Surgical Protocol for Infections, Nonhealing Wound Prophylaxis, and Analgesia: Development and Implementation for Posterior Spinal Fusions

Belykh, Evgenii; Carotenuto, Alessandro; Калинин, А. А.; Akshulakov, Serik; Kerimbayev, Talgat; Borisov, V E; Aliyev, Marat A.; Nakaji, Peter; Preul, Mark C.; Byvaltsev, Vadim A.

doi:10.1016/j.wneu.2018.11.135

Cited by 11 publications

(7 citation statements)

References 58 publications

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“…Moreover, several preventive measures have been studied and recently described in order to reduce complications in spinal surgery, concerning intraoperative neuromonitoring, blood loss reduction, infections and thrombosis prophylaxis [36][37][38][39][40]. Sethi and co-workers [41] described the application of Lean methodology in spinal surgery.…”

Section: The Use Of Surgical Safety Checklist and Other Checklist Sysmentioning

confidence: 99%

Adverse Events Capture Systems, Checklists and Teamwork as Relevant Tools to Reduce Complications and Increase Patients’ Safety in Spinal Surgery

Bròdano¹,

Griffoni²,

Ricci³

et al. 2021

Teamwork in Healthcare

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Adverse events in Hospitals are often related to surgery and they represent a relevant problem in healthcare. Different approaches have been introduced during the last decade to address the problem of patient safety, especially in the surgical environment. The teamwork is crucial in all these actions which aim to decrease adverse events and improve clinical outcomes. We analyze in particular the use of adverse events capture systems in spinal surgery and the use of checklist systems, starting from the Surgical Safety Checklist introduced by the World Health Organization (WHO) in 2008.

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Section: The Use Of Surgical Safety Checklist and Other Checklist Sysmentioning

confidence: 99%

Adverse Events Capture Systems, Checklists and Teamwork as Relevant Tools to Reduce Complications and Increase Patients’ Safety in Spinal Surgery

Bròdano¹,

Griffoni²,

Ricci³

et al. 2021

Teamwork in Healthcare

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show abstract

“…Considering the high incidence of complications in spine surgery, during the last years several authors focused their attention on the risk factors related to the onset of complications and on predictive models of complications after spine surgery [12][13][14][15][16]. Moreover, several preventive measures have been studied and recently described in order to reduce complications in spine surgery, concerning intraoperative neuromonitoring, blood loss reduction, and infections and thrombosis prophylaxis [19][20][21][22][23]. Sethi et al [24] reported their experience concerning the application of Lean methodology in orthopedic surgery and specifically in spine surgery.…”

Section: Preventive Measures To Improve Safety: the Who Surgical Safementioning

confidence: 99%

“…In spinal surgery, many preventive measures were investigated to reduce complications [19][20][21][22][23][24], but there is no report on the effectiveness of the WHO checklist in reducing complications.…”

Section: Introductionmentioning

confidence: 99%

Spinal surgery complications: an unsolved problem—Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them?

et al. 2019

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Purpose To investigate whether the World Health Organization Safety Surgical Checklist (SSC) is an effective tool to reduce complications in spinal surgery. Methods We retrospectively evaluated the clinical and radiological charts prospectively collected from patients who underwent a spinal surgery procedure from January 2010 to December 2012. The aim of this study was to compare the incidence of complications between two periods, from January to December 2010 (without checklist) and from January 2011 and December 2012 (with checklist), in order to assess the checklist's effectiveness. Results The sample size was 917 patients with an average of 30-month follow-up. The mean age was 52.88 years. The majority of procedures were performed for oncological diseases (54.4%) and degenerative diseases (39.8%). In total, 159 complications were detected (17.3%). The overall incidence of complications for trauma, infectious pathology, oncology, and degenerative disease was 22.2%, 19.2%, 18.4%, and 15.3%, respectively. No correlation was observed between the type of pathology and the complication incidence. We observed a reduction in the overall incidence of complications following the introduction of the SSC: In 2010 without checklist, the incidence of complications was 24.2%, while in 2011 and 2012, following the checklist introduction, the incidence of complications was 16.7% and 11.7%, respectively (mean 14.2%). Conclusions The SSC seems to be an effective tool to reduce complications in spinal surgery. We propose to extend the use of checklist system also to the preoperative and postoperative phases in order to further reduce the incidence of complications.

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“…On the other hand, lumbar facetectomy may be performed to treat facet arthropathy, osteophytes, or large synovial cysts with lateral recess and foraminal stenosis 1 . In addition, two surgical procedures, transforaminal lumbar interbody fusion (TLIF) and the non-fusion Dynesys dynamic stabilization, are often performed to treat lumbar facet joint syndrome with lateral recess stenosis caused by hypertrophied facet joints 10 , 11 . Several lines of evidence indicated that compared to TLIF, Dynesys dynamic stabilization achieved better or equal improvements in functional outcomes based on the Visual Analog Scale (VAS) and/or Oswestry Disability Index (ODI) scores 12 – 14 .…”

Section: Introductionmentioning

confidence: 99%

Preoperative facet joint arthropathy does not impact long-term clinical outcomes after lumbar-stability-preserving decompression and dynesys fixation

Chou

Lin

et al. 2021

Sci Rep

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To evaluate the impact of the preoperative severity of facet joint arthropathy on long-term functional outcomes and spinopelvic parameters in patients undergoing lumbar-stability-preserving decompression and Dynesys fixation. In this retrospective study, 88 patients undergoing combined surgery at our hospital from 2008 to 2015 were included. The patients were divided into two groups, the less and more than mean degeneration groups, based on preoperative facet joint arthropathy of the index level(s). The clinical outcomes were the Visual Analogue Scale (VAS) score, the Oswestry Disability Index (ODI) score and spinopelvic parameters. The mean follow-up durations for the less and more than mean degeneration groups were 84.83 ± 27.58 and 92.83 ± 20.45 months, respectively. The combined surgery significantly improved VAS and ODI scores, and increased sacral slope (SS) regardless of preoperative arthropathy severity. In addition, facet joint arthropathy at adjacent levels continued to worsen after surgery in both arthropathy severity groups. Preoperative facet joint arthropathy did not influence most long-term clinical outcomes in patients undergoing lumbar-stability-preserving decompression and Dynesys fixation. This combined surgery may be suitable for patients with facet joint arthropathy regardless of disease severity.

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Surgical Protocol for Infections, Nonhealing Wound Prophylaxis, and Analgesia: Development and Implementation for Posterior Spinal Fusions

Cited by 11 publications

References 58 publications

Adverse Events Capture Systems, Checklists and Teamwork as Relevant Tools to Reduce Complications and Increase Patients’ Safety in Spinal Surgery

Adverse Events Capture Systems, Checklists and Teamwork as Relevant Tools to Reduce Complications and Increase Patients’ Safety in Spinal Surgery

Spinal surgery complications: an unsolved problem—Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them?

Preoperative facet joint arthropathy does not impact long-term clinical outcomes after lumbar-stability-preserving decompression and dynesys fixation

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