A5078787195- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Anesthesia and Pain Management
- Cervical and Thoracic Myelopathy
- Musculoskeletal pain and rehabilitation
- Cardiac, Anesthesia and Surgical Outcomes
- Scoliosis diagnosis and treatment
- Pelvic and Acetabular Injuries
- Management of metastatic bone disease
- COVID-19 and healthcare impacts
- Glioma Diagnosis and Treatment
- Bone Tumor Diagnosis and Treatments
- Cerebrospinal fluid and hydrocephalus
- Neurosurgical Procedures and Complications
- Oral and Maxillofacial Pathology
- Medical Imaging and Analysis
- Traumatic Brain Injury and Neurovascular Disturbances
- Spinal Dysraphism and Malformations
- Head and Neck Surgical Oncology
- Sarcoma Diagnosis and Treatment
- Telemedicine and Telehealth Implementation
- Spinal Hematomas and Complications
- Intraoperative Neuromonitoring and Anesthetic Effects
- Pain Management and Treatment
- Bone and Joint Diseases
Neurological Surgery
2016-2024
Mayo Clinic in Florida
2019-2024
Jacksonville College
2020-2024
WinnMed
2019-2024
Mayo Clinic
2020-2023
Touro University Nevada
2023
Brown University
2021
Phoenix (United States)
2020
Oxford University Press (United Kingdom)
2020
Mayo Clinic in Arizona
2019
Deep brain stimulation is an effective surgical treatment for managing some neurological and psychiatric disorders. Infection related to the deep stimulator (DBS) hardware causes significant morbidity: explantation may be required; initial disease symptoms such as tremor, rigidity, bradykinesia recur; medication requirements adequate management increase. These morbidities are of particular concern given that published DBS-related infection rates have been high 23%. To date, however, key risk...
The aim of this study was to analyze risk factors and avoidance techniques for proximal junctional kyphosis (PJK) failure (PJF) in the upper thoracic spine with an emphasis on bone mineral density (BMD) as estimated by Hounsfield units (HU).
Object The primary goal of this study was to review the immediate postoperative neurological function in patients surgically treated for symptomatic cervical spine disease without intraoperative neurophysiological monitoring. secondary assess economic impact monitoring (IOM) patient population. Methods This is a retrospective 720 consecutively who underwent procedures. were identified and data collected by individuals not involved their care. Results A total 1534 levels using anterior,...
OBJECTIVE Craniectomy is often performed to decrease intracranial pressure following trauma and vascular injuries. The subsequent cranioplasty procedures may be complicated by surgical site infections (SSIs) due prior trauma, foreign implants, multiple surgeries through a common incision. Several studies have found that intrawound vancomycin powder (VP) associated with decreased risk of SSIs after spine operations. However, no previously published study has evaluated the effectiveness VP in...
BACKGROUND: Management of degenerative disease the spine has evolved to favor minimally invasive techniques, including nonrobotic-assisted and robotic-assisted transforaminal lumbar interbody fusion (MIS-TLIF). Value-based spending is being increasingly implemented control rising costs in US healthcare system. With an aging population, it fundamental understand which procedure(s) may be most cost-effective. OBJECTIVE: To compare robotic nonrobotic MIS-TLIF through a cost-utility analysis....
INTRODUCTION: Chordomas are rare tumors of the neural axis arising from embryonic notochord that often recur following resection and adjuvant radiotherapy. Proton therapy has been introduced as a tissue-sparing option because higher level precision proton-beam techniques offer compared with traditional photon METHODS: The clinical records all patients treated followed by proton or radiotherapy for chordoma at our institution were reviewed. Patient demographics, type surgery radiotherapy,...
INTRODUCTION: Neurosurgical training disparities and limited medical access create an enormous gap between low- middle-income countries (LMICs) high-income ones. Annually, ∼5.2 million individuals with treatable neurosurgical conditions remain untreated, highlighting a calculated shortfall of 23,000 neurosurgeons globally. Mission:BRAIN Foundation, non-profit organization, seeks to diminish these barriers by fostering neuroscientific knowledge empowering healthcare providers worldwide this...
INTRODUCTION: Awake surgery, under spinal anesthesia (SA), is an alternative to surgery general (GA), in neurological and spine surgery. In the literature, there seem be some evidence supporting benefits associated with use of this anesthetic modality, as compared GA. Currently, a notable lack updated comprehensive review addressing complications both awake SA GA METHODS: A systematic search was conducted identify studies that assessed from database inception April 14, 2023, PubMed, Medline,...
INTRODUCTION: Incidental durotomies occur in 1.8% to 17.4% of spine surgeries, and have been reported increase care costs prolonged hospitalization. Despite the espoused negative impact on these immediate outcomes, there remains heterogeneity literature characterizing resultant complications clinical outcomes. METHODS: All neurosurgical surgeries performed between January 2018 August 2023 at a large, multicenter academic institution were identified. Data extracted patient demographics,...
Object Management of pediatric occipitocervical instability remains especially challenging. The off-label use recombinant human bone morphogenetic protein (rhBMP)-2 for spinal fusion has increased with a well-documented increase in rate many case series. Unfortunately, recent reports have documented complications associated rhBMP adult fusions. Complications the surgery is less well understood. In this study authors report on and arthrodesis. Methods reviewed medical records those patients...
Retrospective cohort study.The identification of factors that lead to the failure nonoperative management in neurologically intact thoracolumbar burst fractures.The treatment fractures (TLBF) can be controversial, particularly intact. Surgery for has been advocated early mobilization and a shorter hospital stay. These goals, however, have not always achieved, rejuvenating an interest treatment.Sixty-eight patients with junction (T11-L2), injury classification severity score (TLICS) 2, were...
ObjectiveTo describe telemedicine utilization in neurosurgery at a single tertiary institution to provide outpatient care during the coronavirus disease 2019 (COVID-19) pandemic, with 315 visits performed by department.Patients and MethodsIn response COVID-19 pandemic national stay-at-home orders postponed elective surgeries, we converted upcoming clinic into rescheduled other patients thought not be markedly affected surgical postponement. We reviewed charts of all who had telehealth from...
BACKGROUND: There has recently been increasing interest in the use of spinal anesthesia (SA) for spine surgery. The literature that compared surgery under SA vs general (GA) focused on safety, perioperative outcomes, and costs. OBJECTIVE: To test if is associated with less postoperative fatigue, cognitive dysfunction, better quality life patients undergoing lumbar GA. METHODS: We conducted a prospective nonrandomized study elective or GA by single surgeon. Fatigue was assessed fatigue visual...
To develop a large animal model of spinal cord injury (SCI), for use in translational studies stimulation (SCS) the treatment spasticity. We seek to establish thresholds SCS parameters associated with reduction post-SCI spasticity pelvic limbs, implications patients.The weight-drop method was used create moderate SCI adult sheep, leading mild limbs. Electrodes electromyography (EMG) and an epidural stimulator were then implanted. Behavioral electrophysiological data taken during treadmill...
Low bone mineral density (BMD) on dual energy x-ray absorptiometry (DXA) is likely a risk factor for proximal junctional kyphosis (PJK) and failure (PJF). However, prior instrumentation degenerative changes can preclude lumbar BMD measurement. Hounsfield units (HU) represent an alternative method to estimate via targeted measurements at the intended operative levels.To determine if patients with lower HU upper instrumented vertebrae (UIV) vertebral body superior UIV (UIV + 1) are greater PJK...