Risk Factors for Nonroutine Discharge in Patients Undergoing Spinal Fusion for Intervertebral Disc Disorders.

Background: Although outcomes following spinal fusion for intervertebral disc disorders have been studied, factors influencing discharge disposition and health care resource utilization have not been determined. This study sought to clarify perioperative risk factors for non-routine discharge and prolonged hospital stay in patients undergoing fusion for intervertebral disc disorders.

Methods: The National Hospital Discharge Survey was queried to identify all patients discharged from U.

Predictors of postoperative infection in spinal deformity surgery - which curves are at greatest risk?

Background: Numerous studies have reported on post- operative infection following spinal arthrodesis for spinal deformity. The incidence of infection associated with spinal surgery overall ranges from less than 1% to 15%. Certain factors may increase the risk of surgical site infection (SSI) in patients who undergo surgical treatment for spinal deformities.

Reduction of Mean Arterial Pressure at Incision Reduces Operative Blood Loss in Adolescent Idiopathic Scoliosis.

Background: Spinal fusion surgery for adolescent idiopathic scoliosis (AIS) has been associated with significant blood loss and transfusion requirements. Reduction of mean arterial pressure (MAP) has benefits, but has been debated. This study aimed to analyze hypotensive anesthesia (MAP less than 65 mm Hg) at incision for its effect on blood loss.

Prefemoral fat pad impingement syndrome: identification and diagnosis.

Fat pad impingement syndrome refers to anterior knee pain caused by hemorrhage, inflammation, fibrosis and/or degeneration of the anterior knee fat pads. Symptomatic impingement of the prefemoral fat pad can be clinically significant but easily overlooked on magnetic resonance imaging, unless looked for. It should be evaluated in patients with persistent anterior knee pain, particulary if accompanied with mechanical symptoms and lack of intra-articular pathology.