Preoperative Vitamin D Status of Adults Undergoing Surgical Spinal Fusion

Stoker, Geoffrey E.; Buchowski, Jacob M.; Bridwell, Keith H.; Lenke, Lawrence G.; Riew, K. Daniel; Zebala, Lukas P.

doi:10.1097/brs.0b013e3182739ad1

Cited by 79 publications

(96 citation statements)

References 26 publications

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“…Another nutrient that plays an important role in mineral homeostasis and bone quality is vitamin D, 5,6 recently recognized as a hormone. One article reported an average of 35 ng/mL of vitamin D and values considered to be normal in 57% of the individuals who underwent orthopedic surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the significant reduction in the metabolism of vitamin D in the skin of elderly individuals, 5 neither study identified an inverse correlation between age and amount of vitamin D. 6,13 In the study by Stoker and collaborators, 6 the patients with vitamin D deficiency were significantly younger than those who were not deficient in vitamin D (p < 0.01), most of them younger than 50 years of age. In our study, there was no significant correlation between the average value of vitamin D and the age group (p = 0.666) or between the occurrence of insufficiency or deficiency and age group (p = 0.603).…”

Section: Classification Of Vitamin D N (%)mentioning

confidence: 99%

“…Vitamin D deficiency can change the osteoclast-osteoblast relationship with a consequent predisposition for osteoporosis and fractures, in addition to the risk of inhibiting the consolidation of arthrodesis following surgery. [5][6][7] Recently, Stoker et al 6 studied the prevalence of vitamin D deficiency in patients who underwent spine surgery in the same service in the US, reporting a rate of insufficiency in 57% and a rate of deficiency in 27% of the individuals.…”

Section: Introductionmentioning

confidence: 99%

“…4 Another nutrient of more recently recognized importance is vitamin D, which actually is a liposoluble steroidal hormone with a fundamental function in mineral homeostasis and bone metabolism. 5,6 Changes in the levels of serum vitamin D can be caused by a deficient diet, but also by intestinal absorption disorders and even by extrinsic factors like lack of sun exposure. Vitamin D deficiency can change the osteoclast-osteoblast relationship with a consequent predisposition for osteoporosis and fractures, in addition to the risk of inhibiting the consolidation of arthrodesis following surgery.…”

Section: Introductionmentioning

confidence: 99%

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Nutritional Status, Vitamin D and Nasal Colonization in Spinal Surgery

et al. 2016

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Objective: Evaluate the nutritional status, vitamin D, the serum albumin, and the nasal colonization by bacteria in a Brazilian population sample that included specifically patients undergoing spine surgery Methods: The serum albumin and vitamin D tests were performed on blood samples; nasal microbiological research was performed by swab and demographic information was collected. We studied the correlation between the tests and gender and age groups of patients. Results: Seventy-five patients were included. Of this total, 74 patients underwent testing of albumin levels, 64 of vitamin D and 41 underwent nasal swab. The mean of serum albumin was 3.76 g/ dl (SD = 0.53 g/dl); 70.3% of subjects were considered normal and 29.7% showed hypoalbuminemia. Regarding vitamin D, the mean was 16.64 ng/ml (SD: 7.43 ng/ml); 64.1% of patients were considered deficient, 32.8% insufficient, and 3.1% were considered normal. There was significant difference between albumin and age (p=0.007), being that the greater the age, the lower the albumin. Hypoalbuminemia was significantly more frequent over 60 years (p<0.001). There was no correlation between vitamin D or nasal swab and age (p=0.603 and 0.725, respectively). The correlation between the tests and gender showed no significant difference in any of the parameters. Conclusion: The serum albumin and vitamin D levels and results of nasal swab were presented for a Brazilian sample of patients undergoing spine surgery. It was found correlation between hypoalbuminemia (inferring malnutrition) and age group of patients. Almost all the patients had some degree of vitamin D deficiency, with no correlation with age.Keywords: Spine/surgery, Serum albumin; Vitamin D, Staphylococcus aureus. RESUMO

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Section: Discussionmentioning

confidence: 99%

Section: Classification Of Vitamin D N (%)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nutritional Status, Vitamin D and Nasal Colonization in Spinal Surgery

et al. 2016

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“…In a database review of patients undergoing spine fusion, patients with an albumin level of 3.5 g/ dL or less have higher mortality rate than those with levels higher than 3.5 g/dL (OR 13.8, 95% CI, 4.6-41.6; p<0.001) [40]. Vitamin D deficiency is also common, and has been reported in up to 27% of adults undergoing spinal fusion [47].…”

Section: Laboratory Testingmentioning

confidence: 99%

Revision Surgery for Failed Cervical Spine Reconstruction

2014

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Background: As the number of cervical spine procedures performed continues to increase, the need for revision surgery is also likely to increase. Surgeons need to understand the etiology of post-surgical changes, as well as have a treatment algorithm when evaluating these complex patients. Questions/Purposes: This study aims to review the rates and etiology of revision cervical spine surgery as well as describe our treatment algorithm. Methods: We used a narrative and literature review. We performed a MEDLINE (PubMed) search for "cervical" and "spine" and "revision" which returned 353 articles from 1993 through January 22, 2014. Abstracts were analyzed for relevance and 32 articles were reviewed. Results: The rates of revision surgery on the cervical spine vary by the type and extent of procedure performed. Patient evaluation should include a detailed history and review of the indication for the index procedure, as well as lab work to rule out infection. Imaging studies including flexion/extension radiographs and computed tomography are obtained to evaluate potential pseudarthrosis. Magnetic resonance imaging is helpful to evaluate the disc, neural elements, soft tissue, and to differentiate scar from infection. Sagittal alignment should be corrected if necessary. Conclusions: Recurrent or new symptoms after cervical spine reconstruction can be effectively treated with revision surgery after identifying the etiology, and completing the appropriate workup.

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Preoperative Preparation of Osteoporotic Patients for Instrumented Spine Surgery

Hartmann

Koller

2019

Evidence for Neurosurgery

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Preoperative Vitamin D Status of Adults Undergoing Surgical Spinal Fusion

Cited by 79 publications

References 26 publications

Nutritional Status, Vitamin D and Nasal Colonization in Spinal Surgery

Nutritional Status, Vitamin D and Nasal Colonization in Spinal Surgery

Revision Surgery for Failed Cervical Spine Reconstruction

Preoperative Preparation of Osteoporotic Patients for Instrumented Spine Surgery

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