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You arrive at high quality surgical outcomes the same way you arrive at Carnegie Hall: practice, practice, practice. It may not be the only — or even the most important — driver of superlative operative results, but it’s fairly well established that people (and places) who do a lot of operations tend to have better […]
Read MorePreoperative chronic opioid use is associated with poor outcomes and continued dependence after posterior lumbar fusion, according to a study published online in Spine. Nikhil Jain, M.D., from The Ohio State University in Columbus, and colleagues used commercial insurance data (from 2007 to Q3-2015) to evaluate preoperative opioid use in 24,610 patients undergoing primary one- and two-level posterior […]
Read MorePatients with a lumbar disc herniation (LDH) and associated back pain may experience improvements in back pain, leg pain, and disability 12 months after single- or 2-level lumbar discectomy, according to a longitudinal observational cohort study published in Spine Journal. Using data from the Quality and Outcomes Database, investigators assessed 2262 adult patients with LDH with baseline scores […]
Read MoreIn a preliminary study published in Neuromodulation, high-frequency spinal cord stimulation was found to be more effective in treating chronic pain than conventional stimulation. Although spinal cord stimulation (SCS) effectively alleviates chronic axial back pain in 50% to 70% of cases, it is accompanied by adverse effects (eg, frequent paresthesias). In the current pilot study, investigators sought to […]
Read MoreAuthor(s): Jeffery MM et al. BMJ. 2018 Aug 1. Opioid use has not significantly declined over the past 10 years despite efforts to educate prescribers about the risks of opioid abuse, with over half of disabled Medicare beneficiaries using opioids each year, according to a recent retrospective cohort study published in the BMJ. “We found very high […]
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