Background: Identifying patients who will benefit from spine surgery is still a challenge. This is especially the case when patients' complaints and medical history, together with clinical observations, do not correspond to structural pathological changes. With inpatient gradual diagnostics (IGD)-the administration of analgesic and anti-inflammatory agents to a special area of interest-the effect of surgery can be temporarily simulated. From the patient's statement about the alleviation of pain, the surgeon can draw conclusions concerning its causes. The aim of this study was to evaluate the extent to which IGD influences the decision about the nature and scope of surgical treatment strategies, and the way in which it does so, in patients with chronic lumbar back pain.
Methods: Clinical history and radiologic images were analysed retrospectively in 116 patients by two spine surgeons. Two therapeutic recommendations were developed for each patient: one was based on knowledge before IGD and one on knowledge after IGD.
Results: IGD changed the treatment strategy in 39 % of the analysed cases. Although the rate of recommended surgery was reduced by about 10 %, the indicated surgical scope increased in 25 % of cases.
Conclusions: IGD is an established concept used to determine therapeutic strategies in patients with chronic lumbar back pain. In our analysed cases, IGD led to highly relevant changes in recommendations for further surgical treatment.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4941012 | PMC |
| http://dx.doi.org/10.1186/s12891-016-1153-1 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Distribution characteristics and analysis of fungal aerosol concentration and particle size in air-conditioned wards in Wuhan, China.
Ann Agric Environ Med
December 2024
School of Biomedical Engineering and Imaging, Hubei University of Science and Technology, Hubei, China.
Article Synopsis
- Fungal contamination in hospital air can impact the health of staff, patients, and caregivers, with a study in Wuhan revealing that factors like temperature, humidity, and seasonal changes significantly influence fungal concentration rather than disease type or personnel density.
- The analysis showed that airborne fungal particle sizes are normally distributed, with the highest proportions found in specific size ranges, but the median diameter remained below 3.19 μm across different departments in both winter and summer.
- The findings suggest a need for improved filtration efficiency for specific fungal particle sizes and the use of appropriate antifungal treatments and hygiene practices in hospital air management.
Prevalence and Clinical Implications of Pulmonary Vein Stenosis in Bronchiectasis: A 3D Reconstruction CT Study.
Adv Respir Med
December 2024
Department of Thoracic Surgery, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China.
Background: Recent studies on bronchiectasis have revealed significant structural abnormalities and pathophysiological changes. However, there is limited research focused on pulmonary venous variability and congenital variation. Through our surgical observations, we noted that coarctation of pulmonary veins and atrophied lung volume are relatively common in bronchiectasis patients.
View Article and Find Full Text PDFTemporal variations in QTc interval during and after COVID-19 infection: a retrospective study.
BMC Cardiovasc Disord
December 2024
Department of Cardiology, The Second Affiliated Hospital of Wannan Medical College, 10# Kangfu road, Wuhu, Anhui Province, 241000, China.
Objective: The aim of this study was to investigate the dynamic changes in QTc interval duration among patients with COVID-19 infection before, during, and after infection, in order to assess the short- and potential long-term impact of COVID-19 on cardiac electrophysiology.
Methods: A retrospective analysis was conducted on 303 inpatients diagnosed with COVID-19 who visited a tertiary Grade A hospital in China between August 2022 and December 2023. Inclusion criteria required patients to have at least two electrocardiogram (ECG) recordings at three specific time points: before COVID-19 infection, during acute infection, and after recovery (more than one month post-infection).
[Analysis of the clinical features and prognosis of neuro-Behcet's syndrome in 5 children].
Zhonghua Er Ke Za Zhi
January 2025
Department of Rheumatology and Immunology, Children's Hospital Affiliated to Capital Institute of Pediatrics, Beijing100020, China.
Article Synopsis
- The study examined the clinical features and prognosis of neuro-Behçet's syndrome (NBS) in 5 children, analyzing their medical data over a span of 10 years from various pediatric departments.
- The patients, aged between 8 to 17 years, exhibited variable symptoms like headaches, convulsions, and impaired motor functions; some showed no symptoms, highlighting the non-specific nature of NBS.
- Treatment involved corticosteroids alongside immunosuppressants, resulting in positive outcomes for most patients, although one individual discontinued treatment; imaging showed diverse brain lesions not easily identifiable as NBS.
Contemporary Nationwide Assessment of Resource Utilization and Perioperative Outcomes in Open and Minimally Invasive Pancreaticoduodenectomy.
Am Surg
December 2024
Institute of Surgery, Division of Surgical Oncology, Allegheny Health Network, Pittsburgh, PA, USA.
While minimally invasive pancreaticoduodenectomy (MIPD) has historically demonstrated benefits over open pancreaticoduodenectomy (OPD), recent advances in perioperative care and surgical techniques may have impacted the relative advantages of these two approaches. This contemporary analysis examines national trends to assess potential differences in resource utilization metrics along with perioperative outcomes between the two approaches. We analyzed the Nationwide Inpatient Sample database for cancer patients who underwent pancreaticoduodenectomies from 2016 through 2020.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!