Spine Surgery Experience at the Loveland Surgery Center Loveland . Ppt Powerpoint Presentation slides Anonymous Medical Slideshow Spine Surgery Experience at the Loveland Surgery Center Loveland .

Spine Surgery Experience at the Loveland Surgery Center Loveland .

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Show Notes

Slide 1 :

Spine Surgery Experience at the Loveland Surgery CenterLoveland, Colorado Kenneth A. Pettine, M.D., M.S.

Slide 2 :

I.D.E. Site For Eight F.D.A. Spinal Implant Studies Joint Commission Accredited Spine Surgeons – 2 (3) E.N.T. Surgeons –2 Orthopedic Surgeons –2 Pain Specialists –1 (2) Loveland Surgery Center

Slide 3 :

Spine Surgery Definitions Lumbar Spine Surgery – two broad categories Leg Pain Surgery Nerve Decompression for Stenosis (Older Patient) Discectomy for Herniated Disc (Younger Patient) Back Pain Surgery Fusion: Pedicle Screws (Posterior Approach) Artificial Disc (Anterior Approach) Cervical Spine Surgery- Arm and/or Neck Pain –Anterior Cervical Fusion Posterior Cervical Surgery is rare

Slide 4 :

Equipment Requirements General Surgeon Cell Saver Implants C-Arm Cloward or Equivalent Table C-Arm Retractors/Kerisons High Speed Burr Implants –Screws/Rods/Cages Bone Graft Cell Saver Dural Tear Instruments Posterior Lumbar Interbody Fusion (P.L.I.F.) Anterior Lumbar Artificial Discs/Fusion (A.L.I.F)

Slide 5 :

Anterior Cervical Fusion (A.C.F) or Artificial Disc Replacement C-Arm Implants Bone Graft Specialized Retractors High Speed Burr (Possible)

Slide 6 :

Lumbar Spine Decompression Dural Tear Instruments Cloward or Equivalent Table C-Arm Retractors Kerisons No Implants

Slide 7 :

Spine Implant Costs Facility Fee Case Rate For ACF- $6,500.00 PLIF- $8,500.00 Implant Costs ACF 1 Level - $4,500.00 2 Level - $7,325.00 PLIF 1 Level - $21,000.00 2 Level - $32,000.00 3 Level - $44,200.00

Slide 8 :

The Spine Journal The Spine Journal 7 (2007) 148-153 The safety of instrumented outpatient anterior cervical discectomy and fusion Alan T. Villavicencio, MD, Evan Pushchak, BA, Sigita Burneikiene, MD, Jeffrey J. Thramann, MD.

Slide 9 :

Spine SPINE Volume 32, Number 10, pp 1135-1139 Outpatient Lumbar Spine Decompression in 233 Patients 65 Years of Age or Older Natalie M. Best, BS, and Rick C. Sasso, MD.

Slide 10 :

Spine Surgery At Ambulatory Surgery Center Anterior Cervical Fusions (One Level, Possible Two and Three) Lumbar Nerve Decompressions Discectomies Spine Surgery at Ambulatory Surgery Center with Convalescent License Lumbar Fusions Anterior/Posterior Lumbar Artificial Disc Replacement

Slide 11 :

Instrumented Spine Surgery375 Patients(Every Instrumented Spine Surgery Analyzed, Between Spring 2003 And Spring 2006) Anterior Cervical Fusion 1 Level : 87 Patients 2 Level : 63 Patients Posterior Lumbar Fusion 1 Level : 84 Patients 2 Level : 50 Patients 3 Level : 12 Patients Lumbar Artificial Disc : 61 Patients

Slide 12 :

Results of Anterior Cervical Fusions (ACF) (148 Patients) Time In OR 1 Level : 81.72 Min. (87 Patients) 2 Level : 84.43 Min. (61 Patients) Time In PACU 1 Level : 92.54 Min. 2 Level : 80.80 Min. Convalescent Care 1 Level : 20.68 Hours 2 Level : 20.33 Hours Peri-Operative Complications = None Unplanned Transfers = None

Slide 13 :

Mean Change From Pre-op to One-Year Post-op in Patients Undergoing One-Level ACF Mean Change From Pre-op to One-Year Post-op in Patients Undergoing Two-Level ACF

Slide 14 :

Patient Satisfaction Rates One Level ACF Convalescent care room: 95% (CCR) Pain control: 98% (PC) Food in the convalescent care unit: 93% (Food) Nursing care: 97% (NC) Overall experience: 95% (OE)

Slide 15 :

Patient Satisfaction Rates Two Level ACF Convalescent care room: 99% (CCR) Pain control: 93% (PC) Food in the convalescent care unit: 93% (Food) Nursing care: 99% (NC) Overall experience: 96% (OE)

Slide 16 :

Conclusion Of A.C.F. Data Clinical Results of Improvement in V.A.S. and N.D.I. Are Statistically Significant. A.C.F. Can Be Safely Performed With Efficacy At An A.S.C.

Slide 17 :

Lumbar Fusion146 Patients Time In O.R. 1 Level : 157.51 Min. 2 Level : 186.09 Min. 3 Level : 213 Min.

Slide 18 :

Lumbar Fusion146 Patients Time In P.A.C.U. 1 Level: 77.59 Min. 2 Level: 85.79 Min. 3 Level: 91.07 Min.

Slide 19 :

Lumbar Fusion 146 Patients Time In Convalescent Unit 1 Level: 42.10 Hours 2 Level: 50.07 Hours 3 Level: 55.11 Hours

Slide 20 :

Peri-Operative Complications Return To O.R. To Drain Fluid = 1 Patient No Nerve Injuries, Infections, Vascular Problems Unplanned Transfers To Hosp./Rehab Rehab Unit = 2 Patients Hospital = 1 Patient, Oxycontin Reaction Causing Excessive Sedation

Slide 21 :

Clinical Results Of Lumbar Fusion At 1 Year Follow-Up One Level Mean Change From Pre-op to One-Year Post-op in Patients Undergoing Third-Level PLIF

Slide 22 :

Clinical Results Of Lumbar Fusion At 1 Year Follow-Up Two Level Mean Change From Pre-op to One-Year Post-op in Patients Undergoing Two-Level TLIF

Slide 23 :

Clinical Results Of Lumbar Fusion At 1 Year Follow-Up Three Levels Mean Change From Pre-op to One-Year Post-op in Patients Undergoing One-Level TLIF

Slide 24 :

Patient Satisfaction RatesConvalescent Care

Slide 25 :

Conclusions Improvement In V.A.S./O.D.I. and Minimal Complication Rates Indicate Lumbar Fusion At One, Two, And Three Levels Can Be Safely Performed With Efficacy At An A.S.C./Convalescent Center.

Slide 26 :

Lumbar Artificial Disc – F.D.A., I.D.E. Study Time In O.R. (61 Patients) 100 Minutes Time In P.A.C.U. 83 Minutes Time In Convalescent 21 Hours Peri-Operative Complications Vascular

	SlidesOnline 1 Years ago. Category: Surgery

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