Patient Positioning in Lumbar Fusion Surgery and Its Impact on Spinal Sagittal Balance and Surgeon Satisfaction



Status:Completed
Conditions:Orthopedic
Therapuetic Areas:Orthopedics / Podiatry
Healthy:No
Age Range:18 - 65
Updated:7/11/2015
Start Date:March 2011
End Date:March 2016
Contact:Jessica R Moreno, RN, BSN
Email:jessica.moreno@duke.edu
Phone:919-668-6712

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Operative Patient Positioning in Lumbar Fusion Surgery and Its Impact on Spinal Sagittal Balance and Surgeon Satisfaction

This is a parallel, randomized controlled trial comparing two types of patient positioning
and their effect on radiologic measures (pre-surgery visit, in the operating room prior to
surgery, at the conclusion of surgery, and at 3 weeks after surgery at patients'
postoperative visits) as well as surgeon satisfaction (prior to the end of the surgery) and
patient outcomes using patient self reported scales (pre-surgery, post surgery at 3 weeks
follow-up).

The investigators are evaluating how patient positioning affects radiologic metrics as well
as surgeon satisfaction (surgeon being blinded to positioning). Patients will be allocated
to either a hyperlordotic or a standard positioning group by computer generated
randomization. Surgeons will perform all of their standard techniques to promote lordosis
with instrumentation. Adult patients, ages 18-65, undergoing lumbar surgical fusion will be
asked to participate.

Inclusion Criteria:

- Adults patients, aged between 18 and 65 years of age

- Patients undergoing lumbar fusion for degenerative conditions

Exclusion Criteria:

- Patients < 18 years of age or > 65 years of age

- Patients who have a history of metastatic disease

- Patients who currently have a pending workman's compensation claim

- Patients who have had a previous spinal surgery

- Patients who have or have had a spinal infection

- Patients who have a spinal deformity, such as scoliosis

- Women who are pregnant

- Inpatients
We found this trial at
1
site
2301 Erwin Rd
Durham, North Carolina 27710
919-684-8111
Duke Univ Med Ctr As a world-class academic and health care system, Duke Medicine strives...
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