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Outpatient Surgery E-Weekly

Malpractice Verdicts Often Favor Physicians

Physicians come out on the winning end of 80% of malpractice claims that end in jury verdicts, according to researchers at Massachusetts General Hos...

Study: CT Colongraphy Effective in Finding Polyps

A CT-scan-based, laxative-free "virtual colonoscopy" may be as effective as standard colonoscopy in finding potentially cancerous polyps, according ...

Wrong-Site Prevention Video Shows the Right Way

Wrong-site, wrong-patient and wrong-procedure surgery must be prevented at all costs. The 3 steps of the Joint Commission's Universal Protocol make ...

Archive >  Spinal Surgery 2007

Your Guide to Spinal Fusion

This traditionally inpatient reconstructive procedure is transitioning to the outpatient arena.

Sanjay Khurana

Anterior cervical discectomy and fusion surgery have traditionally been performed in a hospital setting. While some cervical spine conditions involving severe spinal cord compression and complicated deformity will continue being performed in hospital settings, most relatively young and healthy patients with nerve root compression or soft cervical disk herniations are routinely being treated with anterior cervical discectomy and fusion in an outpatient surgery setting. The relatively avascular and intermuscular approach to the anterior cervical spine combined with the illumination and magnification provided by new-generation operating microscopes have made one and two level anterior cervical fusion and disk arthroplasty a safe and predictable surgery in the outpatient setting. Here's an update.

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Categories: Spine/Neurosurgery
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Lumbar reconstruction and stabilization; In the midst of an evolution; FDA; Improved; Newer; Patients; TLIF; Utilizing; Wiltse; X-Stop; accomplished; adjunctive; advantages; anatomic; anterior; approach; approved; array; arthroplasty; articulated; atraumatic; avascular; avoid; bear; blood; bone; cases; cervical; combined; commercially; complicated; compression; conditions; continue; cord; crest; curve; day; decompression; decortication; deeper; deformities; deformity; degenerative; device; devices; discectomy; discharged; disk; division; dynamically; early; ease; easily; effect; evaluation; experience; exposure; extensive; extracavitary; extreme; fashion; flexible; fusion; hasten; healthy; heretofore; herniations; hospital; iliac; illumination; incision; include; increasing; increasingly; indirect; initially; interbody; intermuscular; interspinous; intertransverse; interval; intervertebral; intralaminar; investigated; involving; large; lateral; learning; length; level; limited; local; longer-term; longitudinal; lumbar; made; magnification; method; microscopes; midst; minimal; morbidity; morphogenic; multiple; muscle; muscular; nerve; new-generation; off-label; operating; osseous; outcomes; outpatient; packed; paraspinal; patient; pedicle; perform; performed; performing; permits; personal; place; placement; posterior; predictable; prepare; procedure; protein; provide; radical; rapid; recommended; reconstruction; reconstructive; represents; require; requiring; retroperitoneal; root; routinely; safe; safely; scoliosis; screw; sedation; select; setting; severe; significant; soft; space; spacer; spaces; spinal; spine; spondylolisthesis; stabilization; stabilizing; staged; stand-alone; stenosis; stripping; studies; substrate; supplemental; surgery; surgical; tactics; technology; traditionally; transforaminal; trauma; treated; un-utilized; understanding; utilized; utilizes; window; workhorse; young

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