Distal Junctional Kyphosis and Fusion Level Selection
Although there have been a myriad of advances in adult spinal deformity techniques and instrumentation over the past decade, junctional failure at the proximal and distal segments of a long…
Risk Stratification and Frailty in Complex Cervical Surgery
The practice of individualized medicine is on the rise in all fields of medicine. When discussing risks and benefits of a particular procedure with patients, surgeons often rely on average…
Outcomes in Adult Spinal Deformity
(1) Department of Orthopaedic Surgery, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands (2) Neuroscience Institute, Virginia Mason Medical Center, Seattle, WA, USA (3) Department of Orthopaedic, Radboud University Medical…
Seattle Spine Team Approach
Fig. 6.1 Toyota Production System Seven Wastes. (©Virginia Mason Medical Center) Table 6.1 Examples of types of waste identified in lean methodology Type of waste Description Examples in anesthesia and…
Safety: Optimum Integration of Technology
Fig. 9.1 Checklist for response to neuromonitoring changes. (From Vitale et al. [51], with permission) It is important that surgeons understand that this technology is not a substitute for clinical…
Factors in a Standard Work Protocol for Adult Deformity Surgery
Author(s) Study design Evidence level N (total) Mean age, years ± SD; years (range) Variable evaluated: serum albumin (g/dL)/Pre-albumin (mg/dL) cut-off value Conclusion Schoenfeld et al. [9] Retrospective III 5887 55.9 ± 14.5 3.5…
Lean Process Improvement to Enhance Safety and Value
!DOCTYPE html> © Springer Nature Switzerland AG 2020R. K. Sethi et al. (eds.)Value-Based Approaches to Spine Care https://doi.org/10.1007/978-3-030-31946-5_5 5. Using Lean Process Improvement to Enhance Safety and Value Michael A. Bohl1 and Gary S. Kaplan2 (1) Department…
Methods for Acute Stroke Diagnosis and Treatment
Fig. 1 Cytotoxic and transvascular oedema. (a) Normal—two astrocytes and a capillary. (b) Cytotoxic oedema: influxing water has caused the cells to swell, impinging on the extracellular space and leading…
