Publications by authors named "V Arlet"
Objective: Surgical correction of adult spinal deformity (ASD) is associated with a high rate of hardware complication that can be challenging to predict. Hardware integrity and alignment after surgery are typically followed with standing radiography, where pedicle screw loosening may be incidentally identified but the clinical significance of which is often unclear. This study aimed to identify the incidence and implications of pedicle screw loosening at the upper instrumented vertebra (UIV) after surgical correction of ASD.
View Article and Find Full Text PDFPurpose: This study aimed to investigate the relationship of preoperative hemoglobin levels as an independent prognostic factor for hospital and intensive care unit (ICU) length of stay (LOS) in patients undergoing surgery for adult spinal deformity (ASD), with the intent of determining whether there exists a correlation and enhancing patient preoperative optimization protocols.
Methods: The authors reviewed consecutive patients who underwent elective thoracolumbosacral posterior spinal fusion (PSF) involving six or more vertebrae for ASD from January 1, 2013, to December 13, 2021, with a minimum follow-up period of two years. This study primarily investigated the association of preoperative hemoglobin levels with hospital and ICU LOS.
Background: Three column osteotomies (3CO) are a powerful tool for the correction of rigid sagittal spinal deformities. However, 3CO surgeries are technically demanding procedures that are associated with prolonged operative times, large amounts of intraoperative blood loss, and high rates of post-operative neurological and medical complications. The purpose of this retrospective cross-sectional study is to delineate the effects of blood loss, blood transfusion, and tranexamic acid use on perioperative outcomes following 3CO.
View Article and Find Full Text PDFArticle Synopsis
- This study compares the outcomes and costs of staged (ST) versus same-day (SD) circumferential spinal fusion surgeries for adult spinal deformity correction over a period from 2013 to 2018.
- A total of 211 patients were reviewed, focusing on factors such as surgical details, complications, readmissions, and hospital costs, applying statistical methods to account for differences in patient characteristics between the two groups.
- Results indicated that while ST procedures had higher rates of postoperative pulmonary embolism and longer hospital stays, overall 30-day readmission and reoperation rates were similar between the ST and SD groups after statistical adjustment.
Pelvic Fixation With a Quad-Rod Technique Using S2 Alar Iliac and Medialized Entry Iliac Screws for Long Fusion Constructs.
J Am Acad Orthop Surg Glob Res Rev
August 2023
Purpose: Patients with adult spinal deformity (ASD) may have risk factors for nonunion and subsequent instrumentation failure. This study reviews a novel surgical technique for a quad-rod construct to the pelvis using both S2 alar iliac (S2AI) screw fixation and medialized entry iliac screw fixation as described through three separate cases and a review of the literature.
Methods: This technique facilitates alignment of the construct and rod insertion into the tulip heads.