Health Care : Current Reviews

Early evaluation of value based ambulatory endoscopic spine surgery

4^th Asia-Pacific Global Summit & Expo on Healthcare

July 18-20, 2016 Brisbane, Australia

Atif B Malik, Sandeep Sherlekar, Said Osman and Odepo Ojeyemi

American Spine, USA

Scientific Tracks Abstracts: Health Care Current Reviews

Abstract:

Background: Traditionally hospital surgeries were the main choice when dealing with spinal procedures. They typically are more costly and overall less efficient for certain procedures. Other factors include increase in length of stay and risk of infection. Purpose: The purpose of the study is to demonstrate the ability of ambulatory setting endoscopic spinal and other MIS procedures. By nature this reduces overall cost, leads to expedient discharges (same day) and reduced risk of infection. Study Design: This study is a retrospective chart review coupled with patient interview. Materials & Methods: A total of 280 patients: average age was 47.7 years, 156 male/ 124 female. All underwent MIS surgery with general anesthesia under fluoroscopic control. Neuro-monitoring was used in all cases. Procedures included endoscopic discectomy and endoscopic decompression with fusion. Evaluations were done pre-op, three months, six months, and at one year. Results: ASSC charges 34.3% of what a typical hospital would charge for the same procedures. For PELDs and LINDIFF/ OLLIF Pre-op leg pain was 8.7/10 and post-op 2.9/10. The VAS for back pain went from 7.1 to 1.9. Six patients (2.1%) suffered post-op dysesthesia, four (1.4%) had hardware failure following falls and four (1.4%) were admitted to hospital for pain control. Conclusion of Ambulatory Settings: ASSC was able to perform a variety of MIS procedures at all levels of the spine. All patients were discharged same day. Follow ups conclude a very high level of post-op pain control with no infections this cohort. The overall cost on average was a third of hospital costs for similar procedures. Conclusion of Procedures: The MIS procedures performed had minimal post-operative morbidity. All patients were able to be immediately mobilized. There were no cases reported of intra-operative neurological damage as surgeons had extensive experience with techniques used.

Biography :

Atif Malik, MD, obtained his Bachelor of Science degree at the Houston Baptist University. Graduating with Cum Laude honors in Fine Arts, Biology and Chemistry, he went on to finish his Medical Degree from St. George’s University School of Medicine. He has completed his residency training in Physical Medicine and Rehabilitation at Baylor College of Medicine where he was then chosen to serve as Chief Resident. He then went on to sub-specialize by completing an Interventional Pain Fellowship from Harvard Medical School at Beth Israel Deaconess Medical Center in Boston. He further trained in percutaneous and endoscopic spine surgery under world renowned spine surgeon, Dr. Thomas Hoogland of the Alpha Klinic in Munich, Germany and fellowship trained in advanced spinal surgical technique developed by Wooridul Hospital in Soul, Korea. He has been one of the first Physicians to educate and train endoscopic spine surgeons in the United States in a bloodless and minimally invasive technique to preserve normal disc tissue.

Email: dr.malik@americanspinemd.com