Publications by authors named "C Hofstetter"
Background: Full endoscopic spine surgery (FESS) champions a rapid recovery and a low rate of overall complications. However, its efficacy in geriatric patients that might yield additional benefits from minimized invasiveness remains underexplored.
Methods: A multi-institutional prospective cohort study was conducted involving patients undergoing elective lumbar FESS.
Background And Context: Unplanned readmission within 30 days following elective spine surgery is a key indicator of quality of care, as readmissions often signal early complications or poor recovery. The Hospital Readmission Reduction Program (HRRP) and the Centers for Medicare and Medicaid Services (CMS) utilizes this metric to assess hospital and surgeon performance.
Purpose: Here we aim to delineate quality of care metrics for full-endoscopic spine surgery (FESS) compared to traditional spine surgery.
Background Context: Endoscopic spine decompression surgery (ESDS) offers numerous benefits, including reduced tissue damage, smaller incisions, shorter recovery times, and a lower risk of complications. However, its adoption among spine surgeons in the United States has been slow. The reluctance to adopt ESDS can be attributed to factors such as the learning curve, cost of equipment and training, and limited access to necessary resources.
View Article and Find Full Text PDFDue to demographic changes, a growing number of elderly patients with comorbidities will require spine surgery in the next decades. However, age and multimorbidity have been associated with considerably worse postoperative outcomes, and is often associated with surgical invasiveness. Full-endoscopic spine-surgery (FESS), as a cornerstone of contemporary minimally invasive surgery, has the potential to mitigate some of these disparities.
View Article and Find Full Text PDFArticle Synopsis
- Traumatic spinal cord injury (tSCI) leads to quick loss of neurological function, making recovery prediction challenging.
- The study used contrast-enhanced ultrasound to assess intraspinal blood flow disruption in a rodent model, finding that this disruption was linked to injury severity and locomotor function after 8 weeks.
- In 27 human cases with varying tSCI severity, results confirmed correlations between ultrasound metrics and both injury severity and functional recovery after 6 months, suggesting potential for these ultrasound metrics in prognostic assessments, although further studies are needed.