Cannabinoids have gained attention for their potential therapeutic effects in various fields, including pain control, augmenting fusion, neuroprotection, wound healing, inflammation, mental health, and clinical outcomes/complications. We explore the history and mechanism of action of cannabinoids, as well as their role in each of these areas. By examining existing research, the potential benefits and limitations of incorporating cannabinoids into spine nonoperative and operative protocols are highlighted. Ultimately, this review aims to contribute to the understanding of cannabinoids as a viable option for optimizing patient outcomes in the context of spine surgery.
To describe a modification to the traditional Smith-Petersen Osteotomy, which involves removing the posterior column of bone at a single level, however, instead of gaining approximately 10° of correction, this modification results in 20°-25° of sagittal correction with the use of helper rods. The Super-Smith Petersen Osteotomy is a modification of the Smith-Petersen Osteotomy that is a single-level osteotomy, that with the use of helper rods, one can obtain a larger degree of correction than the traditional Smith Petersen Osteotomy, with less technical demand compared to a pedicle subtraction osteotomy or vertebral column resection.
Care of the patient with spinal deformity has evolved over centuries, from initially relying on traction, bracing, and casting, to now having the ability to directly treat and correct the pathology. The history of management of this condition is rich in innovation and creativity. Here we pay tribute to the advances in our field from the early Grecian times to modern surgical techniques, allowing us now the opportunity to better care for and serve our patients with spinal deformity.
Healthcare disparities have become a notable topic of research in the last decade. Within orthopedics, minority patients experience these disparities via increased lengths of stay, higher 30-day hospital readmission rates, and poor patient reported outcomes. One possible cause for these disparities is implicit bias held by providers. The aims of this study were to assess the current state of implicit racial biases among orthopedic surgeons at various stages of training and to review the current literature involving effects of implicit bias on healthcare and patient outcomes. Orthopedic surgery medical student subinterns, residents, and attendings at an urban academic medical center were provided an anonymous, voluntary survey to document the results of an online Implicit Association Test (IAT) specifically focusing on race. These results were compared among the three groups and to that of the general population. Our results demonstrated that medical students and residents mirror the general population with an inherent preference for White over Black people. Attendings differed significantly from the general population with the most common result being little to no preference for either race. This small pilot study demonstrated varied IAT results, with both medical students and residents showing a preference for White over Black people, as compared to attendings who showed no preference for either race. Given the small cohort, it is difficult to generalize this data. Regardless, implicit racial biases are prevalent and can lead to poor patient interactions and worse clinical outcomes. The IAT provides a reliable assessment tool for implicit bias and can help guide interventions. Initiating this discussion is invaluable within orthopedics, but more research with larger cohorts is needed to evaluate feasibility of assessing bias and identify successful methods of reducing it.
Partial hand amputations are very common in the United States. Amputations distal to the wrist account for the majority of all traumatic amputations of the upper extremity. These amputations lead to functional limitations, decreased quality of life, and disability. Treatment options include replantation or revision amputation.
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：