Publications by authors named "Bren Hines"
Study Design: This study was a retrospective propensity-matched study of patients receiving opioid sparing anesthesia (OSA) and those who did not receive an opioid sparing anesthesia regimen.
Objectives: To determine whether patients undergoing spine fusion for deformity fared better with an OSA regimen than those not having an OSA regimen.
Summary Of Background Data: There has been a tremendous focus on opioid overuse.
Article Synopsis
- - The study examined the frequency and risk factors associated with medial breaches of the pedicle wall during robotic-assisted cortical bone trajectory (RA-CBT) screw placements in 145 adult patients from January 2019 to July 2022.
- - Out of 784 screws analyzed, 30 (3.8%) exhibited a medial breach, with a notable correlation to lower bone quality (measured by Hounsfield units), the placement of screws on the right side, and screws in the upper instrumented vertebra.
- - Despite these breaches, no patients required additional surgery for screw repositioning, and there were no significant differences in clinical outcomes between patients with or without a medial breach.
Article Synopsis
- - The study examined intraoperative screw malposition during robot-assisted cortical bone trajectory (RA-CBT) surgeries, focusing on two types of malposition: skive and shift, which occur due to instrument deflection or registration changes, respectively.
- - A total of 1344 screws were placed in 256 patients, with a malposition rate of 2.4%, linked to higher body mass index (BMI) and specific vertebral characteristics at the insertion points.
- - No screw revisions were necessary post-surgery, highlighting that while malpositions occurred, they did not require further intervention, with factors such as obesity and specific bone properties influencing the likelihood of these errors.
Study Design: Propensity-matched cohort.
Objective: The aim of this study was to determine if opioid-sparing anesthesia (OSA) reduces in-hospital and 1-year postoperative opioid consumption.
Summary Of Background Data: The recent opioid crisis highlights the need to reduce opioid exposure.