2.50
Hdl Handle:
http://hdl.handle.net/10755/161945
Category:
Abstract
Type:
Presentation
Title:
Outpatient Minimally Invasive Spine Surgery: Two-Year Follow-Up
Author(s):
Polikandriotis, John; Mexam-Moore, Valerie
Author Details:
John Polikandriotis, PhD, MBA, Laser Spine Institute, Tampa, Florida, USA, email: jpolikandriotis@laserspineinstitute.com; Valerie Maxam-Moore, MN, RN
Abstract:
Poster presented at AORN's 58th Annual Congress: The safety and efficacy of outpatient minimally invasive spine procedures are becoming well documented. However, few large studies evaluating these types of outpatient procedures have been presented. The purpose of this study is to assess the complications and two year functional outcomes of these procedures. Materials and Methods: A total of 3,958 consecutive outpatient endoscopic decompression procedures were performed from January 2008 through December 2008 at one facility. The average age was 59.1, 31% had previous surgery and the average duration of pain before surgery was 9.5 years. A retrospective chart review, including a 12 week, 12 month, and 24 month patient follow-up was performed, and perioperative complications, VAS, ODI, SF36, and return to work status are reported. Of the 3,958 patients, a total of 1,483 patients completed the three month survey, 675 completed the 12 month survey and 369 completed the 24 month survey. Results: Of the 3,958 procedures performed, there were zero (0.00%) mortalities, one (0.00%) code blues, five (0.13%) perioperative infections, two medication error (0.00%), 12 hospital admissions (0.30%), and 67 dura leaks (1.69%). As presented in the poster, there were significant VAS and ODI improvements seen at 12 weeks and maintained throughout two years. In addition, outside of General Health, significant improvements were seen in all SF36 categories. Finally, 59%, 73%, 80%, 80%, and 82% of patients reported return to work two weeks, six weeks, 12 weeks, 12 months, and 24 months post-surgery, respectively. Perioperative Nursing Implications: An improved understanding of procedure-related risks and outcome expectations is essential in preoperative risk-benefit discussions and decisions. While this study examines the feasibility and success of minimally invasive endoscopic outpatient spine surgery as a whole, this facility is currently dissecting the data into procedure and patient demographic specific outcomes as well.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2011
Conference Name:
AORN 58th Annual Congress
Conference Host:
Association of periOperative Registered Nurses
Conference Location:
Philadelphia, Pennsylvania, USA
Description:
AORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleOutpatient Minimally Invasive Spine Surgery: Two-Year Follow-Upen_GB
dc.contributor.authorPolikandriotis, Johnen_US
dc.contributor.authorMexam-Moore, Valerieen_US
dc.author.detailsJohn Polikandriotis, PhD, MBA, Laser Spine Institute, Tampa, Florida, USA, email: jpolikandriotis@laserspineinstitute.com; Valerie Maxam-Moore, MN, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/161945-
dc.description.abstractPoster presented at AORN's 58th Annual Congress: The safety and efficacy of outpatient minimally invasive spine procedures are becoming well documented. However, few large studies evaluating these types of outpatient procedures have been presented. The purpose of this study is to assess the complications and two year functional outcomes of these procedures. Materials and Methods: A total of 3,958 consecutive outpatient endoscopic decompression procedures were performed from January 2008 through December 2008 at one facility. The average age was 59.1, 31% had previous surgery and the average duration of pain before surgery was 9.5 years. A retrospective chart review, including a 12 week, 12 month, and 24 month patient follow-up was performed, and perioperative complications, VAS, ODI, SF36, and return to work status are reported. Of the 3,958 patients, a total of 1,483 patients completed the three month survey, 675 completed the 12 month survey and 369 completed the 24 month survey. Results: Of the 3,958 procedures performed, there were zero (0.00%) mortalities, one (0.00%) code blues, five (0.13%) perioperative infections, two medication error (0.00%), 12 hospital admissions (0.30%), and 67 dura leaks (1.69%). As presented in the poster, there were significant VAS and ODI improvements seen at 12 weeks and maintained throughout two years. In addition, outside of General Health, significant improvements were seen in all SF36 categories. Finally, 59%, 73%, 80%, 80%, and 82% of patients reported return to work two weeks, six weeks, 12 weeks, 12 months, and 24 months post-surgery, respectively. Perioperative Nursing Implications: An improved understanding of procedure-related risks and outcome expectations is essential in preoperative risk-benefit discussions and decisions. While this study examines the feasibility and success of minimally invasive endoscopic outpatient spine surgery as a whole, this facility is currently dissecting the data into procedure and patient demographic specific outcomes as well.en_GB
dc.date.available2011-10-27T08:43:13Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T08:43:13Z-
dc.conference.date2011en_US
dc.conference.nameAORN 58th Annual Congressen_US
dc.conference.hostAssociation of periOperative Registered Nursesen_US
dc.conference.locationPhiladelphia, Pennsylvania, USAen_US
dc.descriptionAORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Centeren_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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