Publications by authors named "Viswanadha Arun-Kumar"

Study Design: Systematic literature review.

Objectives: To analyze the evidence available reporting complications in single or two-level anterior cervical discectomy and fusion (ACDF) using a demineralized bone matrix (DBM), hydroxyapatite (HA), or beta-tricalcium phosphate (β-TCP).

Methods: A systematic review of the literature using PubMed, EMBASE, Cochrane Library, and ClinicalTrials.

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Study Design: Systematic Review of the Literature.

Objective: The purpose of this study was to perform a systematic review describing fusion rates for anterior cervical discectomy and fusion (ACDF) using autograft vs various interbody devices augmented with different osteobiologic materials.

Methods: A systematic review limited to the English language was performed in Medline, Embase and Cochrane library using Medical Subject Heading (MeSH) terms.

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Study Design: Guideline.

Objectives: To develop an international guideline (AOGO) about the use of osteobiologics in anterior cervical discectomy and fusion (ACDF) for treating degenerative spine conditions.

Methods: The guideline development process was guided by AO Spine Knowledge Forum Degenerative (KF Degen) and followed the Guideline International Network McMaster Guideline Development Checklist.

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Article Synopsis
  • The study is a randomized control trial that evaluates the safety and effectiveness of tranexamic acid (TXA) in reducing blood loss during instrumented spine surgeries.
  • A total of 104 patients were divided into four groups: intravenous (ivTXA), local infiltration (loTXA), topical application (tTXA), and a control group, with various outcomes measured, including blood loss and need for transfusions.
  • Results showed that all TXA methods effectively reduced blood loss, with tTXA having the best outcomes for postoperative blood conservation, indicating that local infiltration of TXA is a viable method for minimizing blood loss in these surgeries.
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Study Design: Observational study.

Purpose: The purpose of this study is to analyze the surgeon's neck postures while performing lumbar spinal surgeries.

Overview Of Literature: Lumbar spinal surgeries are on rising trend, and with increase in number of procedures, the average time spent by a spine surgeon performing surgical procedures is also increasing.

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Study Design: Prospective cohort study.

Objective: To analyze the serum and drain concentrations of antibiotics administered by two different routes and compare the results.

Summary Of Background Data: Systemic antibiotics are expected to reach the surgical site and maintain adequate concentrations of the drug to prevent infection.

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Positional complications in spine surgery are not uncommon. Commonly encountered complications include ocular and aural, other than musculoskeletal injuries. However, development of Tietze's syndrome due to malpositioning has not been reported till date.

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The natural healing of spinal tuberculosis occurs by spontaneous fusion of vertebral bodies with or without kyphotic deformity. Late-onset paraplegia secondary to the fracture of fusion mass in tuberculosis is one of the rare conditions which have not been extensively reported. A 56-year-old male patient sustained road traffic accident was diagnosed with a fracture of fusion mass in already healed tuberculosis.

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Article Synopsis
  • This literature review examines clinical factors and comorbidities, beyond just radiological parameters, that influence the management of adult spinal deformity (ASD).
  • ASD involves several complications, including spinal deformity, stenosis, and various comorbidities, which lead to differing patient management strategies.
  • The review analyzed 614 citations, ultimately selecting 11 studies, and found that leg pain, spinal stenosis, obesity, osteoporosis, smoking, and age significantly impact surgical outcomes and highlight the need for better classifications of ASD patients.
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