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Related Concept Videos

Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

568
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
568

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Related Experiment Video

Updated: May 22, 2025

Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis
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Spine Surgery Outcomes in Patients With Limited English Proficiency.

Tejas Subramanian1,2, Kasra Araghi1, Izzet Akosman1,2

  • 1Department of Spine Surgery, Hospital for Special Surgery, New York, NY.

Clinical Spine Surgery
|March 14, 2025
PubMed
Summary

Non-English speaking patients undergoing spine surgery had higher readmission rates. Improved communication strategies are recommended to enhance care for these patients.

Keywords:
disparitiesnon-English speakersoutcomesspine surgery

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Area of Science:

  • Orthopedic Surgery
  • Health Services Research
  • Patient Outcomes

Background:

  • Growing focus on identifying patient groups at higher risk for adverse outcomes.
  • Limited data exists on outcomes for patients with language discordance in spine surgery literature.

Purpose of the Study:

  • To investigate the impact of language-discordant spine care on patient outcomes.
  • To determine if non-English speakers (NES) experience increased length of stay or higher complication rates.

Main Methods:

  • Retrospective cohort study of patients undergoing spine surgery between 2017 and 2023.
  • Translator usage served as a proxy for poor English proficiency.
  • Matched cohort analysis and multivariable logistic regressions were employed.

Main Results:

  • Non-English speaking patients had significantly more postoperative visits and increased readmission rates compared to English speakers.
  • On multivariable analysis, non-English speaking status was a significant predictor of readmission.

Conclusions:

  • Patients with limited English proficiency face significantly higher readmission rates after spine surgery.
  • Enhanced preoperative and postoperative communication may improve outcomes for this patient population.