19 Harley St, London, W1G 9QJ, UK

Routine Imaging for Elective Lumbar Spine Surgery: A Questionnaire Study.

Related Articles

Routine Imaging for Elective Lumbar Spine Surgery: A Questionnaire Study.

Spine (Phila Pa 1976). 2013 Feb 20;

Authors: Bohl DD, Ruiz FK, Webb ML, Gruskay JA, Grauer JN

ABSTRACT: Study design: Cross-sectional.Objective: To characterize imaging practices for three common lumbar spine procedures.Summary of background data: As lumbar surgeries are performed with increasing frequency, it becomes incrementally more important to optimize patient care, minimize risk, and reduce associated costs. Imaging is an area for potential improvement; however, little has been done to characterize current imaging practices, compare imaging practices with current evidence, or establish a standard of care.Methods: We distributed a single page questionnaire to all attending spine surgeons at a United States spine conference (The Spine Study Group) in 2012.Results: 41 out of 74 surgeons (55.4%) completed and returned the questionnaire. All results are given for posterior lumbar decompression, posterior lumbar fusion, and anterior lumbar fusion, respectively.Intraoperatively, 75%, 90%, and 95% of surgeons use fluoroscopy, while 25%, 10%, and 5% use plain film; 80%, 59%, and 54% take images prior to skin incision; 59%, 98%, and 100% always take final images at the end of the procedure while still in the OR.Postoperatively, 13%, 54%, and 54% of surgeons take images after patients have left the operating room but before they have been discharged. Interestingly, 10%, 50%, and 51% of surgeons not only take intraoperative images of their final constructs, but also take additional images before discharge.Surgeons follow their postoperative outpatients with imaging for a mean of 0.4, 1.5, and 1.5 years. 54%, 98%, and 100% follow with anterior-posterior views; 56%, 93%, and 95% with lateral views; and 15%, 39% and 39% with flexion-extension films. For both anterior and posterior fusion, 26% routinely follow with CT scan to assess fusion.Conclusions: Findings highlight extreme variability in practice associated with a notable lack of standard of care and provide a baseline for utility studies that may lead to more evidence-driven care.

PMID: 23429678 [PubMed – as supplied by publisher]

Routine Imaging for Elective Lumbar Spine Surgery A Questionnaire Study | What is a frozen shoulder and what causes it

What our patients say ...

Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Anaesthetist

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810