A5061861316- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Scoliosis diagnosis and treatment
- Cervical and Thoracic Myelopathy
- Pelvic and Acetabular Injuries
- Medical Imaging and Analysis
- Musculoskeletal pain and rehabilitation
- Spinal Hematomas and Complications
- Anesthesia and Pain Management
- Cardiac, Anesthesia and Surgical Outcomes
- Opioid Use Disorder Treatment
- Clinical practice guidelines implementation
- Infectious Diseases and Tuberculosis
- Management of metastatic bone disease
- Pain Management and Treatment
- Hip and Femur Fractures
- Orthopaedic implants and arthroplasty
- Trauma Management and Diagnosis
- Stroke Rehabilitation and Recovery
- Intraoperative Neuromonitoring and Anesthetic Effects
- Shoulder Injury and Treatment
- Anorectal Disease Treatments and Outcomes
- Elbow and Forearm Trauma Treatment
- Bariatric Surgery and Outcomes
- Pain Management and Opioid Use
Johns Hopkins University
2014-2024
University of Virginia
2015-2024
Sibley Memorial Hospital
2024
Johns Hopkins Hospital
2016-2021
University of Virginia Medical Center
2018-2019
University of Virginia Health System
2017-2018
Georgetown University
2017
Academic Center for Education, Culture and Research
2016
University of Missouri–Kansas City
2015
Rush University Medical Center
2015
This study reports the surgical and clinical outcomes of spinal tumors managed with total en bloc spondylectomy. The authors searched their prospectively maintained database for patients undergoing spondylectomy between 2001 2013. Ten (9 men, 1 woman; average age, 50.7 years; range, 42-68 years) were identified. obtained demographic information, (estimated blood loss, complications), (recurrence, survival). All had pain classified as American Spinal Injury Association grade E. lesions...
OBJECTIVE Lumbar epidural steroid injections (LESIs) are performed for both diagnostic and therapeutic purposes a variety of indications, including low-back pain, the leading cause disability expense due to work-related conditions in US. The agent used is reported relieve nerve root inflammation, local ischemia, resultant but injection may also have an adverse impact on spinal surgery thereafter. In particular, possibility that preoperative increase risk surgical site infection after lumbar...
Open reduction/internal fixation remains the most common way to surgically stabilize displaced pediatric lateral humeral condyle fractures, but closed reduction and internal is being increasingly used. Our goal was compare clinical functional results of treating condylar fractures with traditional smooth or threaded pin versus single cannulated screw fixation.From 1998 through 2012, 48 patients were treated (22 patients, until 2006) cannulated, partially (26 from 2006 onward). In each,...
Study Design Cadaveric study. Objectives The purpose of this study was to compare a novel, integrated 3D navigational system (NAV) and conventional fluoroscopy in the accuracy, efficiency, radiation exposure thoracolumbar percutaneous pedicle screw (PPS) placement. Methods Twelve skeletally mature cadaveric specimens were obtained for twelve individual surgeons. Each participant placed bilateral PS at 11 segments, from T8 S1. Prior insertion, surgeons randomized sequence techniques side...
Objective The aim of the study was to compare trends and differences in preoperative prolonged postoperative opioid use following spinal cord stimulator (SCS) implantation determine factors associated with use. Methods A database private-payer insurance records queried identify patients who underwent a primary paddle lead SCS placement via laminectomy (CPT-C3655) from 2008–2015. Our resulting cohort stratified into those use, between 3- 6-month postoperation, without. Multivariate logistic...
Retrospective analysis of a prospective registry OBJECTIVE.: To investigate associations preoperative narcotic use with outcomes after adult spinal deformity (ASD) surgery.We hypothesized that would predict longer hospital stays, greater postoperative use, and disability 2 years ASD surgery.A multicenter database surgical patients was analyzed retrospectively for self-reported data on use. Patients were categorized as using narcotics daily or non-daily (including those who used no...
Incidental durotomy (ID) can occur in up to 14% of all lumbar spine surgeries. The risk this complication is markedly higher among elderly patients with advanced spinal pathology. In addition, revision cases and other more invasive procedures increase the ID. When unrepaired, IDs developing meningitis lead formation cerebrospinal fluid fistulas pseudomeningoceles. Intraoperative recognition repair are essential ID management, although techniques vary considerably. Although primary suture...
While autologous bone grafts remain the gold standard for spinal fusion procedures, harvesting is associated with significant complications, including donor site infection, hematomas, increased operative time, and prolonged pain. Cellular allograft (CBA) presents an alternative to harvesting, a favorable efficacy safety profile. The current study further investigates CBA as adjunct lumbar procedures.A prospective, multicenter, open-label clinical was conducted in subjects undergoing...
Given the physical and economic burden of complications in spine surgery, reducing prevalence perioperative adverse events is a primary concern both patients health care professionals. This study aims to identify specific factors predictive developing varying grades postoperative adult spinal deformity (ASD) patients, as assessed by Clavien-Dindo complication classification (Cc) system.Surgical ASD ≥18 years were identified American College Surgeons' National Surgical Quality Improvement...
Retrospective analysis of a Medicare database (2005 to 2012).To study postoperative complication rates following thoracolumbar fusion for traumatic fracture in patients with ankylosing spondylitis (AS) compared without AS.The PearlDiver 2012) was queried examine AS undergoing posterior (n = 968). Complication were proportion-matched controls the same procedure 1,979). We examined and incidence death, infection, transfusion, venous thromboembolism, respiratory failure, pneumonia, myocardial...
Mounting evidence demonstrates a promising safety and efficacy profile for spinal fusion procedures using cellular bone allograft (CBA). However, limited data exists on outcomes stratified by surgical approach. The current study investigates the effectiveness of CBA in lumbar approach (ie, anterior, lateral, posterior approaches).
Cervical deformity (CD) surgery has become increasingly more common and complex, which also led to reoperations for complications such as distal junctional kyphosis (DJK). Cost-utility analysis yet be used analyze CD revision in relation the cost-utility of primary surgeries. The aim this study was determine correction.Retrospective review a multicenter prospective database. defined at least one following: C2-C7 Cobb >10°, cervical lordosis (CL) sagittal vertical axis (cSVA) >4 cm, chin-brow...
Retrospective review.To analyze trends in the use of 3 surgical treatments (anterior/anterolateral decompression and spinal fusion [ASF], posterior/posterolateral [PSF], disc decompression/excision without [DDE]) for patients with thoracic disorders myelopathy (TDM), how differ terms patient hospital characteristics, complications, mortality, resource utilization.Various approaches have been described literature, but preferred method is not well established.Using Nationwide Inpatient Sample...