A5069557381- Spinal Fractures and Fixation Techniques
- Scoliosis diagnosis and treatment
- Spine and Intervertebral Disc Pathology
- Medical Imaging and Analysis
- Pelvic and Acetabular Injuries
- Bone fractures and treatments
- Shoulder Injury and Treatment
- Knee injuries and reconstruction techniques
- Orthopaedic implants and arthroplasty
- Connective Tissue Growth Factor Research
- Bone health and osteoporosis research
Cedars-Sinai Medical Center
2013-2025
University of California, San Francisco
2023
Cohen Children's Medical Center
2018
A retrospective study.We assess MIS technique's clinical and functional outcomes during a 2- to 5-year period.Traditional surgical approaches for adult scoliosis are associated with significant blood loss morbidity, in population that is often elderly multiple medical comorbidities. Minimally invasive surgery (MIS) represents newer method of achieving similar long-term but considerably lower morbidity complication rates.We reviewed 71 patients who underwent correction spinal deformity fusion...
Correction of adult spinal deformity (ASD) through minimally invasive techniques is a challenging endeavor and has typically been reserved for experienced surgeons. This publication aims to be the first high-resolution technique guide demonstrate reproducible ASD correction utilizing circumferential surgery (cMIS) without an osteotomy. The Segmental Interbody, Muscle-Preserving, Ligamentotaxis-Enabled Reduction (SIMPLER) novel ligamentotaxis-based scoliosis that represents paradigm shift...
Object Minimally invasive correction of adult scoliosis is a surgical method increasing in popularity. Limited data exist, however, as to how effective these methodologies are achieving coronal plane and sagittal addition improving spinopelvic parameters. This study serves quantify much possible with present circumferential minimally (cMIS) methods. Methods Ninety patients were selected from database 187 who underwent cMIS correction. All had Cobb angle greater than 15°, 3 or more levels...
Outcomes for minimally invasive scoliosis correction surgery have been reported mild adult scoliosis. Larger curves historically treated with open surgical procedures including facet resections or posterior column osteotomies, which associated high-volume blood loss. Further, techniques largely in the setting of degenerative scoliosis.We describe effects circumferential (cMIS) moderate to severe terms (1) operative time and loss, (2) overall health disease-specific patient-reported outcomes,...
Background Spinal fusion to the sacrum, especially in setting of deformity and long constructs, is associated with high complication pseudarthrosis rates. Transsacral discectomy, fusion, fixation a minimally invasive spine surgery technique that provides very rigid fixation. To date, this has been studied spinal correction. Questions/purposes We determined (1) rate long-segment arthrodeses, (2) heath-related quality-of-life (HRQOL) outcomes (VAS pain score, Oswestry Disability Index [ODI],...
Study Design Retrospective study. Objectives To determine prevalence and clinical importance of patients who had postoperative CM after CMIS for ASD correction. Methods We reviewed underwent technique. Inclusion criteria were diagnosed with ASD, which is defined as having at least one the following: coronal Cobb angle >20, SVA >50 mm, PI-LL >10, PT >20. They >4 spinal levels fusion technique 1-year follow-up. Preoperative radiographs outcome measures (VAS, ODI, SRS-22 scores)...
Abstract Objective To delineate whether use of a PTH analogue in the 1-year peri-operative period improves lumbar bone density. Methods A prospectively collected data registry 254 patients who underwent CMIS correction ASD (Cobb angle > 20 or SVA 50 mm (PI-LL) 10) from Jan 2011 to 2020 was analysed. Patients were placed on analogues for one year conjunction with surgery included study. Ultimately, 41 had pre- and two-year post-operative CT scans review this Hounsfield units measured off...
One of the common complications adult spinal deformity (ASD) correction is failure to relieve pain. This may result from implanted hardware provide adequate stabilization. While numerous studies exist, characterizing that can occur with minimally invasive ASD and data regarding in this setting are limited.This article characterizes rate mode posterior circumferential surgery (CMIS) for correction.Patients undergoing staged CMIS January 2007 September 2018 were identified. Patients a minimum...
Surgeons use numerous arthrodesis strategies for fusion of the lumbosacral junction including anterior lumbar interbody (ALIF) and axial (AxiaLIF). The optimal L5-S1 strategy remains inconclusive. purpose this study is to compare fate in ALIF versus AxiaLIF patients terms clinical radiographic outcomes.Adult spinal deformity patients, treated with CMIS techniques, at least 2-year follow-up who underwent or were included. Patients separated into two groups: (56 patients) (38 patients)....
Selection of the upper instrumented vertebra (UIV) level for adult spinal deformity (ASD) remains controversial. Although selective fusion attempts have been described fractional curves or adolescent curves, no authors thoracolumbar performance ASD with double curves. This study evaluated clinical impact constructs within lower thoracic and/or lumbar spine on curves.A retrospective review was performed an (Cobb angle > 20°, sagittal vertical axis [SVA] 50 mm, and pelvic incidence minus...
The minimally invasive (MI) lateral approach to the TL junction for treating various spinal pathologies is quite challenging spine surgeons due this region's unfamiliar and complex anatomical structures. In addition, controversy still exists regarding selection, need rib resection, diaphragm manipulation.
OBJECTIVE The Global Alignment and Proportion (GAP) score was developed to serve as a tool predict mechanical complication probability in patients undergoing surgery for adult spinal deformity (ASD), serving an aid setting surgical goals decrease the prevalence of complications ASD surgery. However, it using whom open techniques were used correction. Therefore, purpose this study assess applicability circumferential minimally invasive (cMIS) correction ASD. METHODS Study participants cMIS...