Canadian Spine Outcomes and Research Network (CSORN)

For More Information / Questions
Please contact:

Greg McIntosh
Director of Research Operations
Canadian Spine Society
gmcintosh@spinecanada.ca

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2015 CSORN Annual Report

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2014 CSORN Annual Report

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Research Activities

– updated July 1, 2016

Current Retrospective Studies:

Title Originating Site Date submitted Date approved Status Stage
Impact of Non-operative care utilization on post thoracolumbar spine surgery outcomes. Wpg 6/26/2013 10/23/2013 Completed Awaiting first draft of a manuscript
Longitudinal analysis of the incidence of adverse events in tertiary spine referral centres. Wpg 6/26/2013 10/23/2013 Incomplete On hold until larger sample size obtained
Pre-Operative “Amber Flag” Psychological Measure Scores and Patient Expectations. SJ-ortho 10/22/2014 10/23/2014 Completed Awaiting first draft of a manuscript
Wait Times for Elective Spine Surgery Across Canada. Cgy 10/14/2014 10/23/2014 Incomplete Sample size updated; redoing analysis
Pre-Surgical Imaging, Testing and Injection Utilization in Elective Thoracolumbar Spine Surgery Candidates. SJ-ortho 10/22/2014 10/23/2014 Completed Awaiting first draft of a manuscript
Pre-Surgical Physician Utilization in Elective Thoracolumbar Spine Surgery Candidates.
SJ-ortho 10/22/2014 10/23/2014 Completed Awaiting first draft of a manuscript
Minimally-invasive spine surgery use and outcomes in Canada TWH 07/17/2015 Not accepted
The impact of pre-surgical self-reported exercise patterns on post-surgical outcomes Wpg 08/10/2015 08/28/2015 Completed Abstract presented at 2016 CSS mtg
Factors predicting post-operative transfusions post posterior spinal fusion and effect of transfusion on overall patient outcome. Mtl 08/28/2015 09/14/2015 Completed Draft 2 of manuscript written
Risk predictors in elective cervical spine surgery Mtl 08/25/2015 09/14/2015 Incomplete Not started yet
Risk predictors in elective lumbar fusion surgery(Predictors of Improved Pain, Function and Quality of Life Following Elective Lumbar Spine Fusion Surgery Mtl 07/31/2015 09/14/2015 Completed Abstract presented at 2016 CSS mtg
The effect of wait time for the surgical treatment of spondylotic cervical myelopathy on symptoms and post-surgical outcomes. Mtl 7/28/2015 9/14/2015 Completed Abstract written
The Use of Diluted Povidone Iodine Irrigation in Spine Surgery. SJ-neuro 06/26/2015 07/14/2015 Withdrawn
The Impact of Pre-operative Expectations and Health-Related Quality Of Life Measures On The Post-Operative Functional Health Status Of Patients With Degenerative Cervical Spine Disease Vcr 09/10/2015  9/24/2015 Completed Abstract written
Is There A Difference In Baseline And Post Surgical Health Related Quality Of Life Measures Between A Single-Payer And Multi-Tier Health Care System In Patients Undergoing Surgery For Degenerative Lumbar Spondylolisthesis: Vcr 9/10/2015 9/24/2015 Completed Abstract presented at 2016 CSS mtg
The Impact Of Time To Surgery (TTS) On The Preoperative And Postoperative Expectations, Health-Related Quality Of Life (HRQoL) And Functional Health Measures Of Patients With Degenerative Lumbar Spondylolisthesis. Vcr 9/10/2015 9/24/2015 Completed Abstract written
Spine Surgery a mari usque ad mare. CGY 10/6/2015 10/15/2015 Completed Abstract presented at 2016 CSS mtg
Are patients exhibiting improvements similar to those seen following primary fusion surgery when it is preceded by a decompression or discectomy? SJ-ortho 9/28/2015 10/12/2015 Completed Abstract presented at 2016 CSS mtg
Comparisons of improvement in clinical outcomes after spine surgery based on diagnosis Steering Comm 9/25/2015 10/6/2015 Completed Abstract written
Improved Data Capture and Quality Following Implementation of Standard Operating Procedures for a Single Site. SJ-ortho Single site data Completed Abstract presented at 2016 CSS mtg
Does significant regional variation occur in patient demographics, baseline pain and disability, health care utilization, specific intervention(s) and outcomes in patients with spinal disorders referred for surgical consultation? Steering Comm 12/17/2014 12/31/2014 Pending
Do specific variables (including patient demographics, baseline health status, duration of symptoms, wait-time for treatment, patient and surgeon preferences) independently predict the outcome of surgical intervention for spinal disorders? Steering Comm 12/17/2014 12/31/2014 Pending
Controlling for patient demographics, diagnosis and intervention categories, does significant regional variation occur in the rate of adverse events associated with spinal surgery? Steering Comm 12/17/2014 12/31/2014 Pending
What is the health services impact in terms of length of stay and estimated incremental cost of adverse events following spinal surgery? Steering Comm 12/17/2014 12/31/2014 Pending
What is the impact of spinal disorders on the HRQOL of patients referred for surgical spine consultation compared to their age and sex matched Canadian peers? Steering Comm 12/17/2014 12/31/2014 Pending
What is the impact of wait-times on baseline HRQOL and surgical outcomes? Steering Comm 12/17/2014 12/31/2014 Pending
In patients with symptomatic degenerative scoliosis of the lumbar spine, what are the short and long term outcomes of non-operative versus operative treatment cohorts? Steering Comm 12/17/2014 12/31/2014 Pending
What are the estimated societal costs (quality of life, health care spending, impact on society) of waiting for surgical spine consultation (wait1) and spine surgery (wait 2)? Steering Comm 12/17/2014 12/31/2014 Collaborating with SJ ortho
What patient or procedural factors predispose patients to prolonged hospital stay and requirement of rehabilitation post posterior spinal fusion Mtl 1/11/2016 1/25/2016 Data Analysis
Repeat discectomy versus discectomy and fusion for recurrent lumbar disc herniations: A CSORN study LHSC 2/11/2016 2/25/2016 Reviewing data
Quality of data in CSORN registry SJ-ortho 5/12/2016 5/27/2016 Reviewing data
Presurgical utilization of health care resources from the CSORN database SJ-ortho 5/12/2016 5/27/2016 Collaborating with R.Rampersaud
Regional Variation – Lumbar stenosis Cgy 5/13/2016 5/28/2016 Reviewing data
Repeat discectomy versus discectomy and fusion for recurrent lumbar disc herniations: A CSORN study LHSC 2/11/2016 2/25/2016 Reviewing data
Instrumented fusion for low grade lumbar spondylolisthesis – Interbody cage versus no cage: A CSORN study LHSC 6/28/2016 Pending
What patient or procedural factors predicts infection post posterior spinal fusion (lumbar and thoracic) Mtl 6/30/2016 Pending
Modeling waiting times for patients referred for spine surgery Cgy 6/30/2016 Pending
Return to work after lumbar/cervical spine surgery Mtl 6/30/2016 Pending

Current Prospective Studies:

Title Date submitted Date approved Status Stage
Ailon T et al. Management and Outcome of Cervical Spondylotic Myelopathy – A Standardized Clinical Assessment and Management Plan. 2/26/2014 3/25/2014 Started Enrolling patients
Rampersaud R et al. Decompression Alone vs. Decompression and Instrumented Fusion for the Management of Lumbar Spinal Stenosis Associated with Stable Degenerative Spondylolisthesis: A Pragmatic Randomized Clinical Pilot Trial. 11/19/2013 12/2/2013 Started at 2 CSORN sites Enrolling patients
Fisher C et al. Surgical Treatment ofDegenerative Spondylolisthesis: A Standardized clinical assessment and management plan CSS multicenter prospective cohort study. 11/19/2013 12/2/2013 Started Enrolling patients
Thomas K et al. Transpsoas versus Traditional Open Approach for the Management of Adult Spinal Deformity: A multicentre prospective cohort study. 10/10/2014 11/03/2014 Not started Completing data collection forms
Jarzem et al. Antibiotics in the treatment of patients with sciatica requiring discectomy surgery: A double blinded RCT. 2/10/2014 3/05/2014 Not started Needs funding
Roy JF et al. COSMIC study: Stenosis with degenerative L4 L5 spondylolisthesis. 8/13/2014 10/23/2014 Not started unknown

Scientific Presentations:

2016 Canadian Spine Society (CSS) Annual Scientific Meeting

  • Relationship between age and non-operative utilization in elective cervical spine surgery.
  • Spine Surgery a mari usque ad mare.
  • Predictors of Improved Pain, Function and Quality of Life Following Elective Lumbar Spine Fusion Surgery.
  • The Impact Of Pre-Surgical Self-Reported Exercise Patterns On Post-Surgical Outcomes.
  • Baseline And Postoperative Outcomes In Patients Undergoing Surgery For Degenerative Lumbar Spondylolisthesis.
  • Improved Data Capture and Quality Following Implementation of Standard Operating Procedures for a Single Site.
  • Length of Hospital Stay Following Elective Lumbar Spine Fusion Surgery.
  • The outcomes following decompression and fusion are compromised when it is preceded by a discectomy or decompression.

2015 Canadian Spine Society (CSS) Annual Scientific Meeting

  • Impact of Non-operative care utilization on post thoracolumbar spine surgery outcomes: a national perspective using the CSORN registry (podium)
  • Longitudinal analysis of the incidence of adverse events in tertiary spine referral centres: A national perspective from the Canadian Spine Outcomes and Research Network (poster)
  • Pre-Operative “Amber Flag” Psychological Measure Scores and Patient Expectations: A Nation-Wide Analysis from the CSORN Database (poster)
  • Wait Times for Elective Spine Surgery Across Canada: Data from the Canadian Spine Outcomes and Research Network (podium)
  • Pre-Surgical Imaging, Testing and Injection Utilization in Elective Thoracolumbar Spine Surgery Candidates: A Nationwide Analysis from the CSORN Database (podium)
  • Pre-Surgical Physician Utilization in Elective Thoracolumbar Spine Surgery Candidates: A Nationwide Analysis from the CSORN Database (podium)

2015 International Society for the Study of the Lumbar Spine (ISSLS)

  • Pre-Operative “Amber Flag” Psychological Measure Scores and Patient Expectations: A Nation-Wide Analysis from the CSORN Database (poster)
  • Pre-Surgical Imaging, Testing and Injection Utilization in Elective Thoracolumbar Spine Surgery Candidates: A Nationwide Analysis from the CSORN Database (poster)
  • Pre-Surgical Physician Utilization in Elective Thoracolumbar Spine Surgery Candidates: A Nationwide Analysis from the CSORN Database (poster)
  • Impact of Non-operative care utilization on post thoracolumbar spine surgery outcomes (podium)

2015 Canadian Orthopaedic Association Annual Meeting

  • Wait Times for Elective Spine Surgery Across Canada: Data from the Canadian Spine Outcomes and Research Network (podium)