- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Scoliosis diagnosis and treatment
- Pelvic and Acetabular Injuries
- Medical Imaging and Analysis
- Musculoskeletal pain and rehabilitation
- Orthopaedic implants and arthroplasty
- Cervical and Thoracic Myelopathy
- Anesthesia and Pain Management
- Pregnancy-related medical research
- Mycobacterium research and diagnosis
- Tuberculosis Research and Epidemiology
- Infectious Diseases and Tuberculosis
- Hip disorders and treatments
- Titanium Alloys Microstructure and Properties
- Shoulder Injury and Treatment
- Orthopedic Infections and Treatments
- Spinal Hematomas and Complications
- Vascular Tumors and Angiosarcomas
- Shoulder and Clavicle Injuries
- Musculoskeletal Disorders and Rehabilitation
- Spondyloarthritis Studies and Treatments
- Blood transfusion and management
- Telemedicine and Telehealth Implementation
- Occupational and environmental lung diseases
University of Colorado Anschutz Medical Campus
2016-2025
University of Colorado Denver
2014-2024
Duke University
2024
University of Colorado Hospital
2021-2024
University of Colorado System
2024
Creative Commons
2019
Rutgers, The State University of New Jersey
2019
Rutgers New Jersey Medical School
2019
B. Braun (Netherlands)
2019
Medtronic (Ireland)
2019
Osteotomies including pedicle subtraction (PSO) and/or Smith-Peterson (SPO) are used to facilitate surgical correction of adult spinal deformity (ASD), but associated with complications instrumentation failure and rod fracture (RF). The purpose this study was determine incidence risk factors for RF, a clinically significant subset (CSRF), after osteotomy ASD.A retrospective review clinical records conducted on consecutive ASD patients treated posterolateral instrumented fusion osteotomy....
Adult spinal deformities, affecting up to 60% of individuals older than 60 years, often require long segment fusions. Constructs spanning the lumbosacral junction commonly include pelvic fixation. Despite robust fixation, distal junctional failure, such as pseudoarthrosis, bone fracture, and instrumentation occurs in 24%-34% these cases. A novel implant designed for both durable fixation sacroiliac joint fusion was recently cleared by US Food Drug Administration. This is engineered address...
This was an innovative concept and a preliminary prospective series.The aim of this study to present the technical aspects patient-specific rods (PSR), compare preoperative postoperative sagittal parameters (after PSR implantation), with special focus on difference pelvic incidence (PI)-lumbar lordosis (LL).Despite established techniques for planning proven correlations between quality life alignment, some patients do not achieve optimal radiologic outcomes after surgery are still...
Review of current literature and authors experience.Pre-operative planning is an integral part complex spine surgery. With the advent computer-assisted planning, multiple surgical plans can be evaluated utilizing alignment parameters, best plan for individual patients selected. However, ability to evaluate measure correction goals intraoperatively are still limited. The use patient-specific UNiD rods, created based on pre-operative plans, provided initial tool implementation in operative...
Description of a navigated, single-step, minimally invasive technique for the placement pedicle screws.To describe new screws in lumbar spine using O-arm and StealthStation navigation combination.Minimally surgical techniques are described literature as safe effective methods screw instrumentation. These increase radiation exposure prompt multiple instrument passes through pedicle.In total, 35 adult patients (187 screws) underwent surgery with 1- (8 patients/48 or 2-step (27 patients/139...
The objectives of this study were to describe the process preoperative planning and using patient-specific rods. This retrospective case series involved 18 patients with adult spinal deformity who treated posterior instrumentation spine fusion, lumbar or thoracic osteotomies, Data extracted included demographic/surgical variables preoperative, predicted (surgical plan), postoperative spinopelvic parameters. outcome analysis assessment planned, variables. Treatment effect evaluation assessing...
Describe a novel technique for sacroiliac arthrodesis using intraoperative navigation, direct bone grafting, and minimally invasive implants. Report on the outcomes of first cohort these patients.Institutional review board (IRB) approved, single center, two surgeon, retrospective study.All patients were 18 years or older, primary fusions, underwent described. Fifty 57 surgeries. Twelve male/38 female patients. All received three Average blood loss 42.8 mL. length stay 1.9 nights. follow-up...
For patients undergoing long-construct fusion surgeries, simultaneous sacroiliac joint (SIJ) is a growing trend in spine surgery. Some options for posterior SIJ include 3D-printed triangular titanium implants or self-harvesting screws. Both require fixation within the sacrum and ileum. Fat embolism syndrome rare but known complication of lumbar pedicle instrumentation has never been reported association with fusion, regardless implant type. We report first two cases fat associated placement...
<h3>Background</h3> Interbody devices in anterior lumbar interbody fusion (ALIF) are currently a focus of innovation due to their potential improve clinical outcomes. The purpose the present study was analyze complications and changes spinopelvic parameters after ALIF with novel Medacta MectaLIF device. <h3>Methods</h3> Patients aged 18 80 years who underwent multilevel using this implant were identified. Demographic surgical data collected. divided into short- long-fusion cohorts. A...
Fusion outcomes and costs of stand-alone anterior lumbar interbody fusion (ALIF), transforaminal (TLIF) in association with posterior fusion, anterior/posterior (A/P) were compared using clinical, radiographic, billing data. Adult patients symptomatic 1- or 2-level degenerative disk disease isolation a grade 1 2 lytic spondylolisthesis canal and/or foraminal stenosis who underwent elective ALIF, TLIF, A/P compared. The analysis focused primarily on rates secondarily radiographic clinical...
Different types of mechanical complications after surgical correction adult spine deformity with osteotomy
Epithelioid hemangioma is a rare tumor that can have bone involvement. Its clinically and radiographically aggressive appearance mimics malignant neoplasm. Although epitheliod has been described as having an on magnetic resonance imaging (MRI) plain radiographs, this the first reported case of pathologic fracture associated with lesion to our knowledge. This article describes epithelioid involving distal humerus, which initially presented progressive pain lateral condyle. The radiographs MRI...