University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Spine Surgery


Nancy Reid


The field of spine surgery has been rapidly evolving since its inception.1 There has been very little research in patient satisfaction regarding post-surgical scars and the significance to patients.2,3 As surgeons, we want patients to be satisfied with their outcomes. Patient satisfaction reflects patient’s perception of the outcome of care and is being considered in payment for medical services.4 In spine surgery, there is no research into patient input into the type of incision used. The advantage and disadvantages of minimally invasive surgery are well known.1 However, the resultant scar may not be cosmetically pleasing.5 Large open incisions have shown to have similar bacterial counts to minimally invasive spine (MIS) incisions.6 Langer’s lines run obliquely in the thoracic spine.7 If an oblique incision is used, this may result in better cosmesis and save time intraoperatively. In the lumbar spine, a horizontal incision may be advantageous. When given a choice between incisions for a multilevel fusion, which would most patients choose? Finally, is there a role for a novel type of incision in MIS surgery?


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