Spinal Surgery

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October 2024
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Rise of unnecessary spinal fusion surgeries concerns surgeons

Editor's Note Spine surgeons are sounding the alarm about high numbers of unnecessary fusion surgeries, according to a March 5 report in Becker’s Spine Review. Unnecessary surgeries refer to any surgical intervention that is not needed or in the patient’s best interest. A recent report from Forbes finds that 50%…

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By: Brita Belli
March 8, 2024
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Machine learning shows potential to prevent costly, ineffective back surgery

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Editor's Note Although lumbar disc herniation surgery can alleviate symptoms of back pain and even prevent disability, the costs exceed the benefits for a sizeable minority of patients, researchers write in a study published February 7 in Jama Network. To address this concern, they investigated whether machine learning algorithms that…

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By: Matt Danford
February 22, 2024
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Study questions use of fusion surgery for treating sacroiliac joint pain

Editor's Note A recent double-blind, randomized controlled trial could not prove that minimally invasive sacroiliac joint fusion was any more effective than sham surgery in treating severe sacroiliac joint pain. “With these findings, there should be discussion in the medical community whether an irreversible surgical procedure with related risks and…

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By: Matt Danford
February 21, 2024
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Breakthrough navigation system enables radiation-free spinal surgery

Editor's Note Spinal surgeons seeking a better standard of care now have an alternative to traditional scanning that exposes patients to levels of radiation equivalent to multiple X-rays. Highlighted in LA Weekly on December 19, the PathKeeper 3D optical and navigation system uses high-resolution 3D optical cameras to provide real-time…

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By: Brita Belli
December 21, 2023
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New surgical implant allows Parkinson’s patient to walk again

Editor's Note A patient with Parkinson’s disease was able to walk normally again thanks to a surgical implant of an experimental spinal cord neuroprosthesis. The findings were published in the journal Nature on November 6 under the article title, "A spinal cord neuroprosthesis for locomotor deficits due to Parkinson’s disease." …

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By: Brita Belli
November 8, 2023
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AI brain implants allow paralyzed man to regain use of arms, hands, fingers

Editor's Note In a first of its kind surgical procedure, doctors have installed artificial intelligence (AI) implants in the brain of a 46-year-old man who was paralyzed from a fall on the ice, CNN September 27 reports. The AI implant formed a "digital bridge"–an idea pioneered by the French neuroscientist…

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By: Brita Belli
September 28, 2023
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ACS addresses opioid prescription misuse with new QI project

Editor's Note The American College of Surgeons (ACS), on September 12, announced a new quality improvement (QI) project that will evaluate the most effective ways to help patients safely manage postoperative pain and reduce the risk of opioid dependence. The project will be conducted in collaboration with Health Care Service…

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By: Judy Mathias
September 13, 2023
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Cost-utility of ASC vs inpatient anterior cervical discectomy, fusion

Editor's Note This study from researchers at Carolina Neurosurgery and Spine Associates and SpineFirst, Atrium Health, Charlotte, North Carolina, examines the cost-utility of anterior cervical discectomy and fusion (ACDF) performed in an ASC vs an inpatient hospital setting at 1-year follow-up.  A total of 6,504 patients having 1-to 2-level ACDF…

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By: Judy Mathias
August 3, 2023
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AAAHC updates Certification Handbook for Advanced Orthopaedics

Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC), on April 10, announced the release of updated standards for its 3-year Advanced Orthopaedic Certification program, which will take effect July 1, 2023. The updated Certification Handbook for Advanced Orthopaedics, v42, introduces new terminology and standards architecture plus a revised…

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By: Judy Mathias
April 26, 2023
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Female HCWs need better protection from ionizing radiation

Editor's Note In this British Medical Journal editorial, experts say that female healthcare workers (HCWs) need better protection of their breast tissue from routine ionizing radiation, and they urge implementation of more rigorous radiation protection standards. The experts make the following recommendations: reducing the duration of exposure increasing the distance…

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By: Judy Mathias
April 18, 2023
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