Are 'access surgeons' necessary for spinal fusions? 5 takeaways

Written by Megan Wood | May 15, 2017 | Print  |

Researchers compared anterior lumber interbody fusion outcomes with and without an "access surgeon," in a study published in Spine.

The meta-analysis included 58 studies with 8,028 patients.


Here are five takeaways:


1. Researchers found the overall intraoperative complications were similar between those cases with an access surgeon and those without an access surgeon.


2. The study revealed the overall pooled rate of arterial injuries, retrograde ejaculation and ileus was higher for those cases with access surgeons.


3. The overall pooled rates of peritoneal injury and neurological injury proved lower with access surgeons.


4. Access surgeon cases saw lower total postoperative complications, prosthesis complications and reoperation rates.


5. Researchers concluded "in cases wherein exposure may be difficult, support from an 'access surgeon' should be available."


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5 key findings on preoperative epidural injections: Do they increase spinal fusion complications?
Shepherd Center spinal cord, brain injury hospital names Dr. Michael Yochelson CMO — 5 highlights


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