed up with imaging for a mean of 0.4 to 1.5 years, with anterior-posterior views for 54 to 100 percent of surgeons, lateral views for 56 to 95 percent of surgeons, and flexion-extension for 15 to 39 percent of surgeons. For both anterior and posterior fusion, 26 percent of surgeons routinely assessed fusion by computed tomographic scan.

"Findings highlight extreme variability in practice associated with a notable lack of standard of care and provide a baseline for utility studies that may lead to more evidence-driven care," Bohl and colleagues conclude.

Explore further: Morbid obesity ups complication rate in spinal fusion surgery

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Morbid obesity ups complication rate in spinal fusion surgery

June 5, 2012
(HealthDay) -- Morbid obesity increases the risk of multiple complications in spinal fusion surgery, particularly in patients undergoing anterior cervical or posterior lumbar procedures, according to research published in ...

Spinal fusion surgery not associated with stroke

December 10, 2012
(HealthDay)—Undergoing spinal fusion surgery does not affect the risk of stroke within the three years after surgery, according to a study published in the December issue of the European Spine Journal.

Da vinci robot used in anterior lumbar interbody fusion

March 12, 2013
(HealthDay)—The da Vinci Robotic Surgical System can be used for anterior lumbar interbody fusion, according to a case report published in the Feb. 15 issue of Spine.

Readmission seen in 7 percent of elective spine surgeries

December 11, 2012
(HealthDay)—About 7 to 8 percent of Medicare beneficiaries who undergo elective spine surgery for degenerative conditions are readmitted to the hospital within 30 days, according to a study published in the October issue ...

Marked variability seen in total knee arthroplasty indications

June 14, 2013
(HealthDay)—There is considerable variability associated with total knee arthroplasty (TKA) recommendations, according to a report published in the May issue of Pain Medicine News.

Fusion rate up for lumbar spinal stenosis, 2004 to 2009

June 13, 2013
(HealthDay)—For patients hospitalized for lumbar spinal stenosis (LSS), the rate of fusions significantly increased and the rate of decompressions significantly decreased from 2004 to 2009 in the United States, according ...

Recommended for you

Drug may help surgical patients stop opioids sooner

December 13, 2017
(HealthDay)—Opioid painkillers after surgery can be the first step toward addiction for some patients. But a common drug might cut the amount of narcotics that patients need, a new study finds.

Children best placed to explain facts of surgery to patients, say experts

December 13, 2017
Getting children to design patient information leaflets may improve patient understanding before they have surgery, finds an article in the Christmas issue of The BMJ.

Burn victim saved by skin grafts from identical twin (Update)

November 23, 2017
A man doomed to die after suffering burns across 95 percent of his body was saved by skin transplants from his identical twin in a world-first operation, French doctors said Thursday.

Is a common shoulder surgery useless?

November 21, 2017
(HealthDay)—New research casts doubt on the true effectiveness of a common type of surgery used to ease shoulder pain.

Study shows electric bandages can fight biofilm infection, antimicrobial resistance

November 6, 2017
Researchers at The Ohio State University Wexner Medical Center have shown - for the first time - that special bandages using weak electric fields to disrupt bacterial biofilm infection can prevent infections, combat antibiotic ...

Obesity increases incidence, severity, costs of knee dislocations

November 3, 2017
A new study of more than 19,000 knee dislocation cases in the U.S. between 2000 and 2012 provides a painful indication of how the nation's obesity epidemic is changing the risk, severity and cost of a traumatic injury.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.