Publications by authors named "Paul Michael Alvarez"
Article Synopsis
- Lumbar interbody fusions, used for treating degenerative lumbar disease not responsive to conservative measures, include anterior (ALIF) and posterior (PLIF/TLIF) approaches, but comparative outcome research is limited.
- The study analyzed patient data from the PearlDiver Database between 2010 and 2022, focusing on demographics, comorbidities, and reoperation rates over various timeframes.
- Findings indicated that while posterior fusions had higher reoperation rates and certain complications, anterior fusions are becoming more common, raising questions about the best surgical approach.
Objective: The study aims to analyze the utility of peri-operative systemic intravenous (IV) steroids in mitigating postoperative complications and improving clinical outcomes following anterior cervical discectomy and fusion (ACDF) surgery.
Methods: A systematic review was conducted by searching PubMed, Scopus, Cochrane, Web of Science, and Embase databases for studies assessing the role of IV or systemic steroids in ACDF surgery. Data extraction and risk of bias assessment were conducted independently by two reviewers using Covidence, with a third reviewer finalizing the data and settling any conflicts.