A5036165127- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Medical Imaging and Analysis
- Scoliosis diagnosis and treatment
- Musculoskeletal pain and rehabilitation
- Medical Malpractice and Liability Issues
- Pelvic and Acetabular Injuries
- Orthopedic Surgery and Rehabilitation
- Anesthesia and Pain Management
- Cervical and Thoracic Myelopathy
- Opioid Use Disorder Treatment
- Bone health and osteoporosis research
- Orthopaedic implants and arthroplasty
- Hip and Femur Fractures
- Infectious Diseases and Tuberculosis
- Shoulder Injury and Treatment
- Pain Management and Opioid Use
- Orthopedic Infections and Treatments
- Bone fractures and treatments
- Digital Imaging in Medicine
- Total Knee Arthroplasty Outcomes
- Pediatric Pain Management Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Amoebic Infections and Treatments
- Surgical Simulation and Training
Loma Linda University
2018-2024
Twin Cities Spine Center
2022-2024
Johns Hopkins University
2024
Loma Linda University Medical Center
2018-2024
Jerry L. Pettis Memorial VA Medical Center
2022-2024
University of California, Riverside
2023-2024
University of Southern California
2023-2024
University of Maryland, Baltimore
2023
George Washington University
2022-2023
Brown University
2020
The aim of this study was to identify the incidence and characteristics malpractice lawsuits pertaining laminectomy performed either as a stand-alone operation or concurrent with another procedure by querying Westlaw Edge VerdictSearch databases. Malpractice claims analysis is several medical specialties provide insight into patient values, methods improve quality care, risk factors for litigation specific procedures treatments.Westlaw were queried using keywords "laminectomy" "spine."...
Spinal fusion through the anterior-to-psoas (ATP) technique harbors several approach-related risks. We used abdominal computed tomography imaging to analyze L1-L5 ATP approach measurements, feasibility, degree of obstruction by non-neurological structures, and influence patient characteristics on dimensions.The vascular window, psoas safe incision line anterior posterior margins for were measured imaging. The feasibility presence kidneys, ribs, liver, spleen, iliac crests within also...
A retrospective database study.The purpose of our study was to compare the perioperative complications and reoperation rates after anterior cervical discectomy fusion (ACDF), disk arthroplasty (CDA), posterior foraminotomy (PCF) in patients treated for radiculopathy.Cervical radiculopathy results from compression or irritation nerve roots spine. While most is nonoperatively, ACDF, CDA, PCF are techniques commonly used if operative intervention indicated. There limited research evaluating...
Objectives The objective of this retrospective cohort study was to evaluate the associations among preoperative cannabis use, postoperative opioid and outcomes following elective anterior cervical decompression fusion (ACDF). Methods Patients who underwent one- or two-level ACDF were characterized preoperatively as active users, former nonusers. also classified based on history use chronic acute Groups compared including rate emergency department visits six months postoperatively,...
Anterior cervical discectomy and fusion (ACDF) is among the most common spine operation, with over 137,000 surgeries performed annually. Understanding reasons underlying malpractice pertaining to ACDF may inform physicians of practices improve delivery patient care mitigate malpractice. The aim our study was analyze causes outcomes for lawsuits ACDF. Westlaw Edge Verdict Search databases were queried claims utilizing keywords "anterior fusion" "ACDF". Inclusion criteria based on relevance...
Introduction: Quantitative parameters for diagnosis of congenital lumbar stenosis (CLS) have yet to be universally accepted. This study establishes CLS using CT, assessing the influences patient sex, race, ethnicity, and anthropometric characteristics. Methods: Interpedicular distance (IPD), pedicle length, canal diameter, area were measured 1,000 patients between 18 35 years age who without spinal pathology. Results: Irrespective disk level, threshold values 16.1 mm IPD, 3.9 11.5 142.5 2...
Langenskiöld described a reconstructive soft-tissue procedure for irreducible lateral congenital patellar dislocations. Paley further detailed the technique in surgical management of femoral deficiency. The aim this study was to evaluate outcomes patients with congenital, chronic and recurrent dislocations treated modified procedure.This is retrospective case series. Between 2011 2018, 18 knees 13 (mean age 15.8 years (sd 4.4; 12 29.9), nine female) diagnoses (six patients, eight knees),...
BackgroundThe COVID-19 global pandemic has caused unprecedented levels of strain on the United States healthcare and its workforce. Orthopaedic neurosurgery residents fellows, as part this workforce have also experienced some uncertainty stress by pandemic. Concerns exist regarding effects spine surgery education due to cancellation all elective surgeries.Current ContextWe explore how is affecting orthopaedic fellows their experience. We examined measures taken residency fellowship programs...
Study Design. Retrospective cohort. Objective. To report normative measurements of L1 to S1 lumbar neuroforamina on plain film radiography (PFR), computed tomography (CT), and magnetic resonance imaging (MRI), accounting for patients' sex ethnicity. Background. The quantitative criteria fothe diagnosis neuroforaminal stenosis remains unknown. Acquiring a thorough understanding foraminal dimensions is key step in formulating objective parameters stenosis. Patients Methods. We measured 988...
Study Design. Retrospective cohort study. Objective. To analyze the incidence and characteristics of malpractice lawsuits pertaining to off-label use Bone morphogenetic protein (BMP). Summary Background Data. BMP continues be a popular alternative autologous bone graft during spinal fusion procedures. However, ~85% is used in an manner, which may expose surgeons claims malpractice. Methods. Westlaw VerdictSearch were queried for filed between 2000 2022 using keywords “bone graft” “spine.”...
Study Design: Retrospective cohort study. Objective: To evaluate the incidence of litigation due to using or foregoing methylprednisolone (MP), naloxone, tirilazad for treatment acute spinal cord injury (ASCI) through querying Westlaw and VerdictSearch databases. Summary Background Data: There is historic controversy regarding use intravenous steroids ASCI. Many highlight that MP continues be used ASCI mainly as a defensive medicine tactic fear malpractice litigation. Methods: were queried...
Case: A 9-year-old boy sustained intrasubstance tears of the rotator cuff and periscapular muscles due to a fall, resulting in scapular winging severely decreased shoulder range motion. Treatment consisted modified thoracolumbosacral orthosis (TLSO) with immobilizer attachment (to reduce scapula thoracic wall hold arm 10° abduction). The brace was worn for 8 weeks. patient recovered full, pain-free function motion, returned high-level athletics. Conclusion: Pediatric massive muscle can be...
Reconstruction of segmental diaphyseal bone defects has been a major challenge in limb salvage surgery. Staged reconstruction as first described by Masquelet is common strategy to deal with this problem One consequence technique time period prolonged limited weightbearing while the defect heals. The purpose study was describe an adjunctive for stage II procedure and retrospectively analyze outcome weight bearing progression 3 patients who sustained femur fractures significant loss underwent...
Background: The MRI-based vertebral bone quality (VBQ) score is an assessment tool for mineral density (BMD) that has been validated in adults against the clinical standard of dual-energy X-ray absorptiometry (DEXA). However, VBQ yet to be DEXA use adolescents. This study evaluated associations between adolescent scores, Z-scores, and BMD values. Methods: radiographic records 63 consecutive patients ages 11 21 who underwent MRI abdomen pelvis spine hip were retrieved. collected data...