A5005651246- Spine and Intervertebral Disc Pathology
- COVID-19 and healthcare impacts
- Spinal Fractures and Fixation Techniques
- Diversity and Career in Medicine
- Musculoskeletal pain and rehabilitation
- Medical Imaging and Analysis
- Supramolecular Self-Assembly in Materials
- Healthcare Policy and Management
- Pharmaceutical industry and healthcare
- Scoliosis diagnosis and treatment
- Peptidase Inhibition and Analysis
- Toxic Organic Pollutants Impact
- Pelvic and Acetabular Injuries
- Protease and Inhibitor Mechanisms
- Orthopedic Infections and Treatments
- Orthopaedic implants and arthroplasty
- Cardiac Arrest and Resuscitation
- Traumatic Brain Injury Research
- Anesthesia and Pain Management
- Injury Epidemiology and Prevention
- Cardiac, Anesthesia and Surgical Outcomes
- Bone and Joint Diseases
- Musculoskeletal Disorders and Rehabilitation
- Retinoids in leukemia and cellular processes
- Infectious Diseases and Tuberculosis
University Medical Center
2024
University Hospital and Clinics
2024
Northwestern University
2015-2023
University of Utah
2023
Northwestern Memorial Hospital
2019-2021
University of Chicago Medical Center
2019
Emory Healthcare
2019
Columbia University
2017
University of New Haven
2017
Rush University Medical Center
2017
Background: Approximately 300,000 U.S. adolescents sustain concussions annually while participating in organized athletics. This study aimed to track sex and sport-specific trends among high school sports-related over time, identify whether a particular sport predisposes athletes higher risk, assess traumatic brain injury law enactments have been successful improving recognition. Methods: Injury data for academic years 2005 2014 were collected from annual reports generated by High School RIO...
Background: Periprosthetic joint infection following hip and knee arthroplasty leads to poor outcomes exorbitant costs. Topical vancomycin powder has been shown decrease in many procedures such as spine surgery. The role of the setting total remains undefined. Our aim was evaluate efficacy intra-articular preventing a rat model contaminated implant. Methods: Thirty-two female Sprague-Dawley rats underwent arthrotomy implantation femoral intramedullary wire with 1 mm communication. also...
Study Design. A retrospective review of Centers for Medicare and Medicaid Services Database. Objective. Utilizing Open Payments data, we aimed to determine the prevalence industry payments orthopedic neurospine surgeons, report magnitude those relationships, help outline surgeon demographic factors associated with relationships. Summary Background Data. Previous data revealed that surgeons receive highest value payments. No study has investigated financial relationship between spine using...
The COVID-19 pandemic forced many surgeons to adopt "virtual medicine" practices, defined as telehealth services for patient care and online platforms continuing medical education. purpose of this study was assess spine surgeon reliance on virtual medicine during the discuss future in surgery.A comprehensive survey addressing demographic data practices distributed worldwide between March 27, 2020, April 4, 2020.902 representing seven global regions responded. 35.6% were identified "high...
Study Design. Retrospective case series. Objective. Our objective was to examine the ability of preoperative Patient-reported Outcomes Measurement Information System (PROMIS) scores predict postoperative achievement a minimum clinically important difference (MCID) in outcome following lumbar spine surgery. Summary Background Data. PROMIS is computer adaptive testing system that has been validated surgery patients. allows for more efficient and personalized data collection compared legacy...
The inhibition of bone healing in humans is a well-established effect associated with cigarette smoking, but the underlying mechanisms are still unclear. Recent work using animal cell lines have implicated aryl hydrocarbon receptor (AhR) as mediator anti-osteogenic effects smoke, complexity smoke mixtures makes understanding action major challenge. 2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD, dioxin) high-affinity AhR ligand that frequently used to investigate biological processes impacted by...
Spine surgeons around the world have been universally impacted by COVID-19. The current study addressed whether prior experience with disease epidemics among spine surgeon community had an impact on preparedness and response toward COVID-19.A 73-item survey was distributed to worldwide via AO Spine. Questions focused on: demographics, COVID-19 preparedness, response, impact. Respondents without epidemic (e.g., SARS, H1NI, MERS) were assessed univariate multivariate modeling. Results of...
Purpose The COVID-19 pandemic forced many hospitals to cancel elective surgeries minimize the risk of viral transmission and ensure availability vital health resources. unintended consequences this action on education training orthopaedic sports surgeons are unknown. purpose study is measure impact surgery fellows, their training, readiness for practice. Methods A comprehensive survey was created distributed all U.S. fellows fellowship directors registered with American Orthopaedic Society...
In assessing poor lumbar surgery outcomes, researchers continue to investigate psychosocial predictors of patient postoperative quality life. This is the first study its kind this relationship in an exclusively minimally invasive sample.To determine association between preoperative mental health and patient-centered outcomes patients undergoing surgery.In 83 adults single-level spine surgery, Pearson correlation partial analyses were conducted all demographic clinical baseline variables...
While inhibition of bone healing and increased rates pseudarthrosis are known adverse outcomes associated with cigarette smoking, the underlying mechanisms by which this occurs not well understood. Recent work has implicated Aryl Hydrocarbon Receptor (Ahr) as one mediator anti-osteogenic effects smoke (CS), contains numerous toxic ligands for Ahr. 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD, dioxin) is a high-affinity Ahr ligand frequently used to evaluate pathway activation. The purpose study...
This was a retrospective cohort study.Investigate the impact of preoperative opioid use on postoperative Patient-Reported Outcomes Measurement Information System (PROMIS) physical function (PF) and pain interference (PI) scores in patients undergoing elective spine surgery.The PROMIS has demonstrated reliability validity conditions such as lumbar stenosis, disc herniation, cervical spondylosis. Although previous studies have identified negative legacy patient-reported outcome measures...
With an estimated prevalence of 68% among healthy adults without a previous diagnosis scoliosis, adult spinal deformities are growing concern as the population ages. Our understanding this has been historically guided by studies performed on pediatric population. Over time, different classifications have developed with their own respective limitations. The Roussouly classification was first to describe shapes asymptomatic spine. It considers lumbar lordosis, pelvic incidence, and inflection...
Objective: This study evaluates the disease burden of sciatica on US Medicare cohort. Background Data: Sciatica is a common disability that has important physical, mental, and economic effects. The Health Outcomes Survey (HOS) demographic outcomes survey used to monitor performance Advantage health plans in United States. HOS includes data demographics, chronic medical conditions, patient-reported outcomes. Methods: for cohorts from 2007 2013 were obtained. Patients placed into two...
Study Design. Retrospective study. Objective. The purpose of this study was to evaluate associations between spine surgeon demographics and the rate at which elective fusion is performed. Summary Background Data. Rapidly increasing rates spinal in United States have given rise important questions about what factors may drive decision making. Methods. Publicly available practice pattern data from Centers for Medicare Medicaid Services were reviewed retrospectively. Fusion defined as number...
Cross-sectional observational cohort study.To investigate preparation, response, and economic impact of COVID-19 on private, public, academic, privademic spine surgeons.AO Spine Surgeon Global Impact Survey includes domains surgeon demographics, location practice, type perceptions, institutional preparedness personal practice impact, future perceptions. The survey was distributed by AO via email to members (n = 3805). Univariate multivariate analyses were performed identify differences...
Study Design: This was a cross-sectional study. Objective: The objective of this study is to report the impact COVID-19 on spine surgery fellow education and readiness for practice. Summary Background Data: has emerged as one most devastating global health crises our time. To minimize transmission risk ensure availability resources, many hospitals have cancelled elective surgeries. There may be unintended consequences decision preparedness current surgical trainees. Materials Methods: A...
Study Design. Retrospective cohort study. Objective. We sought to determine whether financial relationships with industry had any impact on operative and/or complication rates of spine surgeons performing fusion surgeries. Summary Background Data. Recent actions from Congress and the Institute Medicine have highlighted importance conflicts interest among physicians. Orthopedic neurosurgeons been identified as receiving highest amount payments all specialties. No study has yet investigated...