Purpose: The purpose was to report five cases of ectopic bone in the canal associated with PLIF/TLIF off-label use of BMP-2 potentially contributing to abnormal neurologic findings. Read more.
Overview: The use of nonprescription “herbal” medicinal supplements has been steadily increasing in North America for several years. These preparations are by no means “innocuous.” Both patients and physicians need to be aware of their potential side effects. For surgeons, one must be particularly alert for use of “herbals” that can influence coagulation and the effects of which are not always reflected in standard screening tests. A specific case focused our attention on this issue in rather dramatic fashion. Read more.
Overview: Dr. Jackson is an orthopedic surgeon with an excellent record for good medical care and patient satisfaction. Over the last 5 years, her hospital’s financial security has declined and administrators have been looking at various options for reducing the cost of care. They have tentatively decided to phase out treatments and services that cost more than a certain amount per quality-adjusted life year (QALY). This will enable them, they feel, to provide the most health for their dollar, so to speak. Read more.
Overview: Orthopaedic surgeons in Canada and the United States have been leaders in the patient safety movement1-8. Early efforts addressed wrong-site surgery. Both the ‘‘Operate Through Your Initials’’ program9, introduced in 1993 by the Canadian Orthopaedic Association (COA), and the ‘‘Sign Your Site’’ initiative 10,11, introduced in 1998 by the American Academy of Orthopaedic Surgeons (AAOS), predate the 2000 publication of To Err is Human: Building a Safer Health System by the Institute of Medicine12. Read more.
Purpose: Attempt to establish a gold standard for determining pseudoarthrosis in anterior cervical fusion. Read more.
The impact of massive health reform looms large in the United States1. During the health-care debate, orthopaedic surgeons found politicians, health policy analysts, and health economists talking in a somewhat unfamiliar lexicon. Suddenly, data derived from the areas of economic credentialing and physician performance measures are being incorporated into major national health-care policy2 and are influencing policies and procedures down to the individual hospital level3. Read more.
Only rarely can it be truly said that an individual passes from this world at the absolute “top of his game.” Nevertheless, this statement unquestionably applies to our colleague, mentor and friend, Dr. John A. McCulloch. John died March 14, 2002, from a head injury sustained 13 days earlier from a fall while skiing at Breckenridge, Colorado. He had enjoyed a family home there for more than a decade. He was wearing a helmet at the time of the accident. Read more.
Purpose: The purpose of the study was to repeat the Hospital for Special Surgery study in another cohort of fusion patients. Read more.
Lecture topics include: