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1

Khalid, Muhammad, Muhammad Asad Qurashi, and Wasim Afzal. "SPINE SURGERY." Professional Medical Journal 25, no. 05 (May 7, 2018): 643–46. http://dx.doi.org/10.29309/tpmj/18.4724.

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SATAR, ABDUL, MUHAMMAD INAM, MOHAMMAD ARIF, Mohammad Saeed,, and Imran Khan Wazir,. "SPINE SURGERY;." Professional Medical Journal 20, no. 02 (February 7, 2013): 266–71. http://dx.doi.org/10.29309/tpmj/2013.20.02.642.

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Objectives: The objective of this study is to find out the complication directly related to iliac bone graft harvest in spinesurgery. Design: Observational prospective study. Setting: Department of Orthopedic and Spine surgery, Hayatabad Medical ComplexPeshawar. Period: January 2007 to April 2012 on 139 patients. Material and method: Only those cases were included in whom bonegrafting was done for fusion as part of their spine surgery and were successfully followed for at least 6 months. Results: Out of 139patients 59(42.4%) were female patients while 80(57.6%) were male. Minimum age of the patients was 4 years while maximum was 70years. In 119(85.6%) patients cortico-cancellous bone graft was taken. While in 20(14.4%) patients, tri-cortical graft was taken. Inmajority 106(76.3%) cases graft was obtained from the posterior iliac crest while in 33(23.7%) it was obtained from the anterior iliaccrest. 45(32.4%) had some pain at the bone graft site. 8(5.8%) had early deep infection while 6(4.3%) had early superficial infection. Nine(6.4%) of our patients had nerve injury evident by parasthesia in the zone of distribution. Conclusions: Iliac crest is an excellent sourceand best available material for autogenous bone grafting. However it is not free of complications. The most common complications arepersistent chronic donor site pain, infection and heamatoma.
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Khalid, Muhammad, Muhammad Asad Qurashi, and Wasim Afzal. "SPINE SURGERY." Professional Medical Journal 25, no. 05 (May 10, 2018): 643–46. http://dx.doi.org/10.29309/tpmj/2018.25.05.299.

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Introduction: low back pain is basic medical issue in our general population,it influence our day by day life exercises and bargains our personal satisfaction. Intervertebraldisc herniation is one of the commonest reasons for backache and sciatica. Discectomy isthe essential treatment of decision for disc herniation. Objective: To determine the incidenceand indication of revision spine surgery after lumber discectomy. Study Design: Retrospectivestudy. Setting: Spine Surgery Unit of Central Military Hospital Rawalpindi. Period: Ten yearsfrom July 2007 to August 2017. Methods: Patients who presented with disc herniation for whichdiscectomy was done were included into this retrospective study. Patient’s statistic profile,indications, signs and imaging finding were recorded. Discectomy was performed throughone-sided Fenestration at symptomatic side. Post-operative patient’s changes was notedand recorded. Three hundred and fifty two patients were contemplated amid most recent tenyears. Results: out of 352 patients, 214 were male 138 were female patients; age ranged from20 to 70 years. 74(21.02 %) patients out of 352 again presented with severe backache andsciatica, recurrent disc herniation was confirmed on MRI lumbosacral. 46 (62.16%) out of 74patients were complaining of backache than sciatica, backache more severe on activity andrelieved on rest. 28(37.83%) out of 74 patients had sciatica than backache. TLIF was done in46 patients and remaining 28 patients treated with laminectomy and discectomy. Back painand sciatica was relieved in all patients (100%) after TLIF and discectomy and quality of lifeimproved. Conclusion: Our study concluded that incidence of spine surgery revision is 21%and indication of surgery is either stability or recurrence of disc herniation. TLIF is having goodresult in patient with stability issue and discectomy in patients’ with sciatica than backache.
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Simpson, J. Michael. "Spine Surgery." Journal of Bone and Joint Surgery-American Volume 85, no. 4 (April 2003): 771. http://dx.doi.org/10.2106/00004623-200304000-00031.

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5

Kondo, Akinori. "Spine Surgery." Japanese Journal of Neurosurgery 4, no. 1 (1995): 3–4. http://dx.doi.org/10.7887/jcns.4.3.

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6

Liounakos, Jason I., Louis Chenin, Nicholas Theodore, and Michael Y. Wang. "Robotics in Spine Surgery and Spine Surgery Training." Operative Neurosurgery 21, no. 2 (May 20, 2021): 35–40. http://dx.doi.org/10.1093/ons/opaa449.

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Abstract The increasing interest and advancements in robotic spine surgery parallels a growing emphasis on maximizing patient safety and outcomes. In addition, an increasing interest in minimally invasive spine surgery has further fueled robotic development, as robotic guidance systems are aptly suited for these procedures. This review aims to address 3 of the most critical aspects of robotics in spine surgery today: salient details regarding the current and future development of robotic systems and functionalities, the reported accuracy of implant placement over the years, and how the implementation of robotic systems will impact the training of future generations of spine surgeons. As current systems establish themselves as highly accurate tools for implant placement, the development of novel features, including even robotic-assisted decompression, will likely occur. As spine surgery robots evolve and become increasingly adopted, it is likely that resident and fellow education will follow suit, leading to unique opportunities for both established surgeons and trainees.
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7

Gerling, Michael C., Steven D. Hale, Claire White-Dzuro, Katherine E. Pierce, Sara A. Naessig, Waleed Ahmad, and Peter G. Passias. "Ambulatory spine surgery." Journal of Spine Surgery 5, S2 (September 2019): S147—S153. http://dx.doi.org/10.21037/jss.2019.09.19.

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8

Piontkovsky, Volodymyr. "Spine surgery today." ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS, no. 2 (August 20, 2013): 132. http://dx.doi.org/10.15674/0030-598720132132-133.

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9

Siebert, W. E. "Endoscopic spine surgery." Minimally Invasive Therapy & Allied Technologies 8, no. 5 (January 1999): 303–8. http://dx.doi.org/10.3109/13645709909153179.

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10

Lee, Yu-Po, Christopher A. Yeung, Michael Oh, and Nitin Bhatia. "Endoscopic Spine Surgery." Contemporary Neurosurgery 44, no. 3 (February 28, 2022): 1–5. http://dx.doi.org/10.1097/01.cne.0000853248.65880.be.

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Subbiah, Venkatesh Babu. "Safe Spine Surgery." Journal of Postgraduate Medicine, Education and Research 55, no. 4 (October 29, 2021): 171–76. http://dx.doi.org/10.5005/jp-journals-10028-1407.

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12

Rossi, Vincent, and Tim Adamson. "Cervical Spine Surgery." Neurosurgery Clinics of North America 32, no. 4 (October 2021): 483–92. http://dx.doi.org/10.1016/j.nec.2021.05.005.

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13

Christensen, David M. "Revision Spine Surgery." Mayo Clinic Proceedings 75, no. 9 (September 2000): 983–84. http://dx.doi.org/10.4065/75.9.983-b.

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14

Choi, Gun, Chetan S. Pophale, Bhupesh Patel, and Priyank Uniyal. "Endoscopic Spine Surgery." Journal of Korean Neurosurgical Society 60, no. 5 (September 1, 2017): 485–97. http://dx.doi.org/10.3340/jkns.2017.0203.004.

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15

Yone, Kazunori, Kyoji Hayashi, Tomonori Nagamine, Katsuhiro Tofuku, Motoyuki Tanaka, Shunji Matsunaga, Setsuro Komiya, Hiroaki Koga, Takuya Yamamoto, and Toshimi Nagatomo. "Endoscopic Spine Surgery." Orthopedics & Traumatology 53, no. 2 (2004): 235–38. http://dx.doi.org/10.5035/nishiseisai.53.235.

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16

Bednar, Drew. "Operative Spine Surgery." Journal of Bone and Joint Surgery-American Volume 81, no. 12 (December 1999): 1793. http://dx.doi.org/10.2106/00004623-199912000-00022.

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17

Brown, Mark D. "Revision Spine Surgery." Journal of Bone and Joint Surgery-American Volume 82, no. 7 (July 2000): 1060. http://dx.doi.org/10.2106/00004623-200007000-00025.

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18

Hu, Serena S. "MasterCases. Spine Surgery." Journal of Bone and Joint Surgery-American Volume 83, no. 10 (October 2001): 1617–18. http://dx.doi.org/10.2106/00004623-200110000-00041.

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19

Morley, T. R. "Thorascopic spine surgery." Journal of Bone and Joint Surgery. British volume 83-B, no. 4 (May 2001): 622. http://dx.doi.org/10.1302/0301-620x.83b4.0830622.

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20

Wright-Chisem, Joshua, Blake Kushwaha, Daniel Bu, Catherine Gang, and Sheeraz Qureshi. "Endoscopic Spine Surgery." Contemporary Spine Surgery 19, no. 10 (October 2018): 1–7. http://dx.doi.org/10.1097/01.css.0000546245.17486.55.

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21

Lee, Yu-Po, Christopher A. Yeung, Michael Oh, and Nitin Bhatia. "Endoscopic Spine Surgery." Contemporary Spine Surgery 21, no. 11 (November 2020): 1–5. http://dx.doi.org/10.1097/01.css.0000719852.30079.be.

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22

FIELDING, J. WILLIAM. "Cervical Spine Surgery." Clinical Orthopaedics and Related Research &NA;, no. 200 (November 1985): 284???290. http://dx.doi.org/10.1097/00003086-198511000-00033.

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23

Boeree, Nick. "MASTERCASES: Spine Surgery." Spinal Cord 40, no. 6 (June 2002): 310. http://dx.doi.org/10.1038/sj.sc.3101292.

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24

Moulton, Haley, Tor D. Tosteson, Wenyan Zhao, Loretta Pearson, Kristina Mycek, Emily Scherer, James N. Weinstein, et al. "Considering Spine Surgery." SPINE 43, no. 24 (December 2018): 1731–38. http://dx.doi.org/10.1097/brs.0000000000002723.

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25

Pawl, Ronald P. "Mastercases: spine surgery." Surgical Neurology 57, no. 1 (January 2002): 75. http://dx.doi.org/10.1016/s0090-3019(02)00625-0.

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26

Petrozza, Patricia H. "Major spine surgery." Anesthesiology Clinics of North America 20, no. 2 (June 2002): 405–15. http://dx.doi.org/10.1016/s0889-8537(01)00009-8.

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27

Kunkel, Joyce. "CERVICAL SPINE SURGERY." Neurologist 7, no. 1 (January 2001): 69–70. http://dx.doi.org/10.1097/00127893-200101000-00003.

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Kunkel, Joyce. "CERVICAL SPINE SURGERY." Neurologist 7, no. 1 (January 2001): 69–70. http://dx.doi.org/10.1097/00127893-200107010-00003.

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29

Khoo, Larry T., and Srinath Samudrala. "Operative Spine Surgery." Neurosurgery 48, no. 4 (April 2001): 966. http://dx.doi.org/10.1227/00006123-200104000-00066.

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30

Lieberman, Isador H. "Thoracoscopic Spine Surgery,." Spine Journal 1, no. 1 (January 2001): 81. http://dx.doi.org/10.1016/s1529-9430(01)00040-7.

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31

Hunningher, Annie, and Ian Calder. "Cervical spine surgery." Continuing Education in Anaesthesia Critical Care & Pain 7, no. 3 (June 2007): 81–84. http://dx.doi.org/10.1093/bjaceaccp/mkm015.

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32

J Papagelopoulos, Panayiotis, and Demetrios S Korres. "Cervical Spine Surgery." Orthopedics 27, no. 10 (October 1, 2004): 1065. http://dx.doi.org/10.3928/0147-7447-20041001-15.

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33

Stauffer, E. Shannon. "Lumbar Spine Surgery." Journal of Bone & Joint Surgery 70, no. 6 (July 1988): 958. http://dx.doi.org/10.2106/00004623-198870060-00029.

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34

Khoo, Larry T., and Srinath Samudrala. "Operative Spine Surgery." Neurosurgery 48, no. 4 (April 1, 2001): 966. http://dx.doi.org/10.1097/00006123-200104000-00066.

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35

Casey, Adrian T. H. "British spine surgery." European Spine Journal 22, S1 (January 26, 2013): 7–9. http://dx.doi.org/10.1007/s00586-013-2679-7.

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36

Mummaneni, Praveen V., and William S. Rosenberg. "Thoracoscopic Spine Surgery." Muscle & Nerve 23, no. 7 (2000): 1147–48. http://dx.doi.org/10.1002/1097-4598(200007)23:7<1147::aid-mus25>3.0.co;2-t.

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37

Birch, J. "Thoracoscopic Spine Surgery." Archives of Neurology 57, no. 9 (September 1, 2000): 1375. http://dx.doi.org/10.1001/archneur.57.9.1375.

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38

Prasad, Arun. "Robotic spine surgery." Apollo Medicine 10, no. 3 (September 2013): 254–55. http://dx.doi.org/10.1016/j.apme.2013.07.002.

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39

Birch, Barry D., and Paul C. McCormick. "Principles and Techniques in Spine Surgery: Posterior Cervical Spine Surgery." Neurosurgery 43, no. 5 (November 1998): 1250–51. http://dx.doi.org/10.1097/00006123-199811000-00147.

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40

Tokuhashi, Yasuaki, Yasumitsu Ajiro, and Junnosuke Ryu. "Endoscopic Surgery in Spine Surgery." Journal of Nihon University Medical Association 67, no. 2 (2008): 110–14. http://dx.doi.org/10.4264/numa.67.110.

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41

Sachdev, Divesh, Garrett Mamikunian, Cameron Kia, and Hanbing Zhou. "Narrative review: erector spinae block in spine surgery." Journal of Spine Surgery 9, no. 4 (December 2023): 454–62. http://dx.doi.org/10.21037/jss-23-14.

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42

Chung, Andrew S., Jon Kimball, Elliot Min, and Jeffrey C. Wang. "Endoscopic spine surgery—increasing usage and prominence in mainstream spine surgery and spine societies." Journal of Spine Surgery 6, S1 (January 2020): S14—S18. http://dx.doi.org/10.21037/jss.2019.09.16.

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43

Kothari, Ezan A., and Timur M. Urakov. "Spine surgery is kyphosing to spine surgeon." Acta Neurochirurgica 162, no. 4 (February 10, 2020): 967–71. http://dx.doi.org/10.1007/s00701-020-04258-0.

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44

Dimick, Justin B., Pamela A. Lipsett, and John P. Kostuik. "Spine Update: Antimicrobial Prophylaxis in Spine Surgery." Spine 25, no. 19 (October 2000): 2544–48. http://dx.doi.org/10.1097/00007632-200010010-00020.

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45

Vo, Chau D., Bowen Jiang, Tej D. Azad, Neil R. Crawford, Ali Bydon, and Nicholas Theodore. "Robotic Spine Surgery: Current State in Minimally Invasive Surgery." Global Spine Journal 10, no. 2_suppl (April 2020): 34S—40S. http://dx.doi.org/10.1177/2192568219878131.

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Study Design: Narrative review. Objectives: Robotic systems in spinal surgery may offer potential benefits for both patients and surgeons. In this article, the authors explore the future prospects and current limitations of robotic systems in minimally invasive spine surgery. Methods: We describe recent developments in robotic spine surgery and minimally invasive spine surgery. Institutional review board approval was not needed. Results: Although robotic application in spine surgery has been gradual, the past decade has seen the arrival of several novel robotic systems for spinal procedures, suggesting the evolution of technology capable of augmenting surgical ability. Conclusion: Spine surgery is well positioned to benefit from robotic assistance and automation. Paired with enhanced navigation technologies, robotic systems have tremendous potential to supplement the skills of spine surgeons, improving patient safety and outcomes while limiting complications and costs.
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46

Cutlan, Rachel, Nader Shammout, Muhammad Khokhar, Narayan Yoganandan, Lance Frazer, Derek Jones, Matthew Davis, et al. "433 Orientation of the Lumbar Spine During Dynamic Compression Influences Fracture Characteristics." Neurosurgery 70, Supplement_1 (April 2024): 131–32. http://dx.doi.org/10.1227/neu.0000000000002809_433.

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INTRODUCTION: Characteristics of lumbar spine fractures dictate patient outcomes and clinical treatment decisions. Understanding injury biomechanics associated with different fracture types can assist injury prediction and development of safety enhancements. METHODS: Twenty human lumbar spines (T12-L5) were isolated and attached to novel whole-column experimental dynamic compressive loading apparatus. Specimens were attached to the lower platform on a drop tower and a decoupled upper platform held a mass to simulate the torso inertially loading the lumbar spine as the lower platform was decelerated at the drop tower base. Each specimen was tested at increasing deceleration magnitudes until failure. Pre-test x-rays were used for the measurements to quantify spinal orientation. Fractures were classified using post-test x-rays and CT scans. RESULTS: Fractures were classified into six categories [Wedge (AO Spine A1): n = 8, Burst (AO Spine A3/A4): n = 7, Hyperextension (AO Spine B2): n = 5]. Spines that sustained hyperextension fractures had significantly larger Cobb angles compared to spines that sustained burst fracture (p = 0.03). Spines that sustained wedge fracture had significantly larger lumbar spine angles (i.e., closer to vertical orientation) compared to spines that sustained burst (p = 0.03) and hyperextension (p = 0.02) fracture. Spines that sustained wedge fracture also had a nearly significant longer horizontal distance between the T12 centroid and the load location compared to spines that sustained burst fracture (p = 0.07). CONCLUSIONS: This study demonstrated that orientation of the lumbar spine at the time of dynamic load application affected fracture characteristics and, therefore, post-injury spinal stability and patient outcomes. The clinical importance of these findings includes a better understanding of injury mechanisms and a recognition that a wide variety of injury outcomes (stable versus unstable; anterior versus middle versus posterior column) can result from identical loading situations with different spinal orientations.
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47

Wong, Douglas C., Wanis Nafo, William Weijia Lu, and Kenneth Man Chee Cheung. "A biomechanical study on the effect of lengthening magnitude on spine off-loading in magnetically controlled growing rod surgery: Implications on lengthening frequency." Journal of Orthopaedic Surgery 29, no. 3 (September 2021): 230949902110422. http://dx.doi.org/10.1177/23094990211042237.

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Purpose: To assess whether the magnitude of lengthening in magnetically controlled growing rod (MCGR) surgeries has an immediate or delayed effect on spinal off-loading. Methods: 9 whole porcine spines were instrumented using two standard MCGRs from T9 to L5. Static compression testing using a mechanical testing system (MTS) was performed at three MCGR lengthening stages (0 mm, 2 mm, and 6 mm) in each spine. At each stage, five cycles of compression at 175N with 25 min of relaxation was carried out. Off-loading was derived by comparing the load sustained by the spine with force applied by the MTS to the spine. Micro-CT imaging was subsequently performed. Results: The mean load sustained by the vertebral body before lengthening was 39.69N, and immediately after lengthening was 25.12N and 19.91N at 2 mm and 6 mm lengthening, respectively; decreasing to 10.07N, 8.31N, and 8.17N after 25 minutes of relaxation, at 0 mm, 2 mm, and 6 mm lengthening stages, respectively. There was no significant difference in off-loading between 2 mm and 6 mm lengthening stages, either instantaneously ( p = 0.395) or after viscoelastic relaxation ( p = 0.958). CT images showed fractures/separations at the level of pedicle screws in six spines and in the vertebral body’s growth zone in five spines after 6 mm MCGR lengthening. Conclusion: This study demonstrated MCGRs cause significant off-loading of the spine leading to stress shielding. 6 mm of lengthening caused tissue damage and microfractures in some spines. There was no significant difference in spine off-loading between 2 mm and 6 mm MCGR lengthening, either immediately after lengthening or after viscoelastic relaxation.
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48

Alshoubi, Abdalhai, and Eric Kim. "Fluoroscopic-guided erector spinae plane block for spine surgery." Saudi Journal of Anaesthesia 16, no. 2 (2022): 229. http://dx.doi.org/10.4103/sja.sja_694_21.

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49

Gamal, Dr Amgad Ahmed Hamdi, Professor Gihan Seif Elnasr Mohamed Abo, Professor Ahmed Nagah Al Shaer, Professor Randa Ali Shoukry Mohamed, and Dr Amr Gaber Sayed. "Bilateral ultrasound guided erector spinae plane block for postoperative pain management in lumbar spine surgery." Anaesthesia, Pain & Intensive Care 27, no. 1 (February 10, 2023): 37–42. http://dx.doi.org/10.35975/apic.v27i1.2115.

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Background & Objective: The postoperative pain after spine surgery is almost always severe. A recently described loco-regional procedure called the erector spinae plane block (ESPB) has been claimed to be associated with positive outcomes. We evaluated the ESPB's efficacy for the relief of postoperative pain after lumbar spine surgery. Methodology: This randomized controlled clinical investigation was conducted at the Ain Shams University Hospitals during the course of a year starting January 2021. Patients were randomly allocated to one of the two groups: Group C (the control group) patients underwent lumbar spine surgery under conventional general anesthesia (GA) in accordance with hospital policy. Group ESP was administered GA similar to the control group, but the patients received bilateral ultrasound-guided ESPB before starting lumbar spine surgery. The primary objective was total morphine consumption. Numeric rating scale (NRS) scores were measured at rest on shifting to post-anesthesia care unit (PACU) and then at 2 h, 6 h, 10 h, 14 h, 18 h and 24 h in the ward. Complications, e.g., PONV and hemodynamic parameters were recorded on shifting to PACU and then at 2 h, 6 h, 10 h, 14 h, 18 h and 24 h in the ward. Results: Total morphine consumption was higher in the control group than the Group ESP, at the 6th, 12th, and 18th hours postoperatively, the numeric rating scale scores in Group ESP were lower compared to the control group, and ESPB significantly reduced the time to first mobilization when compared to the control group. In terms of PONV and postoperative vital signs, there was no statistically significant difference; however, the patient satisfaction was higher in Group ESP was far more satisfied than the control group overall. Conclusion: We conclude that bilateral ultrasound guided ESPB is useful for postoperative analgesia in patients having lumbar spine operations. It lowered postoperative opioid consumption, decreased pain scores at various time intervals, and increased patient satisfaction while reducing the occurrence of PONV. Key words: Ultrasound; Erector spinae plane block; Pain; Pain management; Spine surgery Citation: Hamdi AA, Abo Zeid GSE, Al Shaer AN, Shoukry RA, Sayed AG. Bilateral ultrasound guided erector spinae plane block for postoperative pain management in lumbar spine surgery. Anaesth. pain intensive care 2022;27(1):37−42; DOI: 10.35975/apic.v27i1.2115 Received: August 28, 2022; Reviewed: December 20, 2022; Accepted: December 22, 2022
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50

Fan, Xiaoyao, Maxwell S. Durtschi, Chen Li, Linton T. Evans, Songbai Ji, Sohail K. Mirza, and Keith D. Paulsen. "Hand-Held Stereovision System for Image Updating in Open Spine Surgery." Operative Neurosurgery 19, no. 4 (May 4, 2020): 461–70. http://dx.doi.org/10.1093/ons/opaa057.

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Abstract BACKGROUND Image guidance in open spinal surgery is compromised by changes in spinal alignment between preoperative images and surgical positioning. We evaluated registration of stereo-views of the surgical field to compensate for vertebral alignment changes. OBJECTIVE To assess accuracy and efficiency of an optically tracked hand-held stereovision (HHS) system to acquire images of the exposed spine during surgery. METHODS Standard midline posterior approach exposed L1 to L6 in 6 cadaver porcine spines. Fiducial markers were placed on each vertebra as “ground truth” locations. Spines were positioned supine with accentuated lordosis, and preoperative computed tomography (pCT) was acquired. Spines were re-positioned in a neutral prone posture, and locations of fiducials were acquired with a tracked stylus. Intraoperative stereovision (iSV) images were acquired and 3-dimensional (3D) surfaces of the exposed spine were reconstructed. HHS accuracy was assessed in terms of distances between reconstructed fiducial marker locations and their tracked counterparts. Level-wise registrations aligned pCT with iSV to account for changes in spine posture. Accuracy of updated computed tomography (uCT) was assessed using fiducial markers and other landmarks. RESULTS Acquisition time for each image pair was &lt;1 s. Mean reconstruction time was &lt;1 s for each image pair using batch processing, and mean accuracy was 1.2 ± 0.6 mm across 6 cases. Mean errors of uCT were 3.1 ± 0.7 and 2.0 ± 0.5 mm on the dorsal and ventral sides, respectively. CONCLUSION Results suggest that a portable HHS system offers potential to acquire accurate image data from the surgical field to facilitate surgical navigation during open spine surgery.
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