Publications by authors named "Jyrki Kankare"
Purpose: Our aim was to develop a nationwide, computer-based, Spine Register (FinSpine) for monitoring surgical activity, quality of surgery, long-term outcomes, and effectiveness of treatment. In this paper, we describe our experiences in the development and implementation of the register.
Methods: The register was developed by a steering group, consisting of orthopedic surgeons and neurosurgeons from the whole country.
Background: Severe pain often accompanies major spine surgery. Opioids are the cornerstone of postoperative pain management but their use can be limited by numerous side effects. Several studies claim that adjuvant treatment with intravenous (IV) ketamine reduces opioid consumption and pain after back surgery.
View Article and Find Full Text PDFArticle Synopsis
- Traumatic spinal cord injuries mainly occur in men aged 16-30, highlighting the need for traffic safety and behavior modification to prevent such injuries.
- Key aspects of patient care include safe transfer to hospitals, diagnostic imaging (like CT and MRI), and assessing injury using the AIS questionnaire.
- Treatment involves early surgical intervention and ongoing rehabilitation that requires a multi-professional team, starting from the emergency room and continuing for life.
We randomised a total of 94 patients with long-standing moderate lumbar spinal stenosis (LSS) into a surgical group and a non-operative group, with 50 and 44 patients, respectively. The operative treatment comprised undercutting laminectomy of stenotic segments, augmented with transpedicular-instrumented fusion in suspected lumbar instability. The primary outcome was the Oswestry disability index (ODI), and the other main outcomes included assessments of leg and back pain and self-reported walking ability, all based on questionnaire data from 85 patients at the 6-year follow-up.
View Article and Find Full Text PDFStudy Design: A randomized controlled trial.
Objectives: To assess the effectiveness of decompressive surgery as compared with nonoperative measures in the treatment of patients with lumbar spinal stenosis.
Summary Of Background Data: No previous randomized trial has assessed the effectiveness of surgery in comparison with conservative treatment for spinal stenosis.