Safety of the Addition of a Perioperative Electrolyte Drink to an Enhanced Recovery After Spine Surgery Protocol
Safety of the Addition of a Perioperative Electrolyte Drink to an Enhanced Recovery After Spine Surgery Protocol

Advances in perioperative care and minimally invasive surgery have moved inpatient procedures to the outpatient setting. Enhanced anesthesia and recovery protocols are validated in the literature. No attention was given to NPO status for patients and its impact on perioperative recovery and patient satisfaction in minimally invasive spine surgery. We suggest perioperative electrolyte drink (ED) on the day of outpatient spine surgery has potential physiologic benefits and minimal risk for aspiration.

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Unilateral Expandable Interbody Cage Placement in Minimally Invasive Midline Fusion
Unilateral Expandable Interbody Cage Placement in Minimally Invasive Midline Fusion

Minimally invasive midline approach utilizing cortical screws has grown in popularity due to its familiar anatomy, limited dissection, and associated decreased morbidity. This approach is well-suited for bilateral “inline” cage placement after bilateral facetectomies. Many surgeons prefer to utilize a single cage, TLIF, for midline fusions to optimize time, decrease exposure, and lower costs. This novel study assessed cage position for a unilateral cage utilizing the minimally invasive midline approach.

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The Effect of Exparil on Length of Stay for Outpatient Medialized Fusion
The Effect of Exparil on Length of Stay for Outpatient Medialized Fusion

There has been significant attention towards moving spine surgery to the outpatient setting as a benefit to both payers and patients. Medialized spinal fusion is a minimally invasive technique that limits the exposure to the lateral border of the facet joints. Previous studies have demonstrated the feasibility of Medialized Lumbar Spinal Fusion in the outpatient setting. Perioperative pain management protocols are essential to developing a successful program.

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Safety and Reproducibility of Sacroiliac Joint Fusion in an Ambulatory Surgery Center
Safety and Reproducibility of Sacroiliac Joint Fusion in an Ambulatory Surgery Center

The evolution of minimally invasive spine surgery has pushed many inpatient procedures to the outpatient ambulatory surgery center (ASC) setting. The potential for shorter recovery times, cost savings and decreased infection rates are major benefits of minimally invasive outpatient spine surgery. We report our early results with the sacroiliac joint fusion (SIJF) procedure performed in the outpatient setting.

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Accuracy and Reoperation Rate for Cortical Bone Trajectory Screws
Accuracy and Reoperation Rate for Cortical Bone Trajectory Screws

There has been an increased utilization of Cortical Bone Trajectory (CBT) screws in treatment of Lumbar Degenerative Spinal pathology. The benefits of this trajectory include easier ergonomics for screw placement and the ability to capture the middle column of the spine utilizing a minimally invasive single incision midline exposure.

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Worker’s Compensation Return To Work Status Post Cervical Disc Replacement
Worker’s Compensation Return To Work Status Post Cervical Disc Replacement

Cervical disc replacement is an option for patients experiencing neck and arm pain and offers unique benefits relevant to the worker’s compensation population. Increasingly, data from the general population have demonstrated excellent outcomes for cervical disc replacement surgery when compared to traditional anterior cervical discectomy and fusion (ACDF). Little research has focused on the clinical outcomes for cervical disc replacement in the worker’s compensation population, specifically regarding return to work time.

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