- MedOne Spine
- ChapterSource: Brooks N, Strayer A, ed. Spine Surgery in an Aging Population. 1st Edition. Thieme; 2019. doi:10.1055/b-006-161150Comment: Treatment of spinal disorders in a fiscally responsible manner is becoming increasingly important as the cost of healthcare is more closely scrutinized. As healthcare reform continues to shift toward a value-based approach, an objective framework must be utilized when considering whether the cost of an intervention is worth the potential benefit for the patient. In order to quantify the overall value of interventions objectively, a variety of methods have been introduced, including the cost per quality-adjusted life years, minimal clinically important difference, and substantial clinical benefit. In addition to these methods, numerous health-related quality of life surveys have also been developed to identify and objectively track the clinical progress and outcomes of patients in a more focused and clinically relevant fashion. This chapter provides an overview of strategies to evaluate patient-specific treatment value, focusing on treatment decision-making for the older adult spine patient.
Robotic Subaxial Cervical Spine Pedicle Screw Instrumentation, Selected from Navigation and Robotics in Spine Surgery, Alexander R. Vaccaro, Jaykar Panchmatia, David Kaye, and Srinivas K. Prasad, 2019Source: Vaccaro A, Panchmatia J, Kaye D et al., ed. Navigation and Robotics in Spine Surgery. 1st Edition. Thieme; 2019. doi:10.1055/b-006-163747Comment: Robotic subaxial cervical spine pedicle screw instrumentation will talk about the challenges, the indications, the techniques, and cases for robot-assisted subaxial cervical surgery. Subaxial cervical spine pedicle screw instrumentation is difficult due to the complicated anatomy in cervical spine. The navigation may not be satisfied in solving all the questions in subaxial cervical spine surgery. As the robot techniques are becoming more and more popular for orthopaedic surgeries, one way to overcome the drawbacks and face the challenge of the cervical surgeries is to use navigation combined robots, which will make the complicated procedures feasible, safe, and accurate.
- CockpitComment: In the past, and occasionally even today, intramedullary astrocytomas and other gliomas have not been viewed with surgical optimism. Except for ependymomas of the cauda equina region, there has been little impetus to modify the approach of biopsy, dural decompression, and radiation therapy. This is particularly unfortunate because most of these neoplasms are low-grade gliomas. These gliomas are microscopically identical to their “sister” tumors that occur in the cerebellum and are known to be surgically treatable.
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